[Federal Register Volume 76, Number 102 (Thursday, May 26, 2011)]
[Notices]
[Pages 30749-30751]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13087]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions and one extension of OMB-approved information 
collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, e-mail, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974, E-mail address: [email protected].
(SSA), Social Security Administration, DCBFM, Attn: Reports Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400, E-mail address: [email protected].

    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than July 
25, 2011. Individuals can obtain copies of the collection instruments 
by calling the SSA Reports Clearance Officer at 410-965-8783 or by 
writing to the above e-mail address.
    1. Marriage Certification--20 CFR 404.725--0960-0009. SSA uses Form 
SSA-3 to determine if a spouse claimant has the necessary relationship 
to the Social Security number holder (i.e., the worker) to qualify for 
the worker's Old Age, Survivors, and Disability Insurance (OASDI) 
benefits. The respondents are applicants for a spouse's OASDI benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 180,000.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 15,000 hours.
    2. Statement Regarding Date of Birth and Citizenship--20 CFR 
404.716--0960-0016. When individuals apply for Social Security benfits 
and cannot provide preferred methods of proving age or citizenship, SSA 
uses Form SSA-702 to establish these facts. Specifically, SSA uses the 
SSA-702 to establish age as a factor of entitlement to Social Security 
benefits, or U.S. citizenship as a payment factor. Respondents are 
individuals with knowledge about the date of birth or citizenship of 
applicants filing for one or more Social Security benefits who need to 
establish age or citizenship.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 1,200.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 200.
    3. Letter to Landlord Requesting Rental Information--20 CFR 
416.1130 (b)--0960-0454. SSA uses Form SSA-L5061 to identify rental 
subsidy arrangements involving applicants for and recipients of 
Supplemental Security Income (SSI) payments. SSA uses the information 
to determine an income

[[Page 30750]]

value for these subsidies, eligibility for payments, and the correct 
amount payable. The respondents are landlords of the SSI claimants.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 51,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden : 8,500 hours.
    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding the information collections would be 
most useful if OMB and SSA receive them within 30 days from the date of 
this publication. To be sure we consider your comments, we must receive 
them no later than June 27, 2011. Individuals can obtain copies of the 
OMB clearance packages by calling the SSA Reports Clearance Officer at 
410-965-8783 or by writing to the above e-mail address.
    1. Statement Regarding Marriage--20 CFR 404.726--0960-0017. Section 
216(h)(1)(A) of the Social Security Act directs SSA to apply State law 
to determine an individual's marital relationship. Some State laws 
recognize marriages without a ceremony (i.e., common-law marriages). In 
such cases, SSA provides the same spouse or widow(er) benefits to the 
common-law spouses as it does to ceremonially married spouses. To 
determine common-law spouses, SSA must elicit information from blood 
relatives or other persons who are knowledgeable about the alleged 
common-law relationship. SSA uses Form SSA-753, Statement Regarding 
Marriage, to collect information from third parties to verify the 
applicant's statements about intent, cohabitation, and holding out to 
the public as married, which are the basic tenets of a common-law 
marriage. SSA uses the information to determine if a valid marital 
relationship exists, and if the common-law spouse is entitled to Social 
Security spouse or widow(er) benefits. The respondents are third 
parties who can confirm or deny the alleged common-law marriage.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden per Response: 9 minutes.
    Estimated Annual Burden: 6,000 hours.
    2. Statement Regarding Contributions--20 CFR 404.360-404.366 and 
404.736--0960-0020. SSA examines a child's current source of support 
when determining the child's entitlement to Social Security benefits. 
To make this determination, SSA collects information on Form SSA-783. 
The respondents are individuals providing information about a child's 
source of support.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 17 minutes.
    Estimated Annual Burden: 8,500 hours.
    3. Questionnaire About Employment or Self-Employment Outside the 
United States--20 CFR 404.401(b)(1), 404.415 & 404.417--0960-0050. SSA 
collects information on the SSA-7163 to determine: (1) Whether work 
beneficiaries performed outside the United States is cause for 
deductions from their monthly benefits; (2) which of two work tests 
(foreign or regular test) is applicable; and (3) the number of months, 
if any, SSA should impose deductions. Respondents are beneficiaries 
living and working outside the United States.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 4,000 hours.
    4. Statement of Income and Resources--20 CFR 416.207, 146.301, 
416.310, 416.704, and 416.708--0960-0124. SSA collects information 
about income and resources on the SSA-8010-BK for SSI claims and 
redeterminations. SSA uses the information to make initial or 
continuing eligibility determinations for SSI claimants or recipients 
who are subject to deeming. The respondents are persons whose income 
and resources SSA may deem (consider to be available) to SSI applicants 
or recipients.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 341,000.
    Frequency of Response: 1.
    Average Burden per Response: 26 minutes.
    Estimated Annual Burden: 147,767 hours.
    5. Statement of Death by Funeral Director--20 CFR 404.715 and 
404.720--0960-0142. When a Social Security-insured worker dies, the 
funeral director or funeral home responsible for the worker's burial or 
cremation completes Form SSA-721 and sends it to SSA. SSA uses this 
information for three purposes: (1) To establish proof of death for the 
insured worker; (2) to determine if the insured worker was receiving 
any pre-death benefits that SSA needs to terminate; and (3) to 
ascertain which surviving family member is eligible for the lump-sum 
death payment or other death benefits. The respondents are funeral 
directors who handle funeral arrangements for the insured individuals.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 319,811.
    Frequency of Response: 1.
    Average Burden per Response: 3.5 minutes.
    Estimated Annual Burden: 18,656 hours.
    6. Request for Hearing by Administrative Law Judge--20 CFR 404.929, 
404.933, 416.1429, 404.1433, 405.722, 418.1350--0960-0269. When SSA 
denies applicants' or beneficiaries' requests for new or continuing 
benefits, those applicants or beneficiaries are entitled to request a 
hearing to appeal the decision. SSA uses the information from Form HA-
501 to determine if the individual filed the request within the 
prescribed time, is the proper party, and has taken the steps necessary 
to obtain the right to a hearing. SSA also uses the information to 
determine the individual's reason(s) for disagreeing with SSA's prior 
determinations in the case, if the individual has additional evidence 
to submit, if the individual wants an oral hearing or a decision on-
the-record, and whether the individual has (or wants to appoint) a 
representative. The respondents are Social Security benefit applicants 
and recipients who want to appeal SSA's denial of their request for new 
or continued benefits and Medicare Part B recipients who must pay the 
Medicare Part B Income-Related Monthly Adjustment Amount.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 30751]]



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                                                                                     Estimated
                Collection method                    Number of     Frequency of     completion     Total burden
                                                    respondents      response     time (minutes)      (hours)
----------------------------------------------------------------------------------------------------------------
Paper & Modernized Claims System................         33, 473               1              10           5,579
i501............................................         635,996               1              19         201,399
                                                 ---------------------------------------------------------------
    Totals......................................         669,469  ..............  ..............         206,978
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* This is a correction notice: SSA published incorrect burden information for this collection at 76 FR 1835 on 3/
  03/11. We are correcting this error here.

    7. Review of the Disability Hearing Officer's Reconsidered 
Determinations Before It Is Issued--20 CFR 404.913-404.918, 404.1512-
404.1515, 404.1589, 416.912-416.915, 416.989, 416.1413-416.1418, 
404.918(d) and 416.1418(d)--0960-0709. After SSA approves claimants for 
Social Security disability benefits or SSI payments, SSA periodically 
conducts a continuing disability review (CDR). During a CDR, the agency 
reviews claimants' status to see if their condition improved to the 
point they are capable of working, and if so, to reduce or stop their 
benefits or payments. If SSA notifies a claimant that the agency will 
stop benefits or payments, the claimant may appeal the determination. 
The first appeal gives the claimant the opportunity for a full 
evidentiary hearing before a disability hearing officer (DHO).
    For quality review purposes, a Federal component reviews a small 
sample of DHO's determinations. It is rare for the reviewing component 
to reverse a DHO determination favorable to the claimant. Before SSA 
can issue an unfavorable determination, we give the claimant 10 days to 
provide a written statement explaining why SSA should not stop 
payments. The written statement is the information SSA collects in this 
process. Respondents are CDR claimants whose payments are going to 
cease.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 8.
    Frequency of Response: 1.
    Average Burden per Response: 60 minutes.
    Estimated Annual Burden: 8 hours.

    Dated: May 23, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-13087 Filed 5-25-11; 8:45 am]
BILLING CODE 4191-02-P