[Federal Register Volume 76, Number 126 (Thursday, June 30, 2011)]
[Notices]
[Pages 38449-38450]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-16421]


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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 to 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 collection below is pending at SSA. SSA will 
submit it 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 
August 29, 2011. Individuals can obtain copies of the collection 
instrument by calling the SSA Reports Clearance Officer at 410-965-8783 
or by writing to the above e-mail address.

Medical Permit Parking Application--41 CFR 101-20.104-2--0960-0624

    SSA employees and contractors with a qualifying medical condition 
who park at SSA-owned and SSA-leased facilities may receive a medical 
parking permit. SSA uses three forms as part of this program: (1) SSA-
3192, Physician's Report (the applicant's physician completes this to 
verify the medical condition); (2) SSA-3193, Application and Statement 
(the person seeking the permit completes this when first applying for 
the medical parking space); and (3) SSA-3194, Renewal Certification 
(medical parking permit holders complete this to verify their continued 
need for the permit). The respondents are SSA employees and contractors 
seeking medical parking permits and their physicians. Note: Because SSA 
employees are Federal workers exempt from the requirements of the 
Paperwork Reduction Act, the burden below is only for SSA contractors 
and physicians (of both SSA employees and contractors).
    Type of Request: Revision to an OMB-approved information 
collection.

 
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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                    Form No.                        respondents      response        response     annual  burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................              75               1              90             113
SSA-3193........................................             400               1              30             200
SSA-3194........................................             500               1               5              42
    Totals......................................             975              --              --             355
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections listed below to OMB 
for clearance. Your comments on 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 August 1, 2011. You can obtain a copy 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. Electronic Benefit Verification Information (BEVE)--20 CFR 401.40--
0960-0595

    The electronic proof of income (POI) verification Internet service, 
BEVE, provides Supplemental Security Income (SSI) recipients, Social 
Security beneficiaries, and Medicare beneficiaries the convenience of 
requesting a POI statement through the Internet. Beneficiaries and SSI 
recipients often require POI to obtain housing, food stamps, or other 
public services. After verifying the requester's identity, SSA uses the 
information from BEVE to provide the POI statement. SSA will enhance 
the current BEVE Internet application with the release of the new 
Internet Request a Benefit Verification Letter (iBEVE) application. The 
implementation of iBEVE is contingent upon our release of SSA's new 
Public Credentialing and Authentication Process and the 
MySocialSecurity.gov initiatives. We are revising the information 
collection to include the release of the iBEVE application. The 
respondents are Social Security beneficiaries, Medicare beneficiaries, 
and SSI recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 38450]]



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                                                                                  Average burden
           Internet application method               Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
BEVE............................................         870,958               1               5          72,580
iBEVE...........................................       1,007,744               1               4          67,183
    Totals......................................       1,878,702              --              --         139,763
----------------------------------------------------------------------------------------------------------------

2. Authorization to Obtain Earnings Data From the Social Security 
Administration--0960-0602

    SSA collects information on Form SSA-581 to identify the earnings 
record, verify authorized access to the earnings record, and produce an 
itemized statement for release to the proper party. The respondents are 
various private or public organizations, or agencies needing detailed 
earnings information.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 32,000.
    Frequency of Response: 1.
    Average Burden per Response: 2 minutes.
    Estimated Annual Burden: 1,067 hours.

3. Teacher Questionnaire and Request for Administrative Information--20 
CFR 416.1103(f)--0960-0646

    When determining the effects of a child's impairment(s), SSA 
obtains information about the child's functioning from teachers, 
parents, and others who observe the child on a daily basis. SSA obtains 
results of formal testing, teacher reports, therapy progress notes, 
individualized education programs, and other records of a child's 
educational aptitude and achievement using Forms SSA-5665 and SSA-5666. 
The respondents are parents, teachers, and other education personnel.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                    Form No.                        respondents      response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-5665-BK (electronic)........................         388,581               1              40         259,054
SSA-5665-BK (paper).............................          11,419               1              40           7,613
SSA-5666........................................         397,000               1              30         198,500
    Totals......................................         797,000  ..............  ..............         465,167
----------------------------------------------------------------------------------------------------------------


    Note:  This is a correction notice. On April 6, 2011, at 76 FR 
19175, SSA published a notice for this collection in which we 
inadvertently omitted the burden hours for both the electronic and 
paper version of Form SSA-5665-BK.


Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-16421 Filed 6-29-11; 8:45 am]
BILLING CODE 4191-02-P