[Federal Register Volume 76, Number 175 (Friday, September 9, 2011)]
[Notices]
[Pages 55999-56001]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-23061]


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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 (PRA) of 1995, effective October 1, 1995. This 
notice includes revisions of OMB-approved information collections and 
an information collection in use without an OMB number.
    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].

[[Page 56000]]

(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 
November 8, 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. Application for Access to SSA Systems--20 CFR 401.45--0960-NEW. 
SSA uses Form SSA-120 to allow authorized users to apply for access to 
SSA's information systems. SSA requires supervisory approval and local 
or component Security Officer review prior to granting access. The 
respondents are SSA employees and non-Federal employees (contractors) 
who require access to SSA systems to fulfill their jobs. Note: Because 
SSA employees are Federal workers exempt from the requirements of the 
PRA, the burden below is only for SSA contractors.
    Type of Request: Information collection in use without an OMB 
number.
    Number of Respondents: 4,313.
    Frequency of Response: 1.
    Average Burden per Response: 2 minutes.
    Estimated Annual Burden: 144 hours.
    2. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460. 
SSA uses Form SSA-4178 to determine if unrelated individuals of the 
opposite sex who live together are misrepresenting themselves as 
husband and wife. SSA needs this information to determine whether we 
are making correct payments to couples and individuals applying for or 
currently receiving Supplemental Security Income (SSI) payments. The 
respondents are applicants for and recipients of SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 5,100.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 425 hours.
    3. General Request for Social Security Records--eFOIA--20 CFR 
402.130--0960-0716. Interested members of the public use this 
electronic request to ask SSA for information under the Freedom of 
Information Act (FOIA). SSA also uses this information to track the 
number and type of requests, fees charged, payment amounts, and whether 
SSA responded to public requests within the required 20 days. 
Respondents are members of the public including individuals, 
institutions, or agencies requesting information or documents under 
FOIA.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden per Response: 3 minutes.
    Estimated Annual Burden: 250 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 October 11, 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. Application for Benefits under a U.S. International Social 
Security Agreement--20 CFR 404.1925--0960-0448. Section 233(a) of the 
Social Security Act authorizes the President to broker international 
Social Security agreements (totalization agreements) between the United 
States and foreign countries. SSA collects information using Form SSA-
2490-BK to determine entitlement to Social Security benefits from the 
United States, or from a country that enters into a totalization 
agreement with the United States. The respondents are individuals 
applying for Old Age, Survivors, and Disability Insurance benefits from 
the United States or from a totalization agreement country.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                    Form No.                        respondents      response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-2490-BK (Modernized Claims System)..........          14,000               1              30           7,000
SSA-2490-BK (paper).............................           2,000               1              30           1,000
                                                 ---------------------------------------------------------------
    Totals......................................          16,000  ..............  ..............           8,000
----------------------------------------------------------------------------------------------------------------

    2. Plan for Achieving Self-Support (PASS)--20 CFR 416.110(e), 
416.1180-1182, 416.1225-1227--0960-0559. The SSI program encourages 
recipients to return to work. One of the program objectives is to 
provide incentives and opportunities that help recipients to do this. 
The PASS provision allows individuals to use available income and 
resources (such as business equipment, education, and specialized 
training) to enter (or re-enter) the workforce and become self-
supporting. In turn, SSA does not count the income or resources 
recipients use to fund a PASS when determining an individual's SSI 
eligibility and payment amount. An SSI recipient who wants to use 
available income and resources to obtain education or training to 
become self-supporting completes the SSA-545. SSA uses the information 
from the SSA-545 to evaluate the recipient's PASS and to determine 
eligibility under the provisions of the SSI program. The respondents 
are SSI recipients who are blind or disabled and want to develop a plan 
to work.

    Note: This is a correction notice. SSA published this 
information collection as an extension on June 15, 2011 at 76 FR 
35067. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden per Response: 2 hours.
    Estimated Annual Burden: 14,000 hours.
    3. 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 leased facilities may receive a medical 
parking permit. SSA uses three forms for this program: (1) SSA-3192, 
the Physician's Report (the applicant's

[[Page 56001]]

physician completes this to verify the medical condition); (2) SSA-
3193, the 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.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                                                    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
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    Dated: September 6, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-23061 Filed 9-8-11; 8:45 am]
BILLING CODE 4191-02-P