[Federal Register Volume 76, Number 228 (Monday, November 28, 2011)]
[Notices]
[Pages 72994-72996]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-30475]


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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 (Pub. L.) 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
This notice includes revisions of OMB-approved information collections 
and new 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, email, 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.

[[Page 72995]]

(OMB)

    Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 
(202) 395-6974, Email address: [email protected].

(SSA)

    Social Security Administration, DCRDP, Attn: Reports Clearance 
Officer, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 
21235, Fax: (410) 966-2830, Email 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 
January 27, 2012. 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 email address.
    Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act (Act) 
provides for the reduction of disability insurance benefits (DIB) when 
the combination of DIB and any worker's compensation (WC) or certain 
Federal, State, or local public disability benefits (PDB) exceeds 80 
percent of the worker's pre-disability earnings. SSA uses Form SSA-546 
to collect the data necessary to determine if the worker's receipt of 
WC or PDB payments will cause a reduction of DIB. The respondents are 
applicants for title II DIB.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
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SSA-546.................................             2,000                 1                15               500
Modernized Claims System................           248,000                 1                15            62,000
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    Totals..............................           250,000  ................  ................            62,500
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    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 December 28, 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 email address.
    1. Application for Access to SSA Systems--20 CFR 401.45--0960-NEW. 
SSA uses Form SSA-120 to allow limited access to SSA's information 
resources for SSA employees and non-Federal employees (contractors). 
SSA requires supervisory approval and local or component Security 
Officer review prior to granting this access. The respondents are SSA 
employees and non-Federal Employees (contractors) who require access to 
SSA systems to perform their jobs. Note: Because SSA employees are 
Federal workers exempt from the requirements of the Paperwork Reduction 
Act, the burden below is only for SSA contractors.

    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: In use without OMB approval.

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                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-120.................................             4,313                 1                 2               144
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    2. Screen Pop--20 CFR 401.45--0960-NEW. Section 205(a) of the Act 
requires SSA to verify the identity of individuals who request a record 
or information pertaining to themselves, and to establish procedures 
for disclosing personal information. SSA established Screen Pop, an 
automated telephone process, to speed up verification for such 
individuals. Accessing Screen Pop, callers enter their Social Security 
number (SSN) using their telephone keypad or speech technology prior to 
speaking with a National 800 Number Network (N8NN) agent. The automated 
Screen Pop application collects the SSN and routes it to the ``Start 
New Call'' Customer Help and Information (CHIP) screen. Functionality 
for the Screen Pop application ends once the SSN connects to the CHIP 
screen and the SSN routes to the agent's screen. When the call connects 
to the SSA agent, the agent can use the SSN to access the caller's 
record as needed. The respondents for this collection are individuals 
who contact SSA's N8NN to speak with an agent.
    Type of Request: Request for a new information collection.

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                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop..............................        34,000,000                 1                 1           566,667
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    3. 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

[[Page 72996]]

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.

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                                                                              Average burden    Estimated total
        Collection instrument             Number of         Frequency of       per response      annual burden
                                         respondents          response          (minutes)           (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4178............................             5,100                  1                  5                425
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    Dated: November 18, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-30475 Filed 11-25-11; 8:45 am]
BILLING CODE 4191-02-P