[Federal Register Volume 77, Number 115 (Thursday, June 14, 2012)]
[Notices]
[Pages 35739-35741]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-14550]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: 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 extensions 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, 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.

(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 
Director, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 
21235, Fax: 410-966-2830, Email address: [email protected].

    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 30

[[Page 35740]]

days from the date of this publication. To be sure we consider your 
comments, we must receive them no later than July 16, 2012. Individuals 
can obtain copies of the OMB clearance packages by writing to 
[email protected].
    1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. 
Claimants for Social Security disability payments or their 
representatives can use Form SSA-773 to officially waive their right to 
appear at a disability hearing. The disability hearing officer uses the 
signed form as a basis for not holding a hearing, and for preparing a 
written decision on the claimant's request for disability payments 
based solely on the evidence of record. The respondents are claimants 
for disability payments under title II and title XVI of the Social 
Security Act (Act), or their representatives, who wish to waive their 
right to appear at a disability hearing.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
            Collection instrument                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-773.....................................             200                1                3               10
----------------------------------------------------------------------------------------------------------------

    2. Youth Transition Process Demonstration Evaluation Data 
Collection--0960-0687.

Background

    The purpose of the Youth Transition Demonstration (YTD) project is 
to help young people with disabilities make the transition from school 
to work. While participating in the project, youth can continue to work 
or continue their education because SSA waives certain disability 
program rules and offers services to youth who are receiving disability 
benefits or have a high probability of receiving them. We are currently 
implementing YTD projects in three sites across the country. Three 
other sites completed service delivery and closed. The evaluation will 
produce empirical evidence on the effects of the waivers and project 
services including (1) educational attainment, (2) employment, (3) 
earnings, (4) receipt of benefits by youth with disabilities, and (5) 
Social Security Trust Fund and Federal income tax revenues. Sections 
1110 and 234 of the Act authorize this project.

Project Description

    Given the importance of estimating YTD effects as accurately as 
possible, we are evaluating the project using rigorous analytic methods 
based on randomly assigning youth to a treatment or control group. We 
conducted several data collections. These included: (1) Baseline 
interviews with youth and their parents or guardians prior to random 
assignment; (2) follow-up interviews at 12 months after random 
assignment; (3) interviews and roundtable discussions with local 
program administrators, program supervisors, and service delivery 
staff; and (4) focus groups of youths, their parents, and service 
providers. We are currently collecting follow-up interviews at 36 
months after random assignment. We began collecting information for YTD 
in 2007, and we will conclude data collection for the project in 2013. 
The respondents are youths with disabilities enrolled in the project; 
their parents or guardians; program staff; and service providers.
    Type of Request: Extension of an OMB-approved information 
collection.

                                                  FY 2012 Data
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Responses per    burden per    Total response
     Data collection year          Collection       respondents     respondent       response         burden
                                                                                      (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
2012..........................  36 Month Follow-             364               1            0.83             302
                                 up.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............             302
----------------------------------------------------------------------------------------------------------------


                                          Combined Data From 2007--2013
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden  Total response
     Data collection year          Collection        Number of     Responses per   per response       burden
                                                    respondents     respondent        (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
All Years.....................  Baseline........           5,651               1           0.55            3,108
                                Informed Consent           5,651               1            .083             469
                                12 Month Follow-           4,752               1            .83            3,944
                                 up.
                                In-depth                     240               1            .42              101
                                 Interviews.
                                Focus Group.....             440               1           1.5               660
                                Program Staff/               192               1           1                 192
                                 Service
                                 Provider.
                                36 Month Follow-           3,962               1            .83            3,288
                                 up.
                                                 ---------------------------------------------------------------
    Grand Total...............  ................  ..............  ..............  ..............          11,762
----------------------------------------------------------------------------------------------------------------

    3. Identifying Information for Possible Direct Payment of 
Authorized Fees--0960-0730. SSA collects information from claimants' 
appointed representatives on Form SSA-1695 to (1) process and 
facilitate direct payment of authorized fees; (2) issue a Form 1099-
MISC, if applicable; and (3) establish a link between each claim for 
benefits and the data we collect on the SSA-1699 for our appointed 
representative database. The

[[Page 35741]]

respondents are attorneys and other individuals who represent claimants 
for benefits before SSA.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
            Collection instrument                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1695....................................          10,000               40               10           66,667
----------------------------------------------------------------------------------------------------------------

    4. Electronic Records Express--0960-0753. Electronic Records 
Express (ERE) is a web-based SSA program allowing medical providers to 
electronically submit disability claimant data to SSA. Both medical 
providers and other third parties with connections to disability 
applicants or recipients can use this system. The respondents are 
medical providers who evaluate or treat disability claimants or 
recipients and are ERE users.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
            Collection instrument                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
ERE.........................................       3,552,176                1               10          592,029
----------------------------------------------------------------------------------------------------------------

    5. Request to Pay Civil Monetary Penalty by Installment Agreement--
20 CFR 498--0960-0776. When SSA imposes a civil monetary penalty (CMP) 
for various fraudulent conduct related to SSA-administrated programs on 
individuals, those individuals may ask to pay the CMP through an 
installment agreement. For SSA to negotiate a monthly payment amount 
fair to both the individual and the agency, SSA needs financial 
information from the individual. The agency uses Form SSA-640 to obtain 
the information necessary to determine a repayment rate for individuals 
owing a CMP. The respondents are recipients of Social Security benefits 
and non-entitled individuals who must repay a CMP to the agency and 
want to do so using an installment plan.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
            Collection instrument                Number of       Frequency of    per  response    annual burden
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640.....................................             400                1              120              800
----------------------------------------------------------------------------------------------------------------


    Dated: June 11, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports 
Clearance, Social Security Administration.
[FR Doc. 2012-14550 Filed 6-13-12; 8:45 am]
BILLING CODE 4191-02-P