[Federal Register Volume 77, Number 116 (Friday, June 15, 2012)]
[Notices]
[Pages 36031-36032]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-14646]


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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 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 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. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. In 
cases where claimants request a hearing after denial of their claim for 
Social Security benefits, SSA uses Form HA-4632 to request information 
from the claimant regarding the medications they are using. This 
information helps the administrative law judge overseeing the case to 
fully investigate (1) the claimant's medical treatment and (2) the 
effects of the medications on the claimant's medical impairments and 
functional capacity. The respondents are applicants (or their 
representatives) for Social Security benefits or payments requesting a 
hearing to contest an agency denial of their claim.

[[Page 36032]]

    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
                Collection method                    Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-4632 (paper).................................          20,000               1              15           5,000
Electronic Records Express......................         180,000               1              15          45,000
                                                 ---------------------------------------------------------------
    Total.......................................         200,000  ..............  ..............          50,000
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    2. Representative Payee Report-Special Veterans Benefits--20 CFR 
408.665--0960-0621. Title VIII of the Social Security Act allows for 
payment of monthly Social Security benefits to qualified World War II 
veterans residing outside the United States. An SSA-appointed 
representative payee may receive and manage the monthly payment for the 
beneficiary's use and benefit. SSA uses Form SSA-2001-F6 to determine 
if the payee is using the benefits properly on behalf of the 
beneficiary. Respondents are persons or organizations who act on behalf 
of beneficiaries receiving Special Veterans Benefits and living outside 
the United States.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated Total
              Collection method                  Number of       Frequency of     per response    Annual Burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2001-F6.................................             100                1               10               17
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    Dated: June 12, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports 
Clearance, Social Security Administration.
[FR Doc. 2012-14646 Filed 6-14-12; 8:45 am]
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