[Federal Register Volume 77, Number 131 (Monday, July 9, 2012)]
[Notices]
[Pages 40401-40402]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-16635]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed 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].
The information collections below are pending at SSA. SSA will
submit the information collections 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 September 7, 2012. Individuals can obtain copies of
the collection instruments by writing to the above email address.
1. Requests for Self-Employment Information, Employee Information,
Employer Information--20 CFR 422.120--0960-0508. When SSA cannot
identify Form W-2 wage data for an individual, we place the data in an
earnings suspense file and contact the individuals (and in certain
instances the employer) to obtain the correct information. If the
respondent furnishes the name and SSN information that agrees with
SSA's records, or provides information that resolves the discrepancy,
SSA adds the reported earnings to the respondent's Social Security
record. We use Forms SSA-L2765, SSA-L3365, and SSA-L4002 for this
purpose. The respondents are self-employed individuals and employees
whose name and SSN information do not agree with their employer's and
SSA's records.
Type of Request: Revision of an OMB approved information
collection.
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Estimated
Number of Frequency of Average burden total annual
Collection method respondents response per response burden
(minutes) (hours)
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SSA-L2765....................................... 12,321 1 10 2,054
SSA-L3365....................................... 179,749 1 10 29,958
SSA-L4002....................................... 121,679 1 10 20,280
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Totals...................................... 313,749 .............. .............. 52,292
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2. Function Report Adult--Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security
Disability Insurance (SSDI) or Supplemental Security Income (SSI)
provide SSA with medical evidence and other proof SSA requires to prove
their disability. SSA, and Disability Determination Services (DDS) on
our behalf, collect this information using Form SSA-3380-BK. We use the
information to document how claimants' disabilities affect their
ability to function, and to determine eligibility for SSI and SSDI
claims. The respondents are third parties familiar with the functional
limitations (or lack thereof) of claimants who apply for SSI and SSDI
benefits.
Type of Request: Revision of an OMB approved information
collection.
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Estimated
Number of Frequency of Average burden total annual
Collection method respondents response per response burden
(minutes) (hours)
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SSA-338-BK (Individuals)........................ 500,000 1 61 508,333
SSA-338-BK (Private Sector)..................... 500,000 1 61 508,333
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[[Page 40402]]
Totals...................................... 1,000,000 .............. .............. 1,016,666
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3. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681.
Individuals receiving or applying for SSDI or SSI must provide medical
evidence and other proof SSA requires to prove their disability. SSA,
and DDSs on our behalf, collect the information using Form SSA-3373. We
use this information to document how claimants' disabilities affect
their ability to function, and to determine eligibility for SSI and
SSDI claims. The respondents are title II and title XVI applicants (or
current recipients undergoing redeterminations) for disability
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)
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SSA-3373.................................... 4,221,656 1 61 4,292,016
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Dated: July 3, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports
Clearance, Social Security Administration.
[FR Doc. 2012-16635 Filed 7-6-12; 8:45 am]
BILLING CODE 4191-02-P