[Federal Register Volume 77, Number 154 (Thursday, August 9, 2012)]
[Notices]
[Pages 47688-47690]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-19493]


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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 of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections, and one new 
information collection.
    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].

    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 
October 9, 2012. Individuals can obtain copies of the collection 
instrument by writing to the above email address.
    Statement of Care and Responsibility for Beneficiary--20 CFR 
404.2020, 404.2025, 408.620, 408.625, 416.620, 416.625--0960-0109. SSA 
uses the information from Form SSA-788 to verify payee applicants' 
statements of concern and to identify other potential payees. SSA is 
concerned with selecting the most qualified representative payee who 
will use Social Security benefits in the beneficiary's best interest. 
SSA considers factors such as the payee applicant's capacity to perform 
payee duties, awareness of the beneficiary's situation and needs, 
demonstration of past and current concern for the beneficiary's well-
being, etc. If the payee applicant does not have custody of the 
beneficiary, SSA will obtain information from the custodian for 
evaluation against information provided by the applicant. Respondents 
are individuals who have custody of the beneficiary in cases where 
someone else has filed to be the beneficiary's representative payee.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                Average  burden     Estimated
            Collection instrument                Number of      Frequency  of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
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SSA-788.....................................         130,000                1               10          212,667
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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 30 days from the date of this 
publication. To be sure we consider your comments, we must receive them 
no later than September 10, 2012. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Automated Scheduling Application (ASA)--20 CFR 404.929, 404.936, 
404.950, 416.1429, 416.1436, and 416.1450-416.1451--0960-NEW. SSA is 
creating an online-based scheduling tool, the Automated Scheduling 
Application (ASA), to document the availability and special needs of 
participants for hearings before administrative law judges (ALJ). The 
respondents are disability applicants or recipients, ALJ staff, SSA 
Hearing Office employees, appointed representatives, medical experts, 
vocational experts, and verbatim hearing recorders who need to schedule 
or request special needs related to an ALJ hearing. All respondents 
will use the ASA system (via SSA's Intranet for SSA employees, and a 
public-facing Internet site for members of the public) to document 
their hearings availability and needs, and to view scheduled hearings 
in an electronic calendar. SSA staff will

[[Page 47689]]

provide technical support to external users via our 800 number.
    Type of Request: This is a new information collection request.

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                                                                                                     Estimated
                                     Number of     Frequency of      Number of    Average burden   total annual
         Respondent type            respondents      response        responses     per response       burden
                                                                                     (minutes)        (hours)
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Medical Experts, Vocational                3,300              52       (171,600)               8          22,880
 Experts, Hearing Reporters--
 Availability Reporting Using
 External ASA...................
Appointed Representatives--               16,600              52       (863,200)               8         115,093
 Availability Reporting Using
 External ASA...................
Medical Experts, Vocational                3,300               6        (19,800)               8           2,640
 Experts, Hearing Reporters--
 Requests to HO To Change
 Availability Using Internal ASA
Appointed Representatives--               16,600               6        (99,600)               8          13,280
 Requests to HO To Change
 Availability Using Internal ASA
                                 -------------------------------------------------------------------------------
    Totals......................          39,800  ..............     (1,154,200)  ..............         153,893
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    2. Statement of Claimant or Other Person--20 CFR 404.702 & 416.570 
--0960-0045. In cases where claimants or others want to share 
information relating to Supplemental Security Income (SSI) or Social 
Security benefits, and SSA has no standard form to document this 
information, the agency uses Form SSA-795. The agency documents 
whatever information the claimant or other member of the public 
provides, and considers it when processing benefits claims or when 
making decisions on ongoing issues relating to the above programs. The 
respondents are applicants or recipients of SSI or Social Security 
benefits, or others who are in a position to provide relevant 
information on an existing claim or case.
    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-795.....................................         305,500                1               15           76,375
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    3. Disability Report--Adult--20 CFR 404.1512 and 416.912--0960-
0579. State Disability Determination Services (DDS) use the SSA-3368 
and its electronic versions to determine if adult disability 
applicants' impairments are severe and, if so, how the impairments 
affect the applicants' ability to work. This determination dictates 
whether the DDSs and SSA will find the applicant to be disabled and 
entitled to SSI payments. The respondents are applicants for title II 
disability benefits or title XVI SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                Collection method                   respondents      response        responses    annual  burden
                                                                                     (minutes)        (hours)
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SSA-3368 (Paper Form)...........................          29,072               1              60          29,072
Electronic Disability Collect System (EDCS).....       2,853,426               1              60       2,853,426
i3368 (Internet)................................         421,226               1              90         631,839
                                                 ---------------------------------------------------------------
    Totals......................................       3,303,724  ..............  ..............       3,514,337
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    4. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations require employers to 
provide wage and tax data to SSA using Form W-2 or its electronic 
equivalent. As part of this process, the employer must furnish the 
employee's name and Social Security number (SSN). In addition, the 
employee's name and SSN must match SSA's records for SSA to post 
earnings to the employee's earnings record, which SSA maintains. SSA 
offers the Social Security Number Verification Service (SSNVS), which 
allows employers to verify that the reported names and SSNs of their 
employees match those in SSA's records. SSNVS is a cost-free method for 
employers to verify employee information either through the Internet or 
via telephone. The respondents are employers who need to verify SSN 
data using SSA's records. This is a correction notice: SSA published 
incorrect burden information for this collection at 77 FR 29441, on 5/
17/12. We are correcting this error here.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 47690]]



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                                                                                      Average        Estimated
                                     Number of     Frequency of      Number of      burden per     total annual
       Verification system          respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
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SSNVS...........................          52,157              57     (2,972,949)               5         247,746
SSNVS Telephone.................           6,000               2        (12,000)              10           2,000
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    Totals......................          58,157  ..............     (2,984,949)  ..............         249,746
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    5. Statement of Reclamation Action--31 CFR 210--0960-0734. 
Regulations governing the Federal Government Participation in the 
Automated Clearing House (1) allow SSA to send Social Security payments 
to Canada and (2) mandate the reclamation of funds paid erroneously to 
a Canadian bank or financial institution after the death of a Social 
Security beneficiary. SSA uses Form SSA-1713, Notice of Reclamation 
Action, to determine if, how, and when the Canadian bank or financial 
institution will return erroneous payments after the death of a Social 
Security beneficiary who elected to have payments sent to Canada. Form 
SSA-1712 (or SSA-1712 CN), Notice of Reclamation--Canada Payment Made 
in the United States, is the cover sheet SSA prepares to request return 
of the payment. The respondents are Canadian banks and financial 
institutions who erroneously received Social Security 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-1713....................................              15                1                5                1
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    6. Electronic Records Express (Third Parties)--20 CFR 404.1700-
404.1715--0960-0767. Electronic Records Express (ERE) is an online 
system that enables medical providers and various third-party 
representatives to download and submit disability claimant information 
electronically to SSA as part of the disability application process. To 
ensure only authorized people access ERE, SSA requires third parties to 
complete a unique registration process if they wish to use this system. 
This Information Collection Request (ICR) includes the third-party 
registration process; the burden for submitting evidence to SSA is part 
of other, various ICRs. The respondents are third-party representatives 
of disability applicants or recipients who want to use ERE to 
electronically access clients' disability files online and submit 
information to SSA.
    Type of Request: Revision to an OMB-approved information 
collection.

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                                                                                                                        Average  burden  Estimated total
                       Collection instrument                            Number of       Frequency of      Number of      per  response    annual burden
                                                                       respondents        response        responses        (minutes)         (hours)
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ERE................................................................           9,000              283      (2,547,000)                1           42,450
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    Dated: August 6, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-19493 Filed 8-8-12; 8:45 am]
BILLING CODE 4191-02-P