[Federal Register Volume 77, Number 199 (Monday, October 15, 2012)]
[Notices]
[Pages 62592-62593]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25276]


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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 to 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 them 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 
December 14, 2012. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Physician's/Medical Officer's Statement of Patient's Capability 
to Manage Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA 
appoints a representative payee in cases where we determine 
beneficiaries are not capable of managing their own benefits. In those 
instances, we require medical evidence to determine the beneficiaries' 
capability of managing or directing their benefit payments. SSA 
collects medical evidence on Form SSA-787 to (1) determine 
beneficiaries' capability or inability to handle their own benefits, 
and (2) assist in determining the beneficiaries' need for a 
representative payee. The respondents are the

[[Page 62593]]

beneficiary's physicians, or medical officers of the institution in 
which the beneficiary resides.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7156....................................         120,000                1               10           20,000
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    2. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) & 
404.1095--0960-0061. SSA requires proof of the existence of a trade or 
business before determining if an individual or partnership may have 
net earnings from self-employment. When a claimant indicates self-
employment as a farmer, SSA obtains the information we need to 
determine the existence of an agricultural trade or business and 
subsequent covered earnings for Social Security entitlement purposes 
using Form SSA-7165, Farm Self-Employment Questionnaire. As part of the 
application process, we conduct a personal interview, either face-to-
face or via telephone, and document the interview using Form SSA-7165. 
The respondents are applicants for Social Security benefits, whose 
entitlement depends on worker's having covered earnings from self-
employment as a farmer.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7156....................................          47,500                1               10            7,917
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    3. Statement of Household Expenses and Contributions--20 CFR 
416.1130-416.1148--0960-0456. SSA bases eligibility for Supplemental 
Security Income (SSI) on the needs of the recipient. In part, we assess 
need by determining the amount of income a recipient receives. This 
income includes in-kind support and maintenance in the form of food and 
shelter provided by other persons. SSA uses Form SSA-8011-F3 to 
determine if the claimant or recipient receives in-kind support and 
maintenance. This is necessary to determine (1) the claimant or 
recipient's eligibility for SSI and (2) the SSI payment amount. SSA 
only uses this form in cases where SSA needs the householder's (head of 
household) corroboration of in-kind support and maintenance. 
Respondents are householders of homes in which an SSI applicant or 
recipient resides.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8011-F3.................................         428,100                1               15          107,025
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    Dated: October 10, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-25276 Filed 10-12-12; 8:45 am]
BILLING CODE 4191-02-P