[Federal Register Volume 77, Number 199 (Monday, October 15, 2012)]
[Notices]
[Pages 62593-62595]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25277]


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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. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits

[[Page 62594]]

based on the earnings record of the deceased worker under certain 
conditions. One of the conditions is the parent must have received at 
least one-half support from the deceased worker. The one-half support 
requirement also applies to a spousal applicant in determining whether 
OASDI benefits are subject to Government Pension Offset (GPO). SSA uses 
the information from Form SSA-760-F4 to determine if the parent of a 
deceased worker or a spouse applicant meets the one-half support 
requirement. Respondents are (1) parents of deceased workers and (2) 
spouses who may meet the GPO exception.
    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-760-F4..................................          18,000                1               15            4,500
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    2. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR 
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage 
credits for active military or naval service (under certain conditions) 
during the period September 16, 1940 through December 31, 1956, if no 
other Federal agency (other than the Veterans Administration) credited 
the service for benefit eligibility or computation purposes. We use 
Form SSA-2512 to collect specific information about other Federal, 
military, or civilian benefits the wage earner may receive when the 
applicant indicates both pre-1957 military service and the receipt of a 
Federal benefit. SSA uses the data in the claims adjudication process 
to grant gratuitous military wage credits when applicable, and to 
solicit sufficient information to determine eligibility. Respondents 
are applicants for Social Security benefits on a record where the wage 
earner claims pre-1957 military service.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2512....................................           5,000                1               10              833
----------------------------------------------------------------------------------------------------------------

    3. Authorization for the Social Security Administration to Obtain 
Account Records from a Financial Institution and Request for Records--
20 CFR 416.200, 416.203--0960-0293. SSA collects and verifies financial 
information from individuals applying for Supplemental Security Income 
(SSI) to determine if the applicant meets the SSI resource eligibility 
requirements. If the SSI claimants provide records that are incomplete, 
unavailable, or seemingly altered, SSA contacts their financial 
institution to verify the existence, ownership, and value of accounts 
owned. Financial institutions require individuals to sign Form SSA-
4641-U2 to authorize them to disclose records to SSA. The respondents 
are financial institutions of SSI applicants, recipients, and their 
deemors.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4641 (paper)................................          44,100               1               6           4,410
e4641 (electronic)..............................       6,955,900               1               2         231,863
                                                 ---------------------------------------------------------------
    Totals......................................       7,000,000  ..............  ..............         236,273
----------------------------------------------------------------------------------------------------------------

    4. Response to Notice of Revised Determination--20 CFR 404.913-
404.914, 404.992(b), 416.1413-416.1414 and 416.1492(d)--0960-0347. When 
SSA determines that (1) claimants for initial disability benefits do 
not actually have a disability or (2) current disability recipients' 
records show their disability ceased, SSA notifies the disability 
claimants or recipients of this decision. In response to this notice, 
the affected claimants and disability recipients have the following 
recourse: (1) They may request a disability hearing to contest SSA's 
decision and (2) they may submit additional information or evidence for 
SSA to consider. Disability claimants, recipients, and their 
representatives use Form SSA-765 to accomplish these two actions. The 
respondents are disability claimants, current disability recipients, or 
their representatives.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-765.....................................           1,925                1               30              963
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[[Page 62595]]

    5. Notification of a Social Security Number (SSN) To An Employer 
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying 
for employment must provide an SSN or indicate they have applied for 
one. However, when an individual applies for an initial SSN, there is a 
delay between the assignment of the number and the delivery of the SSN 
card. At an individual's request, SSA uses Form SSA-132 to send the 
individual's SSN to an employer. Mailing this information to the 
employer (1) ensures the employer has the correct SSN for the 
individual; (2) allows SSA to receive correct earnings information for 
wage reporting purposes; and (3) reduces the delay in the initial SSN 
assignment and delivery of the SSN information directly to the 
employer. It also enables SSA to verify the employer as a safeguard for 
the applicant's personally identifiable information. The majority of 
individuals who take advantage of this option are in the United States 
with exchange visitor and student visas; however, we allow any 
applicant for an SSN to use the SSA-132. The respondents are 
individuals applying for an initial SSN who ask SSA to mail 
confirmation of their application or the SSN to their employers.
    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-132.....................................         249,000                1                2            8,300
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    Dated: October 10, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-25277 Filed 10-12-12; 8:45 am]
BILLING CODE 4191-02-P