[Federal Register Volume 77, Number 236 (Friday, December 7, 2012)]
[Notices]
[Pages 73112-73113]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29577]



[[Page 73112]]

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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 to and one extension 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].

    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 
February 5, 2013. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    Statement for Determining Continuing Eligibility, Supplemental 
Security Income Payment(s)--416.204-0960-0416. SSA conducts disability 
redeterminations to determine if Supplemental Security Income (SSI) 
recipients (1) met and continue to meet all statutory and regulatory 
requirements for SSI eligibility and (2) are receiving the correct SSI 
payment amount. SSA makes these redeterminations through periodic use 
of Form SSA-8203-BK. SSA conducts this legally mandated information 
collection in field offices via personal contact (face-to-face or 
telephone interview) using the automated Modernized SSI Claim System 
(MSSICS). The respondents are SSI recipients or their representative 
payees.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
MSSICS..........................................         810,824               1              20         270,275
MSSICS/Signature Proxy..........................         777,085               1              19         246,077
Paper...........................................          27,824               1              20           9,275
                                                 ---------------------------------------------------------------
    Totals......................................       1,615,733  ..............  ..............         525,627
----------------------------------------------------------------------------------------------------------------

    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 January 7, 2013. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148-
0960-0529. SSA bases an SSI claimant or recipient's eligibility on 
need, as measured by the amount of income an individual receives. Per 
our calculations, income includes other people providing in-kind 
support and maintenance in the form of food and shelter to SSI 
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to 
obtain statements about food or shelter provided to SSI claimants or 
recipients. SSA uses this information to determine whether food or 
shelters are bona fide loans or income for SSI purposes. This 
determination may affect the claimants' or recipients' eligibility for 
SSI as well as the amounts of their SSI payments. The respondents are 
claimants and recipients for SSI payments, and individuals who provide 
loans of food or shelter to them.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper form.............................          34,900               1              10           5,817
SSA-L5063 Paper form............................          34,900               1              10           5,817
SSA-5062 MSSICS.................................          34,900               1              10           5,817
SSA-L5063 MSSICS................................          34,900               1              10           5,817
                                                 ---------------------------------------------------------------
    Total.......................................         139,600  ..............  ..............          23,268
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    2. Site Review Questionnaire for Volume and Fee-for-Service Payees 
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665, 
416.701, and 416.708--0960-0633. SSA asks organizational representative 
payees to complete Form SSA-637, the Site Review Questionnaire for 
Volume and Fee-for-Service Payees, to provide information on how they 
carry out their responsibilities, including how they manage beneficiary 
funds. SSA then obtains information from the beneficiaries these 
organizations represent via Form SSA-639, Beneficiary Interview Form, 
to corroborate the payees' statements. Due to the sensitivity of the 
information,

[[Page 73113]]

SSA employees always complete the forms based on the answers 
respondents give during a personal interview. The respondents are 
individuals, State and local governments, non-profit and for-profit 
organizations serving as representative payees, and the beneficiaries 
they serve.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-637.........................................           1,999               1             120           3,998
SSA-639.........................................           8,293               1              10           1,382
                                                 ---------------------------------------------------------------
    Totals......................................          10,292  ..............  ..............           5,380
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    3. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a 
Social Security card as verification of their Social Security number 
for school or work programs, or as proof of employment eligibility upon 
release from incarceration. Before SSA can issue a replacement Social 
Security card, applicants must show SSA proof of their identity. People 
who are in prison for an extended period typically do not have current 
identity documents. Therefore, under formal written agreement with the 
correctional institution, SSA allows prison officials to verify the 
identity of certain incarcerated U.S. citizens who need replacement 
Social Security cards. Information prison officials provide comes from 
the official prison files, sent on correctional facility letterhead. 
SSA uses this information to establish the applicant's identity in the 
replacement Social Security card process. The respondents are prison 
officials who certify the identity of prisoners applying for 
replacement Social Security cards.
    Type of Request: Extension 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
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements           1,100              200                3           11,000
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    Dated: December 4, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-29577 Filed 12-6-12; 8:45 am]
BILLING CODE 4191-02-P