[Federal Register Volume 78, Number 63 (Tuesday, April 2, 2013)]
[Notices]
[Pages 19794-19797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-07616]


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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 and an 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

[[Page 19795]]

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 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 June 
3, 2013. Individuals can obtain copies of the collection instruments by 
writing to the above email address.
    1. Request to be Selected as a Payee--20 CFR 404.2010-404.2055, 
416.601-416.665--0960-0014. An individual applying to be a 
representative payee for a Social Security beneficiary or Supplemental 
Security Income (SSI) recipient must first complete Form SSA-11-BK. SSA 
obtains information from applicant payees regarding their relationship 
to the beneficiary, personal qualifications, concern for the 
beneficiary's well-being, and intended use of benefits if appointed as 
payee. The respondents are individuals, private sector businesses and 
institutions, and State and local government institutions and agencies 
applying to become representative payees.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of collection                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
                                          Individuals/Households (90%)
----------------------------------------------------------------------------------------------------------------
Representative Payee System.....................       1,438,200               1              11         263,670
Paper Version...................................          91,800               1              11          16,830
----------------------------------------------------------------------------------------------------------------
    Total.......................................       1,530,000  ..............  ..............         280,500
----------------------------------------------------------------------------------------------------------------
                                               Private Sector (9%)
----------------------------------------------------------------------------------------------------------------
Representative Payee System.....................         149,940               1              11          27,489
Paper Version...................................           3,060               1              11             561
----------------------------------------------------------------------------------------------------------------
    Total.......................................         153,000  ..............  ..............          28,050
----------------------------------------------------------------------------------------------------------------
                                       State/Local/Tribal Government (1%)
----------------------------------------------------------------------------------------------------------------
Representative Payee System.....................          16,660               1              11           3,054
Paper Version...................................             340               1              11              62
                                                 ---------------------------------------------------------------
Total...........................................          17,000  ..............  ..............           3,116
                                                 ---------------------------------------------------------------
        Grand Total.............................       1,700,000  ..............  ..............         311,666
----------------------------------------------------------------------------------------------------------------

    2. Representative Payee Evaluation Report--20 CFR 404.2065 & 
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Social 
Security Act (Act) state SSA may appoint a representative payee to 
receive title II benefits or title XVI payments on behalf of 
individuals unable to manage or direct the management of those funds 
themselves. SSA requires appointed representative payees to report once 
each year on how they used or conserved those funds. When a 
representative payee fails to adequately report to SSA as required, SSA 
conducts a face-to-face interview with the payee and completes Form 
SSA-624, Representative Payee Evaluation Report, to determine the 
continued suitability of the representative payee to serve as a payee. 
The respondents are individuals or organizations serving as 
representative payees for individuals receiving title II benefits or 
title XVI payments who fail to comply with SSA's statutory annual 
reporting requirement.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of collection                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-624.....................................         266,000                1               30          133,000
----------------------------------------------------------------------------------------------------------------

    3. Child Care Dropout Questionnaire--20 CFR 404.211(e)(4)--0960-
0474. If individuals applying for title II disability benefits cared 
for their own or their spouse's children under age 3 and had no steady 
earnings during that time period, they may exclude that period of care 
from the disability computation period. We call this the child-care 
dropout exclusion. SSA uses the information from Form SSA-4162 to 
determine if an individual qualifies for

[[Page 19796]]

this exclusion. Respondents are applicants for title II disability 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of collection                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4162....................................           2,000                1                5              167
----------------------------------------------------------------------------------------------------------------

    4. Beneficiary Recontact Form--20 CFR 404.703, 404.705--0960-0502. 
SSA investigates recipients of disability payments to determine their 
continuing eligibility for payments. Research indicates recipients may 
fail to report circumstances that affect their eligibility. Two such 
cases are: (1) When parents receiving disability benefits for their 
child marry and (2) the removal of an entitled child from parents' 
care. SSA uses Form SSA-1588-OCR-SM to ask mothers or fathers about 
their marital status and children currently in their care to detect 
overpayments and to avoid continuing payment to those no longer 
entitled. Respondents are recipients of mothers' or fathers' Social 
Security benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of collection                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1588-OCR-SM.............................         171,506                1                5           14,292
----------------------------------------------------------------------------------------------------------------

    5. Program Discrimination Complaint--0960-0585. SSA collects 
information on Form SSA-437 to investigate and formally resolve 
complaints of discrimination based on disability, race, color, national 
origin (including limited English language proficiency), sex, sexual 
orientation, age, religion, or retaliation for having participated in a 
proceeding under this administrative complaint process in connection 
with an SSA program or activity. Individuals who believe SSA 
discriminated against them on any of the above bases may file a written 
complaint of discrimination. SSA uses the information to (1) Identify 
the complaint; (2) identify the alleged discriminatory act; (3) 
establish the date of such alleged action; (4) establish the identity 
of any individual(s) with information about the alleged discrimination; 
and (5) establish other relevant information that would assist in the 
investigation and resolution of the complaint. Respondents are 
individuals who believe SSA or SSA employees, contractors or agents in 
programs or activities conducted by SSA discriminated against them.
    Type of Request: Revision on an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of collection                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-437.....................................             255                1               60              255
----------------------------------------------------------------------------------------------------------------

    6. Waiver of Supplemental Security Income Payment Continuation--20 
CFR 416.1400-416.1422--0960-0783. SSI recipients who wish to 
discontinue their SSI payments while awaiting a determination on their 
appeal complete Form SSA-263-U2, Waiver of Supplemental Security Income 
Payment Continuation, to inform SSA of this decision. SSA collects the 
information to determine whether the SSI recipient meets the provisions 
of the Act regarding waiver of payment continuation and as proof 
respondents no longer want their payments to continue. Respondents are 
recipients of SSI payments who wish to discontinue receiving payment 
while awaiting a determination on their appeal.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of collection                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-263-U2..................................           3,000                1                5              250
----------------------------------------------------------------------------------------------------------------

    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 May 2, 2013. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Supplemental Statement Regarding Farming Activities of Person 
Living Outside the U.S.A.--0960-0103. When a beneficiary or claimant 
reports farm work from outside the United States, SSA documents this 
work on Form SSA-7163A-F4. Specifically, SSA uses the form to determine 
if we should apply foreign work deductions to the recipient's title II 
benefits. We collect the information either annually or every other 
year, depending on the respondent's country of residence.

[[Page 19797]]

Respondents are Social Security recipients engaged in farming 
activities outside the United States.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7163A-F4....................................           1,000               1              60           1,000
----------------------------------------------------------------------------------------------------------------

    2. Internet Direct Deposit Application--31 CFR 210--0960-0634. SSA 
requires all applicants and recipients of Social Security Old Age, 
Survivors, and Disability Insurance (OASDI) benefits, or SSI payments 
to receive these benefits and payments via direct deposit at a 
financial institution. SSA receives Direct Deposit/Electronic Funds 
Transfer (DD/EFT) enrollment information from OASDI beneficiaries and 
SSI recipients to facilitate DD/EFT of their funds with their chosen 
financial institution. We also use this information when an enrolled 
individual wishes to change their DD/EFT information. For the 
convenience of the respondents, we collect this information through 
several modalities, including an Internet application, in-office or 
telephone interviews, and our automated telephone system. In addition 
to using the direct deposit information to enable DD/EFT of funds to 
the recipient's chosen financial institution, we also use the 
information through our Direct Deposit Fraud Indicator to ensure the 
correct recipient receives the funds. Respondents are OASDI 
beneficiaries and SSI recipients requesting that we enroll them in the 
Direct Deposit program or change their direct deposit banking 
information.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet DD.....................................         188,129               1              10          31,355
Non-Electronic Services (FO, 800-ePath,       6,455,815               1              12       1,291,163
 MSSICS, SPS, MACADE, POS, RPS).................
Automated 800 Response System..........         237,065               1               8          31,609
Direct Deposit Fraud Indicator..................          10,000               1               2             333
                                                 ---------------------------------------------------------------
    Totals......................................       6,891,009  ..............  ..............       1,354,460
----------------------------------------------------------------------------------------------------------------

    3. International Direct Deposit--31 CFR 210--0960-0686. SSA's 
International Direct Deposit (IDD) Program allows beneficiaries living 
abroad to receive their payments via direct deposit to an account at a 
financial institution outside the United States. SSA uses Form SSA-
1199-(Country) to enroll title II beneficiaries residing abroad in IDD, 
and to obtain the direct deposit information for foreign accounts. 
Routing account number information varies slightly for each foreign 
country, so we use a variation of the Treasury Department's Form SF-
1199A for each country. The respondents are Social Security 
beneficiaries residing abroad who want SSA to deposit their benefits 
payments directly to a foreign financial institution.
    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-1199-(Country)..........................           5,000                1                5              417
----------------------------------------------------------------------------------------------------------------


    Dated: March 28, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-07616 Filed 4-1-13; 8:45 am]
BILLING CODE 4191-02-P