[Federal Register Volume 78, Number 104 (Thursday, May 30, 2013)]
[Notices]
[Pages 32527-32529]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-12808]


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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 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 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 July 
29, 2013. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Application for Child's Insurance Benefits--20 CFR 404.350-
404.368, 404.603, & 416.350--0960-0010. Title II of the Social Security 
Act (Act) provides for the payment of monthly benefits to children of 
an insured retired, disabled, or deceased worker. Section 202(d) of the 
Act discloses the conditions and requirements the applicant must meet 
when filing an application. SSA uses the information on Form SSA-4-BK 
to determine entitlement for children of living and deceased workers to 
monthly Social Security payments. Respondents are guardians completing 
the form on behalf of the children of living or deceased workers, or 
the children of living or deceased workers.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 32528]]



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                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Life Claims (paper).............................          18,500               1              12           3,700
Life Claims (MCS)...............................         351,500               1              12          70,300
Life Claims--Signature Proxy....................         351,500               1              11          64,442
Death Claims (paper)............................           6,000               1              12           1,200
Death Claims (MCS)..............................         114,000               1              12          22,800
Death Claims--Signature Proxy...................         114,000               1              11          20,900
    Totals......................................         955,500  ..............  ..............         183,342
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    2. Application Status--20 CFR 401.45--0960-0763. Application Status 
provides users with the capability to check the status of their pending 
Social Security claims, either via the Internet or the National 800 
Number Automated Telephone Service. Users need their Social Security 
number and a confirmation number to access this information. The 
Application Status shows users when SSA received the application, if we 
requested additional documents (e.g., military discharge papers, W-2s, 
birth records, etc.), and provides the address for the office 
processing the application. Once SSA makes a decision on a claim, we 
post a copy of the decision notice online for the user to view. There 
are some exceptions to posting a copy online, such as disability denial 
notices (even if filed electronically) or claims users did not file via 
the Internet, as we may not have those notices available for online 
review. Respondents are current Social Security claimants who wish to 
check the status of their claims either through the Internet or the 
National 800 Number.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Automated Telephone Services....................         498,477               1               2          16,616
Internet Services...............................       6,032,016               1               1         100,534
    Totals......................................       6,530,493  ..............  ..............         117,150
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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 July 1, 2013. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Agency/Employer Government Pension Offset Questionnaire--20 CFR 
404.408(a)--0960-0470. When an individual is concurrently receiving 
Social Security spousal or surviving spousal benefits and a government 
pension, the individual may have the amount of Social Security benefits 
reduced by the government pension amount. This is the Government 
Pension Offset (GPO). SSA uses Form SSA-L4163 to collect accurate 
pension information from the Federal or State government agency paying 
the pension for purposes of applying the pension offset provision. SSA 
uses this form only when (1) the claimant does not have the 
information; and (2) the pension-paying agency has not cooperated with 
the claimant. Respondents are State government agencies that have 
information SSA needs to determine if the GPO applies and the amount of 
offset.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     perresponse     annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L4163...................................           1,000                1                3               50
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    2. Function Report--Child: Birth to 1st Birthday (SSA-3375), Age 1 
to 3rd Birthday (SSA-3376), Age 3 to 6th Birthday (SSA-3377), Age 6 to 
12th Birthday, (SSA-3378), and Age 12 to 18th Birthday (SSA-3379)--20 
CFR 416.912--0960-0542. SSA uses Forms SSA-3375-BK through SSA-3379-BK 
in the disability determination process to request information from a 
child's parent or guardian for children applying for Supplemental 
Security Income (SSI). The five different versions of the form contain 
questions about the child's day-to-day functioning appropriate to a 
particular age group; thus, respondents use only one version of the 
form for each child.
    The adjudicative team (disability examiners and medical or 
psychological consultants) of State disability determination services 
offices collect the information on the appropriate version of this form 
(in conjunction with medical and other evidence) to form a complete 
picture of the children's ability to function and their impairment-
related limitations. The adjudicative team uses the completed profile 
to determine whether each child's impairment(s) results in marked and 
severe functional limitations and whether each child is disabled. The 
respondents are parents and guardians of child applicants for SSI.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 32529]]



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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Function Report--Child: Birth to 1st                 660,000                1               20          220,000
 Birthday (SSA-3375), Age 1 to 3rd Birthday.
(SSA-3376), Age 3 to 6th Birthday...........
(SSA-3377), Age 6 to 12th Birthday,.........
(SSA-3378), and Age 12 to 18th Birthday.....
(SSA-3379)..................................
----------------------------------------------------------------------------------------------------------------

    3. Technical Updates to Applicability of the Supplemental Security 
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical 
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section 
1611(e)(1)(A) of the Act states that residents of public institutions 
are ineligible for SSI. However, sections 1611(e)(1)(B) and (G) list 
certain exceptions to this provision making it necessary for SSA to 
collect information about SSI recipients who enter or leave a medical 
treatment facility or other public or private institution. SSA's 
regulation 20 CFR 416.708(k) establishes the reporting guidelines 
implementing this legislative requirement. SSA collects the information 
to determine eligibility for SSI and the payment amount. The 
respondents are SSI recipients who enter or leave an institution.
    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
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Technical Updates Statement.................          34,200                1                7            3,990
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    Dated: May 24, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-12808 Filed 5-29-13; 8:45 am]
BILLING CODE 4191-02-P