[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36291-36294]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14278]


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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 one extension and two revisions 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 
August 16, 2013. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Travel Expense Reimbursement--20CFR 404.999(d) and 416.1499--
0960-0434. The Social Security Act (Act) stipulates that Federal and 
State agencies reimburse travel expenses for claimants, their 
representatives, and all necessary witnesses for travel exceeding 75 
miles to attend medical examinations, reconsideration interviews, and 
proceedings before an administrative law judge. Reimbursement 
procedures require the claimant to provide (1) a list of expenses 
incurred and (2) receipts of such expenses. Federal and State personnel 
review the listings and receipts to verify the amount reimbursable to 
the requestor. The respondents are claimants for title II benefits and 
title XVI payments, their representatives and witnesses.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                                 Average burden     Estimated
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                respondents        response         (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
404.999(d) & 416.1499.......................          60,000                1               10           10,000
----------------------------------------------------------------------------------------------------------------

    2. Social Security Benefits Application--20 CFR 404.310-404.311, 
404.315-404.322, 404.330-404.333, 404.601-404.603, and 404.1501-
404.1512--0960-0618. Title II of the Social Security Act provides 
retirement, survivors, and disability benefits to members of the public 
who meet the required eligibility criteria and file the appropriate 
application. This collection comprises the various application methods 
for each type of benefits. These methods include the following 
modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized 
Claims System (MCS) screens for in-person interview applications; and 
Internet-based iClaim and iAppointment applications. SSA uses the 
information collected using these modalities to determine: (1) The 
applicants' eligibility for the above-mentioned Social Security 
benefits and (2) the amount of the benefits. The respondents are 
applicants

[[Page 36292]]

for retirement, survivors, and disability benefits under title II of 
the Social Security Act.
    Type of Request: Revision of an OMB-approved information 
collection.

                                                   Form SSA-1
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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       1,441,400               1              10         240,233
Paper...........................................           2,300               1              11             422
Medicare-only MCS...............................         418,300               1               7          48,802
Medicare-only Paper.............................             300               1               7              35
                                                 ---------------------------------------------------------------
    Totals......................................       1,862,300  ..............  ..............         289,492
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                                                   Form SSA-2
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................         364,000               1              14          84,933
Paper...........................................           1,200               1              15             300
                                                 ---------------------------------------------------------------
    Totals......................................         365,200  ..............  ..............          85,233
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                                                   Form SSA-16
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       1,695,800               1              19         537,003
Paper...........................................          53,300               1              20          17,767
                                                 ---------------------------------------------------------------
    Totals......................................       1,749,100  ..............  ..............         554,770
----------------------------------------------------------------------------------------------------------------


                                                 iClaim Screens
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................         431,357               1              15         107,839
iClaim Applicant after 3rd Party Completion.....         431,357               1               5          35,946
First Party iClaim--Domestic Applicant..........       1,838,943               1              15         459,736
First Party iClaim--Foreign Applicant...........           8,291               1               3             415
Medicare-only iClaim............................         552,400               1              10          92,067
                                                 ---------------------------------------------------------------
    Totals......................................       3,262,348  ..............  ..............         696,003
----------------------------------------------------------------------------------------------------------------


                                              iAppointment Screens
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
iAppointment....................................         200,000               1              10          33,333
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[[Page 36293]]


                                                   Grand Total
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
Total...........................................       7,438,948  ..............  ..............       1,658,831
----------------------------------------------------------------------------------------------------------------

    3. Request for Accommodation in Communication Method--0960-0777. 
SSA allows blind or visually impaired Social Security applicants, 
beneficiaries, recipients, and representative payees to choose one of 
seven alternative methods of communication they want SSA to use when we 
send them benefit notices and other related communications. The seven 
alternative methods we offer are: (1) Standard print notice by first-
class mail; (2) standard print mail with a follow-up telephone call; 
(3) certified mail; (4) Braille; (5) Microsoft Word file on data CD; 
(6) large print (18-point font); or (7) audio CD. However, respondents 
who want to receive notices from SSA through a communication method 
other than the seven methods listed above must explain their request to 
us. Those respondents use Form SSA-9000 to: (1) Describe the type of 
accommodation they want, (2) disclose their condition necessitating the 
need for a different type of accommodation, and (3) explain why none of 
the seven methods described above are sufficient for their needs. SSA 
uses Form SSA-9000 to determine, based on applicable law and 
regulation, whether to grant the respondents' requests for an 
accommodation based on their blindness, or other visual impairment. SSA 
collects this information electronically through either an in-person 
interview or a telephone interview during which the SSA employee keys 
in the information on Intranet screens. The respondents are blind or 
visually impaired Social Security applicants, beneficiaries, 
recipients, and representative payees who ask SSA to send notices and 
other communications in an alternative method besides the seven 
modalities we currently offer.
    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                 respondents      response        response      annual burden
                                                                                     (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9000........................................            1417               1              20             472
----------------------------------------------------------------------------------------------------------------

    This is a correction notice: SSA published this information 
collection with incorrect burden information at 78 FR 33142 on June 3, 
2013. We are providing the corrected burden here.
    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 17, 2013. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Representative Payee Evaluation Report--20 CFR 404.2065 & 
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the 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 and 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.....................................         267,000                1               30          133,500
----------------------------------------------------------------------------------------------------------------


    Note: This is a correction notice: SSA published this 
information collection with outdated burden information at 78 FR 
19794 on April 2, 2013. We are providing updated burden here.

    2. Waiver of Supplemental Security Income Payment Continuation--20 
CFR 416.1400-416.1422--0960-0783. Supplemental Security Income (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 receipt of payment while awaiting a determination 
on their appeal.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 36294]]



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                                                                                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
----------------------------------------------------------------------------------------------------------------


    Dated: June 12, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-14278 Filed 6-14-13; 8:45 am]
BILLING CODE 4191-02-P