[Federal Register Volume 78, Number 204 (Tuesday, October 22, 2013)]
[Notices]
[Pages 62932-62935]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24595]


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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 extensions 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 
December 23, 2013. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Requests for Self-Employment Information, Employee Information, 
Employer Information--20 CFR 422.120-0960-0508. When SSA cannot 
identify Form W-2 wage data for an individual, we place the data in an 
earnings suspense file and contact the individual (and certain 
instances the employer) to obtain the correct information. If the 
respondent furnishes the name and Social Security number (SSN) 
information that agrees with SSA's records, or provides information 
that resolves the discrepancy, SSA adds the reported earnings to the 
respondent's Social Security record. We use Forms SSA-L2765, SSA-L3365, 
and SSA-L4002 for this purpose. The respondents are self-employed 
individuals and employees whose name and SSN information do not agree 
with their employer's and SSA's records.
    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-L2765.......................................          12,321               1              10           2,054
SSA-L3365.......................................         179,749               1              10          29,958
SSA-L4002.......................................         121,679               1              10          20,280
                                                 ---------------------------------------------------------------
    Totals......................................         313,749  ..............  ..............          52,292
----------------------------------------------------------------------------------------------------------------

    2. Employer Reports of Special Wage Payments--20 CFR 404.428-
404.429 --0960-0565. SSA collects information on the SSA-131 to prevent 
earnings-related overpayments and to avoid erroneous withholding of 
benefits. SSA field offices and program service centers also use Form 
SSA-131 for awards and post-entitlement events requiring special wage 
payment verification from employers. While we need this information to 
ensure the correct payment of benefits, we do not require employers to 
respond. The respondents are large and small businesses that make 
special wage payments to retirees.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 62933]]



 
----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6).....         105,000               1              20          35,000
Paper Version: SSA-131 (6 only)........           1,050               1               2              35
Electronic Version: Business Services Online                  26               1               5               2
 Special Wage Payments..........................
                                                 ---------------------------------------------------------------
    Totals......................................         106,076  ..............  ..............          35,037
----------------------------------------------------------------------------------------------------------------

    3. Work Activity Report (Self-Employment)--20 CFR 404.1520(b), 20 
CFR 404.1571-404.1576, 20 CFR 404.1584-404.1593, and 20 CFR 416.971-
416.976--0960-0598. SSA uses Form SSA-820-U4 to determine initial or 
continuing eligibility for (1) Title II Social Security disability 
benefits or (2) Title XVI Supplemental Security Income (SSI) payments. 
Under Titles II and XVI of the Social Security Act, recipients receive 
disability benefits and SSI payments based on their inability to engage 
in substantial gainful activity (SGA) due to a physical or mental 
condition. Therefore, when the recipients resume work, they must report 
their work so SSA can evaluate and determine whether they continue to 
meet the disability requirements by law. SSA uses Form SSA-820-U4 to 
obtain information on self-employment activities of Social Security 
disability applicants and recipients. We use the data we obtain to 
evaluate disability claims, and to help us determine if the claimant 
meets current disability provisions under Titles II and XVI. Since 
applicants for disability benefits must prove an inability to perform 
any kind of SGA generally available in the national economy for which 
we expect them to qualify based on age, education, and work experience, 
any work an applicant performed until, or subsequent to, the date the 
disability allegedly began, affects our disability determination. The 
respondents are applicants and claimants for SSI or Social Security 
disability benefits.
    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-820-BK..................................         100,000                1               30           50,000
----------------------------------------------------------------------------------------------------------------

    4. Private Printing and Modification of Prescribed Application and 
Other Forms--20 CFR 422.527--0960-0663. 20 CFR 422.527 of the Code of 
Federal Regulations requires a person, institution, or organization 
(third-party entities) to obtain approval from SSA prior to 
reproducing, duplicating, or privately printing any application or 
other form the agency owns. SSA uses the information to ensure requests 
comply with the law and regulations. SSA uses the information to 
process requests from third-party entities who want to reproduce, 
duplicate, or privately print any SSA application or other SSA form. To 
obtain SSA's approval, entities must make their requests in writing, 
using their company letterhead, providing the required information set 
forth in the regulation. SSA employees review the requests and provide 
approval via email or mail to the third-party entities. The respondents 
are third-party entities who submit a request to SSA to reproduce, 
duplicate, or privately print an SSA-owned form.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
20 CFR422.527...............................              15               15                8               30
----------------------------------------------------------------------------------------------------------------

    5. Methods for Conducting Personal Conferences When Waiver of 
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20 
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a 
waiver of recovery of a Title II or Title XVI overpayment. We are 
required to give overpaid Social Security beneficiaries and SSI 
recipients the right to request a waiver of recovery and automatically 
schedule a personal conference if we cannot approve their request for 
waiver of overpayment. We conduct these conferences face-to-face, by 
telephone, or by video teleconference. Social Security beneficiaries 
and SSI recipients or their representatives may provide documents to 
demonstrate they are without fault in causing the overpayment and do 
not have the ability to repay the debt. They may submit these documents 
by Form SSA-632 (OMB No. 0960-0037), Request for Waive of Overpayment 
Recovery; SSA-795 (OMB No. 0960-0045), Statement of Claimant or Other 
Person; or personal statement submitted by mail, telephone, personal 
contact, or other suitable method, such as fax or email. This 
information collection

[[Page 62934]]

satisfies the requirements for request for waiver of recovery of an 
overpayment and allows individuals to pursue further levels of 
administrative appeal via personal conference. Respondents are Social 
Security beneficiaries and SSI recipients or their representatives 
seeking reconsideration of an SSA waiver decision.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
Personal conference 404.506(e)(3) and 404-                40,000               1              30          20,000
 506(f)(8) submittal of documents, additional
 mitigating financial information and
 verifications for consideration at personal
 conferences....................................
Personal conference 416.557(c)(3) and 416-                63,801               1              30          31,901
 557(d)(8) submittal of documents additional
 mitigating financial information, and
 verifications for consideration at personal
 conferences....................................
                                                 ---------------------------------------------------------------
    Totals......................................         103,801  ..............  ..............          51,901
----------------------------------------------------------------------------------------------------------------

    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 November 21, 2013. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Incorporation by Reference of Oral Findings of Fact and 
Rationale in Wholly Favorable Written Decisions (Bench Decision 
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an 
administrative law judge (ALJ) makes a wholly favorable oral decision 
that includes all the findings and rationale for the decision for a 
claimant of Title II or Title XVI payments at an administrative appeals 
hearing, the ALJ sends a Notice of Decision (Form HA-82), as the 
records from the oral hearing preclude the need for a written decision. 
We call this the incorporation-by-reference process. In addition, the 
regulations for this process state that if the involved parties want a 
record of the oral decision, they may submit a written request for 
these records. SSA collects identifying information under the aegis of 
Sections 20 CFR 404.953 and 416.1453 of the Code of Federal Regulations 
to determine how to send interested individuals written records of a 
favorable incorporation-by-reference oral decision made at an 
administrative review hearing. Since there is no prescribed form to 
request a written record of the decision, the involved parties send SSA 
their contact information and reference the hearing for which they 
would like a record. The respondents are applicants for disability 
insurance benefits and SSI payments or their representatives to whom 
SSA gave a wholly favorable oral decision under the regulations cited 
above.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
HA-82.......................................           2,500                1                5              208
----------------------------------------------------------------------------------------------------------------

    2. Request for Proof(s) from Custodian of Records--20 CFR 404.703, 
404.704, 404.720, 404.721, 404.723, 404.725, & 404.728--0960-0766. SSA 
sends Form SSA-L707, Request for Proof(s) from Custodian of Records, to 
records custodians on behalf of individuals who need help obtaining 
evidence of death, marriage, or divorce in connection with claims for 
benefits. SSA uses the information from the SSA-L707 to determine 
eligibility for benefits. The respondents are records custodians 
including statistics and religious entities, coroners, funeral 
directors, attending physicians, and State agencies.
    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)
----------------------------------------------------------------------------------------------------------------
State or Local Government.......................             501               1              10              84
Private Sector..................................              99               1              10              17
                                                 ---------------------------------------------------------------
    Totals......................................             600  ..............  ..............             101
----------------------------------------------------------------------------------------------------------------



[[Page 62935]]

    Dated: October 17, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-24595 Filed 10-21-13; 8:45 am]
BILLING CODE 4191-02-P