[Federal Register Volume 79, Number 100 (Friday, May 23, 2014)]
[Notices]
[Pages 29834-29835]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11928]


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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 (Pub. L.) 
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, OLCA, Attn: Reports Clearance 
Director, 3100 West High Rise, 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 July 
22, 2014. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    Medical Permit Parking Application--41 CFR 101-20--104.2--0960-
0624. SSA employees and contractors with a qualifying medical condition 
who park at SSA-owned and leased facilities may apply to receive a 
medical parking permit. SSA uses three forms for this program: (1) SSA-
3192, the Application and Statement, which an individual completes when 
first applying for the medical parking space; (2) SSA-3193, the 
Physician's Report, which the applicant's physician completes to verify 
the medical condition; and (3) SSA-3194, Renewal Certification, which 
medical parking permit holders complete to verify their continued need 
for the permit. The respondents are SSA employees and contractors 
seeking medical parking permits and their physicians.

    Note: Because SSA employees are Federal workers exempt from the 
requirements of the Paperwork Reduction Act, the burden below is 
only for SSA contractors and physicians (of both SSA employees and 
contractors).

    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 29835]]



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                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................             290               1              30             145
SSA-3193........................................             580               1              90             870
SSA-3194........................................              93               1               5               8
                                                 ---------------------------------------------------------------
    Totals......................................             963  ..............  ..............           1,023
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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 June 23, 2014. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Disability Update Report--20 CFR 404.1589-404.1595 and 416.988-
416.996--0960-0511. As part of our statutory requirements, SSA 
periodically uses Form SSA-455, the Disability Update Report, to 
evaluate current Title II disability beneficiaries' and Title XVI 
disability payment recipients' continued eligibility for Social 
Security disability payments. Specifically, SSA uses the form to 
determine if: (1) There is enough evidence to warrant referring the 
respondent for a full medical Continuing Disability Review (CDR); (2) 
the respondent's impairment(s) is still present and is indicative of no 
medical improvement, precluding the need for a CDR; or (3) there are 
unresolved work-related issues for the respondent. SSA mails Form SSA-
455 to specific disability recipients, whom we select as possibly 
qualifying for the continuing disability review process. SSA pre-fills 
the form with data specific to the disability recipient, except for the 
sections we ask the beneficiary to complete. When SSA receives the 
completed form, we scan it into SSA's system. This allows us to gather 
the information electronically to enable SSA to process the returned 
forms through automated decision logic to decide the proper course of 
action to take. The respondents are recipients of Title II and Title 
XVI Social Security disability payments.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                Average  burden     Estimated
           Modality of completion                Number of      Frequency  of    per  response    total  annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-455.....................................       1,500,000                1               15          375,000
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    2. Request for Evidence from Doctor and Request for Evidence from 
Hospital--20 CFR 404 Subpart P and 20 CFR 416 Subpart I--0960-0722. 
Sections 223(d)(5) and 1614(a)(3)(H)(i) of the Social Security Act 
require claimants to furnish medical evidence of their disability when 
filing a disability claim. SSA uses Forms HA-66 and HA-67 to obtain 
evidence from medical sources identified by the claimants as having 
information relative to their impairments or ability to do work-related 
activities. In addition to accepting manual paper responses, SSA sends 
a barcode with the HA-66 and HA-67, allowing respondents to fax the 
information directly into the electronic claims folder rather than 
submitting it manually. SSA uses the information to determine 
eligibility for benefits. The respondents are medical sources, doctors, 
and hospitals that evaluate the claimants. Type of Request: Extension 
of an OMB-approved information collection.

    Note: This is a correction notice. When we published the 60-day 
Notice for this collection on 3/3/14 at 79 FR 11852 we listed it as 
a revision; however, this is an extension of a currently approved 
information collection.


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                                                                                      Average
                                     Number of     Frequency  of     Number of      burden per       Estimated
     Modality of completion         respondents      response        responses       response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-66--Paper....................           3,060              22          67,320              15          16,830
HA-66--Electronic...............           8,940              22         196,680              15          49,170
HA-67--Paper....................           3,060              22          67,320              15          16,830
HA-67--Electronic...............           8,940              22         196,680              15          49,170
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    Totals......................          24,000  ..............         528,000  ..............         132,000
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    Dated: May 20, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-11928 Filed 5-22-14; 8:45 am]
BILLING CODE 4191-02-P