[Federal Register Volume 79, Number 147 (Thursday, July 31, 2014)]
[Notices]
[Pages 44483-44485]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-17994]


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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 extenstion 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 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 
September 29, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. General Request for Social Security Records--eFOIA--20 CFR 
402.130--0960-0716. Interested members of the public use this 
electronic request to ask SSA for information under the Freedom of 
Information Act (FOIA). SSA also uses this collection to track the 
number and type of information requests; fees charged; payment amounts; 
and SSA's responses to public requests within the required 20 days. 
Respondents are members of the public including individuals, 
institutions, or agencies requesting information or documents under 
FOIA.
    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)
----------------------------------------------------------------------------------------------------------------
eFOIA.......................................           2,500                1                3              125
----------------------------------------------------------------------------------------------------------------

    2. Incoming and Outgoing Intergovernmental Personnel Act Assignment 
Agreement--5 CFR 334--0960-0792. The Intergovernmental Personnel Act 
(IPA) mobility program provides for the temporary assignment of 
civilian personnel between the Federal Government and State and local 
governments; colleges and universities; Indian tribal governments; 
federally-funded research and development centers; and other eligible 
organizations. The Office of Personnel Management (OPM) created a 
generic form, the OF-69, for agencies to use as a template when 
collecting information for the IPA assignment. The OF-69 collects 
specific information about the agreement, including (1) the enrolled 
employee's name, Social Security number, job title, salary, 
classification, and address; (2) the type of assignment; (3) the 
reimbursement arrangement, and (4) an explanation of how the assignment 
benefits both SSA and the non-federal organization involved in the 
exchange. OPM directs agencies to use their own forms for recording 
these agreements. Accordingly, SSA modified the OF-69 to meet our 
needs, creating the SSA-187 for incoming employees and the SSA-188 for 
outgoing employees. Respondents are the individuals we describe above 
who participate in the IPA exchange with SSA.
    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)
----------------------------------------------------------------------------------------------------------------
Non-Federal employee............................              10               1              30               5
Non-Federal employer signers....................              20               1               5               2
                                                 ---------------------------------------------------------------
    Totals......................................              30  ..............  ..............               7
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[[Page 44484]]

    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 September 2, 2014. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Information Collections Conducted by State Disability 
Determination Services on Behalf of SSA--20 CFR, subpart P, 404.1503a, 
404.1512, 404.1513, 404.1514 404.1517, 404.1519; 20 CFR subpart Q, 
404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 416.912, 
416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 416.1013, 
416.1024, 416.1014--0960-0555. State Disability Determination Services 
(DDS) collect the information necessary to administer the Social 
Security Disability Insurance and Supplemental Security Income (SSI) 
programs. They collect medical evidence from consultative examination 
(CE) sources, credential information from CE source applicants, and 
medical evidence of record (MER) from claimants' medical sources. The 
DDSs collect information from claimants regarding medical appointments, 
pain, symptoms, and impairments. The respondents are medical providers, 
other sources of MER, and disability claimants.
    Type of Request: Extension of an OMB-approved information 
collection.

CE Collections

    There are three CE information collections: (a) Medical evidence 
about claimants' medical condition(s) that DDS's use to make disability 
determinations when the claimant's own medical sources cannot or will 
not provide the required information, and proof of credentials from CE 
providers; (b) CE appointment letters; and (c) CE claimant reports sent 
to claimants' doctors.

(a) Medical Evidence and Credentials From CE Providers

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
CE Paper Submissions............................       1,400,000               1              30         700,000
CE Electronic Submissions.......................         296,000               1              10          49,333
CE Credentials..................................           4,000               1              15           1,000
                                                 ---------------------------------------------------------------
    Totals......................................       1,700,000  ..............  ..............         750,333
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(b) CE Appointment Letters and (c) CE Claimants' Report to Medical 
Providers

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
b) CE Appointment Letters.......................         880,000               1               5          73,333
c) CE Claimants' Report to Medical Providers....         450,000               1               5          37,500
                                                 ---------------------------------------------------------------
    Totals......................................       1,330,000  ..............  ..............         110,833
----------------------------------------------------------------------------------------------------------------

MER Collections

    The DDS's collect MER information from the claimant's medical 
sources to determine a claimant's physical or mental status prior to 
making a disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions...............................       3,150,000               1              20       1,050,000
Electronic Submissions..........................       9,450,000               1              12       1,890,000
                                                 ---------------------------------------------------------------
    Totals......................................      12,600,000  ..............  ..............       2,940,000
----------------------------------------------------------------------------------------------------------------

Pain/Other Symptoms/Impairment Information From Claimants

    The DDSs use information about pain/symptoms to determine how pain/
symptoms affect the claimant's ability to do work-related activities 
prior to making a disability determination.

[[Page 44485]]



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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment Information..       2,100,000                1               20          700,000
----------------------------------------------------------------------------------------------------------------

    The total estimated annual burden for all categories described in 
this information collection is 4,501,166 hours.

    Note:  This is a correction notice: SSA published this 
information collection as a revision and with incorrect burden 
information at 79 FR 26798 on 05/09/14. We are correcting this error 
here.

    2. Authorization to Disclose Information to SSA--20 CFR 404.1512 
and 416.912, 45 CFR 160 and 164--0960-0623. Sections 223(d)(5)(A) and 
1614(a)(3)(H)(i) of the Social Security Act require claimants to 
furnish such medical and other evidence as the Commissioner of Social 
Security may require to prove that they are disabled. SSA must obtain 
sufficient evidence to make eligibility determinations for Title II and 
Title XVI payments. Therefore, the applicant must authorize release of 
information from various sources to SSA. The applicants use Form SSA-
827 to provide consent for the release of medical records, education 
records, and other information related to their ability to perform 
tasks. Once the applicant completes Form SSA-827, SSA or the State DDS 
sends the form to the designated source(s) to obtain pertinent records. 
The respondents are applicants for Title II benefits and Title XVI 
payments.
    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      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-827 with electronic signature                      1,922,938               1               9         288,441
 (eAuthorization)...............................
SSA-827 with wet signature (paper version)......       1,441,052               1              10         240,175
                                                 ---------------------------------------------------------------
    Totals......................................       3,363,990  ..............  ..............         528,616
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    Dated: July 28, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-17994 Filed 7-30-14; 8:45 am]
BILLING CODE 4191-02-P