[Federal Register Volume 79, Number 152 (Thursday, August 7, 2014)]
[Notices]
[Pages 46293-46295]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-18661]


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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 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 
October 6, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    Application for Supplemental Security Income--20 CFR 416.207 and 
416.305--416.335, Subpart C--0960-0229. The Supplemental Security 
Income (SSI) program provides aged, blind, and disabled individuals who 
have little or no income, with funds for food, clothing, and shelter. 
Individuals complete Form SSA-8000 to apply for SSI. SSA uses the 
information from paper Form SSA-8000 and its electronic intranet 
counterpart, the Modernized SSI Claims Systems (MSSICS), to determine: 
(1) Whether SSI claimants meet all statutory and regulatory eligibility 
requirements; and (2) SSI payment amounts. The respondents are 
applicants for SSI or their representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                               Average burden   Total estimated
          Modality of completion                Number of       Frequency of    per response      anual burden
                                               respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8000, paper version...................             39,295               1              41             26,852
MSSICS Version............................            211,802               1              36            127,081

[[Page 46294]]

 
MSSICS with Signature Proxy (attestation).          1,713,671               1              35            999,641
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    Totals................................          1,964,768  ..............  ..............          1,153,574
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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 September 8, 2014. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c), 
416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4), 
416.1540(b)(4), and 405 Subpart C--0960-0144. SSA requires disability 
applicants who wish to appeal an unfavorable disability determination 
to complete Form SSA-3441-BK, the associated Electronic Disability 
Collect System (EDCS) interview, or the Internet application, i3441. 
This allows claimants to disclose any changes to their disability or 
resources that might influence SSA's unfavorable determination. We may 
use the information to: (1) Reconsider and review an initial disability 
determination; (2) review a continuing disability; and (3) evaluate a 
request for a hearing. This information assists the State Disability 
Determination Services (DDS) and administrative law judges (ALJ) in 
preparing for the appeals and hearings, and in issuing a determination 
or decision on an individual's entitlement (initial or continuing) to 
disability benefits. In addition, the information we collect on the 
SSA-3441-BK facilitates SSA's collection of medical information to 
support the applicant's request for reconsideration; request for 
benefits cessation appeal; and request for a hearing before an ALJ. 
Respondents are individuals who appeal denial, reduction, or cessation 
of Social Security disability income and SSI payments; who wish to 
request a hearing before an ALJ; or their representatives.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                               Average burden   Total estimated
          Modality of completion                Number of       Frequency of    per response     annual burden
                                               respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3441-BK...............................              2,396               1              45              1,797
Electronic Disability Collect System                  476,771               1              45            357,578
 (EDCS)...................................
i3441 (Internet)..........................          1,046,938               1              28            488,571
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    Totals................................          1,526,105  ..............  ..............            847,946
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    2. Request for Hearing by Administrative Law Judge--20 CFR 404.929, 
404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269. 
When SSA denies applicants' or beneficiaries' requests for new or 
continuing benefits, the Social Security Act entitles those applicants 
or beneficiaries to request a hearing to appeal the decision. To 
request a hearing, individuals complete Form HA-501, the associated 
Modernized Claims System (MCS) or MSSICS interview, or the Internet 
application (i501). SSA uses the information to determine if the 
individual: (1) Filed the request within the prescribed time; (2) is 
the proper party; and (3) took the steps necessary to obtain the right 
to a hearing. SSA also uses the information to determine: (1) The 
individual's reason(s) for disagreeing with SSA's prior determinations 
in the case; (2) if the individual has additional evidence to submit; 
(3) if the individual wants an oral hearing or a decision on the 
record; and (4) whether the individual has (or wants to appoint) a 
representative. The respondents are Social Security benefit applicants 
and recipients who want to appeal SSA's denial of their request for new 
or continued benefits, and Medicare Part B recipients who must pay the 
Medicare Part B Income-Related Monthly Adjustment Amount.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Total
                                  Number of       Frequency of   Average burden     estimated
   Modality of completion        respondents        response      per response    annual burden
                                                                    (minutes)        (hours)
-----------------------------------------------------------------------------------------------
HA-501; Modernized Claims                25,953               1              10           4,326
 System (MCS); Modernized
 Supplemental Security
 Income Claims System
 (MSSICS)...................
i501 (Internet iAppeals)....            643,516               1               5          53,626
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    Totals..................            669,469  ..............  ..............          57,952
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    3. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009, and 418.1325--0960-0622. Individuals use Form SSA-
561-U2, the associated MCS interview, or the Internet application 
(i561) to initiate a request for reconsideration of a denied claim. SSA 
uses the information to document the request and to determine an 
individual's eligibility or entitlement to Social Security benefits 
(Title II), SSI payments

[[Page 46295]]

(Title XVI), Special Veterans Benefits (Title VIII), Medicare (Title 
XVIII), and for initial determinations regarding Medicare Part B 
income-related premium subsidy reductions. The respondents are 
individuals filing for reconsideration of a denied claim.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                               Average burden   Total estimated
          Modality of completion                Number of       Frequency of    per response     annual burden
                                               respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-561 and Modernized Claims System (MCS)            550,370               1               8             73,383
i561 (Internet iAppeals)..................            911,330               1               5             75,944
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    Totals................................          1,461,700  ..............  ..............            149,327
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    Dated: August 4, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-18661 Filed 8-6-14; 8:45 am]
BILLING CODE 4191-02-P