[Federal Register Volume 79, Number 167 (Thursday, August 28, 2014)]
[Notices]
[Pages 51387-51389]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-20470]



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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 (PRA) 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, 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 
October 27, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Partnership Questionnaire--20 CFR 404.1080-1082--0960-0025. SSA 
considers partnership income in determining entitlement to Social 
Security benefits. SSA uses information from Form SSA-7104 to determine 
several aspects of eligibility for benefits, including the accuracy of 
reported partnership earnings; the veracity of a retirement; and lag 
earnings. The respondents are applicants for, and recipients of, Title 
II Social Security Old Age, Survivors, and Disability Insurance 
benefits.
    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-7104....................................          12,350                1               30            6,175
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    2. Statement of Marital Relationship (by one of the parties)--20 
CFR 404.726--0960-0038. SSA must obtain a signed statement from a 
spousal applicant if the applicant claims a common-law marriage to the 
insured in a state in which such marriages are recognized, and no 
formal marriage documentation exists. SSA uses information we collect 
on Form SSA-754-F4 to determine if an individual applying for spousal 
benefits meets the criteria of common-law marriage under state law. The 
respondents are applicants for spouse's Social Security benefits or 
Supplemental Security Income (SSI) 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-754-F4..................................          30,000                1               30           15,000
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    3. Application for a Social Security Number Card, and the Social 
Security Number Application Process (SSNAP)--20 CFR 422.103--422.110--
0960-0066. SSA collects information on the SS-5 (used in the United 
States) and SS-5-FS (used outside the United States) to issue original 
or replacement Social Security cards. SSA also enters the application 
data into the Social Security Number Application Process (SSNAP) when 
applicants request a new or replacement card via telephone or in 
person. In addition, hospitals collect the same information on SSA's 
behalf for newborn children through the Enumeration-at-Birth process. 
In this process, parents of newborns provide hospital birth 
registration clerks with information required to register these 
newborns. Hospitals send this information to State Bureaus of Vital 
Statistics (BVS), and they send the information to SSA's National 
Computer Center. SSA then uploads the data to the SSA mainframe along 
with all other enumeration data, and we assign the newborn a Social 
Security number (SSN) and issue a Social Security card. Respondents can 
also use these modalities to request a change in their SSN records. The 
respondents for this collection are applicants for original and 
replacement Social Security cards, or individuals who wish to change 
information in their SSN records, who use any of the modalities 
described above.
    Type of Request: Revision of an OMB-approved information 
collection,

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                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Respondents who do not have to provide parents'       12,000,000               1             8.5       1,700,000
 SSNs...........................................
Respondents whom we ask to provide parents' SSNs         400,000               1               9          60,000
 (when applying for original SSN cards for
 children under age 18).........................

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Applicants age 12 or older who need to answer          1,500,000               1             9.5         237,500
 additional questions so SSA can determine
 whether we previously assigned an SSN..........
Applicants asking for a replacement SSN card                 900               1              60             900
 beyond the new allowable limits (i.e., who must
 provide additional documentation to accompany
 the application)...............................
Authorization to SSA to obtain personal                      500               1              15             125
 information cover letter.......................
Authorization to SSA to obtain personal                      500               1              15             125
 information follow-up cover letter.............
                                                 ---------------------------------------------------------------
    Totals......................................      13,901,900  ..............  ..............       1,998,650
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    Cost Burden: The State BVSs incur costs of approximately $9.8 
million for transmitting data to SSA's mainframe. However, SSA 
reimburses the states for these costs.
    4. Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act (Act) 
provides for the reduction of disability insurance benefits (DIB) when 
the combination of DIB and any workers' compensation (WC) or certain 
Federal, State or local public disability benefits (PDB) exceeds 80 
percent of the worker's pre-disability earnings. SSA field office staff 
conducts face-to-face interviews with applicants using the electronic 
WC/PDB screens in the Modernized Claims System (MCS) to determine if 
the worker's receipt of WC or PDB payments will cause a reduction of 
DIB. The respondents are applicants for the Title II DIB.
    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     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
MCS.........................................         248,000                1               15           62,000
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    5. Medicaid Use Report--20 CFR 416.268--0960-0267. Section 20 CFR 
416.268 of the Code of Federal Regulations requires SSA to determine 
eligibility for (1) Special SSI cash payments; and for (2) special SSI 
eligibility status for a person who works despite a disabling 
condition. It also explains how, to qualify for special SSI eligibility 
status, an individual must establish that termination of eligibility 
for benefits under Title XIX of the Act would seriously inhibit the 
ability to continue employment. SSA uses the information required by 
this regulation to determine if an individual is entitled to special 
Title XVI SSI payments and, consequently, to Medicaid. The respondents 
are SSI recipients for whom SSA has stopped payments based on earnings.
    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     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 416.268..............................          60,000                1                3            3,000
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    II. SSA submitted the information collection below to OMB for 
clearance. Your comments regarding the information collection 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 29, 2014. Individuals can obtain copies of the 
OMB clearance package by writing to [email protected].
    Medical Permit Parking Application--41 CFR 101-20-101-40--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 PRA, 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.

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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

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SSA-3193........................................             580               1              90             870
SSA-3194........................................              93               1               5               8
                                                 ---------------------------------------------------------------
    Totals......................................             963  ..............  ..............           1,023
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    Dated: August 25, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-20470 Filed 8-27-14; 8:45 am]
BILLING CODE 4191-02-P