[Federal Register Volume 79, Number 187 (Friday, September 26, 2014)]
[Notices]
[Pages 58022-58024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-22923]


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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, 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 
November 25, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    Request to Show Cause for Failure to Appear--20 CFR 404.938, 20 CFR 
416.1438, and 20 CFR 404.957(a)(ii)--0960-0794. When claimants who 
requested a hearing before an administrative law judge (ALJ) fail to 
appear at their scheduled hearing, the ALJ may reschedule the hearing 
if the claimants establish good cause for missing the hearings. To 
establish good cause, claimants must show one of the following: (1) SSA 
did not properly notify the claimant of the hearing, or (2) an 
unexpected event occurred without sufficient time for the claimant to 
request a postponement. The claimants can use paper Form HA-L90 to 
provide their reason for not appearing at their scheduled hearings, or 
the claimants' representatives can use Electronic Records Express to 
submit the HA-L90 online. If the ALJ determines the claimants 
established good cause for failure to appear at the hearing, the ALJ 
will schedule a supplemental hearing; if not, the ALJ will make a 
claims eligibility determination based on the claimants' evidence of 
record. Respondents are claimants, or their representatives, seeking to 
establish good cause for failure to appear at a scheduled hearing 
before an ALJ.
    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
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
HA-L90 (paper or Electronic Records Express)          40,000                1               10            6,667
----------------------------------------------------------------------------------------------------------------

    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 October 27, 2014. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden
           Modality of completion                Number of       Frequency of    per  response   Estimated total
                                                respondents        response        (minutes)      burden (hours)
----------------------------------------------------------------------------------------------------------------
Television..................................           1,000                2                1               33
----------------------------------------------------------------------------------------------------------------

    1. Application for Search of Census Records for Proof of Age--20 
CFR 404.716--0960-0097. When preferred evidence of age is not 
available, or the available evidence is not convincing, SSA may ask the 
U.S. Department of Commerce, Bureau of the Census, to search its 
records to establish a claimant's date of birth. SSA collects 
information from claimants using Form SSA-1535-U3 to provide the Census 
Bureau with sufficient identification information to allow an accurate 
search of census records. Additionally, the Census Bureau uses a 
completed, signed SSA-1535-U3 to bill SSA for the search. The 
respondents are applicants for Social Security benefits who need to 
establish their date of birth as a factor of entitlement.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 58023]]



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                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1535-U3.................................          18,030                1               12            3,606
----------------------------------------------------------------------------------------------------------------

    2. Public Information Campaign--0960-0544. Periodically, SSA sends 
various public information materials, including public service 
announcements, news releases, and educational tapes, to public 
broadcasting systems so they can inform the public about various 
programs and activities SSA conducts. SSA frequently sends follow-up 
business reply cards for these public information materials to obtain 
suggestions for improving them. The respondents are broadcast 
television sources.
    Type of Request: Extension of an OMB-approved information 
collection.
    3. Medicare Subsidy Quality Review Forms--20 CFR 418(b)(5)--0960-
0707. The Medicare Modernization Act of 2003 mandated the creation of 
the Medicare Part D prescription drug coverage program and provides 
certain subsidies for eligible Medicare beneficiaries to help pay for 
the cost of prescription drugs. As part of its stewardship duties of 
the Medicare Part D subsidy program, SSA must periodic quality review 
checks of the information Medicare beneficiaries report on their 
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality 
Review program to conduct these checks. The respondents are applicants 
for the Medicare Part D subsidy whom SSA chose to undergo a quality 
review.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case             3,500               1              30           1,750
 Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review                         3,500               1              15             875
 Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review                           350               1              15              88
 Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information;      ..............  ..............  ..............  ..............
 burden accounted for with forms SSA-9302, SSA-
 9303, SSA-9311, SSA-9314)......................
SSA-9308 (Request for Information)..............           7,000               1              15           1,750
SSA-9310 (Request for Documents)................           3,500               1               5             292
SSA-9311 (Notice of Appointment--Denial--                    450               1              15             113
 Reviewer Will Call)............................
SSA-9312 (Notice of Appointment--Denial--Please               50               1              15              13
 Call Reviewer).................................
SSA-9313 (Notice of Quality Review                         2,500               1              15             625
 Acknowledgement Form for those with Phones)....
SSA-9314 (Notice of Quality Review                           500               1              15             125
 Acknowledgement Form for those without Phones).
SSA-8510 (Authorization to the Social Security             3,500               1               5             292
 Administration to Obtain Personal Information).
                                                 ---------------------------------------------------------------
    Totals......................................          24,850  ..............  ..............           5,923
----------------------------------------------------------------------------------------------------------------

    4. Application to Collect a Fee for Payee Service--20 CFR 
416.640.640(a), 416.1103(f)--0960-0719. Sections 205(j)(4)(A) and (B) 
and 1631(a)(2) of the Social Security Act (Act) allow SSA to authorize 
certain organizational representative payees to collect a fee for 
providing payee services. Before an organization may collect this fee, 
they complete and submit Form SSA-445. SSA uses the information to 
determine whether to authorize or deny permission to collect fees for 
payee services. The respondents are private sector businesses or State 
and local government offices applying to become fee-for-service 
organizational representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Private sector business.........................              90               1              10              15
State/local government offices..................              10               1              10               2
                                                 ---------------------------------------------------------------
    Totals......................................             100  ..............  ..............              17
----------------------------------------------------------------------------------------------------------------

    5. Redetermination of Eligibility for Help with Medicare 
Prescription Drug Plan Costs--0960-0723. As per the requirements of the 
Medicare Modernization Act of 2003, SSA conducts low-income subsidy 
eligibility redeterminations for Medicare beneficiaries who currently 
receive the Medicare Part D subsidy and who meet certain criteria. 
Respondents complete Form SSA-1026-REDE under the following 
circumstances: (1) When individuals became entitled to the Medicare 
Part D subsidy during the past 12 months; (2) if they were eligible for

[[Page 58024]]

the Part D subsidy for more than 12 months; or (3) if they reported a 
change in income, resources, or household size. Part D beneficiaries 
complete the SSA-1026-SCE when they need to report a potentially 
subsidy-changing event, including the following: (1) Marriage, (2) 
spousal separation, (3) divorce, (4) annulment of a marriage, (5) 
spousal death, or (6) moving back in with one's spouse following a 
separation. The respondents are current recipients of the Medicare Part 
D low-income subsidy who will undergo an eligibility redetermination 
for one of the reasons mentioned above.

    Note:  SSA incorrectly published this information collection as 
a revision on July 23, 2014 at 79 FR 42863. As we are not making any 
revisions to this collection; this is extension of an OMB-approved 
information collection.

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

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1026-OCR-MS-SCE.............................           9,176               1              18           2,753
SSA-1026-OCR-SM-REDE............................         161,766               1              18          48,530
                                                 ---------------------------------------------------------------
    Total.......................................         170,942  ..............  ..............          51,283
----------------------------------------------------------------------------------------------------------------

    6. Electronic Records Express (Third Parties)--20 CFR 404.1700--
404.1715--0960-0767. Electronic Records Express (ERE) is an online 
system which enables medical providers and various third party 
representatives to download and submit disability claimant information 
electronically to SSA as part of the disability application process. To 
ensure only authorized people access ERE, SSA requires third parties to 
complete a unique registration process if they wish to use this system. 
This information collection request (ICR) includes the third-party 
registration process; the burden for submitting evidence to SSA is part 
of other, various ICRs. The respondents are third party representatives 
of disability applicants or recipients who want to use ERE to 
electronically access clients' disability files online and submit 
information to SSA.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                        Average  burden  Estimated total
                       Modality of completion                           Number of       Frequency of      Number of      per  response    annual burden
                                                                       respondents        response        responses        (minutes)         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
ERE................................................................          12,000              281      (3,372,000)                1           56,200
--------------------------------------------------------------------------------------------------------------------------------------------------------

    7. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the Act 
requires SSA to verify the identity of individuals who request a record 
or information pertaining to themselves, and to establish procedures 
for disclosing personal information. SSA established Screen Pop, an 
automated telephone process, to increase speed of verification for such 
individuals. Accessing Screen Pop, callers enter their Social Security 
number (SSN) using their telephone keypad or speech technology prior to 
speaking with a National 800 Number Network (N8NN) agent. The automated 
Screen Pop application collects the SSN and routes it to the ``Start 
New Call'' Customer Help and Information (CHIP) screen. Functionality 
for the Screen Pop application ends once the SSN connects to the CHIP 
screen and the SSN routes to the agent's screen. When the call connects 
to the N8NN agent, the agent can use the SSN to access the caller's 
record as needed. The respondents for this collection are individuals 
who contact SSA's N8NN to speak with an agent.
    Type of Request: Extension of an OMB-approved information 
collection.

    Note:  SSA incorrectly published this information collection as 
a revision on July 23, 2014, at 79 FR 42863. As we are not making 
any revisions to this collection, this is an extension of an OMB-
approved information collection.


----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop..................................     55,600,0000                1                1          926,667
----------------------------------------------------------------------------------------------------------------


    Dated: September 23, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-22923 Filed 9-25-14; 8:45 am]
BILLING CODE 4191-02-P