[Federal Register Volume 79, Number 240 (Monday, December 15, 2014)]
[Notices]
[Pages 74154-74155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-29246]


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SOCIAL SECURITY ADMINISTRATION

[Docket No SSA-2014-0077]


Agency Information Collection Activities: 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], 
or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2014-0077].
    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 January 14, 2015. Individuals can obtain copies of the 
OMB clearance package by writing to [email protected].
    1. Supplemental Security Income (SSI) Claim Information Notice--20 
CFR 416.210-0960-0324. Section 1611(e)(2) of the Social Security Act 
requires individuals to file for and obtain all payments (annuities, 
pensions, disability benefits, veteran's compensation, etc.) for which 
they are eligible before qualifying for SSI payments. Individuals do 
not qualify for SSI if they do not first apply for all other benefits. 
SSA uses the information on Form SSA-L8050-U3 to verify and establish a 
claimant or recipient's eligibility under the SSI program. Respondents 
are SSI applicants or recipients who may be eligible for other payments 
from public or private programs.

    Note: This is a correction notice. SSA published this 
information collection as a revision on September 25, 2014, at 79 FR 
57650. Since we are no longer revising this information collection, 
it is now an extension of an OMB-approved information collection.

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

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
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SSA-L8050-U3................................          17,044                1               10            2,841
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    2. You Can Make Your Payment by Credit Card--0960-0462. Using 
information from Form SSA-4588 and its electronic application, Form 
SSA-4589, SSA updates individuals' Social Security records to reflect 
payments made on their overpayments. In addition, SSA uses this 
information to process payments through the appropriate credit card 
company. SSA provides the SSA-4588 when we inform an individual that we 
detected an overpayment. Individuals may choose to make a one-time 
payment or recurring monthly payments by completing and submitting the 
SSA-4588. SSA uses the SSA-4589 electronic intranet application only 
when individuals choose to telephone the Program Service Centers to 
make a one-time payment in lieu of completing Form SSA-4588. An SSA 
debtor contact representative completes the SSA-4589 electronic 
intranet application. Respondents are OASDI beneficiaries and SSI 
recipients who have outstanding overpayments.
    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)
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SSA-4588 Paper Form.............................          13,200               1              10           2,200
SSA-4589 Electronic Intranet Application........        221,3196               1               5          18,443
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[[Page 74155]]

 
    Totals......................................         234,516  ..............  ..............          20,643
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    3. Application for Extra Help with Medicare Prescription Drug Plan 
Costs--20 CFR 418.3101-0960-0696. The Medicare Modernization Act of 
2003 mandated the creation of the Medicare Part D prescription drug 
coverage program and the provision of subsidies for eligible Medicare 
beneficiaries. SSA uses Form SSA-1020 or the Internet i1020, the 
Application for Extra Help with Medicare Prescription Drug Plan Costs, 
to obtain income and resource information from Medicare beneficiaries 
and to make a subsidy decision. The respondents are Medicare 
beneficiaries applying for the Part D low-income subsidy.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1020 (Paper Application Form............         617,070                1               30          308,535
i1020 Online Application....................         282,228                1               25          117,595
Field Office Interview......................         155,687                1               30           77,844
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    Totals..................................       1,054,985   ...............  ...............         503,974
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    Dated: December 10, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-29246 Filed 12-12-14; 8:45 am]
BILLING CODE 4191-02-P