[Federal Register Volume 79, Number 245 (Monday, December 22, 2014)]
[Notices]
[Page 76435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-29821]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2014-0079]


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 a revision of an OMB-approved information collection.
    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-2014-0079].
    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 January 21, 2015. Individuals can obtain copies of the 
OMB clearance package by writing to [email protected].
    Statement of Funds You Provided to Another and Statement of Funds 
You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA-2854 
(Statement of Funds You Provided to Another) and SSA-2855 (Statement of 
Funds You Received) to gather information to verify if a loan is bona 
fide for Supplemental Security Income (SSI) recipients. Form SSA-2854 
asks the lender for details on the transaction, and Form SSA-2855 asks 
the borrower the same basic questions independently. Agency personnel 
then compare the two statements, gather evidence if needed, and make a 
decision on the validity of the bona fide status of the loan.
    For SSI purposes, we consider a loan bona fide if it meets these 
requirements:
     Must be between a borrower and lender with the 
understanding that the borrower has an obligation to repay the money;
     Must be in effect at the time the cash goes to the 
borrower, that is, the agreement cannot come after the cash is paid; 
and
     Must be enforceable under State law, often there are 
additional requirements from the State.
    SSA collects this information at the time of initial application 
for SSI or at any point when an individual alleges being party to an 
informal loan while receiving SSI. SSA collects information on the 
informal loan through both interviews and mailed forms. The agency's 
field personnel conduct the interviews and mail the form(s) for 
completion, as needed. The respondents are SSI recipients and 
applicants, and individuals who lend money to them.
    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 collection                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
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SSA-2854........................................          20,000               1              10           3,333
SSA-2855........................................          20,000               1              10           3,333
                                                 ---------------------------------------------------------------
    Totals......................................          40,000  ..............  ..............           6,666
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    Dated: December 17, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-29821 Filed 12-19-14; 8:45 am]
BILLING CODE 4191-02-P