[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Pages 26605-26606]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11052]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0028]


Agency Information Collection Activities: Proposed 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 one new information collection.

[[Page 26606]]

    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-2015-0015].
    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 July 7, 
2015. Individuals can obtain copies of the collection instruments by 
writing to the above email address.
    Authorization for the Social Security Administration to Obtain 
Personal Information--20 CFR 404.704; 404.820-404.823; 404.1926; 
416.203; and 418.3001-0960-NEW. SSA requests respondents fill out Form 
SSA-8510, allowing SSA to contact a public or private custodian of 
records on behalf of an applicant or recipient of an SSA program to 
request evidence information which may support a benefit application or 
payment continuation. We ask for evidence information such as the 
following:
     Age requirements (e.g. birth certificate, court 
documents).
     Insured status (e.g. earnings, employer verification).
     Marriage or divorce information.
     Pension offsets.
     Wages verification.
     Annuities.
     Property information.
     Benefit verification from a State agency or third party.
     Immigration status (rare instances).
     Income verification from public agencies or private 
individuals.
     Unemployment benefits.
     Insurance policies.
    If the custodian requires a signed authorization from the 
individual(s) whose information SSA requests, SSA may provide the 
custodian with a copy of the SSA-8510. Once the respondent completes 
the SSA-8510, either using the paper form, or using the Modernized 
Supplemental Security Income Claims System (MSSICS) version, SSA uses 
the form as the authorization to obtain personal information regarding 
the respondent from third parties until the authorizing person 
(respondent) revokes the permission of its usage. The collection is 
voluntary; however, failure to verify the individuals' eligibility can 
prevent SSA from making an accurate and timely decision for their 
benefits. The respondents are individuals who may file for, or 
currently receive, Social Security benefits, SSI payments, or Medicare 
Part D subsidies.
    Type of Request: Information Collection in Use Without an OMB 
Number.

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                                                                                       Average
                                                           Number of     Frequency    burden per     Estimated
                Modality of completion                    respondents   of response    response    total annual
                                                                                      (minutes)   burden (hours)
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* SSA-8510--Medicare Subsidy Quality Review (paper               3,500            1            5             292
 version).............................................
SSA-8510--Title II and Title XVI general evidence               19,800            1            5           1,650
 (paper version)......................................
** SSA-8510--Title II and Title XVI general evidence           140,145            1            5         11, 679
 (MSSICS version).....................................
                                                       ---------------------------------------------------------
    Totals............................................         163,445  ...........  ...........          13,621
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* Currently in use under OMB Number 0960-0707.
** New information collection which SSA will implement upon OMB approval.


    Dated: May 4, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-11052 Filed 5-7-15; 8:45 am]
 BILLING CODE 4191-02-P