[Federal Register Volume 80, Number 121 (Wednesday, June 24, 2015)]
[Notices]
[Pages 36393-36395]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-15480]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0039]


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 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].

[[Page 36394]]

    (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-2015-0039].
    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 
August 24, 2015. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Substitution of Party Upon Death of Claimant--20 CFR 
404.957(c)(4) and 416.1457(c)(4)--0960-0288. An administrative law 
judge (ALJ) may dismiss a request for a hearing on a pending claim of a 
deceased individual for Social Security benefits or Supplement Security 
Income (SSI) payments. Individuals who believe the dismissal may 
adversely affect them may complete Form HA-539, which allows them to 
request to become a substitute party for the deceased claimant. The 
ALJs and the hearing office support staff use this information from the 
HA-539 to: (1) Maintain a written record of request; (2) establish the 
relationship of the requester to the deceased claimant; (3) determine 
the substituted individual's wishes regarding an oral hearing or 
decision on the record; and (4) admit the data into the claimant's 
official record as an exhibit. The respondents are individuals 
requesting to be a substitute party for a deceased claimant.
    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)
----------------------------------------------------------------------------------------------------------------
HA-539......................................           4,000                1                5              333
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    2. Continuation of Supplemental Security Income Payments for the 
Temporarily Institutionalized--Certification of Period and Need to 
Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When SSI recipients (1) 
enter a public institution or (2) enter a private medical treatment 
facility with Medicaid paying more than 50 percent of expenses, SSA 
must reduce recipients' SSI payments to a nominal sum. However, if this 
institutionalization is temporary (defined as a maximum of three 
months), SSA may waive the reduction. Before SSA can waive the SSI 
payment reduction, the agency must receive the following documentation: 
(1) A physician's certification stating the SSI recipient will only be 
institutionalized for a maximum of three months, and (2) certification 
from the recipient, the recipient's family, or friends, confirming the 
recipient needs SSI payments to maintain the living arrangements to 
which the individual will return post-institutionalization. To obtain 
this information, SSA employees contact the recipient (or a 
knowledgeable source) to obtain the required physician's certification 
and the statement of need. SSA does not require any specific format for 
these items, so long as we obtain the necessary attestations. The 
respondents are SSI recipients, their family or friends, as well as 
physicians or hospital staff members who treat the SSI recipient.
    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
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Physician's Certifications and Statements             60,000                1                5            5,000
 from Other Respondents.....................
----------------------------------------------------------------------------------------------------------------

    3. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. SSA bases an SSI claimant or recipient's eligibility on 
need, as measured by the amount of income an individual receives. Per 
our calculations, income includes other people providing in-kind 
support and maintenance in the form of food and shelter to SSI 
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to 
obtain statements about food or shelter provided to SSI claimants or 
recipients. SSA uses this information to determine whether food or 
shelters are bona fide loans or income for SSI purposes. This 
determination may affect claimants' or recipients' eligibility for SSI 
as well as the amounts of their SSI payments. The respondents are 
claimants and recipients for SSI payments, and individuals who provide 
loans of food or shelter to them.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of     of response    total annual
                                                     responses       response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper form.............................          34,752               1              10           5,792
SSA-L5063 Paper form............................          34,752               1              10           5,792
SSA-5062 Modernized SSI Claims System (MSSICS)..          34,752               1              10           5,792
SSA-L5063 MSSICS................................          34,752               1              10           5,792
                                                 ---------------------------------------------------------------
    Total.......................................         139,008  ..............  ..............          23,168
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[[Page 36395]]

    Dated: June 19, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-15480 Filed 6-23-15; 8:45 am]
BILLING CODE 4191-02-P