[Federal Register Volume 80, Number 126 (Wednesday, July 1, 2015)]
[Notices]
[Pages 37708-37709]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-16132]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0041]


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 one extension of OMB-approved information 
collections, as well as one collection in use without an OMB number.
    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-2015-0041].
    I. 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 31, 2015. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, and 416.665--0960-0576. SSA requires 
representative payees (RPs) to submit a written report accounting for 
the use of money paid to Social Security or Supplemental Security 
Income (SSI) recipients, and to establish and maintain a dedicated 
account for these payments. SSA uses Form SSA-6233 to: (1) Ensure the 
RPs use the payments for the recipient's current maintenance and 
personal needs; and (2) confirm the expenditures of funds from the 
dedicated account remain in compliance with the law. Respondents are 
RPs for SSI and Social Security recipients.
    Type of Request: Revision 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)
----------------------------------------------------------------------------------------------------------------
SSA-6233....................................          30,000                1               20           10,000
----------------------------------------------------------------------------------------------------------------

    2. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a 
Social Security card as verification of their Social Security number 
for school or work programs, or as proof of employment eligibility upon 
release from incarceration. Before SSA can issue a replacement Social 
Security card, applicants must show SSA proof of their identity. People 
who are in prison for an extended period typically do not have current 
identity documents. Therefore, under formal written agreement with the 
correctional institution, SSA allows prison officials to verify the 
identity of certain incarcerated U.S. citizens who need replacement 
Social Security cards. Information prison officials provide comes from 
the official prison files, sent on correctional facility letterhead. 
SSA uses this information to establish the applicant's identity in the 
replacement

[[Page 37709]]

Social Security card process. The respondents are prison officials who 
certify the identity of prisoners applying for replacement Social 
Security cards.
    Type of Request: Extension 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)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements.......................           1,000              200        (200,000)                3           10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------

    II. 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 July 31, 2015. Individuals can obtain copies of the OMB 
clearance package by writing to [email protected].
    Third Party Liability Information Statement--42 CFR 433.136 through 
433.139 --0960-0323. To reduce Medicaid costs, Medicaid state agencies 
must identify third party insurers liable for medical care or services 
for Medicaid beneficiaries. Regulations at 42 CFR 433.136 through 
433.139 require Medicaid state agencies to obtain this information on 
Medicaid applications and redeterminations as a condition of Medicaid 
eligibility. States may enter into agreements with the Commissioner of 
Social Security to make Medicaid eligibility determinations for aged, 
blind, and disabled beneficiaries in those states. Applications for and 
redeterminations of SSI eligibility in jurisdictions with such 
agreements are applications and redeterminations of Medicaid 
eligibility. Under these agreements, SSA obtains third party liability 
information using Form SSA-8019-U2, and provides that information to 
the Medicaid state agencies. The Medicaid state agencies use the 
information to bill third parties liable for medical care, support, or 
services for a beneficiary to guarantee that Medicaid remains the payer 
of last resort. The respondents are SSI claimants and recipients.
    Type of Request: Revision of an OMB-approved information 
collection.
    This is a correction notice: SSA published the incorrect form 
number in the burden chart for this collection at 80 FR 24307, on April 
30, 2015. We are correcting this error here.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8019-U2 Paper Form..........................             200               1               5              17
MSSICS Version..................................          51,381               1               5           4,282
                                                 ---------------------------------------------------------------
    Totals......................................          51,581  ..............  ..............           4,299
----------------------------------------------------------------------------------------------------------------


    Dated: June 26, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-16132 Filed 6-30-15; 8:45 am]
BILLING CODE 4191-02-P