[Federal Register Volume 80, Number 137 (Friday, July 17, 2015)]
[Notices]
[Pages 42600-42601]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17551]


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SOCIAL SECURITY ADMINISTRATION

[Docket No. SSA-2015-0045]


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 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-2015-0045].
    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 
September 15, 2015. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Employment Relationship Questionnaire--20 CFR 404.1007--0960-
0040. When SSA needs information to determine a worker's employment 
status for the purpose of maintaining a worker's earning records, the 
agency uses Form SSA-7160-F4 to determine the existence of an employer-
employee relationship. We use the information to develop the employment 
relationship; specifically to determine whether a beneficiary is self-
employed or an employee. The respondents are individuals seeking to 
establish their status as employees, and the individuals alleged 
employers.
    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 completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
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Individuals.....................................           8,000               1              25           3,333
Businesses......................................           7,200               1              25           3,000
State/Local Government..........................             800               1              25             333
                                                 ---------------------------------------------------------------
    Totals......................................          16,000  ..............  ..............           6,666
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    2. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b), 
404.2117(c)(1) & (2), 404.2101(b) & (c), 404.2121(a), 416.2208(b), 
416.2217(c)(1) & (2), 416.2201(b) & (c), 416.2221(a)--0960-0310. State 
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to 
obtain reimbursement of costs incurred for providing VR services. SSA 
requires state VR agencies to submit reimbursement claims for the 
following categories: (1) Claiming reimbursement for VR services 
provided; (2) certifying adherence to cost containment policies and 
procedures; and (3) preparing causality statements. The respondents 
mail the paper copy of the SSA-199 to SSA for consideration and 
approval of the claim for reimbursement of costs incurred for SSA 
beneficiaries. For claims certifying adherence to cost containment 
policies and procedures, or for preparing causality statements, State 
VR agencies submit written requests as stipulated in SSA's regulations 
within the Code of Federal Regulations. In most

[[Page 42601]]

cases, SSA requires adherence to cost containment policies and 
procedures as well as causality statements prior to determining whether 
to reimburse State VR agencies. SSA uses the information on the SSA-
199, along with the written documentation, to determine whether, and 
how much, to pay State VR agencies under SSA's VR program. Respondents 
are Sate VR agencies offering vocational and employment services to 
Social Security and Supplemental Security Income (SSI) recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average        Estimated
Modality of completion  (type of     Number of     Frequency of      Number of      burden per     total annual
  response as indicated below)      respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
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SSA-199 CFR 404.2108 & 416.2208.              80             160          12,800              23           4,907
CFR 404.2117 & 416.2217 Written               80               1              80              60              80
 requests.......................
CFR 404.2121 & 416.2221 Written               80             2.5             200             100             333
 requests.......................
                                 -------------------------------------------------------------------------------
    Total.......................              80  ..............          13,080  ..............           5,320
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    3. Testimony by Employees and the Production of Records and 
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619. 
Regulations at 20 CFR 403.100-403.155 of the Code of Federal 
Regulations establish SSA's policies and procedures for an individual, 
organization, or government entity to request official agency 
information, records, or testimony of an agency employee in a legal 
proceeding when the agency is not a party. The request, which 
respondents submit in writing to the Commissioner, must (1) fully set 
out the nature and relevance of the sought testimony; (2) explain why 
the information is not available by other means; (3) explain why it is 
in SSA's interest to provide the testimony; and (4) provide the date, 
time, and place for the testimony. Respondents are individuals or 
entities who request testimony from SSA employees in connection with a 
legal proceeding.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155..........................             100               1              60             100
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    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 August 17, 2015. Individuals can obtain copies of the OMB 
clearance package by writing to [email protected].
    Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. 
Individuals receiving or applying for Social Security disability 
insurance (SSDI) or SSI must provide medical evidence and other proof 
SSA requires to prove their disability. SSA, and State disability 
determinations services on our behalf, collect the information using 
Form SSA-3373. We use the information to document how claimants' 
disabilities affect their ability to function, and to determine 
eligibility for SSI and SSDI claims. The respondents are Title II and 
Title XVI applicants (or current recipients undergoing 
redeterminations) for disability payments.
    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 completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3373........................................       2,085,721               1              61       2,120,483
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    Dated: July 14, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-17551 Filed 7-16-15; 8:45 am]
 BILLING CODE 4191-02-P