[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57907-57910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24302]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0054]


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 extensions 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-2015-0054].
    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 
November 24, 2015. Individuals can obtain copies of

[[Page 57908]]

the collection instruments by writing to the above email address.
    1. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR 
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage 
credits for active military or naval service (under certain conditions) 
during the period September 16, 1940 through December 31, 1956, if no 
other Federal agency (other than the Veterans Administration) credited 
the service for benefit eligibility or computation purposes. We use 
Form SSA-2512 to collect specific information about other Federal, 
military, or civilian benefits the wage earner may receive when the 
applicant indicates both pre-1957 military service and the receipt of a 
Federal benefit. SSA uses the data in the claims adjudication process 
to grant gratuitous military wage credits when applicable, and to 
solicit sufficient information to determine eligibility. Respondents 
are applicants for Social Security benefits on a record where the wage 
earner claims pre-1957 military service.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-2512....................................           5,000                1               10              833
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding the information collections 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 October 26, 2015. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits based on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the parent must have 
received at least one-half support from the deceased worker. The one-
half support requirement also applies to a spousal applicant in 
determining whether OASDI benefits are subject to Government Pension 
Offset (GPO). SSA uses the information from Form SSA-760-F4 to 
determine if the parent of a deceased worker or a spouse applicant 
meets the one-half support requirement. Respondents are (1) parents of 
deceased workers and (2) spouses who may meet the GPO exception.
    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-760-F4..................................          18,000                1               15            4,500
----------------------------------------------------------------------------------------------------------------

    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. 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)
----------------------------------------------------------------------------------------------------------------
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.......................
                                 -------------------------------------------------------------------------------
    Totals......................              80  ..............        (13,080)  ..............           5,320
----------------------------------------------------------------------------------------------------------------

    3. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals, 
businesses, organizations, entities, and government agencies seeking to 
use SSA's eService Internet and telephone applications. Individuals 
need this verification to electronically request and exchange

[[Page 57909]]

business data with SSA. Requestors provide SSA with the information 
needed to establish their identities. Once SSA verifies identity, the 
IRES system issues the requestor a user identification number and a 
password to conduct business with SSA. Respondents are employers and 
third party submitters of wage data business entities providing 
taxpayer identification information, and data exchange partners 
conducting business in support of SSA programs.
    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)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations.....................         662,102               1               5          55,175
IRES Internet Requestors........................       9,209,489               1               2         306,983
IRES CS (CSA) Registrations.....................          23,562               1              11           4,320
                                                 ---------------------------------------------------------------
    Totals......................................       9,895,153  ..............  ..............         366,478
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    4. Site Review Questionnaire for Volume and Fee-for-Service Payees 
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665, 
416.701, and 416.708--0960-0633. SSA asks organizational representative 
payees to complete Form SSA-637, the Site Review Questionnaire for 
Volume and Fee-for-Service Payees, to provide information on how they 
carry out their responsibilities, including how they manage beneficiary 
funds. SSA then obtains information from the beneficiaries these 
organizations represent via Form SSA-639, Beneficiary Interview Form, 
to corroborate the payees' statements. Due to the sensitivity of the 
information, SSA employees always complete the forms based on the 
answers respondents give during the interview. The respondents are 
individuals; State and local governments; non-profit and for-profit 
organizations serving as representative payees; and the beneficiaries 
they serve.
    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                  responses       response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-637.........................................           1,999               1             120           3,998
SSA-639.........................................           8,293               1              10           1,382
                                                 ---------------------------------------------------------------
    Totals......................................          10,292  ..............  ..............           5,380
----------------------------------------------------------------------------------------------------------------

    5. Request for Reinstatement (Title II)--20 CFR 404.1592b--
404.1592f--0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under title II of the Social Security Act when their medical condition 
no longer permits them to perform substantial gainful activity. SSA 
uses Form SSA-371 to obtain: (1) A signed statement from individuals 
requesting an EXR of their Title II disability benefits, and (2) proof 
the requestors meet the EXR requirements. SSA maintains the form in the 
disability folder of the applicant to demonstrate the requestors' 
awareness of the EXR requirements, and their choice to request EXR. 
Respondents are applicants for EXR of Title II disability benefits.
    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-371.....................................          10,000                1                2              333
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    6. Important Information About Your Appeal, Waiver Rights, and 
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally 
overpays beneficiaries, the agency informs them of the following 
rights: (1) The right to reconsideration of the overpayment 
determination; (2) the right to request a waiver of recovery and the 
automatic scheduling of a personal conference if SSA cannot approve a 
request for waiver; and (3) the availability of a different rate of 
withholding when SSA proposes the full withholding rate. SSA uses Form 
SSA-3105, Important Information About Your Appeal, Waiver Rights, and 
Repayment Options, to explain these rights to overpaid individuals and 
allow them to notify SSA of their decision(s) regarding these rights. 
The respondents are overpaid claimants requesting a waiver of recovery 
for the overpayment; reconsideration of the fact of the overpayment; or 
a lesser rate of withholding of the overpayment.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 57910]]



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                                                                                Average  burden  Estimated total
           Modality of collection                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105....................................          80,000                1               15           20,000
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    Dated: Septebmer 21, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-24302 Filed 9-24-15; 8:45 am]
 BILLING CODE 4191-02-P