[Federal Register Volume 81, Number 108 (Monday, June 6, 2016)]
[Notices]
[Pages 36373-36375]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13202]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0025]


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 of OMB-approved information collections.

[[Page 36374]]

    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-2016-0025].
    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 5, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Waiver of Your Right to Personal Appearance before an 
Administrative Law Judge--20 CFR 404.948(b)(l)(i) and 
416.1448(b)(l)(i)-0960-0284. Applicants for Social Security, Old Age, 
Survivors and Disability Insurance (OASDI) benefits and Supplemental 
Security Income (SSI) payments have the statutory right to appear in 
person, or through a representative, and present evidence about their 
claims at a hearing before an administrative law judge (ALJ). If 
claimants wish to waive this right to appear before an ALJ, they must 
do so in writing. Form HA-4608 serves as a written waiver for the 
claimant's right to a personal appearance before an ALJ. The ALJ uses 
the information we collect on Form HA-4608 to continue processing the 
case, and makes the completed form a part of the documentary evidence 
of record by placing it in the official record of the proceedings as an 
exhibit. Respondents are applicants or claimants for OASDI and SSI, or 
their representatives, who request to waive their right to appear in 
person before an ALJ.
    Type of Request: Revision of an approved-OMB information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
HA-4608.....................................          12,000                1                2              400
----------------------------------------------------------------------------------------------------------------

    2. Letter to Custodian of Birth Records/Letter to Custodian of 
School Records--20 CFR 404.704, 404.716, 416.802, and 422.107--0960-
0693. When individuals need help in obtaining evidence of their age in 
connection with Social Security number (SSN) card applications and 
claims for benefits, SSA can prepare the SSA-L106, Letter to Custodian 
of School Records, or SSA-L706, Letter to Custodian of Birth Records. 
SSA uses the SSA-L706 to determine the existence of primary evidence of 
age of SSN applicants. SSA uses both letters to verify with the issuing 
entity, when necessary, the authenticity of the record submitted by the 
SSN applicant or claimant. The respondents are schools, State and local 
bureaus of vital statistics, and religious entities.
    Type of Request: Revision of an OMB-approved information 
collection.

                                                    SSA-L106
----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
                 Respondent type                    respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Private Sector..................................           1,800               1              10             300
State/Local/Tribal Government...................           1,800               1              10             300
                                                 ---------------------------------------------------------------
    Total.......................................           3,600  ..............  ..............             600
----------------------------------------------------------------------------------------------------------------


                                                    SSA-L706
----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
                 Respondent type                    respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Private Sector..................................           1,800               1              10             300
State/Local/Tribal Government...................           1,800               1              10             300
                                                 ---------------------------------------------------------------
    Total.......................................           3,600  ..............  ..............             600
----------------------------------------------------------------------------------------------------------------
        Grand Total.............................           7,200  ..............  ..............           1,200
----------------------------------------------------------------------------------------------------------------

    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 6, 2016. Individuals can obtain copies of

[[Page 36375]]

the OMB clearance package by writing to [email protected].
    Waiver of Supplemental Security Income Payment Continuation--20 CFR 
416.1400-416.1422--0960-0783. SSI recipients who wish to discontinue 
their SSI payments while awaiting a determination on their appeal 
complete Form SSA-263-U2, Waiver of Supplemental Security Income 
Payment Continuation, to inform SSA of this decision. SSA collects the 
information to determine whether the SSI recipient meets the provisions 
of The Social Security Act regarding waiver of payment continuation and 
as proof respondents no longer want their payments to continue. 
Respondents are recipients of SSI payments who wish to discontinue 
receipt of payment while awaiting a determination on their appeal
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of completion                Number of       Frequency of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-263-U2..................................           3,000                1                5              250
----------------------------------------------------------------------------------------------------------------


    Dated: May 31, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-13202 Filed 6-3-16; 8:45 am]
 BILLING CODE 4191-02-P