[Federal Register Volume 81, Number 128 (Tuesday, July 5, 2016)]
[Notices]
[Pages 43691-43693]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15763]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0030]


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 and one new 
collection.
    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,

[[Page 43692]]

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-2016-0030].
    I. The information collection below is pending at SSA. SSA will 
submit it 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 6, 2016. Individuals can obtain copies of the collection 
instrument by writing to the above email address.
    Request to Withdraw a Hearing Request; Request to Withdraw an 
Appeals Council Request for Review; and Administrative Review Process 
for Adjudicating Initial Disability Claims--20 CFR parts 404, 405, and 
416--0960-0710. Claimants have a statutory right under the Social 
Security Act (Act) and current regulations to apply for Disability 
(SSDI) benefits or Supplemental Security Income (SSI) payments. SSA 
collects information at each step of the administrative process to 
adjudicate claims fairly and efficiently. SSA collects this information 
to establish a claimant's right to administrative review and determine 
the severity of the claimant's alleged impairments. SSA uses the 
information we collect to determine entitlement or continuing 
eligibility to SSDI benefits or SSI payments, and to enable appeals of 
these determinations. In addition, SSA collects information on Forms 
HA-85 and HA-86 to allow claimants to withdraw a hearing request or an 
Appeals Council review request. The respondents are applicants for 
Title II SSDI or Title XVI SSI benefits; their appointed 
representatives; legal advocates; medical sources; and schools.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total  annual
               20 CFR section No.                   respondents      response        response         burden
                                                                                     (minutes)        (hours)
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404.961, 416.1461, 405.330, and 405.366.........          12,220               1              20           4,073
404.950, 416.1450, and 405.332..................           1,040               1              20             347
404.949 and 416.1449............................           2,868               1              60           2,868
405.334.........................................              20               1              60              20
404.957, 416.1457, and 405.380..................          21,041               1              10           3,507
405.381.........................................              37               1              30              19
405.401.........................................           5,310               1              10             885
404.971 and 416.1471 (HA-85; HA[dash]86)........           1,606               1              10             268
404.982 and 416.1482............................           1,687               1              30             844
404.987 & 404.988 and 416.1487 & 416.1488 and             12,425               1              30           6,213
 405.601........................................
405.372(c)......................................           5,310               1              10             885
405.1(b)(5), 405.372(b).........................             833               1              30             417
405.505.........................................             833               1              30             417
405.1(c)(2).....................................           5,310               1              10             885
405.20..........................................           5,310               1              10             885
                                                 ---------------------------------------------------------------
    Totals......................................          75,850  ..............  ..............          22,533
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    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 August 4, 2016. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Report of Adult Functioning-Employer--20 CFR 404.1512 and 20 CFR 
416.912--0960--NEW. Section 205(a), 223(d)(5)(A), 1631(d)(1), and 
1631(e)(1) of the Act require claimants' applying for SSDI benefits or 
SSI payments to provide SSA with medical and other evidence of their 
disability. 20 CFR 404.1512 and 20 CFR 416.912 of the Code of Federal 
Regulations provides detailed requirements of the types of evidence 
SSDI beneficiaries and SSI claimants must provide showing how their 
impairment(s) affects their ability to work (e.g., evidence of age, 
education and training, work experience, daily activities, efforts to 
work, and any other evidence). Past employers familiar with the 
claimant's ability to perform work activities completes Form SSA-3385-
BK, Report of Adult Functioning-Employer to provide SSA with 
information about the employees day-to-day functioning in the work 
setting. SSA and Disability Determination Services use the information 
Form SSA-3385-BK collects as the basis to determine eligibility or 
continued eligibility for disability benefits. The respondents are 
claimants' past employers.
    Type of Request: This is a new information collection.

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                                                                                Average  burden     Estimated
           Modality of completion                Number of       Frequency of     per response    total  annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3385-BK.................................           3,900                1               20            1,300
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    2. Report to United States Social Security Administration by Person 
Receiving Benefits for a Child or for an Adult Unable to Handle Funds; 
Report to the United States Social Security Administration--0960-0049. 
Section 203(c) of the Act requires the Commissioner of SSA to make 
benefit deductions from the following

[[Page 43693]]

categories: (1) Entitled individuals who engage in remunerative 
activity outside of the United States in excess of 45 hours a month; 
and (2) beneficiaries who fail to have in their care the specified 
entitled child beneficiaries. SSA uses Forms SSA-7161-OCR-SM and SSA-
7162-OCR-SM to: (1) Determine continuing entitlement to Social Security 
benefits; (2) correct benefit amounts for beneficiaries outside the 
United States; and (3) monitor the performance of representative payees 
outside the United States. This collection is mandatory as an annual 
(or every other year, depending on the country of residence) review for 
fraud prevention. In addition, the results can affect benefits by 
increasing or decreasing payment amount or by causing SSA to suspend or 
terminate benefits. The respondents are individuals living outside the 
United States who are receiving benefits on their own (or on behalf of 
someone else) under Title II of the Act.
    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-7161-OCR-SM...................          42,176               1              15          10,544
SSA-7162-OCR-SM...................         394,419               1               5          32,868
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    Totals........................         436,595  ..............  ..............          43,412
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    Dated: June 28, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-15763 Filed 7-1-16; 8:45 am]
 BILLING CODE 4191-02-P