[Federal Register Volume 81, Number 137 (Monday, July 18, 2016)]
[Notices]
[Pages 46752-46754]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-16865]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0032]


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.
    SSA is soliciting comments on the accuracy of the agency's burden

[[Page 46753]]

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-2016-0032].
    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 16, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Certificate of Coverage Request--20 CFR 404.1913--0960--0554. 
The United States holds agreements with 27 foreign countries to 
eliminate double Social Security coverage and taxation where, except 
for the provisions of the agreement, a worker would be subject to 
coverage and taxes in both countries. These agreements contain rules 
for determining the country under whose laws the worker's period of 
employment is covered, and to which country the worker will pay taxes. 
The agreements further dictate that, upon the request of the worker or 
employer, the country under whose system the period of work is covered 
will issue a certificate of coverage. The certificate serves as proof 
of exemption from coverage and taxation under the system of the other 
country. The information we collect assists us in determining a 
worker's coverage and in issuing a U.S. certificate of coverage as 
appropriate. Per our agreements, we ask a set number of questions to 
the workers and employers prior to issuing a certificate of coverage; 
however, our agreements with Denmark, Netherlands, Norway, and Sweden 
require us to ask more questions in those countries. Respondents are 
workers and employers wishing to establish exemption from foreign 
Social Security taxes.
    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)
----------------------------------------------------------------------------------------------------------------
Requests via Letter--Individuals (minus Denmark,           6,272               1              40           4,181
 Netherlands, Norway, Poland & Sweden)..........
Requests via Internet--Individuals (minus                  9,407               1              40           6,271
 Denmark, Netherlands, Norway, Poland & Sweden).
Requests via Letter--Individuals in Denmark,                 280               1              44             205
 Netherlands, Norway, & Sweden..................
Requests via Letter--Individuals in Poland......              16               1              41              11
Requests via Internet--Individuals in Denmark,               421               1              44             309
 Netherlands, Norway, & Sweden..................
Requests via Internet--Individuals in Poland....              23               1              41              16
Requests via Letter--Employers (minus Denmark,            25,087               1              40          16,725
 Netherlands, Norway, Poland & Sweden)..........
Requests via Internet--Employers (minus Denmark,          37,632               1              40          25,088
 Netherlands, Norway, Poland, & Sweden).........
Requests via Letter--Employers in Denmark,                 1,121               1              44             822
 Netherlands, Norway, & Sweden..................
Requests via Letter--Employers in Poland........              62               1              41              42
Requests via Internet--Employers in Denmark,               1,680               1              44           1,232
 Netherlands, Norway, & Sweden..................
Requests via Internet--Employers in Poland......              93               1              41              64
                                                 ---------------------------------------------------------------
    Totals......................................          82,094  ..............  ..............          54,966
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    2. Disability Report--Child--20 CFR 416.912--0960-0577. Sections 
223(d)(5)(A) and 1631(e)(1) of the Social Security Act require 
Supplemental Security Income (SSI) claimants to furnish medical and 
other evidence to prove they are disabled. SSA uses Form SSA-3820 to 
collect various types of information about a child's condition from 
treating sources or other medical sources of evidence. The State 
Disability Determination Services evaluators use the information from 
Form SSA-3820 to develop medical and school evidence, and to assess the 
alleged disability. The information, together with medical evidence, 
forms the evidentiary basis upon which SSA makes its initial disability 
evaluation. The respondents are claimants seeking SSI childhood 
disability payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3820 (Paper Form)...........................         279,002               1              90         418,503
Electronic Disability Collection System.........           1,000               1             120           2,000
i3820 (Internet)................................         119,464               1             120         238,928
                                                 ---------------------------------------------------------------

[[Page 46754]]

 
    Totals......................................         399,466  ..............  ..............         659,431
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    3. Request for Accommodation in Communication Method--0960-0777. 
SSA allows disabled or impaired Social Security applicants, 
beneficiaries, recipients, and representative payees to choose one of 
seven alternative methods of communication they want SSA to use when we 
send them benefit notices and other related communications. The seven 
alternative methods we offer are: (1) Standard print notice by first-
class mail; (2) standard print mail with a follow-up telephone call; 
(3) certified mail; (4) Braille; (5) Microsoft Word file on data CD; 
(6) large print (18-point font); or (7) audio CD. However, respondents 
who want to receive notices from SSA through a communication method 
other than the seven methods listed above must explain their request to 
us. Those respondents use Form SSA-9000 to: (1) Describe the type of 
accommodation they want, (2) disclose their condition necessitating the 
need for a different type of accommodation, and (3) explain why none of 
the seven methods described above are sufficient for their needs. SSA 
uses Form SSA-9000 to determine, based on applicable law and 
regulation, whether to grant the respondents' requests for an 
accommodation based on their impairment or disability. SSA collects 
this information electronically through either an in-person interview 
or a telephone interview during which the SSA employee keys in the 
information on our iAccommodate Intranet screens. The respondents are 
disabled or impaired Social Security applicants, beneficiaries, 
recipients, and representative payees who ask SSA to send notices and 
other communications in an alternative method besides the seven 
modalities we currently offer.
    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-9000/iAccommodate.......................           5,000                1               20            1,667
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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 17, 2016. Individuals can obtain copies of the OMB 
clearance package by writing to [email protected].
    Work Incentives Planning and Assistance Program--0960-0629. As part 
of SSA's strategy to assist Social Security Disability Insurance (SSDI) 
beneficiaries and SSI recipients who wish to return to work and achieve 
self-sufficiency, SSA established the Work Incentives Planning and 
Assistance (WIPA) program. This community based, work incentive, 
planning and assistance project collects identifying claimant 
information via project sites and community work incentives 
coordinators (CWIC). SSA uses this information to ensure proper 
management of the project, with particular emphasis on administration, 
budgeting, and training. In addition, project sites and CWIC's collect 
data from SSDI beneficiaries and SSI recipients on background 
employment, training, benefits, and work incentives. SSA is interested 
in identifying SSDI beneficiary and SSI recipient outcomes under the 
WIPA program, to determine the extent to which beneficiaries with 
disabilities and SSI recipients achieve their employment, financial, 
and healthcare goals. SSA will also use the data in its analysis and 
future planning for SSDI and SSI programs. Respondents are SSDI 
beneficiaries, SSI recipients, community project sites, and employment 
advisors.
    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)
----------------------------------------------------------------------------------------------------------------
Small Site (Under 150 beneficiaries served).....           4,800               1              20           1,600
Medium Site (150-599 beneficiaries served)......           7,500               1              20           2,500
Large Site (600 or more beneficiaries served)...          17,700               1              20           5,900
                                                 ---------------------------------------------------------------
    Total Sites.................................          30,000  ..............  ..............          10,000
SSDI & SSI Beneficiaries........................          30,000               1              25          12,500
Help Line.......................................          30,000               1               5           2,500
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    Dated: July 13, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-16865 Filed 7-15-16; 8:45 am]
 BILLING CODE 4191-02-P