[Federal Register Volume 81, Number 151 (Friday, August 5, 2016)]
[Notices]
[Pages 51957-51958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-18588]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0035]


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 
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-2016-0035].
    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 
October 4, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Application for Child's Insurance Benefits--20 CFR 404.350-
404.368, 404.603, & 416.350--0960-0010. Title II of the Social Security 
Act (Act) provides for the payment of monthly benefits to children of 
an insured retired, disabled, or deceased worker. Section 202(d) of the 
Act discloses the conditions and requirements the applicant must meet 
when filing an application. SSA uses the information on Form SSA-4-BK 
to determine entitlement for children of living and deceased workers to 
monthly Social Security payments. Respondents are guardians completing 
the form on behalf of the children of living or deceased workers, or 
the children of living or deceased workers.
    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)
----------------------------------------------------------------------------------------------------------------
Life Claims (paper).............................          15,207               1              12           3,041
Life Claims (Modernized Claim System (MCS)/              465,428               1              11          85,328
 Signature Proxy)...............................
Death Claims (paper)............................           6,290               1              12           1,258
Death Claims (MCS/Signature Proxy)..............         193,131               1              11          35,407
                                                 ----------------                                ---------------
    Totals......................................         680,056  ..............  ..............         125,034
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    2. Private Printing and Modification of Prescribed Application and 
Other Forms--20 CFR 422.527--0960-0663. 20 CFR 422.527 of the Code of 
Federal Regulations requires a person, institution, or organization 
(third-party entities) to obtain approval from SSA prior to 
reproducing, duplicating, or privately printing any application or 
other form the agency owns. To obtain SSA's approval, entities must 
make their requests in writing using their company letterhead, 
providing the required information set forth in the regulation. SSA 
uses the information to: (1) Ensure requests comply with the law and 
regulations, and (2) process requests from third-party entities who 
want to reproduce, duplicate, or privately print any SSA application or 
other SSA form. SSA employees review the requests and provide approval 
via email or mail to the third-party entities. The respondents are 
third-party entities who submit a request to SSA to reproduce, 
duplicate, or privately print an SSA-owned form.
    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)
----------------------------------------------------------------------------------------------------------------
20 CFR 422.527..................................              10              15              10              25
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    3. Protection and Advocacy for Beneficiaries of Social Security 
(PABSS)--20 CFR 435.51-435.52--0960-0768. The PABSS projects are part 
of Social Security's strategy to increase the number of Social Security 
Disability Insurance (SSDI) or Supplemental Security Income (SSI) 
recipients who return to work and achieve financial independence and 
self-sufficiency as the result of receiving support, representation, 
advocacy, or other services. PABSS provides information and advice 
about obtaining vocational rehabilitation and employment services,

[[Page 51958]]

and to provide advocacy or other services a beneficiary with a 
disability may need to secure, maintain, or regain gainful employment. 
The PABSS Annual Program Performance Report collects statistical 
information from each of the PABSS projects in an effort to manage and 
capture program performance and quantitative data. Social Security uses 
the information to evaluate the efficacy of the program, and to ensure 
beneficiaries are receiving quality services. The project data is 
valuable to Social Security in its analysis of and future planning for 
the SSDI and SSI programs. The respondents are the 57 PABSS project 
sites, and recipients of SSDI and SSI programs.
    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)
----------------------------------------------------------------------------------------------------------------
PABSS Program Grantees..........................              57               1              60              57
Beneficiaries...................................           8,284               1              30           4,142
                                                 ---------------------------------------------------------------
    Totals......................................           8,341  ..............  ..............           4,199
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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 September 6, 2016. Individuals can obtain copies of the 
OMB clearance package by writing to [email protected].
    Application for Supplemental Security Income--20 CFR 416.207 and 
416.305-416.335, Subpart C--0960-0229. The SSI program provides aged, 
blind, and disabled individuals who have little or no income, with 
funds for food, clothing, and shelter. Individuals complete Form SSA-
8000-BK to apply for SSI. SSA uses the information from Form SSA-8000-
BK and its electronic intranet counterpart, Modernized Supplemental 
Security Income Claims System (MSSICS), to determine: (1) Whether SSI 
claimants meet all statutory and regulatory eligibility requirements; 
and (2) SSI payment amounts. The respondents are applicants for SSI or 
their representative payees.
    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-8000-BK (Paper Version).....................          17,541               1              41          11,986
MSSICS/Signature Proxy..........................       1,373,401               1              35         801,151
                                                 ---------------------------------------------------------------
    Totals......................................       1,390,942  ..............  ..............         813,137
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    Dated: August 2, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-18588 Filed 8-4-16; 8:45 am]
 BILLING CODE 4191-02-P