[Federal Register Volume 81, Number 176 (Monday, September 12, 2016)]
[Notices]
[Pages 62788-62790]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-21834]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0043]


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-2016-0043].
    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 14, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Supplemental Security Income (SSI)--Quality Review Case 
Analysis--0960-0133. To assess the SSI program and ensure the accuracy 
of its payments, SSA conducts legally mandated periodic SSI case 
analysis quality reviews. SSA uses Form SSA-8508 to conduct these 
reviews, collecting information on operating efficiency; the quality of 
underlying policies; and the effect of incorrect payments. SSA also 
uses the data to determine SSI program payment accuracy rate, which is 
a performance measure for the agency's service delivery goals. 
Respondents are recipients of SSI payments selected for quality 
reviews.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8508-BK (paper interview)...................             225               1              60             225
SSA-8508-BK (electronic)........................           4,275               1              60           4,275
                                                 ---------------------------------------------------------------
    Totals......................................           4,500  ..............  ..............           4,500
----------------------------------------------------------------------------------------------------------------

    2. Social Security Benefits Application--20 CFR 404.310-404.311, 
404.315-404.322, 404.330-404.333, 404.601-404.603, and 404.1501-
404.1512--0960-0618. Title II of the Social Security Act provides 
retirement, survivors, and disability benefits to members of the public 
who meet the required eligibility criteria and file the appropriate 
application. This collection comprises the various application methods 
for each type of benefits. SSA uses the information we gather through 
the multiple information collection tools in this information 
collection request to determine applicants' eligibility for specific 
Social Security benefits, as well as the amount of the benefits. 
Individuals filing for disability benefits can, and in some instances 
SSA may require them to, file applications under both Title II, Social 
Security disability benefits, and Title XVI, SSI payments. We refer to 
disability applications filed under both titles as ``concurrent 
applications.'' This collection comprises the various application 
methods for each type of benefits. These methods include the following 
modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized 
Claims System (MCS) screens for in-person interview applications; and 
Internet-based iClaim and iAppointment applications. SSA uses the 
information we collect through these modalities to determine: (1) The 
applicants' eligibility for the above-mentioned Social Security 
benefits and (2) the amount of the benefits. The respondents are 
applicants for retirement, survivors, and disability benefits under 
title II of the Social Security Act.
    Type of Request: Revision of an OMB-approved information 
collection.

                                                   Form SSA-1
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       2,793,597               1              10         465,600
Paper...........................................         115,678               1              11          21,208
Medicare-only MCS...............................         880,763               1               7         102,756

[[Page 62789]]

 
Medicare-only Paper.............................           9,549               1               7           1,114
                                                 ---------------------------------------------------------------
    Totals......................................       3,779,587  ..............  ..............         590,678
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                                                   Form SSA-2
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................         518,598               1              14         121,006
Paper...........................................          54,661               1              15          13,665
                                                 ---------------------------------------------------------------
    Totals......................................         573,259  ..............  ..............         134,671
----------------------------------------------------------------------------------------------------------------


                                                   Form SSA-16
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       2,483,952               1              19         786,585
Paper...........................................         116,294               1              20          38,765
                                                 ---------------------------------------------------------------
    Totals......................................       2,600,246  ..............  ..............         825,350
----------------------------------------------------------------------------------------------------------------


                                                 iClaim Screens
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................         345,267               1              15          86,317
iClaim Applicant after 3rd Party Completion.....         345,267               1               5          28,772
First Party iClaim--Domestic Applicant..........       2,956,208               1              15         739,052
First Party iClaim--Foreign Applicant...........          11,650               1               3             583
Medicare-only iClaim............................         723,062               1              10         120,510
                                                 ---------------------------------------------------------------
    Totals......................................       4,381,454  ..............  ..............         975,234
----------------------------------------------------------------------------------------------------------------


                                              iAppointment Screens
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden     Estimated
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response         (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
iAppointment................................          20,218                1               10            3,370
----------------------------------------------------------------------------------------------------------------


                                                   Grand Total
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden     Estimated
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response         (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
Total.......................................      11,374,764   ...............  ...............       2,529,303
----------------------------------------------------------------------------------------------------------------

    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 October 12, 2016. Individuals can obtain

[[Page 62790]]

copies of the OMB clearance package by writing to 
[email protected].
    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 Act and 
current regulations to apply for Social Security Disability Insurance 
(SSDI) benefits or 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.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
               20 CFR Section No.                    Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
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-86).............           1,606               1              10             268
404.982 and 416.1482............................           1,687               1              30             844
404.987 & 404.988 and 416.1487 & 416.148 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
----------------------------------------------------------------------------------------------------------------


    Dated: September 7, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-21834 Filed 9-9-16; 8:45 am]
BILLING CODE 4191-02-P