[Federal Register Volume 81, Number 220 (Tuesday, November 15, 2016)]
[Notices]
[Pages 80159-80161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-27435]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0055]


Agency Information Collection Activities: Proposed 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-2016-0055].
    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 
January 17, 2017. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Agreement to Sell Property--20 CFR 416.1240-416.1245--0960-0127. 
Individuals or couples who are otherwise eligible for Supplemental 
Security Income (SSI) payments, but whose resources exceed the 
allowable limit may receive conditional payments if they agree to 
dispose of the excess non-liquid resources and make repayments. SSA 
uses Form SSA-8060-U3 to document this agreement, and to ensure the 
individuals understand their obligations. Respondents are applicants 
for and recipients of SSI payments who will be disposing of excess non-
liquid resources.

[[Page 80160]]

    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                              Average  burden   Total estimated
          Modality of completion               Number of       Frequency of     per response      total annual
                                               responses         response        (minutes)       burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8060-U3...............................          20,000                1               10              3,333
----------------------------------------------------------------------------------------------------------------

    2. Development of Participation in a Vocational Rehabilitation or 
Similar Program--20 CFR 404.316(c), 404.337(c), 404.352(d), 
404.1586(g), 404.1596, 404.1597(a), 404.327, 404.328, 416.1321(d), 
416.1331(a)-(b), and 416.1338, 416.1402--0960-0282. State Disability 
Determination Services (DDS) must determine if Social Security 
disability payment recipients whose disability ceased and who 
participate in vocational rehabilitation programs may continue to 
receive disability payments. To do this, DDSs need information about 
the recipients; the types of program participation; and the services 
they receive under the rehabilitation program. SSA uses Form SSA-4290 
to collect this information. The respondents are State employment 
networks; vocational rehabilitation agencies; or other providers of 
educational or job training services.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                              Average  burden   Total estimated
          Modality of completion               Number of       Frequency of    per  response      total annual
                                               responses         Response        (minutes)       burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4290..................................           3,000                1               15                750
----------------------------------------------------------------------------------------------------------------

    3. Appointment of Representative--20 CFR 404.1707, 404.1720, 
408.1101, 416.1507, and 416.1520--0960-0527. Individuals claiming 
rights or benefits under the Social Security Act (Act) must notify SSA 
in writing when they appoint an individual to represent them in dealing 
with SSA. SSA collects the information on Form SSA-1696-U4 to verify 
the appointment of such representatives. The SSA-1696-U4 allows SSA to 
inform representatives of items that affect the recipient's claim, and 
allows claimants to give permission to their appointed representatives 
to designate a person to receive their claims files. Respondents are 
applicants for or recipients of Social Security disability benefits 
(SSDI) or SSI payments who are notifying SSA they have appointed a 
person to represent them in their dealings with SSA.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                              Average  burden   Total estimated
          Modality of completion               Number of       Frequency of    per  response      total annual
                                               responses         response        (minutes)       burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1696-U4...............................         800,000                1               10            133,333
----------------------------------------------------------------------------------------------------------------

    4. Work Activity Report (Self-Employment)--20 CFR 404.1520(b), 20 
CFR 404.1571-404.1576, 20 CFR 404.1584-404.1593, and 20 CFR 416.971-
416.976--0960-0598. SSA uses Form SSA-820-U4 to determine initial or 
continuing eligibility for (1) Title II SSDI or (2) Title XVI SSI 
payments. Under Titles II and XVI of the Act, recipients receive 
disability benefits and SSI payments based on their inability to engage 
in substantial gainful activity (SGA) due to a physical or mental 
condition. Therefore, when the recipients resume work, they must report 
their work so SSA can evaluate and determine by law whether they 
continue to meet the disability requirements. SSA uses Form SSA-820-U4 
to obtain information on self-employment activities of Social Security 
Title II and XVI disability applicants and recipients. We use the data 
we obtain to evaluate disability claims, and to help us determine if 
the claimant meets current disability provisions under Titles II and 
XVI. Since applicants for disability benefits or payments must prove an 
inability to perform any kind of SGA generally available in the 
national economy for which we expect them to qualify based on age, 
education, and work experience, any work an applicant performed until, 
or subsequent to, the date the disability allegedly began, affects our 
disability determination. The respondents are applicants and claimants 
for SSI payments or SSDI benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                              Average  burden
          Modality of completion               Number of       Frequency of    per  response   Estimated  annual
                                              respondents        response         (minute)       burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-820-BK................................         100,000                1               30             50,000
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[[Page 80161]]

    Dated: November 9, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-27435 Filed 11-14-16; 8:45 am]
BILLING CODE 4191-02-P