[Federal Register Volume 82, Number 91 (Friday, May 12, 2017)]
[Notices]
[Pages 22173-22179]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-09687]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0024]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information

[[Page 22174]]

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 
a new information request and 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-2017-0024].
    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 July 
11, 2017. Individuals can obtain copies of the collection instruments 
by writing to the above email address.

1. BBA 826

PRA 60-day Federal Register Notice (first notice)

myWageReport--0960-NEW.

Overview

    SSA is creating a new electronic wage reporting application, 
myWageReport.

Background

    Social Security Disability Insurance (SSDI) beneficiaries receive 
payments based on their ability to engage in substantial gainful 
activity because of a physical or mental condition. SSA requires SSDI 
beneficiaries or their representative payees to report when 
beneficiaries return to work, when their amount of work increases, or 
when their earnings increase. Currently, SSDI beneficiaries can call 
our 800 number; visit a local field office (FO); or mail paystubs and 
earnings to their local field offices to report this information.
    Section 826 of the Bipartisan Budget Act (BBA) of 2015, Public Law 
114-74, requires SSA to offer SSDI beneficiaries the same electronic/
automated receipt wage reporting methods available to Supplemental 
Security Income recipients, including the Internet. Accordingly, we are 
creating a new Internet reporting system for this purpose, 
myWageReport.

myWageReport

    The myWageReport application will enable SSDI beneficiaries and 
representative payees to report earnings electronically. It will also 
generate a receipt for the beneficiary and/or representative payee, 
thus providing confirmation that SSA has received the earnings report.
    SSA will screen the information submitted through the myWageReport 
application and will determine if we need additional employment 
information. If so, agency personnel will reach out to beneficiaries or 
their representative payees and will use Form SSA-821, Work Activity 
Report (0960-0059), to collect the additional required information.
    The respondents for this collection are SSDI recipients or their 
representative payees.
    Type of Request: New Information Collection Request.

----------------------------------------------------------------------------------------------------------------
                                                                 Frequency of   Average  burden  Estimated total
           Modality of completion                Number of      response  (per   per  response    annual burden
                                                respondents         annum)         (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
myWageReporting.............................          54,000                1                7            6,300
----------------------------------------------------------------------------------------------------------------

    2. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460. 
SSA uses Form SSA-4178, Marital Relationship Questionnaire, to 
determine if unrelated individuals of the opposite sex who live 
together are misrepresenting themselves as husband and wife. SSA needs 
this information to determine whether we are making correct payments to 
couples and individuals applying for or currently receiving 
Supplemental Security Income (SSI) payments. The respondents are 
applicants for and recipients of SSI 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)
----------------------------------------------------------------------------------------------------------------
MSSICS..........................................           1,275               1               5             106
SSA-4178........................................           3,825               1               5             319
                                                 ---------------------------------------------------------------
    Totals......................................           5,100  ..............  ..............             425
----------------------------------------------------------------------------------------------------------------

    3. 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 (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

[[Page 22175]]

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 Act.
    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
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-1.............................            1811               1              11             332
Interview/MCS...................................       1,438,058               1              10         239,676
Medicare Only SSA-1 Paper form (abbreviate).....             173               1               7              20
Medicare Only--Interview/MCS....................         204,380               1               7          23,844
                                                 ---------------------------------------------------------------
    Totals......................................       1,644,422  ..............  ..............         263,872
----------------------------------------------------------------------------------------------------------------
                                                      SSA-2
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-2.............................             972               1              15             243
Interview/MCS...................................         447,610               1              14         104,442
                                                 ---------------------------------------------------------------
    Totals......................................         448,582  ..............  ..............         104,685
----------------------------------------------------------------------------------------------------------------
                                                     SSA-16
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-16............................          40,346               1              20          13,449
Interview/MCS...................................       1,159,121               1              19         367,055
                                                 ---------------------------------------------------------------
    Totals......................................       1,199,467  ..............  ..............         380,504
----------------------------------------------------------------------------------------------------------------
                                                     iClaim
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................         350,519               1              15          87,630
iClaim Applicant after 3rd Party Completion.....         350,519               1               5          29,210
First Party iClaim--Domestic Applicant..........       2,283,301               1              15         570,825
First Party iClaim--Foreign Applicant...........          11,373               1              18           3,412
Medicare-only iClaim............................         797,709               1              10         132,952
                                                 ---------------------------------------------------------------
    Totals......................................       3,793,421  ..............  ..............         824,029
----------------------------------------------------------------------------------------------------------------
                                         iAppointment Burden Information
----------------------------------------------------------------------------------------------------------------
iAppointment....................................          17,621               1              10           2,937
                                                 ---------------------------------------------------------------
        Grand Total.............................       7,103,513  ..............  ..............       1,576,027
----------------------------------------------------------------------------------------------------------------

    4. Medical Source Statement of Ability To Do Work Related 
Activities (Physical and Mental)--20 CFR 404.1512-404.1513, 416.912-
416.913, 404.1517, and 416.917--0960-0662. In some instances when a 
claimant appeals a denied disability claim, SSA may ask the claimant to 
have a consultative examination, at the agency's expense, if the 
claimant's medical sources cannot or will not give the agency 
sufficient evidence to determine whether the claimant is disabled. The 
medical providers who perform these consultative examinations provide a 
statement about the claimant's state of disability. Specifically, these 
medical source statements determine the work-related capabilities of 
these claimants. SSA collects the medical data on the HA-1151 and HA-
1152 to assess the work-related physical and mental capabilities of 
claimants who appeal SSA's previous determination on their issue of 
disability. The respondents are medical sources who provide reports 
based either on existing medical evidence or on consultative 
examinations.
    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)
----------------------------------------------------------------------------------------------------------------
HA-1151.........................................           5,000              30              15          37,500

[[Page 22176]]

 
HA-1152.........................................           5,000              30              15          37,500
                                                 ---------------------------------------------------------------
    Totals......................................          10,000  ..............  ..............          75,000
----------------------------------------------------------------------------------------------------------------

    5. Social Security's Public Credentialing and Authentication 
Process--20 CFR 401.45 and 402--0960-0789.

Background

    Authentication is the foundation for secure, online transactions. 
Identity authentication is the process of determining, with confidence, 
that someone is who he or she claims to be during a remote, automated 
session. It comprises three distinct factors: something you know; 
something you have; and something you are. Single-factor authentication 
uses one of the factors, and multi-factor authentication uses two or 
more of the factors.

SSA's Public Credentialing and Authentication Process

    SSA offers consistent authentication across SSA's secured online 
services. We allow our users to request and maintain only one User ID, 
consisting of a self-selected username and password, to access multiple 
Social Security electronic services. Designed in accordance with the 
OMB Memorandum M-04-04 and the National Institute of Standards and 
Technology (NIST) Special Publication 800-63, this process provides the 
means of authenticating users of our secured electronic services and 
streamlines access to those services.
    SSA's public credentialing and authentication process:
     Issues a single User ID to anyone who wants to do business 
with the agency and meets the eligibility criteria;
     Partners with an external Identity Services Provider (ISP) 
to help us verify the identity of our online customers;
     Complies with relevant standards;
     Offers access to some of SSA's heaviest, but more 
sensitive, workloads online while providing a high level of confidence 
in the identity of the person requesting access to these services;
     Offers an in-person process for those who are 
uncomfortable with or unable to use the Internet process;
     Balances security with ease of use; and
     Provides a user-friendly way for the public to conduct 
extended business with us online instead of visiting local servicing 
offices or requesting information over the phone. Individuals have 
real-time access to their Social Security information in a safe and 
secure web environment.

Public Credentialing and Authentication Process Features

    We collect and maintain the users' personally identifiable 
information (PII) in our Central Repository of Electronic 
Authentication Data Master File Privacy Act system of records, which we 
published in the Federal Register (75 FR 79065). The PII may include 
the users' name; address; date of birth; Social Security number (SSN); 
phone number; and other types of identity information [e.g., address 
information of persons from the W-2 and Schedule Self Employed forms we 
receive electronically for our programmatic purposes as permitted by 26 
U.S.C. 6103(l)(1)(A)]. We may also collect knowledge-based 
authentication data, which is information users establish with us or 
that we already maintain in our existing Privacy Act systems of 
records.
    We retain the data necessary to administer and maintain our e-
Authentication infrastructure. This includes management and profile 
information, such as blocked accounts; failed access data; effective 
date of passwords; and other data allowing us to evaluate the system's 
effectiveness. The data we maintain also may include archived 
transaction data and historical data.
    We use the information from this collection to identity proof and 
authenticate our users online, and to allow them access to their 
personal information from our records. We also use this information to 
provide second factor authentication. We are committed to expanding and 
improving this process so we can grant access to additional online 
services in the future.
    Offering online services is not only an important part of meeting 
SSA's goals, but is vital to good public service. In increasing 
numbers, the public expects to conduct complex business over the 
Internet. Ensuring SSA's online services are both secure and user 
friendly is our priority.
    With the limited data we have, it is difficult for SSA to meet the 
OMB and NIST authentication guidelines for identity proofing the 
public. Therefore, we awarded a competitively bid contract to an ISP, 
Equifax, to help us verify the identity of our online customers. We use 
this ISP, in addition to our other authentication methods, to help us 
prove, or verify, the identity of our customers when they are 
completing online or electronic transactions with us.

Social Security's Authentication Strategy

    We remain committed to enhancing our online services using 
authentication processes that balance usability and security. We will 
continue to research and develop new authentication tools while 
monitoring the emerging threats. The following are key components of 
our authentication strategy:
     Enrollment and Identity Verification--Individuals who meet 
the following eligibility requirements may enroll:
    [cir] Must have a valid email address;
    [cir] Must have a valid SSN;
    [cir] Must have a domestic address of record (includes military 
addresses); and
    [cir] Must be at least 18 years of age.
    We collect identifying data and use SSA and ISP records to verify 
an individual's identity. Individuals have the option of obtaining an 
enhanced, stronger, User ID by providing certain financial information 
(e.g., Medicare wages, self-employed earnings, or the last eight digits 
of a credit card number) for verification. We also ask individuals to 
answer out-of-wallet questions so we can further verify their 
identities. Individuals who are unable to complete the process online 
can present identification at a field office to obtain a User ID.
     Establishing the User Profile--The individual self-selects 
a username and password, both of which can be of variable length and 
alphanumeric. We provide a password strength indicator to help the 
individual select a strong password. We also ask the individual to 
choose challenge questions for use in restoring a lost or forgotten 
username or password.
     Provide a Second Factor--We ask the individual to provide 
a text message enabled cell phone number or an email

[[Page 22177]]

address. We consider the cell phone number or email address the second 
factor of authentication. We send a security code to the individual's 
selected second factor. We require the individual to confirm its 
receipt by entering the security code online. Subsequently, each time 
the individual attempts to sign in to his or her online account, we 
will also send a message with a one-time security code to the 
individual's selected second factor. The individual must enter the 
security code along with his or her username and password. The code is 
valid for only 10 minutes. If the individual does not enter the code 
within 10 minutes, the code expires, and the individual must request 
another code.
     Enhancing the User ID--If individuals opt to enhance or 
upgrade their User IDs, they must provide certain financial information 
for verification. We mail a one time-use upgrade code to the 
individual's verified residential address. When the individual receives 
the upgrade code in the mail, he or she can enter this code online to 
enhance the security of the account. With extra security, we continue 
to require the individuals to sing in using their username, password, 
and a one time security code we send to their second factor email 
address or cell phone number (whichever the users listed in their 
account).
     Sign in and Use--Our authentication process provides an 
individual with a User ID for access to our sensitive online Social 
Security services. Second factor authentication requires the individual 
to sign in with a username, password, and a one-time security code sent 
to the individual's selected second factor. SSA expanded its existing 
capabilities to require second factor authentication for every online 
sign in. We also allow for maintenance of the second factor options. An 
individual who forgets the password can reset it automatically without 
contacting SSA.

Social Security's Enrollment Process

    The enrollment process is a one-time only activity. SSA requires 
the individuals to agree to the ``Terms of Service'' detailed on our 
Web site before we allow them to begin the enrollment process. The 
``Terms of Service'' inform the individuals what we will and will not 
do with their personal information, and the privacy and security 
protections we provide on all data we collect. These terms also detail 
the consequences of misusing this service.
    To verify the individual's identity, we ask the individual to give 
us minimal personal information, which may include:
     Name;
     SSN;
     Date of birth;
     Address--mailing and residential;
     Telephone number;
     Email address;
     Financial information;
     Cell phone number; and
     Selecting and answering password reset questions.
    We send a subset of this information to the ISP, who then generates 
a series of out-of-wallet questions back to the individual. The 
individual must answer all or most of the questions correctly before 
continuing in the process. The exact questions generated are unique to 
each individual.
    This collection of information, or a subset of it, is mandatory for 
respondents who want to do business with SSA via the Internet. We 
collect this information via the Internet, on SSA's public-facing Web 
site. We also offer an in-person identification verification process 
for individuals who cannot, or are not willing, to register online. For 
this process, the individual must go to a local SSA field office and 
provide identifying information. We do not ask for financial 
information with the in-person process.
    We only collect the identity verification information one time, 
when the individual registers for a credential. We ask for the User ID 
(username and password) every time an individual signs in to our 
automated services. If individuals opt for the enhanced or upgraded 
account, they also receive a text message on their cell phones (this 
serves as the second factor for authentication) each time they sign in. 
The respondents are individuals who choose to use the Internet or 
Automated Telephone Response System to conduct business with SSA.
    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)
----------------------------------------------------------------------------------------------------------------
Internet Requestors.............................      52,698,441               1               8       7,026,459
In-Person (Intranet) Requestors.................       3,407,319               1               8         454,309
                                                 ---------------------------------------------------------------
    Totals......................................      56,105,760  ..............  ..............       7,480,768
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these 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 June 12, 2017. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Marriage Certification--20 CFR 404.725--0960-0009. Sections 
202(b) and 202(c) of the Act stipulate that every spouse of an 
individual entitled to Old Age, Survivors, and Disability Insurance 
(OASDI) benefits is entitled to a spouse benefit if the wife or 
husband, in addition to meeting the entitlement requirements, meets the 
relationship criteria in Section 216(h)(1)(A) and (B) of the Act. SSA 
uses Form SSA-3 to determine if a spouse claimant has the necessary 
relationship to the Social Security number holder (i.e., the worker) to 
qualify for the worker's OASDI benefits. The respondents are applicants 
for spouse's OASDI benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of completion                Number of      Frequency  of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3.......................................         180,000                1                5           15,000
----------------------------------------------------------------------------------------------------------------


[[Page 22178]]

    2. Representative Payee Report-Adult, Representative Payee Report-
Child, Representative Payee Report-Organizational Representative 
Payees--20 CFR 404.635, 404.2035, 404.2065, and 416.665--0960-0068. 
When SSA determines it is not in an OASDI or SSI recipient's best 
interest to receive Social Security payments directly, the agency will 
designate a representative payee for the recipient. The representative 
payee can be: (1) A family member; (2) a non-family member who is a 
private citizen and is acquainted with the beneficiary; (3) an 
organization; (4) a state or local government agency; or (5) a 
business. In the capacity of representative payee, the person or 
organization receives the SSA recipient's payments directly and manages 
these payments. As part of its stewardship mandate, SSA must ensure the 
representative payees are properly using the payments they receive for 
the recipients they represent. The agency annually collects the 
information necessary to make this assessment using the SSA-623, 
Representative Payee Report-Adult; SSA-6230, Representative Payee 
Report-Child; SSA-6234, Representative Payee Report-Organizational 
Representative Payees; and through the electronic internet application 
Internet Representative Payee Accounting (iRPA). The respondents are 
representative payees of OASDI and SSI recipients.
    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-623.........................................       2,812,662               1              15         703,166
SSA-6230........................................       2,968,986               1              15         742,247
SSA-6234........................................         719,684               1              15         179,921
iRPA*...........................................         650,195               1              15         162,549
                                                 ---------------------------------------------------------------
    Totals......................................       7,151,527  ..............  ..............       1,787,883
----------------------------------------------------------------------------------------------------------------
* One Internet platform encompasses all three paper forms.

    3. Annual Earnings Test Direct Mail Follow-Up Program Notices--20 
CFR 404.452-404.455--0960-0369. SSA developed the Annual Earnings Test 
Direct Mail Follow-up Program to improve beneficiary reporting on work 
and earnings during the year and earnings information at the end of the 
year. SSA may reduce benefits payable under the Act when an individual 
has wages or self-employment income exceeding the annual exempt amount. 
SSA identifies beneficiaries likely to receive more than the annual 
exempt amount, and requests more frequent estimates of earnings from 
them. When applicable, SSA also requests a future year estimate to 
reduce overpayments due to earnings. SSA sends letters (SSA-L9778, SSA-
L9779, SSA-L9781, SSA-L9784, SSA-L9785, and SSA-L9790) to beneficiaries 
requesting earnings information the month prior to their attainment of 
full retirement age. We send each beneficiary a tailored letter that 
includes relevant earnings data from SSA records. The Annual Earnings 
Test Direct Mail Follow-up Program helps to ensure Social Security 
payments are correct, and enables us to prevent earnings-related 
overpayments, and avoid erroneous withholding. The respondents are 
working Social Security beneficiaries with earnings over the exempt 
amount.
    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-L9778.......................................          42,630               1              10           7,105
SSA-L9779.......................................         158,865               1              10          26,478
SSA-L9781.......................................         472,437               1              10          78,740
SSA-L9784.......................................           1,270               1              10             212
SSA-L9785.......................................          15,870               1              10           2,645
SSA-L9790.......................................          45,000               1              10           7,500
                                                 ---------------------------------------------------------------
    Totals......................................         736,072  ..............  ..............         122,680
----------------------------------------------------------------------------------------------------------------

    4. Letter to Landlord Requesting Rental Information--20 CFR 
416.1130(b)--0960-0454. SSA uses Form SSA-L5061 to obtain rental 
subsidy information, which enables SSA to determine and verify an 
income value for such subsidies. SSA uses this income value as part of 
determining eligibility for SSI and the correct amount of SSI payable 
to the claimant. SSA bases an individual's eligibility for SSI 
payments, in part, on the amount of countable income the individual 
receives. Income includes in-kind support and maintenance in the form 
of room or rent, such as a subsidized rental arrangement. SSA requires 
claimants to assist in obtaining this information to prevent a delay or 
overpayment with their SSI payments. We collect this information only 
if the SSI applicant or recipient is the parent or child of the 
landlord (respondent). For most respondents, we collect this 
information once per year or less, via telephone or face-to-face 
personal interview. The claims representative records the information 
in our Modernized SSI Claims System (MSSICS), and we require verbal 
attestation in lieu of a wet signature. However, if the claims 
representative is unable to contact the respondent via the telephone or 
face-to-face, we print and mail a paper form to the respondent for 
completion. The respondent completes, signs, and returns the form to 
the claims representative. Upon receipt, the claims representative 
documents the information in MSSICS or, for non-MSSICS cases, faxes the 
form into the appropriate electronic folder and shreds

[[Page 22179]]

the paper form. The respondents are landlords related to the SSI 
beneficiaries as a parent or child.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of completion                Number of      Frequency  of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L5061...................................          72,000                1               10           12,000
----------------------------------------------------------------------------------------------------------------

    5. Request for Social Security Earnings Information--20 CFR 401.100 
and 404.810--0960-0525. The Act permits wage earners, or their 
authorized representatives, to request Social Security earnings 
information from SSA using Form SSA-7050-F4. SSA uses the information 
the respondent provides on Form SSA-7050-F4 to verify the wage earner 
has: (1) Earnings; (2) the right to access the correct Social Security 
Record; and (3) the right to request the earnings statement. If we 
verify all three items, SSA produces an Itemized Statement of Earnings 
(Form SSA-1826) and sends it to the requestor. Respondents are wage 
earners and their authorized representatives who are requesting 
Itemized Statement of Earnings records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of completion                Number of      Frequency  of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7050-F4.................................          66,800                1               11           12,247
----------------------------------------------------------------------------------------------------------------

    Cost Burden:

------------------------------------------------------------------------
                     Type of respondent                      Annual cost
------------------------------------------------------------------------
Non-Certified Respondent...................................   $2,211,105
Certified Respondent.......................................    1,601,656
                                                            ------------
    Total..................................................   $3,812,761
------------------------------------------------------------------------

    6. Request for Evidence from Doctor and Request for Evidence from 
Hospital--20 CFR 404 Subpart P and 20 CFR 416 Subpart I--0960-0722. 
Sections 223(d)(5) and 1614(a)(3)(H)(i) of the Act require claimants to 
furnish medical evidence of their disability when filing a disability 
claim. SSA uses Forms HA-66 and HA-67 to request evidence from medical 
sources, which claimants identify as having information relative to 
their impairments, or ability to do work-related activities. In 
addition to accepting manual paper responses, SSA sends a barcode with 
the HA-66 and HA-67, allowing respondents to fax the information 
directly into the electronic claims folder rather than submitting it 
manually. SSA uses the information to determine eligibility for 
benefits, and to pay medical sources for furnishing the information. 
The respondents are medical sources, doctors, and hospitals that 
evaluate the claimants.
    This is a correction notice: When we published the first Federal 
Register Notice on February 28, 2017 at 82 FR 12159, it did not include 
the accurate number of responses. We are correcting this by publishing 
the number of responses in a separate column in the chart below.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                     Number of     Frequency of      Number of      burden per     total annual
     Modality of completion         respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
HA-66--Paper Version............           3,060              22          67,320              15          16,830
HA-66--Electronic Version.......           8,940              22         196,680              15          49,170
HA-67--Paper Version............           3,060              22          67,320              15          16,830
HA-67--Electronic Version.......           8,940              22         196,680              15          49,170
                                 -------------------------------------------------------------------------------
    Totals......................          24,000  ..............         528,000  ..............         132,000
----------------------------------------------------------------------------------------------------------------


    Dated: May 9, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-09687 Filed 5-11-17; 8:45 am]
 BILLING CODE 4191-02-P