[Federal Register Volume 82, Number 122 (Tuesday, June 27, 2017)]
[Notices]
[Pages 29136-29140]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-13331]


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SOCIAL SECURITY ADMINISTRATION

[Docket No. SSA-2017-0033]


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-2017-0033].

[[Page 29137]]

    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 
August 28, 2017. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Public Information Campaign--0960-0544. Periodically, SSA sends 
various public information materials, including public service 
announcements; news releases; and educational tapes, to public 
broadcasting systems so they can inform the public about various 
programs and activities SSA conducts. SSA frequently sends follow-up 
business reply cards for these public information materials to obtain 
suggestions for improving them. The respondents are broadcast sources.
    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)
----------------------------------------------------------------------------------------------------------------
Radio Survey................................           5,000                2                1              167
----------------------------------------------------------------------------------------------------------------

    2. Medical Permit Parking Application--41 CFR 102-71.20 and 102-
74.305--0960-0624. SSA employees and contractors with a qualifying 
medical condition who park at SSA-owned and leased facilities may apply 
to receive a medical parking permit. SSA uses three forms for this 
program: (1) SSA-3192, the Application and Statement which an 
individual completes when first applying for the medical parking space; 
(2) SSA-3193, the Physician's Report, which the applicant's physician 
completes to verify the medical condition; and (3) SSA-3194, Renewal 
Certification, which medical parking permit holders complete to verify 
their continued need for the permit. The respondents are SSA employees 
and contractors seeking medical parking permits and their physicians.

    Note: Because SSA employees are Federal workers exempt from the 
requirements of the Paperwork Reduction Act, the burden below is 
only for SSA contractors and physicians (of both SSA employees and 
contractors).

    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-3192........................................             390               1              30             195
SSA-3193........................................             465               1              90             698
SSA-3194........................................              82               1               5               7
                                                 ---------------------------------------------------------------
    Totals......................................             937  ..............  ..............             900
----------------------------------------------------------------------------------------------------------------

    3. Electronic Records Express (Third Parties)--20 CFR 404.1700-
404.1715--0960-0767. Electronic Records Express (ERE) is an online 
system which enables medical providers and various third party 
representatives to download and submit disability claimant information 
electronically to SSA as part of the disability application process. To 
ensure only authorized people access ERE, SSA requires third parties to 
complete a unique registration process if they wish to use this system. 
This information collection request (ICR) includes the third-party 
registration process; the burden for submitting evidence to SSA is part 
of other, various ICRs. The respondents are third party representatives 
of disability applicants or recipients who want to use ERE to 
electronically access clients' disability files online and submit 
information to SSA.
    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)
----------------------------------------------------------------------------------------------------------------
ERE--Third Parties..........................          10,413              319                1           55,362
----------------------------------------------------------------------------------------------------------------

    4. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the 
Social Security Act (Act) requires SSA to verify the identity of 
individuals who request a record or information pertaining to 
themselves, and to establish procedures for disclosing personal 
information. SSA established Screen Pop, an automated telephone 
process, to speed up verification for such individuals. Accessing 
Screen Pop, callers enter their Social Security number (SSN) using 
their telephone keypad or speech technology prior to speaking with a 
National 800 Number Network (N8NN) agent. The automated Screen Pop 
application collects the SSN and routes it to the ``Start New Call'' 
Customer Help and Information (CHIP) screen. Functionality for the 
Screen Pop application ends once the SSN connects to the CHIP screen 
and the SSN routes to the agent's screen. When the call connects to the 
N8NN agent, the agent can use the SSN to access the caller's record as 
needed. The respondents for this collection are individuals who contact 
SSA's N8NN to speak with an agent.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 29138]]



----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop..................................      53,394,811                1                1          889,914
----------------------------------------------------------------------------------------------------------------

    5. Incoming and Outgoing Intergovernmental Personnel Act Assignment 
Agreement--5 CFR 334--0960-0792. The Intergovernmental Personnel Act 
(IPA) mobility program provides for the temporary assignment of 
civilian personnel between the Federal Government and State and local 
governments; colleges and universities; Indian tribal governments; 
Federally-funded research and development centers; and other eligible 
organizations. The Office of Personnel Management (OPM) created a 
generic form, the OF-69, for agencies to use as a template when 
collecting information for the IPA assignment. The OF-69 collects 
specific information about the agreement including: (1) The enrolled 
employee's name, Social Security number, job title, salary, 
classification, and address; (2) the type of assignment; (3) the 
reimbursement arrangement; and (4) an explanation as to how the 
assignment benefits both SSA and the non-federal organization involved 
in the exchange. OPM directs agencies to use their own forms for 
recording these agreements. Accordingly, SSA modified the OF-69 to meet 
our needs, creating the SSA-187 for incoming employees and the SSA-188 
for outgoing employees. SSA collects information on the SSA-187 and 
SSA-188 to document the IPA assignment and to act as an agreement 
between the agencies. Respondents are personnel from State and local 
governments; colleges and universities; Indian tribal governments; 
Federally-funded research and development centers; and other eligible 
organizations who participate in the IPA exchange with SSA.
    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)
----------------------------------------------------------------------------------------------------------------
Non-Federal employee............................              10               1              30               5
                                                 ---------------------------------------------------------------
Non-Federal employer signers....................              20               1               5               2
    Totals......................................              30  ..............  ..............               7
----------------------------------------------------------------------------------------------------------------

    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 July 27, 2017. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c), 
416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4), 
416.1540(b)(4), and 405 Subpart C--0960-0144. SSA requires disability 
applicants who wish to appeal an unfavorable disability determination 
to complete Form SSA-3441-BK; the associated Electronic Disability 
Collect System (EDCS) interview; or the Internet application, i3441. 
This allows claimants to disclose any changes to their disability, or 
resources, which might influence SSA's unfavorable determination. We 
may use the information to: (1) Reconsider and review an initial 
disability determination; (2) review a continuing disability; and (3) 
evaluate a request for a hearing. This information assists the State 
Disability Determination Services (DDS) and administrative law judges 
(ALJ) in preparing for the appeals and hearings, and in issuing a 
determination or decision on an individual's entitlement (initial or 
continuing) to disability benefits. In addition, the information we 
collect on the SSA-3441-BK, or related modalities, facilitates SSA's 
collection of medical information to support the applicant's request 
for reconsideration; request for benefits cessation appeal; and request 
for a hearing before an ALJ. Respondents are individuals who appeal 
denial, reduction, or cessation of Social Security disability benefits 
and Supplemental Security Income (SSI) payments; individuals who wish 
to request a hearing before an ALJ; or their representatives.
    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-3441-BK.....................................           2,396               1              45           1,797
Electronic Disability Collect System (EDCS).....         476,771               1              45         357,578
i3441 (Internet)................................       1,046,938               1              28         488,571
                                                 ---------------------------------------------------------------
    Totals......................................       1,526,105  ..............  ..............         847,946
----------------------------------------------------------------------------------------------------------------

    2. Disability Case Development Information Collections By State 
Disability Determination Services On Behalf of SSA--20 CFR, subpart P, 
404.1503a, 404.1512, 404.1513, 404.1514, 404.1517, 404.1519; 20 CFR

[[Page 29139]]

subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 
416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 
416.1013, 416.1014, 416.1024--0960-0555. DDSs collect the information 
necessary to administer the Social Security Disability Insurance and 
SSI programs. They collect medical evidence from consultative 
examination (CE) sources; credential information from CE source 
applicants; and medical evidence of record (MER) from claimants' 
medical sources. The DDSs collect information from claimants regarding 
medical appointments, pain, symptoms, and impairments. The respondents 
are medical providers, other sources of MER, and disability claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

CE Collections

    There are three CE information collections: (a) Medical evidence 
about claimants' medical condition(s) that DDS's use to make disability 
determinations when the claimant's own medical sources cannot or will 
not provide the required information, and proof of credentials from CE 
providers; (b) CE appointment letters; and (c) CE claimant reports sent 
to claimants' doctors.

                             (A) Medical Evidence and Credentials From CE Providers
----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
CE Paper Submissions............................       1,400,000               1              30         700,000
CE Electronic Submissions.......................         296,000               1              10          49,333
CE Credentials..................................           4,000               1              15           1,000
                                                 ---------------------------------------------------------------
    Totals......................................       1,700,000  ..............  ..............         750,333
----------------------------------------------------------------------------------------------------------------


                  (B) CE Appointment Letters and (C) CE Claimants' Report to Medical Providers
----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
(b) CE Appointment Letters......................         880,000               1               5          73,333
(c) CE Claimants' Report to Medical Providers...         450,000               1               5          37,500
                                                 ---------------------------------------------------------------
    Totals......................................       1,330,000  ..............  ..............         110,833
----------------------------------------------------------------------------------------------------------------

MER Collections

    The DDS's collect MER information from the claimant's medical 
sources to determine a claimant's physical or mental status prior to 
making a disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions...............................       3,150,000               1              20       1,050,000
Electronic Submissions..........................       9,450,000               1              12       1,890,000
                                                 ---------------------------------------------------------------
    Totals......................................      12,600,000  ..............  ..............       2,940,000
----------------------------------------------------------------------------------------------------------------

Pain/Other Symptoms/Impairment Information From Claimants

    The DDS's use information about pain/symptoms to determine how 
pain/symptoms affect the claimant's ability to do work-related 
activities prior to making a disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of completion                Number of       Frequency of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment Information..       2,100,000                1               20          700,000
----------------------------------------------------------------------------------------------------------------

    The total estimated annual burden for all categories described in 
this information collection is 4,501,166 hours.
    3. Authorization to Disclose Information to SSA--20 CFR 404.1512 
and 416.912, 45 CFR 160 and 164--

[[Page 29140]]

0960-0623. Sections 223(d)(5)(A) and 1614(a)(3)(H)(i) of the Act 
require claimants to provide medical and other evidence the 
Commissioner of Social Security may require to prove they are disabled. 
SSA must obtain sufficient evidence to make eligibility determinations 
for Title II and Title XVI payments. Therefore, the applicant must 
authorize release of information from various sources to SSA. The 
applicants use Form SSA-827, or the Internet counterpart, i827, to 
provide consent for the release of medical records, education records, 
and other information related to their ability to perform tasks. Once 
the applicant completes Form SSA-827, or the i827, SSA or the State DDS 
sends the form to the designated source(s) to obtain pertinent records. 
The respondents are applicants for Title II and Title XVI disability 
payments.
     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)
----------------------------------------------------------------------------------------------------------------
i827 with electronic signature (eAuthorization).       4,189,270               1               9         628,391
SSA-827 with wet signature (paper version)......       1,055,807               1              10         175,968
                                                 ---------------------------------------------------------------
    Totals......................................       5,245,077  ..............  ..............         804,359
----------------------------------------------------------------------------------------------------------------


    Dated: June 21, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-13331 Filed 6-26-17; 8:45 am]
 BILLING CODE 4191-02-P