[Federal Register Volume 82, Number 232 (Tuesday, December 5, 2017)]
[Notices]
[Pages 57520-57521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-26167]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0065]


Agency Information Collection Activities: 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-2017-0065].
    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 January 4, 2018. Individuals can obtain copies of 
the OMB clearance packages by writing to [email protected].
    1. Letter to Employer Requesting Information About Wages Earned By 
Beneficiary--20 CFR 404.1520, 20 CFR 404.1571-404.1576, 20 CFR 
404.1584-404.1593, and 20 CFR 416.971-416.976--0960-0034. Social 
Security disability recipients receive payments based on their 
inability to engage in substantial gainful activity (SGA) because of a 
physical or mental condition. If the recipients work, SSA must evaluate 
and determine if they continue to meet the disability requirements of 
the law. Therefore, we use Form SSA-L725 to request monthly earnings 
information from the recipient's employer. We then use the earnings 
data to determine whether the recipient is engaging in SGA, since work 
after a recipient becomes entitled to benefits can cause a cessation of 
disability. The respondents are businesses that employ Social Security 
disability recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L725....................................         150,000                1               40          100,000
----------------------------------------------------------------------------------------------------------------

    2. Supplemental Security Income (SSI) Claim Information Notice--20 
CFR, Subpart B, 416.210--0960-0324. Section 1611(e)(2) of the Social 
Security Act requires individuals to file for and obtain all payments 
(annuities, pensions, disability benefits, veteran's compensation, 
etc.) for which they are eligible before qualifying for SSI payments. 
Individuals do not qualify for SSI if they do not first apply for all 
other benefits. SSA uses the information on Form SSA-L8050-U3 to verify 
and establish a claimant's or recipient's eligibility under the SSI 
program. Respondents are SSI applicants or recipients who may be 
eligible for other

[[Page 57521]]

payments from public or private programs.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-L8050-U3................................          17,044                1               10            2,841
----------------------------------------------------------------------------------------------------------------

    3. Certification of Low Birth Weight for SSI Eligibility of Funds 
You Provided to Another and Statement of Funds You Received--20 CFR 
416.931, 416.926a(m), and 416.924--0960-0720. Hospitals and claimants 
use Form SSA-3380 to provide medical information to local field offices 
(FO) and the Disability Determination Services (DDS) on behalf of 
infants with low birth weight. FOs use the form as a protective filing 
statement and the medical information to make presumptive disability 
findings, which allow expedited payment to eligible claimants. DDSs use 
the medical information to determine disability and continuing 
disability. The respondents are hospitals and claimants who have 
information identifying low birth weight babies and their medical 
conditions.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-3380....................................          28,125                1               15            7,031
----------------------------------------------------------------------------------------------------------------


    Dated: November 30, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-26167 Filed 12-4-17; 8:45 am]
 BILLING CODE 4191-02-P