[Federal Register Volume 83, Number 218 (Friday, November 9, 2018)]
[Notices]
[Pages 56133-56136]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-24517]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2018-0058]
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-2018-0058].
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 8, 2019. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody--20 CFR 404.330, 404.339-404.341 and 404.348-
404.349--0960-0019. SSA uses Form SSA-781 to determine if non-custodial
parents who file for spouse, mother's, father's, or surviving divorced
mother's or father's benefits based on having a child in their care,
meet the in-care requirements. The in-care provision requires claimants
to have an entitled child under age 16 or disabled in their care. The
respondents are applicants for spouse; mother's, father's, or surviving
divorced mother's or father's Social Security benefits.
Type of Request: Request for a new information collection.
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Average burden Estimated total
Modality of completion Number of Frequency of of response annual burden
respondents response (minutes) (hours)
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SSA-781..................................... 14,000 1 10 2,333
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2. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) &
404.1095--0960-0061. SSA collects the information on Form SSA-7156 on a
voluntary and as-needed basis to determine the existence of an
agriculture trade or business which may affect the monthly benefit, or
insured status, of the applicant. SSA requires the existence of a trade
or business before determining if an individual or partnership has net
earnings from self-employment. When an applicant indicates self-
employment as a farmer, SSA uses the SSA-7165 to obtain the information
we need to determine the existence of an agricultural trade or
business, and subsequent covered earnings for Social Security
entitlement purposes. As part of the application process, we conduct a
personal interview, either face-to-face or via telephone, and document
the interview using Form SSA-7165. We also allow applicants to complete
a fillable version of the form available on our website, which they can
complete, print, and sign. The respondents are applicants for Social
Security benefits whose entitlement depends on whether the
[[Page 56134]]
worker received covered earnings from self-employment as a farmer.
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 of response annual burden
respondents response (minutes) (hours)
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SSA-7156.................................... 47,500 1 10 7,917
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3. Child Relationship Statement--20 CFR 404.355 & 404.731--0960-
0116. To help determine a child's entitlement to Social Security
benefits, SSA uses criteria under section 216(h)(3) of the Social
Security Act (Act), deemed child provision. SSA may deem a child to an
insured individual if: (1) The insured individual presents SSA with
satisfactory evidence of parenthood, and was living with or
contributing to the child's support at certain specified times; or (2)
the insured individual (a) acknowledged the child in writing; (b) was
court decreed as the child's parent; or (c) was court ordered to
support the child. To obtain this information, SSA uses Form SSA-2519,
Child Relationship Statement. The respondents are people with knowledge
of the relationship between certain individuals filing for Social
Security benefits and their alleged biological children.
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 of response annual burden
respondents response (minutes) (hours)
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SSA-2519.................................... 50,000 1 15 12,500
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4. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage
credits for active military or naval service (under certain conditions)
during the period of September 16, 1940 through December 31, 1956, if
no other Federal agency (other than the Veterans Administration)
credited the service for benefit eligibility or computation purposes.
We use Form SSA-2512 to collect specific information about other
Federal, military, or civilian benefits the wage earner may receive
when the applicant indicates both pre-1957 military service and the
receipt of a Federal benefit. SSA uses the data in the claims
adjudication process to grant gratuitous military wage credits when
applicable, and to solicit sufficient information to determine
eligibility. Respondents are applicants for Social Security benefits on
a record where the wage earner claims pre-1957 military service.
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 of response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2512.................................... 5,000 1 10 833
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5. Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution--20 CFR 416.200, 416.203,
404.508, & 416.553--0960-0293. SSA collects and verifies financial
information from individuals applying for Title II and Title XVI waiver
determinations, as well as those who apply for, or currently receive
(in the case of redetermination), Supplemental Security Income (SSI)
payments. We require the financial information from these applicants
to: (1) Determine the eligibility of the applicant or recipient for SSI
benefits; or (2) determine if a request to waive a Social Security
overpayment defeats the purpose of the Act. If the Title II and Title
XVI waiver applicants, or the SSI claimants provide incomplete,
unavailable, or seemingly altered records, SSA contacts their financial
institutions to verify the existence, ownership, and value of accounts
owned. Financial institutions need individuals to sign Form SSA-4641-
F4, or work with SSA staff to complete one of SSA's electronic
applications, e4641 or the Access to Financial Institutions (AFI)
screens, to authorize the individual's financial institution to
disclose records to SSA. The respondents are Title II and Title XVI
recipients applying for waivers, or SSI applicants, recipients, and
their deemors to determine SSI eligibility.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of of response total annual
respondents response (minutes) burden (hours)
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SSA-4641 (paper)................................ 140,000 1 6 14,000
e4641 and AFI (Internet)........................ 15,860,000 1 2 528,667
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Totals...................................... 16,000,000 .............. .............. 542,667
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[[Page 56135]]
6. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(b)&(c), 416.2221(a)--0960-0310. State
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to
obtain reimbursement of costs incurred for providing VR services. SSA
requires state VR agencies to submit reimbursement claims for the
following categories: (1) Claiming reimbursement for VR services
provided; (2) certifying adherence to cost containment policies and
procedures; and (3) preparing causality statements. The respondents
provide the information requested through a web-based Secure Ticket
Portal, in lieu of submitting forms. This Portal allows VRs to retrieve
reports, and enter and submit information electronically, minimizing
the use of the paper form to SSA for consideration and approval of the
claim for reimbursement of costs incurred for SSA beneficiaries. SSA
uses the information on the SSA-199, along with the written
documentation, to determine whether, and how much, to pay State VR
agencies under SSA's VR program. Respondents are State VR agencies
offering vocational and employment services to Social Security and SSI
recipients.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of Number of of response total annual
respondents response responses (minutes) burden (hours)
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SSA-199 CFR 404.2108 & 416.2208. 80 160 12,800 23 4,907
CFR 404.2117 & 416.2217 Written 80 1 80 60 80
requests.......................
CFR 404.2121 & 416.2221 Written 80 2.5 200 100 333
requests.......................
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Total....................... 80 .............. 13,080 .............. 5,320
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7. Request for Change in Time/Place of Disability Hearing--20 CFR
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the
claimants or their representatives, SSA schedules evidentiary hearings
at the reconsideration level for claimants of Title II benefits or
Title XVI payments when we deny their claims for disability. When
claimants or their representatives find they are unable to attend the
scheduled hearing, they complete Form SSA-769 to request a change in
time or place of the hearing. SSA uses the information as a basis for
granting or denying requests for changes and for rescheduling
disability hearings. Respondents are claimants or their representatives
who wish to request a change in the time or place of their hearing.
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 of response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-769..................................... 7,483 1 8 998
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8. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA uses Form SSA-8001-BK to determine
an applicant's eligibility for SSI and SSI payment amounts. SSA
employees also collect this information during interviews with members
of the public who wish to file for SSI. SSA uses the information for
two purposes: (1) To formally deny SSI for nonmedical reasons when
information the applicant provides results in ineligibility; or (2) to
establish a disability claim, but defer the complete development of
non-medical issues until SSA approves the disability. The respondents
are applicants for SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of of response total annual
respondents response (minutes) burden (hours)
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SSI Claims System............................... 802,368 1 20 267,456
iClaim/SSI Claims System........................ 168,661 1 20 56,220
SSA-8001-BK (Paper Version)..................... 2,588 1 20 863
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Totals...................................... 973,617 .............. .............. 324,539
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9. Wage Reports and Pension Information--20 CFR 422.122(b)--0960-
0547. Pension plan administrators annually file plan information with
the Internal Revenue Service, which then forwards the information to
SSA. SSA maintains and organizes this information by plan number; plan
participant's name; and Social Security number. Section 1131(a) of the
Act entitles pension plan participants to request this information from
SSA. The Wage Reports and Pension Information regulation, 20 CFR
422.122(b) of the Code of Federal Regulations, requires requestors
submit a written request with identifying information to SSA, before
SSA disseminates this information. The respondents are requestors of
pension plan information.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 56136]]
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Average burden Estimated total
Modality of completion Number of Frequency of of response annual burden
respondents response (minutes) (hours)
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Requests for pension plan information....... 580 1 30 290
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10. International Direct Deposit--31 CFR 210--0960-0686. SSA's
International Direct Deposit (IDD) Program allows beneficiaries living
abroad to receive their payments via direct deposit to an account at a
financial institution outside the United States. SSA uses Form SSA-
1199-(Country) to enroll Title II beneficiaries residing abroad in IDD,
and to obtain the direct deposit information for foreign accounts.
Routing account number information varies slightly for each foreign
country, so we use a variation of the Treasury Department's Form SF-
1199A for each country. The respondents are Social Security
beneficiaries residing abroad who want SSA to deposit their Title II
benefit payments directly to a foreign financial institution.
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 of response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1199-(Country).......................... 13,750 1 5 1,146
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11. Representative Payment Policies and Administrative Procedures
for Imposing Penalties for False or Misleading Statements or
Withholding of Information--0960-0740. This information collection
request comprises several regulation sections that provide additional
safeguards for Social Security beneficiaries' whose representative
payees receive their payment. SSA requires representative payees to
notify them of any event or change in circumstances that would affect
receipt of benefits or performance of payee duties. SSA uses the
information to determine continued eligibility for benefits, the amount
of benefits due and if the payee is suitable to continue servicing as
payee. The respondents are representative payees who receive and use
benefits on behalf of Social Security beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of of response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
404.2035(d)--Paper/Mail......................... 29,601 1 5 2,467
404.2035(d)--Office interview/Intranet.......... 562,419 1 5 46,868
404.2035(f)--Paper/Mail......................... 296 1 5 25
404.2035(f)--Office interview/Intranet.......... 5,624 1 5 469
416.635(d)--Paper/Mail.......................... 16,146 1 5 1,346
416.635(d)--Office interview/Intranet........... 296,424 1 5 24,702
416.635(f)--Paper/Mail.......................... 162 1 5 14
416.635(f)--Office interview/Intranet........... 3,067 1 5 256
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Totals...................................... 913,739 .............. .............. 76,147
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Dated: November 5, 2018.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2018-24517 Filed 11-8-18; 8:45 am]
BILLING CODE 4191-02-P