[Federal Register Volume 84, Number 148 (Thursday, August 1, 2019)]
[Notices]
[Pages 37704-37707]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16355]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2019-0031]


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] .
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-2019-0031].
    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 September 3, 2019. Individuals can obtain copies of 
the OMB clearance packages by writing to [email protected].
    1. Representative Payee Evaluation Report--20 CFR 404.2065 & 
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Act state 
that SSA may authorize payment of Social Security benefits or 
Supplemental Security Income (SSI) payments to a representative payee 
on behalf of individuals unable to manage, or direct the management of, 
those funds themselves. SSA requires appointed representative payees to 
report once each year on how they used or conserved those funds. When a 
representative payee fails to adequately report to SSA as required, SSA 
conducts a face-to-face interview with the payee and completes Form 
SSA-624-F5, Representative Payee Evaluation Report, to determine the 
continued suitability of the representative payee to serve as a payee. 
In addition to interviewing the representative payee, we also interview 
the recipient, and custodian (if other than the payee), to confirm the 
information the payee provides, and to ensure the payee is meeting the 
recipient's current needs. The respondents are individuals or 
organizations serving as representative payees for individuals 
receiving Title II benefits or Title XVI payments, and who fail to 
comply with SSA's statutory annual reporting requirement, and the 
recipients for whom they act as payee.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total  annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-624--Individuals............................           6,956               1              30           3,478
SSA-624--State and Local Government.............              40               1              30              20
SSA-624--Businesses.............................             280               1              30             140
                                                 ---------------------------------------------------------------
    Totals......................................           7,276  ..............  ..............           3,638
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[[Page 37705]]

    2. Application for Benefits Under the Italy-U.S. International 
Social Security Agreement--20 CFR 404.1925--0960-0445. As per the 
November 1, 1978 agreement between the United States and Italian Social 
Security agencies, residents of Italy filing an application for U.S. 
Social Security benefits directly with one of the Italian Social 
Security agencies must complete Form SSA-2528-IT. SSA uses Form SSA-
2528-IT to establish age, relationship, citizenship, marriage, death, 
military service, or to evaluate a family bible or other family record 
when determining eligibility for U.S. benefits. The Italian Social 
Security agencies assist applicants in completing Form SSA-2528-IT, and 
then forward the application to SSA for processing. The respondents are 
individuals living in Italy who wish to file for U.S. Social Security 
benefits.
    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-2528-IT.................................             300                1               20              100
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    3. Agency/Employer Government Pension Offset Questionnaire --20 CFR 
404.408(a)--0960-0470. When an individual is concurrently receiving 
Social Security spousal, or surviving spousal, benefits, and a 
government pension, the individual may have the amount of Social 
Security benefits reduced by the government pension amount. This is the 
Government Pension Offset (GPO). SSA uses Form SSA-L4163 to collect 
accurate pension information from the Federal or State government 
agency paying the pension for purposes of applying the pension offset 
provision. SSA uses this form only when: (1) The claimant does not have 
the information; and (2) the pension-paying agency has not cooperated 
with the claimant. Respondents are State government agencies, which 
have information SSA needs to determine if the GPO applies, and the 
amount of offset.
    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-L4163...................................           2,911                1                3              146
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    4. Plan to Achieve Self-Support (PASS)--20 CFR 416.110(e), 
416.1180-1182, 416.1225-1227--0960-0559. The SSI program encourages 
recipients to return to work. One of the program objectives is to 
provide incentives and opportunities that help recipients toward 
employment. The PASS provision allows individuals to use available 
income or resources (such as business equipment, education, or 
specialized training) to enter or re-enter the workforce and become 
self-supporting. In turn, SSA does not count the income or resources 
recipients use to fund a PASS when determining an individual's SSI 
eligibility or payment amount. An SSI recipient who wants to use 
available income and resources to obtain education or training to 
become self-supporting completes Form SSA-545. SSA uses the information 
from the SSA-545 to evaluate the recipient's PASS, and to determine 
eligibility under the provisions of the SSI program. The respondents 
are SSI recipients who want to develop a return-to-work plan.
    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-545.....................................           7,000                1              120           14,000
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    5. Complaint Form for Allegations of Discrimination in Programs or 
Activities Conducted by the Social Security Administration--0960-0585. 
SSA uses Form SSA-437 to investigate and formally resolve complaints of 
discrimination based on disability; race; color; national origin 
(including limited English language proficiency); sex (including sexual 
orientation and gender identity); age; religion; or retaliation for 
having participated in a proceeding under this administrative complaint 
process in connection with an SSA program or activity. Individuals who 
believe SSA discriminated against them on any of the above bases may 
file a written complaint of discrimination. SSA uses the information 
to: (1) Identify the complaint; (2) identify the alleged discriminatory 
act; (3) establish the date of the alleged action; (4) establish the 
identity of any individual(s) with information about the alleged 
discrimination; and (5) establish other relevant information that would 
assist in the investigation and resolution of the complaint. 
Respondents are individuals who believe an SSA program or activity, or 
SSA employees, contractors or agents, discriminated against them.
    Type of Request: Revision on an OMB-approved information 
collection.

[[Page 37706]]



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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-437.....................................             255                1               60              255
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    6. Supplemental Security Income Wage Reporting (Telephone and 
Mobile)--20 CFR 416.701-416.732--0960-0715. SSA requires SSI recipients 
to report changes which could affect their eligibility for, and the 
amount of, their SSI payments, such as changes in income, resources, 
and living arrangements. SSA's SSI Telephone Wage Reporting (SSITWR) 
and SSI Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet 
these requirements via an automated mechanism to report their monthly 
wages by telephone and mobile application, instead of contacting their 
local field offices. The SSITWR allows callers to report their wages by 
speaking their responses through voice recognition technology, or by 
keying in responses using a telephone key pad. The SSIMWR allows 
recipients to report their wages through the mobile wage reporting 
application on their smartphone. SSITWR and SSIMWR systems collect the 
same information and send it to SSA over secure channels. To ensure the 
security of the information provided, SSITWR and SSIMWR ask respondents 
to provide information SSA can compare against our records for 
authentication purposes. Once the system authenticates the identity of 
the respondents, they can report their wage data. The respondents are 
SSI recipients, deemors, or their representative payees.
    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     per response    total annual
                                    respondents      response        responses       (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Training/Instruction *..........         103,000               1         103,000              35          60,083
SSITWR..........................          26,000              12         312,000               5          26,000
SSIMWR..........................          77,000              12         924,000               3          46,200
                                 -------------------------------------------------------------------------------
    Totals......................         103,000  ..............       1,339,000  ..............         132,283
----------------------------------------------------------------------------------------------------------------
* Note: The same 103,000 respondents are completing training and a modality of collection, therefore the actual
  total number of respondents is still 103,000.

    7. Technical Updates to Applicability of the Supplemental Security 
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical 
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section 
1611(e)(1)(A) of the Act specifies residents of public institutions are 
ineligible for SSI. However, Sections 1611(e)(1)(B) and (G) of the Act 
list certain exceptions to this provision, making it necessary for SSA 
to collect information about SSI recipients who enter or leave a 
medical treatment facility or other public or private institution. 
SSA's regulation 20 CFR 416.708(k) establishes the reporting guidelines 
that implement this legislative requirement. SSA uses this information 
collection to determine SSI eligibility or the benefit amount for SSI 
recipients who enter or leave institutions. SSA personnel collect this 
information directly from SSI recipients, or from someone reporting on 
their behalf. An SSI recipient who enters an institution may be unable 
to report; therefore, a family member sometimes makes this report on 
behalf of the recipient. When contacting SSA, the recipient, or family 
member of the recipient, provides the name of the institution, the date 
of admission, and the expected date of discharge. The respondents are 
SSI recipients who enter or leave an institution, or individuals 
reporting on their behalf.
    This is a correction notice. SSA published this information 
collection as an extension on May 22, 2019 at 84 FR 23623. Since we are 
revising the Privacy Act Statement for this collection, this is now a 
revision of an OMB-approved information collection.
    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)
----------------------------------------------------------------------------------------------------------------
Technical Updates Statement.................          34,200                1                7            3,990
----------------------------------------------------------------------------------------------------------------

    8. Waiver of Supplemental Security Income Payment Continuation--20 
CFR 416.1400-416.1422--0960-0783. SSI recipients who wish to 
discontinue their SSI payments while awaiting a determination on their 
appeal complete Form SSA-263-U2, Waiver of Supplemental Security Income 
Payment Continuation, to inform SSA of this decision. SSA collects the 
information to determine whether the SSI recipient meets the provisions 
of the Act regarding waiver of payment continuation and as proof 
respondents no longer want their payments to continue. Respondents are 
recipients of SSI payments who wish to discontinue receipt of payment 
while awaiting a determination on their appeal.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 37707]]



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                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-263-U2..................................           3,000                1                5              250
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    Dated: July 26, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-16355 Filed 7-31-19; 8:45 am]
 BILLING CODE 4191-02-P