Federal Register: November 5, 2007 (Volume 72, Number 213)
DOCID: fr05no07-88 FR Doc E7-21587
SOCIAL SECURITY ADMINISTRATION
Social Security Administration
NOTICE: NOTICES
DOCID: fr05no07-88
SUBJECT CATEGORY:
Agency Information Collection Activities: Proposed Request and Comment Request
DOCUMENT SUMMARY:
The Social Security Administration (SSA) publishes a list of information collection packages that will require clearance by the Office of Management and Budget (OMB) in compliance with Public Law 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that may be included in this notice are for new information collections, approval of existing information collections, revisions to OMBapproved information collections, and extensions (no change) of OMBapproved 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed or emailed to the individuals at the addresses and fax numbers listed below:
(OMB)
Office of Management and Budget,
Attn: Desk Officer for SSA,
Fax: 2023956974,
Email address: OIRA_Submission@omb.eop.gov. (SSA)
Social Security Administration, DCBFM,
Attn: Reports Clearance Officer,
1333 Annex Building,
6401 Security Blvd.,
Baltimore, MD 21235,
Fax: 4109656400,
Email address: OPLM.RCO@ssa.gov.
I. The information collections listed below are pending at SSA and will be submitted to OMB within 60 days from the date of this notice. Therefore, your comments should be submitted to SSA within 60 days from the date of this publication. You can obtain copies of the collection instruments by calling the SSA Reports Clearance Officer at 410965 0454 or by writing to the address listed above.
1. Development for Participation in a Vocational Rehabilitation or Similar Program20 CFR 404.316(c), 404.337(c), 404.352(d),
404.1586(g), 404.1596, 404.1597(a), 404.327, 404.328, and 416.1338(c)
and (d) 416.1320(d), 416.1331(a)(b), and 416.133809600282. SSA
State Disability Determination Services (DDS) must determine if a
recipient of disability benefits whose disability has ceased but who is
enrolled in a vocational rehabilitation program can continue to receive
SSA benefits. To do this, information is needed about the beneficiary,
the type of program he/she is enrolled in, and the types of services
the beneficiary is receiving under the auspices of that program. Form
SSA4290 is used to collect this information. The respondents are State
Employment Networks, Vocational Rehabilitation agencies, or other providers of education/job training services.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 750 hours.
2. State Mental Institution Policy Review Booklet20 CFR 404.2035, 404.2065, 416.635, & 416.66509600110. The information collected by Form SSA9584BK is used by SSA to determine whether an institution's policies and practices conform with SSA's regulations in the use of benefits and whether the institution is performing other duties and responsibilities required of a representative payee. The information also provides a basis for conducting an onsite review of the institution and is used in the preparation of the subsequent report of findings. The respondents are State mental institutions which serve as representative payees for Social Security beneficiaries and Supplemental Security Income (SSI) claimants.
[[Page 62511]]
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 95.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 95 hours.
3. RS/DI Quality Review Case Analysis: Sampled Number Holder, Auxiliaries/Survivors, Parents, and Stewardship Annual Earnings Test Workbook09600189. The information on Forms SSA2930, SSA2931 and SSA2932 is used by the SSA to establish a national payment accuracy rate for all cases in payment status and to serve as a source of information regarding problem areas in the Retirement and Survivors Insurance (RSI) and Disability Insurance (DI) programs. The information is also used to measure the accuracy rate for newly adjudicated RSI/DI cases. SSA uses the information on form SSA4659 to evaluate and determine the effectiveness of the annual earnings test and to use the results in developing ongoing improvements in the process.
Type of Request: Extension of an OMBapproved information collection.
Average
Number of Frequency of burden per Estimated
Form respondents response response annual burden
(minutes) (hours)
SSA2930........................................ 3,000 1 30 1,500
SSA2931........................................ 1,500 1 30 750
SSA2932........................................ 650 1 20 217
SSA4659........................................ 325 1 10 54
Totals...................................... 5,475 .............. .............. 2,521
4. Employee Identification Statement20 CFR 404.70209600473. The information collected by Form SSA4156 is used in scrambled earnings situations when two or more individuals have used the same Social Security Number (SSN), or when an employer (or employers) has reported earnings for two or more employees under the same SSN. The information on the form is used to help identify the individual (and the SSN) to whom the earnings belong. The respondents are employers involved in erroneous wage reporting.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 4,750.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 792 hours.
5. Modified Benefit Formula QuestionnaireEmployer20 CFR 401 & 40209600477. The information collected on Form SSA58 is used by SSA to verify the claimant's allegations on Form SSA150 (OMB No. 0960 0395). SSA must make a determination regarding whether the modified benefit formula is applicable and when to first apply it to a person's benefit. This form will be sent to an employer for pension related information if the claimant is unable to provide it. The respondents are people who are eligible after 1985 for both Social Security benefits and a pension based on work not covered by SSA.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Average Burden: 10,000 hours.
6. Contact with Representative Payee; Contact with Beneficiary20 CFR 401 & 40209600639. The Form SSAL4945 is used to notify the representative payee that the case, for which they receive payment, has been randomly selected as part of the quality review procedure. The SSAL4947 is used by SSA to notify the beneficiary that their case has been randomly selected as part of the quality review procedure. Both form letters give information relating to the claims record that should be verified and returned by mail in a selfaddressed envelope. Respondents are a statistically valid sample of all RSI/DI beneficiaries in current pay status.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 50 hours.
7. Modified Benefit Formula Questionnaire 20 CFR 404.161520, CFR 404.151220 & CFR 404.1588159909600395. The purpose of the Windfall Elimination Provision (WEP) of the Social Security Act is to remove an unintended advantage in the computation of Social Security benefits for persons who have substantial pensions from noncovered employment. The SSA150 collects the information needed to determine the correct formula to use in computing Social Security benefits. The respondents are claimants for Social Security benefits who are entitled to both benefits.
Type of Request: Extension of OMBapproved information collection
Number of Respondents: 90,000.
Frequency of Response: 1.
Average Burden Per Response: 8 minutes.
Estimated Annual Burden: 12,000 hours.
8. Disability Determination and Transmittal20 CFR 404.1615(e), 416.1015(f)09600437. The information collected on Form SSA831C3/U3 is used by SSA to document the State agency determination as to whether an individual who applies for disability benefits is eligible for those benefits based on his/her alleged disability. SSA also uses the information for program management and evaluation. The respondents are State DDS adjudicating Title II and Title XVI disability determinations for SSA.
Type of Request: Extension of OMBapproved information collection
Number of Respondents: 3,079,916.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Average Burden: 769,979 hours.
9. Cessation or Continuance of Disability or Blindness Determination20 CFR 404.161509600443. The information on Form SSA 832U3/C3 is used by SSA to document determinations as to whether an individual's disability benefits should be terminated or continued on the basis of his/her impairment. The respondents are State disability determination service employees adjudicating Title XVI Disability claims.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 200,753.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 100,376 hours.
10. Authorization to Disclose Information to Social Security Administration20 CFR 404.1512 & 20
[[Page 62512]]
CFR 416.91209600623. SSA must obtain sufficient medical evidence to
make eligibility determinations for Social Security disability benefits
and SSI payments. For SSA to obtain medical evidence, an applicant must
authorize his or her medical source(s) to release the information to
SSA. The applicant may use one of the forms SSA827, SSA827OP1 or
SSA827OP2 to provide consent for the release of information.
Generally, the State DDS completes the form(s) based on information
provided by the applicant, and sends the form(s) to the designated medical source(s).
Type of Request: Revision of a currently approved information collection.
Number of Respondents: 3,853,928.
Frequency of Response (Average per case): 4.
Average Burden Per Response: 13 minutes to complete 4 forms.
Total Annual Responses: 15,415,712.
Estimated Annual Burden: 835,018 hours.
11. Request for Social Security Earnings Information20 CFR 404.810 & 401.10009600525. The Social Security Act provides that a wage earner, or someone authorized by a wage earner, may request Social Security earnings information from SSA using form SSA7050. SSA uses the information collected on the form to verify that the requestor is authorized to access the earnings record and to produce the earnings statement. The respondents are wage earners and organizations and legal representatives authorized by the wage earner.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 11 minutes.
Estimated Annual Burden: 11,000 hours.
12. Employer Report of Special Wage Payments20 CFR 404.428 404.42909600565. SSA gathers the information on Form SSA131 to prevent earningsrelated overpayments to employees, and to avoid erroneous withholding of benefits. The respondents are employers who provide special wage payment verification.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden of Response: 20 minutes.
Estimated Average Burden: 10,000 hours.
13. Interim Assistance Reimbursement Matching Agreements20 CFR
4165250960NEW. SSA enters into Interim Assistance Reimbursement
(IAR) agreements with states/counties/townships, to submit daily IAR
reports either manually or electronically to SSA. The interim
assistance (IA) agency provides the individual general assistance for
meeting basic needs while an SSI claim is pending or SSI benefits were
suspended or terminated. The IAR reports are used to reimburse
participating State or local IA agency from an individual's initial
retroactive SSI payment for funds it advanced to eligible individuals.
These reports are compared against SSA's files to identify individuals
who may become eligible to receive SSI payments, and the SSA record is
updated to memorialize the agreement. If the claim is approved, SSA
reimburses the state/county/township IA agency for funds it advanced to
the eligible individuals. The respondents are State or local IA
agencies who provide IAR reports either manually or electronically to SSA.
Type of Request: New information collection.
Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondent response (hours) (hours)
Interim assistance reporting.................... 300 250 1 75,000
Model Agreement................................. 10 1 12 120
Total....................................... 310 .............. .............. 75,120
14. Social Security Statement Survey0960NEW.
Background
As per 42 U.S.C. 1320b13, SSA is required to provide benefits and earnings statements to Social Security numberholders age 25 and over who earn wages. This document, which is provided annually, is called the Social Security Statement. In response to a recommendation from the General Accountability Office (GAO), SSA has begun a systematic and regular evaluation of customer satisfaction with the Statement. Description of Proposed Surveys
Taking the evaluation process one step further, we are now planning
to conduct a national survey to monitor and improve customer
satisfaction with the messages in the 2007 Statement. The 2007
Statement contains new WEP/Government Pension Offset (GPO) language as
mandated by law. There are two versions of the WEP/GPO language in the
Statement to accommodate different groups of wageearners: those who
have an earnings history with both covered and noncovered earnings
under Social Security and those who have only earnings covered under
Social Security. Each group will receive a Statement with WEP/GPO
language specific to them and will be surveyed to determine their
satisfaction. Information obtained through this evaluation will help
SSA improve the Statement as a communications product that meets SSA's
goals and assures that the public is aware of, understands, and can act
upon the information the Statement provides in a timely way. The
respondents are two groups of wage earners: those who have an earnings
history with both covered and noncovered earnings under Social
Security, and those who have only earnings covered under Social Security.
Burden Information
Type of Request: New information collection.
Average
Number of Frequency of burden per Estimated
respondents response response Annual Burden
(minutes) (hours)
Recipients with covered and noncovered earnings 600 1 10 100 history........................................
[[Page 62513]]
Recipients with covered earnings only........... 600 1 10 100
Total....................................... 1200 .............. 200
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 4109650454, or by writing to the address listed above.
1. Sheltered Workshop Wage Reporting0960NEW.
Collection Background
Section 1612(1)(C) of the Social Security Act (the Act) and 42 U.S.C. 1382a define remuneration received for services performed in a sheltered workshop as earned income for the SSI program. The amount of monthly wages determines an individual's SSI benefit amount. Collection Description
SSA has maintained a working relationship with sheltered workshops
since the inception of the SSI program. Most workshops report monthly
wage totals to the local SSA office so that the client's SSI check is
adjusted timely and overpayments are prevented. While participation of
the workshop is strictly voluntary, they are highly motivated to report
the wages because it provides a service to their clients. Sheltered
Workshop reporting reduces the number of overpayments to SSI
recipients. Processing these wage reports electronically reduces the
cost of administering the program. SSA uses the information collected
to verify and post monthly wages to the SSI recipient's record.
Respondents are sheltered workshops that report monthly wages for services performed in the workshop.
Type of Request: New information collection.
Number of Respondents: 1,000.
Frequency of Response: 12.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 1,000 hours.
2. Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate20 CFR 408.900 408.950, 408.923(b), 408.931(b), 408.932(c), (d) and (e), 408.941(b) and 408.94209600698. Title VIII allows the payment of a monthly benefit by the Commissioner of Social Security to a qualified World War II veteran who resides outside the United States. When an overpayment in SVB occurs, the beneficiary can use this form to request waiver of recovery of the overpayment or a change in the repayment rate. The SSA 2032BK will be used to obtain the information necessary to determine whether the provisions of the Act regarding waiver of recovery of the overpayment are met. The information on the form is needed to determine a repayment rate if repayment cannot be waived. The respondents are beneficiaries who have overpayments on their Title VIII record and wish to file a claim for waiver of recovery or change in repayment rate.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 39.
Frequency of Response: 1.
Average Burden Per Response: 120 minutes.
Estimated Annual Burden: 78 hours.
Dated: October 29, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E721587 Filed 11207; 8:45 am]
BILLING CODE 419102P
SUMMARY:
Agency information collection activities; proposals, submissions, and approvals,
DOCUMENT BODY 2:
The Social Security Administration (SSA) publishes a list of information collection packages that will require clearance by the Office of Management and Budget (OMB) in compliance with Public Law 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that may be included in this notice are for new information collections, approval of existing information collections, revisions to OMBapproved information collections, and extensions (no change) of OMBapproved 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed or emailed to the individuals at the addresses and fax numbers listed below:
(OMB)
Office of Management and Budget,
Attn: Desk Officer for SSA,
Fax: 2023956974,
Email address: OIRA_Submission@omb.eop.gov. (SSA)
Social Security Administration, DCBFM,
Attn: Reports Clearance Officer,
1333 Annex Building,
6401 Security Blvd.,
Baltimore, MD 21235,
Fax: 4109656400,
Email address: OPLM.RCO@ssa.gov.
I. The information collections listed below are pending at SSA and will be submitted to OMB within 60 days from the date of this notice. Therefore, your comments should be submitted to SSA within 60 days from the date of this publication. You can obtain copies of the collection instruments by calling the SSA Reports Clearance Officer at 410965 0454 or by writing to the address listed above.
1. Development for Participation in a Vocational Rehabilitation or Similar Program20 CFR 404.316(c), 404.337(c), 404.352(d),
404.1586(g), 404.1596, 404.1597(a), 404.327, 404.328, and 416.1338(c)
and (d) 416.1320(d), 416.1331(a)(b), and 416.133809600282. SSA
State Disability Determination Services (DDS) must determine if a
recipient of disability benefits whose disability has ceased but who is
enrolled in a vocational rehabilitation program can continue to receive
SSA benefits. To do this, information is needed about the beneficiary,
the type of program he/she is enrolled in, and the types of services
the beneficiary is receiving under the auspices of that program. Form
SSA4290 is used to collect this information. The respondents are State
Employment Networks, Vocational Rehabilitation agencies, or other providers of education/job training services.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 750 hours.
2. State Mental Institution Policy Review Booklet20 CFR 404.2035, 404.2065, 416.635, & 416.66509600110. The information collected by Form SSA9584BK is used by SSA to determine whether an institution's policies and practices conform with SSA's regulations in the use of benefits and whether the institution is performing other duties and responsibilities required of a representative payee. The information also provides a basis for conducting an onsite review of the institution and is used in the preparation of the subsequent report of findings. The respondents are State mental institutions which serve as representative payees for Social Security beneficiaries and Supplemental Security Income (SSI) claimants.
[[Page 62511]]
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 95.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 95 hours.
3. RS/DI Quality Review Case Analysis: Sampled Number Holder, Auxiliaries/Survivors, Parents, and Stewardship Annual Earnings Test Workbook09600189. The information on Forms SSA2930, SSA2931 and SSA2932 is used by the SSA to establish a national payment accuracy rate for all cases in payment status and to serve as a source of information regarding problem areas in the Retirement and Survivors Insurance (RSI) and Disability Insurance (DI) programs. The information is also used to measure the accuracy rate for newly adjudicated RSI/DI cases. SSA uses the information on form SSA4659 to evaluate and determine the effectiveness of the annual earnings test and to use the results in developing ongoing improvements in the process.
Type of Request: Extension of an OMBapproved information collection.
Average
Number of Frequency of burden per Estimated
Form respondents response response annual burden
(minutes) (hours)
SSA2930........................................ 3,000 1 30 1,500
SSA2931........................................ 1,500 1 30 750
SSA2932........................................ 650 1 20 217
SSA4659........................................ 325 1 10 54
Totals...................................... 5,475 .............. .............. 2,521
4. Employee Identification Statement20 CFR 404.70209600473. The information collected by Form SSA4156 is used in scrambled earnings situations when two or more individuals have used the same Social Security Number (SSN), or when an employer (or employers) has reported earnings for two or more employees under the same SSN. The information on the form is used to help identify the individual (and the SSN) to whom the earnings belong. The respondents are employers involved in erroneous wage reporting.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 4,750.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 792 hours.
5. Modified Benefit Formula QuestionnaireEmployer20 CFR 401 & 40209600477. The information collected on Form SSA58 is used by SSA to verify the claimant's allegations on Form SSA150 (OMB No. 0960 0395). SSA must make a determination regarding whether the modified benefit formula is applicable and when to first apply it to a person's benefit. This form will be sent to an employer for pension related information if the claimant is unable to provide it. The respondents are people who are eligible after 1985 for both Social Security benefits and a pension based on work not covered by SSA.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Average Burden: 10,000 hours.
6. Contact with Representative Payee; Contact with Beneficiary20 CFR 401 & 40209600639. The Form SSAL4945 is used to notify the representative payee that the case, for which they receive payment, has been randomly selected as part of the quality review procedure. The SSAL4947 is used by SSA to notify the beneficiary that their case has been randomly selected as part of the quality review procedure. Both form letters give information relating to the claims record that should be verified and returned by mail in a selfaddressed envelope. Respondents are a statistically valid sample of all RSI/DI beneficiaries in current pay status.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 50 hours.
7. Modified Benefit Formula Questionnaire 20 CFR 404.161520, CFR 404.151220 & CFR 404.1588159909600395. The purpose of the Windfall Elimination Provision (WEP) of the Social Security Act is to remove an unintended advantage in the computation of Social Security benefits for persons who have substantial pensions from noncovered employment. The SSA150 collects the information needed to determine the correct formula to use in computing Social Security benefits. The respondents are claimants for Social Security benefits who are entitled to both benefits.
Type of Request: Extension of OMBapproved information collection
Number of Respondents: 90,000.
Frequency of Response: 1.
Average Burden Per Response: 8 minutes.
Estimated Annual Burden: 12,000 hours.
8. Disability Determination and Transmittal20 CFR 404.1615(e), 416.1015(f)09600437. The information collected on Form SSA831C3/U3 is used by SSA to document the State agency determination as to whether an individual who applies for disability benefits is eligible for those benefits based on his/her alleged disability. SSA also uses the information for program management and evaluation. The respondents are State DDS adjudicating Title II and Title XVI disability determinations for SSA.
Type of Request: Extension of OMBapproved information collection
Number of Respondents: 3,079,916.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Average Burden: 769,979 hours.
9. Cessation or Continuance of Disability or Blindness Determination20 CFR 404.161509600443. The information on Form SSA 832U3/C3 is used by SSA to document determinations as to whether an individual's disability benefits should be terminated or continued on the basis of his/her impairment. The respondents are State disability determination service employees adjudicating Title XVI Disability claims.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 200,753.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 100,376 hours.
10. Authorization to Disclose Information to Social Security Administration20 CFR 404.1512 & 20
[[Page 62512]]
CFR 416.91209600623. SSA must obtain sufficient medical evidence to
make eligibility determinations for Social Security disability benefits
and SSI payments. For SSA to obtain medical evidence, an applicant must
authorize his or her medical source(s) to release the information to
SSA. The applicant may use one of the forms SSA827, SSA827OP1 or
SSA827OP2 to provide consent for the release of information.
Generally, the State DDS completes the form(s) based on information
provided by the applicant, and sends the form(s) to the designated medical source(s).
Type of Request: Revision of a currently approved information collection.
Number of Respondents: 3,853,928.
Frequency of Response (Average per case): 4.
Average Burden Per Response: 13 minutes to complete 4 forms.
Total Annual Responses: 15,415,712.
Estimated Annual Burden: 835,018 hours.
11. Request for Social Security Earnings Information20 CFR 404.810 & 401.10009600525. The Social Security Act provides that a wage earner, or someone authorized by a wage earner, may request Social Security earnings information from SSA using form SSA7050. SSA uses the information collected on the form to verify that the requestor is authorized to access the earnings record and to produce the earnings statement. The respondents are wage earners and organizations and legal representatives authorized by the wage earner.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 11 minutes.
Estimated Annual Burden: 11,000 hours.
12. Employer Report of Special Wage Payments20 CFR 404.428 404.42909600565. SSA gathers the information on Form SSA131 to prevent earningsrelated overpayments to employees, and to avoid erroneous withholding of benefits. The respondents are employers who provide special wage payment verification.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden of Response: 20 minutes.
Estimated Average Burden: 10,000 hours.
13. Interim Assistance Reimbursement Matching Agreements20 CFR
4165250960NEW. SSA enters into Interim Assistance Reimbursement
(IAR) agreements with states/counties/townships, to submit daily IAR
reports either manually or electronically to SSA. The interim
assistance (IA) agency provides the individual general assistance for
meeting basic needs while an SSI claim is pending or SSI benefits were
suspended or terminated. The IAR reports are used to reimburse
participating State or local IA agency from an individual's initial
retroactive SSI payment for funds it advanced to eligible individuals.
These reports are compared against SSA's files to identify individuals
who may become eligible to receive SSI payments, and the SSA record is
updated to memorialize the agreement. If the claim is approved, SSA
reimburses the state/county/township IA agency for funds it advanced to
the eligible individuals. The respondents are State or local IA
agencies who provide IAR reports either manually or electronically to SSA.
Type of Request: New information collection.
Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondent response (hours) (hours)
Interim assistance reporting.................... 300 250 1 75,000
Model Agreement................................. 10 1 12 120
Total....................................... 310 .............. .............. 75,120
14. Social Security Statement Survey0960NEW.
Background
As per 42 U.S.C. 1320b13, SSA is required to provide benefits and earnings statements to Social Security numberholders age 25 and over who earn wages. This document, which is provided annually, is called the Social Security Statement. In response to a recommendation from the General Accountability Office (GAO), SSA has begun a systematic and regular evaluation of customer satisfaction with the Statement. Description of Proposed Surveys
Taking the evaluation process one step further, we are now planning
to conduct a national survey to monitor and improve customer
satisfaction with the messages in the 2007 Statement. The 2007
Statement contains new WEP/Government Pension Offset (GPO) language as
mandated by law. There are two versions of the WEP/GPO language in the
Statement to accommodate different groups of wageearners: those who
have an earnings history with both covered and noncovered earnings
under Social Security and those who have only earnings covered under
Social Security. Each group will receive a Statement with WEP/GPO
language specific to them and will be surveyed to determine their
satisfaction. Information obtained through this evaluation will help
SSA improve the Statement as a communications product that meets SSA's
goals and assures that the public is aware of, understands, and can act
upon the information the Statement provides in a timely way. The
respondents are two groups of wage earners: those who have an earnings
history with both covered and noncovered earnings under Social
Security, and those who have only earnings covered under Social Security.
Burden Information
Type of Request: New information collection.
Average
Number of Frequency of burden per Estimated
respondents response response Annual Burden
(minutes) (hours)
Recipients with covered and noncovered earnings 600 1 10 100 history........................................
[[Page 62513]]
Recipients with covered earnings only........... 600 1 10 100
Total....................................... 1200 .............. 200
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 4109650454, or by writing to the address listed above.
1. Sheltered Workshop Wage Reporting0960NEW.
Collection Background
Section 1612(1)(C) of the Social Security Act (the Act) and 42 U.S.C. 1382a define remuneration received for services performed in a sheltered workshop as earned income for the SSI program. The amount of monthly wages determines an individual's SSI benefit amount. Collection Description
SSA has maintained a working relationship with sheltered workshops
since the inception of the SSI program. Most workshops report monthly
wage totals to the local SSA office so that the client's SSI check is
adjusted timely and overpayments are prevented. While participation of
the workshop is strictly voluntary, they are highly motivated to report
the wages because it provides a service to their clients. Sheltered
Workshop reporting reduces the number of overpayments to SSI
recipients. Processing these wage reports electronically reduces the
cost of administering the program. SSA uses the information collected
to verify and post monthly wages to the SSI recipient's record.
Respondents are sheltered workshops that report monthly wages for services performed in the workshop.
Type of Request: New information collection.
Number of Respondents: 1,000.
Frequency of Response: 12.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 1,000 hours.
2. Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate20 CFR 408.900 408.950, 408.923(b), 408.931(b), 408.932(c), (d) and (e), 408.941(b) and 408.94209600698. Title VIII allows the payment of a monthly benefit by the Commissioner of Social Security to a qualified World War II veteran who resides outside the United States. When an overpayment in SVB occurs, the beneficiary can use this form to request waiver of recovery of the overpayment or a change in the repayment rate. The SSA 2032BK will be used to obtain the information necessary to determine whether the provisions of the Act regarding waiver of recovery of the overpayment are met. The information on the form is needed to determine a repayment rate if repayment cannot be waived. The respondents are beneficiaries who have overpayments on their Title VIII record and wish to file a claim for waiver of recovery or change in repayment rate.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 39.
Frequency of Response: 1.
Average Burden Per Response: 120 minutes.
Estimated Annual Burden: 78 hours.
Dated: October 29, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E721587 Filed 11207; 8:45 am]
BILLING CODE 419102P