Federal Register: June 9, 2009 (Volume 74, Number 109)
DOCID: fr09jn09-157 FR Doc E9-13316
SOCIAL SECURITY ADMINISTRATION
Social Security Administration
NOTICE: NOTICES
DOCID: fr09jn09-157
SUBJECT CATEGORY:
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 (Pub. L.) 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and extensions of OMB-approved information collections and a new collection. 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 the burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, e-mail, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and the SSA Reports Clearance Officer to the addresses or fax numbers shown below.
DOCUMENT SUMMARY:
(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, 1332 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: 4109656400, Email address: OPLM.RCO@ssa.gov.
I. The information collection below is pending at SSA. SSA will submit it 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 10, 2009. Individuals can obtain copies of the collection instrument by calling the SSA Reports Clearance Officer at 4109653758 or by writing to the email address we list above.
1. Psychiatric Review Technique20 CFR 404.1520a, 416.920a0960 0413. The SSA2506BK assists the Disability Determination Services (DDS) offices in evaluating mental impairments by helping to organize and present the mental findings in a clear, concise, and consistent manner; consider and evaluate all aspects of the mental impairment relevant to the individual's ability to perform workrelated mental functions; and identify additional evidence needed to determine impairment severity.
The respondents are the State DDSs and Federal DDSs administering the Title II and Title XVI programs.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 54.
Frequency of Response: 27,553.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 371,966 hours.
2. Certificate of Election for Reduced Spouse's Benefits20 CFR 404.42109600398. Reduced benefits are not payable to an already entitled spouse, at least age 62 but under full retirement age, who no longer has a child in care unless the spouse elects to receive reduced benefits. If a spouse decides to elect reduced benefits, they must complete Form SSA25. SSA uses the information collected on Form SSA25 to pay a qualified spouse who elects to receive a reduced benefit. Respondents are entitled spouses seeking reduced benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 1,000 hours.
II. SSA has submitted the information collections we list below to OMB for clearance. Your comments on the information collections would be most useful if OMB and SSA receive them within 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than July 9, 2009. You can obtain a copy of the OMB clearance packages by calling the SSA Reports Clearance Officer at 4109653758 or by writing to the above email address.
1. Statement of Employer20 CFR 404.801404.80309600030. SSA uses Form SSA7011F4 to substantiate allegations of wages paid to workers when those wages do not appear in SSA's records of earnings and the worker does not have proof of those earnings. SSA uses the information from this form to process claims for Social Security benefits and to resolve discrepancies in the individual's Social Security earnings record. We only send Form SSA7011F4 to employers if we deem it necessary. We make every effort to locate the earnings information within our records before we contact the employer. The respondents are employers who can verify wage allegations made by wage earners.
Note: This is a correction notice. SSA published this information collection as an extension on April 07, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 925,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 308,333 hours.
2. Statement of Claimant or Other Person20 CFR 404.702 & 416.57009600045. SSA uses the SSA795 to obtain information from claimants or other persons having knowledge of facts in connection with claims for Supplemental Security Income (SSI) or Social Security benefits when there is no standard form to collect the needed information. SSA uses the information to process claims for benefits or for ongoing issues related to the above programs. The respondents are applicants/recipients of SSI or Social Security benefits, or others who are in a position to provide information pertinent to the claim(s).
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 305,500.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 76,375 hours.
3. Statement of SelfEmployment Income20 CFR 404.101, 404.110, [[Page 27380]]
404.1096(a)(d)09600046. SSA collects the information on Form SSA
766 to expedite the payment of benefits to an individual who is self
employed and who is establishing insured status. The form elicits the
information necessary to determine if the individual will have the
minimum amount of selfemployment income for quarters of coverage.
Respondents are selfemployed individuals who may be eligible for Social Security benefits.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 417 hours.
4. Certification by Religious Group20 CFR 404.107509600093. SSA uses information from Form SSA1458 to determine whether a religious group meets the qualifications contained in Section 1402(g) of the Internal Revenue Code, which exempts members of certain religious groups and sects from payment of SelfEmployment Contribution Act taxes. The respondents are spokespersons for religious groups or sects.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 180.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 45 hours.
5. Instructions for Completion of Federal Assistance Application 09600184. SSA uses information from Form SSABK96 to select grant proposals for funding based on their technical merits. This information assists the agency in evaluating the soundness of the design of the proposed activities, the possibilities of obtaining productive results, the adequacy of resources to conduct the activities and the relationship to other similar activities of the respondents. The respondents are State and local governments, Statedesignated protection and advocacy groups, colleges and universities and profit and nonprofit private organizations.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 400.
Frequency of Response: 2 hours.
Average Burden per Response: 14 hours.
Estimated Annual Burden: 11,200 hours.
6. Representative Payee ReportSpecial Veterans Benefits20 CFR 408.66509600621. Title VIII of the Social Security Act allows the payment of monthly benefits (referred to as Special Veterans Benefits) by the Commissioner of Social Security to qualified World War II veterans who reside outside the United States. An SSAappointed representative payee may receive and manage the monthly payment for the beneficiary's use and benefit. SSA uses the Form SSA2001F6 to determine if the payee has used the benefits properly and continues to demonstrate strong concern for the beneficiary. Respondents are persons or organizations who act on behalf of beneficiaries receiving Special Veterans Benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 17 hours.
7. Request for Deceased Individual's Social Security Record20 CFR 402.13009600665. SSA uses the Form SSA711 to process requests from the public for a microprint of the SS5, Application for Social Security Card, for a deceased individual. Respondents are members of the public who are requesting deceased individuals' Social Security records.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of OMBapproved information.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 7 minutes.
Estimated Annual Burden: 5,834 hours.
8. Request for Business Entity Taxpayer Information09600731. SSA uses the SSA1694 to collect information from law firms or other business entities that have partners or employees to facilitate direct payment of SSAauthorized fees for representing claimants before SSA. SSA will use this information to meet any requirement for issuance of a Form 1099MISC. The respondent law firms or other business entities that represent claimants before SSA.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 2,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 333 hours.
Type of Request: Revision of an OMBapproved information collection.
9. Electronic Records Express09600753. Electronic Records Express (ERE) is a Webbased SSA program that allows medical providers to electronically submit disability claimant data to SSA. Medical providers and other third parties with connections to disability applicants/recipients can use this system. This information collection request (ICR) includes the registration process for becoming a certified ERE user. We are expanding this ICR to include increased functionality by giving medical providers the ability to submit invoices electronically. The respondents are medical providers who evaluate or treat disability claimants/recipients and other third parties.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 17,689.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 2,948 hours.
III. Correction Notices
1. Function Report AdultThird Party20 CFR 404.1512 & 416.912 09600635. This is a correction notice: SSA inadvertently published duplicate notices for this collection at 74 FR 23764 on 5/20/09 and again at 74 FR 23916 on 5/21/09. The first publication was in error. Therefore, we request comments only for the second publication with a submission date no later than July 20, 2009.
2. Function Report Adult20 CFR 404.1512 & 416.91209600681.
This is a correction notice: SSA inadvertently published duplicate
notices for this collection at 74 FR 23764 on 5/20/09 and again at 74
FR 23916 on 5/21/09. The first publication was in error. Therefore, we
request comments only for the second publication with a submission date no later than July 20, 2009.
Dated: June 2, 2009.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social Security Administration.
[FR Doc. E913316 Filed 6809; 8:45 am]
BILLING CODE 419102P
SUMMARY:
Agency Information Collection Activities; Proposals, Submissions, and Approvals
DOCUMENT BODY 2:
(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, 1332 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: 4109656400, Email address: OPLM.RCO@ssa.gov.
I. The information collection below is pending at SSA. SSA will submit it 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 10, 2009. Individuals can obtain copies of the collection instrument by calling the SSA Reports Clearance Officer at 4109653758 or by writing to the email address we list above.
1. Psychiatric Review Technique20 CFR 404.1520a, 416.920a0960 0413. The SSA2506BK assists the Disability Determination Services (DDS) offices in evaluating mental impairments by helping to organize and present the mental findings in a clear, concise, and consistent manner; consider and evaluate all aspects of the mental impairment relevant to the individual's ability to perform workrelated mental functions; and identify additional evidence needed to determine impairment severity.
The respondents are the State DDSs and Federal DDSs administering the Title II and Title XVI programs.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 54.
Frequency of Response: 27,553.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 371,966 hours.
2. Certificate of Election for Reduced Spouse's Benefits20 CFR 404.42109600398. Reduced benefits are not payable to an already entitled spouse, at least age 62 but under full retirement age, who no longer has a child in care unless the spouse elects to receive reduced benefits. If a spouse decides to elect reduced benefits, they must complete Form SSA25. SSA uses the information collected on Form SSA25 to pay a qualified spouse who elects to receive a reduced benefit. Respondents are entitled spouses seeking reduced benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 1,000 hours.
II. SSA has submitted the information collections we list below to OMB for clearance. Your comments on the information collections would be most useful if OMB and SSA receive them within 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than July 9, 2009. You can obtain a copy of the OMB clearance packages by calling the SSA Reports Clearance Officer at 4109653758 or by writing to the above email address.
1. Statement of Employer20 CFR 404.801404.80309600030. SSA uses Form SSA7011F4 to substantiate allegations of wages paid to workers when those wages do not appear in SSA's records of earnings and the worker does not have proof of those earnings. SSA uses the information from this form to process claims for Social Security benefits and to resolve discrepancies in the individual's Social Security earnings record. We only send Form SSA7011F4 to employers if we deem it necessary. We make every effort to locate the earnings information within our records before we contact the employer. The respondents are employers who can verify wage allegations made by wage earners.
Note: This is a correction notice. SSA published this information collection as an extension on April 07, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 925,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 308,333 hours.
2. Statement of Claimant or Other Person20 CFR 404.702 & 416.57009600045. SSA uses the SSA795 to obtain information from claimants or other persons having knowledge of facts in connection with claims for Supplemental Security Income (SSI) or Social Security benefits when there is no standard form to collect the needed information. SSA uses the information to process claims for benefits or for ongoing issues related to the above programs. The respondents are applicants/recipients of SSI or Social Security benefits, or others who are in a position to provide information pertinent to the claim(s).
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 305,500.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 76,375 hours.
3. Statement of SelfEmployment Income20 CFR 404.101, 404.110, [[Page 27380]]
404.1096(a)(d)09600046. SSA collects the information on Form SSA
766 to expedite the payment of benefits to an individual who is self
employed and who is establishing insured status. The form elicits the
information necessary to determine if the individual will have the
minimum amount of selfemployment income for quarters of coverage.
Respondents are selfemployed individuals who may be eligible for Social Security benefits.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 417 hours.
4. Certification by Religious Group20 CFR 404.107509600093. SSA uses information from Form SSA1458 to determine whether a religious group meets the qualifications contained in Section 1402(g) of the Internal Revenue Code, which exempts members of certain religious groups and sects from payment of SelfEmployment Contribution Act taxes. The respondents are spokespersons for religious groups or sects.
Type of Request: Extension of an OMBapproved information collection.
Number of Respondents: 180.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 45 hours.
5. Instructions for Completion of Federal Assistance Application 09600184. SSA uses information from Form SSABK96 to select grant proposals for funding based on their technical merits. This information assists the agency in evaluating the soundness of the design of the proposed activities, the possibilities of obtaining productive results, the adequacy of resources to conduct the activities and the relationship to other similar activities of the respondents. The respondents are State and local governments, Statedesignated protection and advocacy groups, colleges and universities and profit and nonprofit private organizations.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 400.
Frequency of Response: 2 hours.
Average Burden per Response: 14 hours.
Estimated Annual Burden: 11,200 hours.
6. Representative Payee ReportSpecial Veterans Benefits20 CFR 408.66509600621. Title VIII of the Social Security Act allows the payment of monthly benefits (referred to as Special Veterans Benefits) by the Commissioner of Social Security to qualified World War II veterans who reside outside the United States. An SSAappointed representative payee may receive and manage the monthly payment for the beneficiary's use and benefit. SSA uses the Form SSA2001F6 to determine if the payee has used the benefits properly and continues to demonstrate strong concern for the beneficiary. Respondents are persons or organizations who act on behalf of beneficiaries receiving Special Veterans Benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 17 hours.
7. Request for Deceased Individual's Social Security Record20 CFR 402.13009600665. SSA uses the Form SSA711 to process requests from the public for a microprint of the SS5, Application for Social Security Card, for a deceased individual. Respondents are members of the public who are requesting deceased individuals' Social Security records.
Note: This is a correction notice. SSA published this information collection as an extension on April 7, 2009 at 74 FR 15808. Since we are revising the Privacy Act Statement, this is now a revision of OMBapproved information.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 7 minutes.
Estimated Annual Burden: 5,834 hours.
8. Request for Business Entity Taxpayer Information09600731. SSA uses the SSA1694 to collect information from law firms or other business entities that have partners or employees to facilitate direct payment of SSAauthorized fees for representing claimants before SSA. SSA will use this information to meet any requirement for issuance of a Form 1099MISC. The respondent law firms or other business entities that represent claimants before SSA.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 2,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 333 hours.
Type of Request: Revision of an OMBapproved information collection.
9. Electronic Records Express09600753. Electronic Records Express (ERE) is a Webbased SSA program that allows medical providers to electronically submit disability claimant data to SSA. Medical providers and other third parties with connections to disability applicants/recipients can use this system. This information collection request (ICR) includes the registration process for becoming a certified ERE user. We are expanding this ICR to include increased functionality by giving medical providers the ability to submit invoices electronically. The respondents are medical providers who evaluate or treat disability claimants/recipients and other third parties.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 17,689.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 2,948 hours.
III. Correction Notices
1. Function Report AdultThird Party20 CFR 404.1512 & 416.912 09600635. This is a correction notice: SSA inadvertently published duplicate notices for this collection at 74 FR 23764 on 5/20/09 and again at 74 FR 23916 on 5/21/09. The first publication was in error. Therefore, we request comments only for the second publication with a submission date no later than July 20, 2009.
2. Function Report Adult20 CFR 404.1512 & 416.91209600681.
This is a correction notice: SSA inadvertently published duplicate
notices for this collection at 74 FR 23764 on 5/20/09 and again at 74
FR 23916 on 5/21/09. The first publication was in error. Therefore, we
request comments only for the second publication with a submission date no later than July 20, 2009.
Dated: June 2, 2009.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social Security Administration.
[FR Doc. E913316 Filed 6809; 8:45 am]
BILLING CODE 419102P