Agency Information Collection Activities: Proposed Request and Comment Request, 76378-76382 [2013-29907]
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76378
Federal Register / Vol. 78, No. 242 / Tuesday, December 17, 2013 / Notices
By the Commission.
Elizabeth M. Murphy,
Secretary.
[FR Doc. 2013–30068 Filed 12–13–13; 11:15 am]
BILLING CODE 8011–01–P
SMALL BUSINESS ADMINISTRATION
Reporting and Recordkeeping
Requirements Under OMB Review
Small Business Administration.
Notice of 30 day reporting
requirements submitted for OMB
review.
AGENCY:
ACTION:
Under the provisions of the
Paperwork Reduction Act (44 U.S.C.
Chapter 35), agencies are required to
submit proposed reporting and
recordkeeping requirements to OMB for
review and approval, and to publish a
notice in the Federal Register notifying
the public that the agency has made
such a submission.
DATES: Submit comments on or before
January 16, 2014. If you intend to
comment but cannot prepare comments
promptly, please advise the OMB
Reviewer and the Agency Clearance
Officer before the deadline.
Copies: Request for clearance (OMB
83–1), supporting statement, and other
documents submitted to OMB for
review may be obtained from the
Agency Clearance Officer.
ADDRESSES: Address all comments
concerning this notice to: Agency
Clearance Officer, Curtis Rich, Small
Business Administration, 409 3rd Street
SW., 5th Floor, Washington, DC 20416;
and OMB Reviewer, Office of
Information and Regulatory Affairs,
Office of Management and Budget, New
Executive Office Building, Washington,
DC 20503.
FOR FURTHER INFORMATION CONTACT:
Curtis Rich, Agency Clearance Officer,
(202) 205–7030 curtis.rich@sba.gov.
SUMMARY:
Abstract: The information collected
on SBA Form 480, ‘‘Size Status
Declaration’’ is a certification of small
business size status. This information
collection is used to determine whether
SBDC financial assistance is provided
only to small business concerns as
defined in the Small Business
Investment Act and SBA size
regulations. Without this certification,
businesses that exceed SBA’s size
standards could benefit from program
resources meant for small businesses.
SUPPLEMENTARY INFORMATION:
Title: Size Status Declaration.
Frequency: On Occasion.
SBA Form Number: 480.
Description of Respondents:
Investment Companies.
Responses: 2,500.
Annual Burden: 417.
Curtis Rich,
Management Analyst.
[FR Doc. 2013–29874 Filed 12–16–13; 8:45 am]
BILLING CODE 8025–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
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
Number of
respondents
Type of respondent
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:
OIRA_Submission@omb.eop.gov.
(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:
OR.Reports.Clearance@ssa.gov.
I. 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 February 18,
2014. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Advanced Notice of Termination of
Child’s Benefits & Student’s Statement
Regarding School Attendance—20 CFR
404.350–404.352, 404.367–404.368—
0960–0105. SSA collects information on
Forms SSA–1372–BK and SSA–1372–
BK–FC to determine whether children
of an insured worker meet the eligibility
requirements for student benefits. The
data we collect allows SSA to
entitlement to initial and continuning
student benefits. The respondents are
student claimants for Social Security
benefits, their respective schools, and,
in some cases, their representative
payees.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Estimated
total
annual
burden
(hours)
Average
burden per
response
(minutes)
wreier-aviles on DSK5TPTVN1PROD with NOTICES
SSA–1372–BK
Individuals/Households ....................................................................................
State/Local/Tribal Government ........................................................................
99,850
99,850
1
1
8
3
13,313
4,993
Totals ........................................................................................................
199,700
........................
........................
18,306
150
150
1
1
8
3
20
8
SSA–1372–BK–FC
Individuals/Households ....................................................................................
State/Local/TribalGovernment .........................................................................
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Frequency of
response
Number of
respondents
Type of respondent
Average
burden per
response
(minutes)
76379
Estimated
total
annual
burden
(hours)
Totals ........................................................................................................
300
........................
........................
28
Grand Total .......................................................................................
200,000
........................
........................
18,334
2. State Mental Institution Policy
Review Booklet—20 CFR 404.2035,
404.2065, 416.635, & 416.665—0960–
0110. SSA uses Form SSA–9584–BK: (1)
To determine if the policies and
practices of State mental institutions
acting as representative payees for SSA
beneficiaries conform to SSA’s
regulations in the use of benefits; (2) to
confirm that institutions are performing
other duties and responsibilities
required of a representative payees; and
(3) as the basis for conducting onsite
reviews of the institutions and
preparing subsequent reports of
findings. The respondents are State
mental institutions serving as
representative payees for Social Security
beneficiaries and Supplemental Security
Income (SSI) recipients.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per response
(minutes)
Estimated total
annual burden
(hours)
SSA–9584–BK .................................................................................................
78
1
60
78
3. Modified Benefit Formula
Questionnaire—0960–0395. SSA
collects information on Form SSA–150
to determine which formula to use in
computing the Social Security benefit
for someone who receives a pension
from employment not covered by Social
Security. The Windfall Elimination
Provision (WEP) requires use of a
benefit formula replacing a smaller
percentage of a worker’s pre-retirement
earnings. However, the resulting amount
cannot show a difference in the benefit
computed using the modified and
regular formulas greater than one-half
the amount of the pension received in
the first month an individual is entitled
to both the pension and the Social
Security benefit. The SSA–150 collects
the information needed to make all the
necessary benefit computations. SSA
requires the respondents to furnish the
information on Form SSA–150 so we
can calculate their benefits using the
data they supply. SSA calculates the
benefits of applicants who do not
respond to this questionnaire using the
full WEP reduction. SSA employees
collect this information once from the
applicant at the time they file their
claim. The respondents are applicants
for old age and disability benefits.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
SSA–150 ..........................................................................................................
90,000
1
8
12,000
credit the earnings to the correct
individual and SSN. We send the SSA–
4156 to the employer to: (1) identify the
employees involved; (2) resolve the
discrepancy, and (3) credit the earnings
to the correct SSN. The respondents are
4. Employee Identification
Statement—20 CFR 404.702—0960–
0473. When two or more individuals
report earnings under the same Social
Security number (SSN), SSA collects
information on Form SSA–4156 to
employers involved in erroneous wage
reporting for an employee.
Type of Request: Revision of an OMBapproved information collection.
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Modality of completion
Number of
respondents
Frequency of
response
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
SSA–4156 ........................................................................................................
4,750
1
10
792
5. Modified Benefit Formula
Questionnaire—Employer—20 CFR 401
& 402—0960–0477. Sections 215(a)(7)
and 215(d)(3) of the Social Security Act
requires SSA to use WEP, a modified
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benefit formula, to compute Social
Security retirement or disability benefits
for persons first eligible (after 1985) for
both a Social Security benefit and a
pension or annuity, based on
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employment not covered by Social
Security. SSA determines if the WEP is
applicable and when to apply it to a
person’s benefit. SSA uses Form SSA–
58 to verify the claimant’s allegations on
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Federal Register / Vol. 78, No. 242 / Tuesday, December 17, 2013 / Notices
Form SSA–150 (OMB No. 0960–0395,
Modified Benefits Formula
Questionnaire). SSA sends the SSA–58
to an employer for pension-related
information, if the claimant is unable to
provide it. The respondents are
employers of people who were eligible
after 1985 for both Social Security
benefits and a pension based on work
not covered by SSA.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
SSA–58 ............................................................................................................
30,000
1
20
10,000
6. Employee Work Activity
Questionnaire—20 CFR 404.1574,
404.1592—0960–0483. Social Security
disability beneficiaries and SSI
recipients qualify for payments when a
verified physical or mental impairment
prevents them from working. If
disability claimants attempt to return to
work after receiving payments,but are
unable to continue working, they submit
the SSA–3033, Employee Work Activity
Questionnaire, so SSA can evaluate
their work attempt. SSA also uses this
form to evaluate unsuccessful subsidy
work and determine applicants’
continuing eligibility for disability
payments. The respondents are
employers of Social Security disability
beneficiaries and SSI recipients who
unsuccessfully attempted to return to
work.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
SSA–9584–BK .................................................................................................
78
1
60
78
7. Work History Report—20 CFR
404.1515, 404.1560, 404.1565, 416.960,
and 416.3965—0960–0578. Under
certain circumstances, SSA asks
individuals apply for disability about
work they have performed in the past.
Applicants use Form SSA–3369, Work
Respondents are disability applicants
and third parties assisting those
applicants.
Type of Request: Revision of an OMBapproved information collection.
History Report, to provide detailed
information about jobs held prior to
becoming unable to work. State
Disability Determination Services
evaluate the information, together with
medical evidence, to determine
eligibility for disability payments.
Number of
respondents
Modality of completion
Frequency of
response
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
1,553,900
38,049
1
1
60
60
1,553,900
38,049
Totals ........................................................................................................
wreier-aviles on DSK5TPTVN1PROD with NOTICES
SSA–3369 (Paper form) ..................................................................................
Electronic Disability Collect System—3369 .....................................................
1,591,949
........................
........................
1,591,949
II. SSA submitted the information
collection below to OMB for clearance.
Your comments regarding the
information collection would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
January 16, 2014. Individuals can obtain
copies of the OMB clearance package by
writing to OR.Reports.Clearance@
ssa.gov.
Consent Based Social Security
Number Verification Process—20 CFR
400.100—0960–0760. The Consent
Based Social Security Number
Verification (CBSV) process is a feebased automated SSN verification
service available to private businesses
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and other requesting parties. To use the
system, private businesses and
requesting parties must register with
SSA and obtain valid consent from SSN
number holders prior to verification. We
collect the information to verify if the
submitted name and SSN match the
information in SSA records. After
completing a registration process and
paying the fee, the requesting party can
use the CBSV process to submit a file
containing the names of number holders
who have given valid consent, along
with each number holder’s
accompanying SSN and date of birth (if
available) to obtain real-time results
using a web service application or SSA’s
Business Services Online (BSO)
application. SSA matches the
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information against the SSA master file
of SSNs, using SSN, name, date of birth,
and gender code (if available). The
requesting party retrieves the results file
from SSA, which indicates only a match
or no match for each SSN submitted.
Under the CBSV process, the
requesting party does not submit the
consent forms of the number holders to
SSA. SSA requires each requesting party
to retain a valid consent form for each
SSN verification request. The requesting
party retains the consent forms in either
electronic or paper format.
To ensure the integrity of the CBSV
process, SSA has added a strong audit
component that requires audits (called
‘‘compliance reviews’’) at the discretion
of the agency with all audit costs paid
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Federal Register / Vol. 78, No. 242 / Tuesday, December 17, 2013 / Notices
by the requesting party. Independent
certified public accounts (CPAs)
conduct these reviews to ensure
compliance with all the terms and
conditions of the party’s agreement with
SSA, including a review of the consent
forms. CPAs conduct the reviews at the
requesting party’s place of business to
ensure the integrity of the process. In
addition, SSA reserves the right to
perform unannounced onsite
inspections of the entire process,
including review of the technical
systems that maintain the data and
transaction records. The respondents to
the CBSV collection are the
participating companies, members of
the public who consent to the SSN
verification, and CPAs who provide
compliance review services.
Note: This is a correction notice: SSA
published the incorrect burden information
for this collection at 78 FR 59411, on 9/26/
13. We are correcting this error here.
Type of Request: Revision of an OMBapproved information collection.
TIME BURDEN—PARTICIPATING COMPANIES
Number of
respondents
Requirement
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Total
estimated
annual burden
(hours)
Registration process for new participating companies. .......
Creation of file with SSN holder identification data; maintaining required documentation/forms. .............................
Using the system to upload request file, check status, and
download results file. ........................................................
Storing Consent Forms ........................................................
Activities related to compliance review ................................
* 14
1
14
120
28
90
** 251
22,590
60
22,590
90
90
90
251
251
251
22,590
22,590
22,590
5
60
60
1,883
22,590
22,590
Total ..............................................................................
........................
........................
90,374
........................
69,681
* One-time registration process/approximately 14 new participating companies per year.
** Please note there are 251 Federal business days per year on which a requesting party could submit a file.
PARTICIPATING COMPANIES WHO OPT FOR EXTERNAL TESTING ENVIRONMENT (ETE)
Number of
respondents
Requirement
ETE Registration Process (includes reviewing and completing ETE User Agreement) ..........................................
Web Service Transactions ...................................................
Reporting Issues Encountered on Web service testing
(e.g., reports on application’s reliability) ..........................
Reporting changes in users’ status (e.g., termination or
changes in users’ employment status; changes in duties
of authorized users) .........................................................
Cancellation of Agreement ..................................................
Dispute Resolution ...............................................................
Total ..............................................................................
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Total
estimated
annual burden
(hours)
20
20
1
1
1
50
180
1
60
17
20
1
50
1
17
20
20
20
1
1
1
1
1
1
60
30
120
20
10
40
20
........................
........................
........................
144
PEOPLE WHOSE SSNS SSA WILL VERIFY
Number of
respondents
Requirement
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
Total
estimated
annual burden
(hours)
2,500,000
5,750
1
1
2,500,000
5,750
3
5
125,000
479
Total ..............................................................................
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Reading and signing authorization for SSA to release SSN
verification ........................................................................
Responding to CPA re-contact ............................................
2,505,750
........................
2,165,872
........................
125,479
There is one CPA respondent
conducting compliance reviews and
preparing written reports of findings.
The average burden per response is
4,800 minutes for a total burden of 7,200
hours annually.
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Cost Burden
The public burden cost is dependent
upon the number of companies and
transactions. SSA based the cost
estimates below upon 90 participating
companies submitting a total 2.5 million
transactions per year.
One-Time per Company Registration
Fee—$5,000.
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Estimated per SSN Transaction Fee—
$1.10.i
i The annual costs associated with the transaction
to each company are dependent upon the number
of SSN transactions submitted to SSA by the
company on a yearly basis. For example, if a
company anticipates submitting 1 million requests
to SSA for the year, its total transaction cost for the
year would be $1.10 × 1,000,000, or $1,100,000.
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Federal Register / Vol. 78, No. 242 / Tuesday, December 17, 2013 / Notices
Estimated per Company Cost to Store
Consent Forms—$300.
Dated: December 12, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2013–29907 Filed 12–16–13; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Notice of Cancellation of
Environmental Impact Statement for
the Norfolk International Airport,
Norfolk, Virginia
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice of cancellation of
preparation of environmental impact
statement.
AGENCY:
The Federal Aviation
Administration (FAA) announces that it
has discontinued preparation of an
Environmental Impact Statement (EIS)
for the proposed construction of new
Runway 5R/23L and associated
development at Norfolk International
Airport, Norfolk, Virginia. The FAA’s
discontinued preparation of the EIS is
based upon the length of time that has
elapsed since the issuance of the Notice
of Intent (NOI) in 2001 for the project
and the need to consider results from
additional planning efforts completed
by the Norfolk Airport Authority (NAA),
the owner and operator of the airport.
The additional planning effort by NAA
has modified the project purpose and
need and refined various project
elements, including the need to relocate
the Very High Frequency Omnidirectional Range/Tactical Air
Navigation (VORTAC) facility. As a
result of the additional planning
studies, refinements to the project
scope, and the time elapsed; the FAA
has decided to discontinue the EIS as
proposed in the NOI from 2001.
FOR FURTHER INFORMATION CONTACT:
Andrew Brooks, Environmental Program
Manager, Airports Division AEA–610,
Federal Aviation Administration,
Eastern Region, 1 Aviation Plaza,
Jamaica, New York 11434; Telephone
(718) 553–2511.
SUPPLEMENTARY INFORMATION: On June
28, 2001, the FAA, published in the
wreier-aviles on DSK5TPTVN1PROD with NOTICES
SUMMARY:
Periodically, SSA will calculate our costs to provide
CBSV services and adjust the fee charged as needed.
SSA notifies companies in writing and via Federal
Register Notice of any changes and companies have
the opportunity to cancel the agreement or continue
service using the new transaction fee.
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Federal Register a Notice of Intent (NOI)
to prepare an Environmental Impact
Statement (EIS) and hold a Public
Scoping Meeting at Norfolk
International Airport (Volume 66,
Number 125, FR 34508–34509). The EIS
and Public Scoping Meeting were to
address the proposed construction of
new Runway 5R/23L and associated
development at the airport, including
new taxiway construction, taxiway
relocation, runway safety area
construction, new airfield lighting,
improvements to existing lighting,
relocation of the VORTAC facility,
installation of a Medium Intensity
Approach Lighting System with
Runway Alignment Indicator Lights
(MALSR) for the new Runway 23L, and
a Category II Instrument Landing
MALSR for new Runway 5R.
In 2001, the FAA based its decision to
prepare the EIS on the procedures
described in FAA Order 5050.4A,
Airport Environmental Handbook, and
FAA Order 1050.1D, Policies and
Procedures for Considering
Environmental Impacts. FAA also based
its decision to prepare a federal EIS
primarily on NAA’s proposal to
construct a new Runway 5R/23L in
parallel to the existing Runway 5/23,
which would be re-designated as
Runway 5L/23R. The new runway was
proposed to be 8,000 feet long and 150
feet wide and would have a runway
centerline separation from the existing
runway of 845 feet.
Subsequently, NAA completed
supplemental planning efforts that
necessitated making changes to the
proposed project’s purpose and need.
Therefore, the proposed project’s
purpose and need has recently been
revised and various project components,
including the relocation of the
VORTAC, are no longer required. The
NAA submitted an Airport Layout Plan
revision to the FAA that depicted the
refined project elements. The Airport
Layout Plan was conditionally
approved, subject to environmental
review by the FAA on October 5, 2011.
The FAA will determine the appropriate
National Environmental Policy Act
(NEPA) documentation necessary to
assess the environmental effects of the
proposed improvements pursuant to
FAA Order 5050.4B, National
Environmental Policy Act (NEPA)
Implementing Instructions for Airport
Actions, and FAA Order 1050.1E,
Environmental Impacts: Policies and
Procedures.
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Issued in Jamaica, New York, on December
5, 2013.
Debbie Roth,
Manager, Airports Division, Eastern Region,
AEA–600.
[FR Doc. 2013–29981 Filed 12–16–13; 8:45 am]
BILLING CODE 4910–13–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Notice of Passenger Facility Charge
(PFC) Approvals and Disapprovals
Federal Aviation
Administration (FAA), DOT.
ACTION: Monthly Notice of PFC
Approvals and Disapprovals. In May
2013, there were four applications
approved. Additionally, 10 approved
amendments to previously approved
applications are listed.
AGENCY:
The FAA publishes a monthly
notice, as appropriate, of PFC approvals
and disapprovals under the provisions
of the Aviation Safety and Capacity
Expansion Act of 1990 (Title IX of the
Omnibus Budget Reconciliation Act of
1990) (Pub. L. 101–508) and Part 158 of
the Federal Aviation Regulations (14
CFR part 158). This notice is published
pursuant to paragraph d of § 158.29.
SUMMARY:
PFC Applications Approved
PUBLIC AGENCY: County of Sonoma,
Santa Rosa, California.
APPLICATION NUMBER: 13–05–C–
00–STS.
APPLICATION TYPE: Impose and use
a PFC.
PFC LEVEL: $4.50.
TOTAL PFC REVENUE APPROVED
IN THIS DECISION: $425,000.
EARLIEST CHARGE EFFECTIVE
DATE: July 1, 2013.
ESTIMATED CHARGE EXPIRATION
DATE: June 1, 2014.
CLASS OF AIR CARRIERS NOT
REQUIRED TO COLLECT PFC’S: None.
BRIEF DESCRIPTION OF PROJECTS
APPROVED FOR COLLECTION AND
USE: Acquire protective equipment for
aircraft rescue and firefighting
personnel. Acquire Americans with
Disabilities Act passenger boarding
ramp. Install common use flight
information system.
DECISION DATE: May 13, 2013.
FOR FURTHER INFORMATION CONTACT: Neil
Kumar, San Francisco Airports District
Office, (650) 827–7627.
PUBLIC AGENCY: City of Minot,
North Dakota.
APPLICATION NUMBER: 13–08–C–
00–MOT.
APPLICATION TYPE: Impose and use
a PFC.
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]]>Agencies
[Federal Register Volume 78, Number 242 (Tuesday, December 17, 2013)]
[Notices]
[Pages 76378-76382]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-29907]
=======================================================================
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
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: OIRA_Submission@omb.eop.gov.
(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: OR.Reports.Clearance@ssa.gov.
I. 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
February 18, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Advanced Notice of Termination of Child's Benefits & Student's
Statement Regarding School Attendance--20 CFR 404.350-404.352, 404.367-
404.368--0960-0105. SSA collects information on Forms SSA-1372-BK and
SSA-1372-BK-FC to determine whether children of an insured worker meet
the eligibility requirements for student benefits. The data we collect
allows SSA to entitlement to initial and continuning student benefits.
The respondents are student claimants for Social Security benefits,
their respective schools, and, in some cases, their representative
payees.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Type of respondent respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1372-BK
----------------------------------------------------------------------------------------------------------------
Individuals/Households.......................... 99,850 1 8 13,313
State/Local/Tribal Government................... 99,850 1 3 4,993
---------------------------------------------------------------
Totals...................................... 199,700 .............. .............. 18,306
----------------------------------------------------------------------------------------------------------------
SSA-1372-BK-FC
----------------------------------------------------------------------------------------------------------------
Individuals/Households.......................... 150 1 8 20
State/Local/TribalGovernment.................... 150 1 3 8
---------------------------------------------------------------
[[Page 76379]]
Totals...................................... 300 .............. .............. 28
---------------------------------------------------------------
Grand Total............................. 200,000 .............. .............. 18,334
----------------------------------------------------------------------------------------------------------------
2. State Mental Institution Policy Review Booklet--20 CFR 404.2035,
404.2065, 416.635, & 416.665--0960-0110. SSA uses Form SSA-9584-BK: (1)
To determine if the policies and practices of State mental institutions
acting as representative payees for SSA beneficiaries conform to SSA's
regulations in the use of benefits; (2) to confirm that institutions
are performing other duties and responsibilities required of a
representative payees; and (3) as the basis for conducting onsite
reviews of the institutions and preparing subsequent reports of
findings. The respondents are State mental institutions serving as
representative payees for Social Security beneficiaries and
Supplemental Security Income (SSI) recipients.
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-9584-BK................................. 78 1 60 78
----------------------------------------------------------------------------------------------------------------
3. Modified Benefit Formula Questionnaire--0960-0395. SSA collects
information on Form SSA-150 to determine which formula to use in
computing the Social Security benefit for someone who receives a
pension from employment not covered by Social Security. The Windfall
Elimination Provision (WEP) requires use of a benefit formula replacing
a smaller percentage of a worker's pre-retirement earnings. However,
the resulting amount cannot show a difference in the benefit computed
using the modified and regular formulas greater than one-half the
amount of the pension received in the first month an individual is
entitled to both the pension and the Social Security benefit. The SSA-
150 collects the information needed to make all the necessary benefit
computations. SSA requires the respondents to furnish the information
on Form SSA-150 so we can calculate their benefits using the data they
supply. SSA calculates the benefits of applicants who do not respond to
this questionnaire using the full WEP reduction. SSA employees collect
this information once from the applicant at the time they file their
claim. The respondents are applicants for old age and disability
benefits.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-150..................................... 90,000 1 8 12,000
----------------------------------------------------------------------------------------------------------------
4. Employee Identification Statement--20 CFR 404.702--0960-0473.
When two or more individuals report earnings under the same Social
Security number (SSN), SSA collects information on Form SSA-4156 to
credit the earnings to the correct individual and SSN. We send the SSA-
4156 to the employer to: (1) identify the employees involved; (2)
resolve the discrepancy, and (3) credit the earnings to the correct
SSN. The respondents are employers involved in erroneous wage reporting
for an employee.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4156.................................... 4,750 1 10 792
----------------------------------------------------------------------------------------------------------------
5. Modified Benefit Formula Questionnaire--Employer--20 CFR 401 &
402--0960-0477. Sections 215(a)(7) and 215(d)(3) of the Social Security
Act requires SSA to use WEP, a modified benefit formula, to compute
Social Security retirement or disability benefits for persons first
eligible (after 1985) for both a Social Security benefit and a pension
or annuity, based on employment not covered by Social Security. SSA
determines if the WEP is applicable and when to apply it to a person's
benefit. SSA uses Form SSA-58 to verify the claimant's allegations on
[[Page 76380]]
Form SSA-150 (OMB No. 0960-0395, Modified Benefits Formula
Questionnaire). SSA sends the SSA-58 to an employer for pension-related
information, if the claimant is unable to provide it. The respondents
are employers of people who were eligible after 1985 for both Social
Security benefits and a pension based on work not covered by SSA.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-58...................................... 30,000 1 20 10,000
----------------------------------------------------------------------------------------------------------------
6. Employee Work Activity Questionnaire--20 CFR 404.1574,
404.1592--0960-0483. Social Security disability beneficiaries and SSI
recipients qualify for payments when a verified physical or mental
impairment prevents them from working. If disability claimants attempt
to return to work after receiving payments,but are unable to continue
working, they submit the SSA-3033, Employee Work Activity
Questionnaire, so SSA can evaluate their work attempt. SSA also uses
this form to evaluate unsuccessful subsidy work and determine
applicants' continuing eligibility for disability payments. The
respondents are employers of Social Security disability beneficiaries
and SSI recipients who unsuccessfully attempted to return to work.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9584-BK................................. 78 1 60 78
----------------------------------------------------------------------------------------------------------------
7. Work History Report--20 CFR 404.1515, 404.1560, 404.1565,
416.960, and 416.3965--0960-0578. Under certain circumstances, SSA asks
individuals apply for disability about work they have performed in the
past. Applicants use Form SSA-3369, Work History Report, to provide
detailed information about jobs held prior to becoming unable to work.
State Disability Determination Services evaluate the information,
together with medical evidence, to determine eligibility for disability
payments. Respondents are disability applicants and third parties
assisting those applicants.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3369 (Paper form)........................... 1,553,900 1 60 1,553,900
Electronic Disability Collect System--3369...... 38,049 1 60 38,049
---------------------------------------------------------------
Totals...................................... 1,591,949 .............. .............. 1,591,949
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collection below to OMB for
clearance. Your comments regarding the information collection would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than January 16, 2014. Individuals can obtain copies of the
OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.
Consent Based Social Security Number Verification Process--20 CFR
400.100--0960-0760. The Consent Based Social Security Number
Verification (CBSV) process is a fee-based automated SSN verification
service available to private businesses and other requesting parties.
To use the system, private businesses and requesting parties must
register with SSA and obtain valid consent from SSN number holders
prior to verification. We collect the information to verify if the
submitted name and SSN match the information in SSA records. After
completing a registration process and paying the fee, the requesting
party can use the CBSV process to submit a file containing the names of
number holders who have given valid consent, along with each number
holder's accompanying SSN and date of birth (if available) to obtain
real-time results using a web service application or SSA's Business
Services Online (BSO) application. SSA matches the information against
the SSA master file of SSNs, using SSN, name, date of birth, and gender
code (if available). The requesting party retrieves the results file
from SSA, which indicates only a match or no match for each SSN
submitted.
Under the CBSV process, the requesting party does not submit the
consent forms of the number holders to SSA. SSA requires each
requesting party to retain a valid consent form for each SSN
verification request. The requesting party retains the consent forms in
either electronic or paper format.
To ensure the integrity of the CBSV process, SSA has added a strong
audit component that requires audits (called ``compliance reviews'') at
the discretion of the agency with all audit costs paid
[[Page 76381]]
by the requesting party. Independent certified public accounts (CPAs)
conduct these reviews to ensure compliance with all the terms and
conditions of the party's agreement with SSA, including a review of the
consent forms. CPAs conduct the reviews at the requesting party's place
of business to ensure the integrity of the process. In addition, SSA
reserves the right to perform unannounced onsite inspections of the
entire process, including review of the technical systems that maintain
the data and transaction records. The respondents to the CBSV
collection are the participating companies, members of the public who
consent to the SSN verification, and CPAs who provide compliance review
services.
Note: This is a correction notice: SSA published the incorrect
burden information for this collection at 78 FR 59411, on 9/26/13.
We are correcting this error here.
Type of Request: Revision of an OMB-approved information
collection.
Time Burden--Participating Companies
----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of Number of burden per estimated
Requirement respondents response responses response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Registration process for new * 14 1 14 120 28
participating companies........
Creation of file with SSN holder 90 ** 251 22,590 60 22,590
identification data;
maintaining required
documentation/forms............
Using the system to upload 90 251 22,590 5 1,883
request file, check status, and
download results file..........
Storing Consent Forms........... 90 251 22,590 60 22,590
Activities related to compliance 90 251 22,590 60 22,590
review.........................
-------------------------------------------------------------------------------
Total....................... .............. .............. 90,374 .............. 69,681
----------------------------------------------------------------------------------------------------------------
* One-time registration process/approximately 14 new participating companies per year.
** Please note there are 251 Federal business days per year on which a requesting party could submit a file.
Participating Companies Who Opt for External Testing Environment (ETE)
----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of Number of burden per estimated
Requirement respondents response responses response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
ETE Registration Process 20 1 1 180 60
(includes reviewing and
completing ETE User Agreement).
Web Service Transactions........ 20 1 50 1 17
Reporting Issues Encountered on 20 1 50 1 17
Web service testing (e.g.,
reports on application's
reliability)...................
Reporting changes in users' 20 1 1 60 20
status (e.g., termination or
changes in users' employment
status; changes in duties of
authorized users)..............
Cancellation of Agreement....... 20 1 1 30 10
Dispute Resolution.............. 20 1 1 120 40
-------------------------------------------------------------------------------
Total....................... 20 .............. .............. .............. 144
----------------------------------------------------------------------------------------------------------------
People Whose SSNs SSA Will Verify
----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of Number of burden per estimated
Requirement respondents response responses response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Reading and signing 2,500,000 1 2,500,000 3 125,000
authorization for SSA to
release SSN verification.......
Responding to CPA re-contact.... 5,750 1 5,750 5 479
-------------------------------------------------------------------------------
Total....................... 2,505,750 .............. 2,165,872 .............. 125,479
----------------------------------------------------------------------------------------------------------------
There is one CPA respondent conducting compliance reviews and
preparing written reports of findings. The average burden per response
is 4,800 minutes for a total burden of 7,200 hours annually.
Cost Burden
The public burden cost is dependent upon the number of companies
and transactions. SSA based the cost estimates below upon 90
participating companies submitting a total 2.5 million transactions per
year.
One-Time per Company Registration Fee--$5,000.
Estimated per SSN Transaction Fee--$1.10.\i\
---------------------------------------------------------------------------
\i\ The annual costs associated with the transaction to each
company are dependent upon the number of SSN transactions submitted
to SSA by the company on a yearly basis. For example, if a company
anticipates submitting 1 million requests to SSA for the year, its
total transaction cost for the year would be $1.10 x 1,000,000, or
$1,100,000. Periodically, SSA will calculate our costs to provide
CBSV services and adjust the fee charged as needed. SSA notifies
companies in writing and via Federal Register Notice of any changes
and companies have the opportunity to cancel the agreement or
continue service using the new transaction fee.
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[[Page 76382]]
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Estimated per Company Cost to Store Consent Forms--$300.
Dated: December 12, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-29907 Filed 12-16-13; 8:45 am]
BILLING CODE 4191-02-P
