Agency Information Collection Activities: Proposed Request and Comment Request, 18669-18673 [2015-07881]

Download as PDF Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices the protection of investors or the public interest; (ii) impose any significant burden on competition; and (iii) become operative for 30 days from the date on which it was filed, or such shorter time as the Commission may designate, it has become effective pursuant to Section 19(b)(3)(A)(ii) of the Act 7 and subparagraph (f)(6) of Rule 19b–4 thereunder.8 At any time within 60 days of the filing of the proposed rule change, the Commission summarily may temporarily suspend such rule change if it appears to the Commission that such action is: (i) Necessary or appropriate in the public interest; (ii) for the protection of investors; or (iii) otherwise in furtherance of the purposes of the Act. If the Commission takes such action, the Commission shall institute proceedings to determine whether the proposed rule should be approved or disapproved. IV. Solicitation of Comments Interested persons are invited to submit written data, views, and arguments concerning the foregoing, including whether the proposed rule change is consistent with the Act. Comments may be submitted by any of the following methods: Electronic Comments Paper Comments mstockstill on DSK4VPTVN1PROD with NOTICES [FR Doc. 2015–07882 Filed 4–6–15; 8:45 am] SMALL BUSINESS ADMINISTRATION [Disaster Declaration #14241 and #14242] Hawaii Disaster Number HI–00035 U.S. Small Business Administration. ACTION: Amendment 1. AGENCY: • Send paper comments in triplicate to Brent J. Fields, Secretary, Securities and Exchange Commission, 100 F Street NE., Washington, DC 20549–1090. All submissions should refer to File Number SR–Phlx–2015–30. This file number should be included on the subject line if email is used. To help the Commission process and review your comments more efficiently, please use only one method. The Commission will post all comments on the Commission’s Internet Web site (https://www.sec.gov/ rules/sro.shtml). Copies of the submission, all subsequent amendments, all written statements with respect to the proposed rule change that are filed with the 7 See 15 U.S.C. 78s(b)(3)(a)(ii). 17 CFR 240.19b–4(f)(6). In addition, Rule 19b–4(f)(6) requires a self-regulatory organization to give the Commission written notice of its intent to file the proposed rule change at least five business days prior to the date of filing of the proposed rule change, or such shorter time as designated by the Commission. The Exchange has satisfied this requirement. 8 See 17:46 Apr 06, 2015 For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.9 Brent J. Fields, Secretary. BILLING CODE CODE 8011–01–P • Use the Commission’s Internet comment form (https://www.sec.gov/ rules/sro.shtml); or • Send an email to rule-comments@ sec.gov. Please include File Number SR– Phlx–2015–30 on the subject line. VerDate Sep<11>2014 Commission, and all written communications relating to the proposed rule change between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for Web site viewing and printing in the Commission’s Public Reference Room, 100 F Street NE., Washington, DC 20549, on official business days between the hours of 10:00 a.m. and 3:00 p.m. Copies of the filing also will be available for inspection and copying at the principal office of the Exchange. All comments received will be posted without change; the Commission does not edit personal identifying information from submissions. You should submit only information that you wish to make available publicly. All submissions should refer to File Number SR–Phlx–2015–30 and should be submitted on or before April 28, 2015. Jkt 235001 This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the State of Hawaii (FEMA–4201–DR), dated 03/04/2015. Incident: Pu u O o Volcanic Eruption and Lava Flow. Incident Period: 09/04/2014 through 03/25/2015. Effective Date: 03/25/2015. Physical Loan Application Deadline Date: 05/04/2015. Economic Injury (EIDL) Loan Application Deadline Date: 12/04/2015. ADDRESSES: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A Escobar, Office of Disaster Assistance, U.S. Small Business Administration, SUMMARY: 9 See PO 00000 17 CFR 200.30–3(a)(12). Frm 00084 Fmt 4703 Sfmt 4703 18669 409 3rd Street SW., Suite 6050, Washington, DC 20416. SUPPLEMENTARY INFORMATION: The notice of the President’s major disaster declaration for Private Non-Profit organizations in the State of Hawaii, dated 03/04/2015, is hereby amended to establish the incident period for this disaster as beginning 09/04/2014 and continuing through 03/25/2015. All other information in the original declaration remains unchanged. (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc. 2015–07890 Filed 4–6–15; 8:45 am] BILLING CODE CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2015–0015] 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. Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2015–0015]. E:\FR\FM\07APN1.SGM 07APN1 18670 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 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 June 8, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Statement of Claimant or Other Person—20 CFR 404.702 & 416.570— 0960–0045. SSA uses Form SSA–795 in special situations where there is no authorized form or questionnaire, yet we require a signed statement from the applicant, claimant, or other persons who have knowledge of facts, in connection with claims for Social Security benefits or Supplemental Security Income (SSI). The information we request on the SSA–795 is of sufficient importance that we need both a signed statement and a penalty clause. SSA uses this information to process, in addition to claims for benefits, issues about continuing eligibility; ongoing benefit amounts; use of funds by a representative payee; fraud investigation; and a myriad of other program-related matters. The most typical respondents are applicants for Social Security, SSI, or recipients of these programs. However, respondents also include friends and relatives of the involved parties, coworkers, neighbors, or anyone else in a position to provide information pertinent to the issue(s). 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–795 .......................................................................................................... 305,500 1 15 76,375 2. Statement of Care and Responsibility for Beneficiary—20 CFR 404.2020, 404.2025, 408.620, 408.625, 416.620, 416.625—0960–0109. SSA uses the information from Form SSA–788 to verify payee applicants’ statements of concern and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will use Social Security benefits in the beneficiary’s best interest. SSA considers factors such as the payee applicant’s capacity to perform payee duties; awareness of the beneficiary’s situation and needs; demonstration of past; and current concern for the beneficiary’s well-being, etc. If the payee applicant does not have custody of the beneficiary, SSA will obtain information from the custodian for evaluation against information provided by the applicant. Respondents are individuals who have custody of the beneficiary in cases where someone else has filed to be the beneficiary’s representative payee. 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–788 .......................................................................................................... 130,000 1 10 21,667 3. Request for Internet Services— Authentication; Automated Telephone Speech Technology—Knowledge-Based Authentication (RISA–KBA)—20 CFR 401.45—0960–0596. The Request for Internet Services and 800# Automated Telephone Services Knowledge-Based Authentication is one of the authentication methods SSA uses to allow individuals access to their personal information through our Internet and Automated Telephone Services. SSA asks individuals and third parties who seek personal information from SSA records, or who register to participate in SSA’s online business services, to provide certain identifying information. As an extra measure of protection, SSA asks requestors who use the Internet and telephone services to provide additional identifying information unique to those services so SSA can authenticate their identities before releasing personal information. The respondents are current beneficiaries who are requesting personal information from SSA, as well as individuals and third parties who register for SSA’s online business services. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Internet Requestors ......................................................................................... Telephone Requestors .................................................................................... *Change of Address (on hold) ......................................................................... *Screen Splash (on hold) ................................................................................ mstockstill on DSK4VPTVN1PROD with NOTICES Modality of completion 10,373,917 1,703,367 1 1 1 1 ........................ ........................ 3 4 ........................ ........................ 518,695 113,558 1 1 Totals: ....................................................................................................... 12,077,286 ........................ ........................ 632,255 * Reducing the burden to a one-hour placeholder burden; Screen Splash and Change of Address applications are on hold. 4. Social Security Number Verification Services—20 CFR 401.45— 0960–0660. Internal Revenue Service regulations require employers to VerDate Sep<11>2014 17:46 Apr 06, 2015 Jkt 235001 provide wage and tax data to SSA using Form W–2 or its electronic equivalent. As part of this process, the employer must furnish the employee’s name and PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 Social Security number (SSN). In addition, the employee’s name and SSN must match SSA’s records for SSA to post earnings to the employee’s earnings E:\FR\FM\07APN1.SGM 07APN1 18671 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices record. SSA offers the Social Security Number Verification Service (SSNVS), which allows employers to verify the reported names and SSNs of their employees match those in SSA’s records. SSNVS is a cost-free method for employers to verify employee information either through the Internet or via telephone. The respondents are Number of respondents Modality of completion employers who need to verify SSN data using SSA’s records. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Total annual burden (hours) SSNVS ............................................................................................................. SSNVS Telephone ........................................................................................... 44,975 1,750 60 2 5 10 224,875 583 Totals ........................................................................................................ 46,725 ........................ ........................ 225,458 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 May 7, 2015. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ssa.gov. mstockstill on DSK4VPTVN1PROD with NOTICES Promoting Readiness of Minors in SSI (PROMISE) Evaluation—0960–0799. Background The Promoting Readiness of Minors in SSI (PROMISE) demonstration pursues positive outcomes for children with disabilities who receive SSI and their families by reducing dependency on SSI. The Department of Education (ED) awarded six cooperative agreements to states to improve the provision and coordination of services and support for children with disabilities who receive SSI and their families to achieve improved education and employment outcomes. ED awarded PROMISE funds to five single-state projects, and to one six-state consortium.1 With support from ED, the Department of Labor (DOL), and the Department of Health and Human Services (HHS), SSA is evaluating the six PROMISE projects. SSA contracted with Mathematica Policy Research to conduct the evaluation. Under PROMISE, targeted outcomes for youth include an enhanced sense of self-determination; achievement of secondary and post-secondary educational credentials; an attainment of early work experiences culminating with competitive employment in an integrated setting; and long-term reduction in reliance on SSI. Outcomes of interest for families include heightened expectations for and support 1 The six-state consortium project goes by the name Achieving Success by Promoting Readiness for Education and Employment (ASPIRE) rather than by PROMISE. VerDate Sep<11>2014 17:46 Apr 06, 2015 Jkt 235001 of the long-term self-sufficiency of their youth; parent or guardian attainment of education and training credentials; and increases in earnings and total income. To achieve these outcomes, we expect the PROMISE projects to make better use of existing resources by improving service coordination among multiple state and local agencies and programs. ED, SSA, DOL, and HHS intend the PROMISE projects to address key limitations in the existing service system for youth with disabilities. By intervening early in the lives of these young people, at ages 14–16, the projects engage the youth and their families well before critical decisions regarding the age 18 redetermination are upon them. We expect the required partnerships among the various state and Federal agencies that serve youth with disabilities to result in improved integration of services and fewer dropped handoffs as youth move from one agency to another. By requiring the programs to engage and serve families and provide youth with paid work experiences, the initiative is mandating the adoption of critical best practices in promoting the independence of youth with disabilities. Project Description SSA is requesting clearance for the collection of data needed to implement and evaluate PROMISE. The evaluation provides empirical evidence on the impact of the intervention for youth and their families in several critical areas, including: (1) Improved educational attainment; (2) increased employment skills, experience, and earnings; and (3) long-term reduction in use of public benefits. We base the PROMISE evaluation on a rigorous design that entails the random assignment of approximately 2,000 youth in each of the six projects to treatment or control groups (12,000 total). The PROMISE projects provide enhanced services for youth in the treatment groups; whereas youth in the control groups are eligible only for those services already available PO 00000 Frm 00086 Fmt 4703 Sfmt 4703 in their communities independent of the interventions. The evaluation assesses the effect of PROMISE services on educational attainment, employment, earnings, and reduced receipt of disability payments. The three components of this evaluation include: • The process analysis, which documents program models, assesses the relationships among the partner organizations, documents whether the grantees implemented the programs as planned, identifies features of the programs that may account for their impacts on youth and families, and identifies lessons for future programs with similar objectives. • The impact analysis, which determines whether youth and families in the treatment groups receive more services than their counterparts in the control groups. It also determines whether treatment group members have better results than control group members with respect to the targeted outcomes noted above. • The cost-benefit analysis, which assesses whether the benefits of PROMISE, including increases in employment and reductions in benefit receipt, are large enough to justify its costs. We conduct this assessment from a range of perspectives, including those of the participants, state and Federal governments, SSA, and society as a whole. SSA planned several data collection efforts for the evaluation. These include: (1) Follow-up interviews with youth and their parent or guardian 18 months and 5 years after enrollment; (2) phone and in-person interviews with local program administrators, program supervisors, and service delivery staff at two points in time over the course of the demonstration; (3) two rounds of focus groups with participating youth in the treatment group; (4) two rounds of focus groups with parents or guardians of participating youth; and (5) collection of administrative data. At this time, SSA requests clearance for the 18-month E:\FR\FM\07APN1.SGM 07APN1 18672 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices survey interviews. SSA will request clearance for the 5-year survey interviews in a future submission. The respondents are the youth participants in the PROMISE program, and the Note: This is a correction notice. SSA inadvertently published the incorrect burden information for this collection at 80 FR 3713, on 1/23/15. We are correcting this error here. parents or guardians of the youth participants. Type of Request: Revision to an OMBapproved information collection. Time Burden on Respondents Number of responses Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) 2014: Interviews and Focus Group Discussions Staff Interviews with Administrators or Directors ............................................. Staff Interviews with PROMISE Project Staff .................................................. Youth Focus Groups—Non-participants .......................................................... Youth Focus Groups—Participants ................................................................. Parents or Guardian Focus Groups—Non-participants ................................... Parents or Guardian Focus Groups—Participants .......................................... 24 48 100 20 100 20 1 1 1 1 1 1 66 66 5 100 5 100 26 53 8 33 8 33 Totals ........................................................................................................ 312 ........................ ........................ 161 2015: Interviews and Focus Group Discussions, and 18-Month Survey Interviews Staff Interviews with Administrators or Directors ............................................. Staff Interviews with PROMISE Project Staff .................................................. Youth Focus Groups—Non-participants .......................................................... Youth Focus Groups—Participants ................................................................. Parents or Guardian Focus Groups—Non-participants ................................... Parents or Guardian Focus Groups—Participants .......................................... 18 Month Survey Interviews—Parent .............................................................. 18 Month Survey Interviews—Youth ............................................................... 51 97 220 60 220 60 850 850 1 1 1 1 1 1 1 1 66 66 5 100 5 100 41 30 56 107 18 100 18 100 595 425 Totals ........................................................................................................ 2,408 ........................ ........................ 1,405 2016: Interviews and Focus Group Discussions and 18 Month Survey Interviews Staff Interviews with Administrators or Directors ............................................. Staff Interviews with PROMISE Project Staff .................................................. Youth Focus Groups—Non-participants .......................................................... Youth Focus Groups—Participants ................................................................. Parents or Guardian Focus Groups—Non-participants ................................... Parents or Guardian Focus Groups—Participants .......................................... 18 Month Survey Interviews—Parent .............................................................. 18 Month Survey Interviews—Youth ............................................................... 75 145 320 80 320 80 5,100 5,100 1 1 1 1 1 1 1 1 66 66 5 100 5 100 41 30 83 160 27 133 27 133 3,485 2,550 Totals ........................................................................................................ 11,220 ........................ ........................ 6,598 2017: 18 Month Survey Interviews 18 Month Survey Interviews—Parent .............................................................. 18 Month Survey Interviews—Youth ............................................................... 4,250 4,250 1 1 41 30 2,904 2,125 Totals ........................................................................................................ 8,500 ........................ ........................ 5,029 Grand Total ....................................................................................... 22,440 ........................ ........................ 13,193 Average burden per response (minutes) Median hourly wage rate (dollars) Cost Burden for Respondents Number of respondents Respondent type Frequency of response Total respondent cost (dollars) mstockstill on DSK4VPTVN1PROD with NOTICES 2014: Annual Cost to Respondents: Parent or Guardian Focus Group—Non-Participants .......... Parent or Guardian Focus Group—Participants .................. 100 20 1 1 5 100 $7.38 7.38 $61.00 246.00 Total .............................................................................. 120 ........................ ........................ ........................ 307.00 5 7.38 135.00 2015: Annual Cost to Respondents: Parent or Guardian Focus Group—Non-Participants .......... VerDate Sep<11>2014 17:46 Apr 06, 2015 Jkt 235001 PO 00000 Frm 00087 220 Fmt 4703 Sfmt 4703 1 E:\FR\FM\07APN1.SGM 07APN1 18673 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices Number of respondents Respondent type Average burden per response (minutes) Frequency of response Median hourly wage rate (dollars) Total respondent cost (dollars) Parent or Guardian Focus Group—Participants .................. 60 1 100 7.38 738.00 Total .............................................................................. 280 ........................ ........................ ........................ 873.00 2016: Annual Cost to Respondents: Parent or Guardian Focus Group—Non-Participants .......... Parent or Guardian Focus Group—Participants .................. 320 80 1 1 5 100 7.38 7.38 196.00 984.00 Total .............................................................................. 400 ........................ ........................ ........................ 1,180.00 Grand Total: .................................................................. 800 ........................ ........................ ........................ 2,360.00 Date: April 2, 2015. Faye I. Lipsky, Reports Clearance Officer, Social Security Administration. The Executive Director, Office of Privacy and Disclosure, Office of the General Counsel, as shown above. FOR FURTHER INFORMATION CONTACT: [FR Doc. 2015–07881 Filed 4–6–15; 8:45 am] SUPPLEMENTARY INFORMATION: BILLING CODE CODE 4191–02–P A. General SOCIAL SECURITY ADMINISTRATION [Docket No. SSA 2015–0004] Privacy Act of 1974, as Amended; Computer Matching Program (SSA/ Department of the Treasury, Internal Revenue Service (IRS))—Match Number 1305 AGENCY: Social Security Administration (SSA). Notice of a renewal of an existing computer matching program that will expire on May 10, 2015. ACTION: In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with IRS. DATES: We will file a report of the subject matching program with the Committee on Homeland Security and Governmental Affairs of the Senate; the Committee on Oversight and Government Reform of the House of Representatives; and the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). The matching program will be effective as indicated below. ADDRESSES: Interested parties may comment on this notice by either telefaxing to (410) 966–0869 or writing to the Executive Director, Office of Privacy and Disclosure, Office of the General Counsel, Social Security Administration, 617 Altmeyer Building, 6401 Security Boulevard, Baltimore, MD 21235–6401. All comments received will be available for public inspection at this address. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:46 Apr 06, 2015 Jkt 235001 The Computer Matching and Privacy Protection Act of 1988 (Public Law (Pub. L.) 100–503), amended the Privacy Act (5 U.S.C. 552a) by describing the conditions under which computer matching involving the Federal government could be performed and adding certain protections for persons applying for, and receiving, Federal benefits. Section 7201 of the Omnibus Budget Reconciliation Act of 1990 (Pub. L. 101–508) further amended the Privacy Act regarding protections for such persons. The Privacy Act, as amended, regulates the use of computer matching by Federal agencies when records in a system of records are matched with other Federal, State, or local government records. It requires Federal agencies involved in computer matching programs to: (1) Negotiate written agreements with the other agency or agencies participating in the matching programs; (2) Obtain approval of the matching agreement by the Data Integrity Boards of the participating Federal agencies; (3) Publish notice of the computer matching program in the Federal Register; (4) Furnish detailed reports about matching programs to Congress and OMB; (5) Notify applicants and beneficiaries that their records are subject to matching; and (6) Verify match findings before reducing, suspending, terminating, or denying a person’s benefits or payments. PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 B. SSA Computer Matches Subject to the Privacy Act We have taken action to ensure that all of our computer matching programs comply with the requirements of the Privacy Act, as amended. Kirsten J. Moncada, Executive Director, Office of Privacy and Disclosure, Office of the General Counsel. Notice of Computer Matching Program, SSA With the Department of the Treasury, Internal Revenue Service (IRS) A. Participating Agencies SSA and IRS B. Purpose of the Matching Program The purpose of this matching program is to set forth the terms, conditions, and safeguards under which IRS will disclose to us certain information for the purpose of verifying eligibility or the correct subsidy percentage of benefits provided under section 1860D–14 of the Social Security Act. (42 U.S.C. 1395w– 114). C. Authority for Conducting the Matching Program The legal authority for this agreement is Internal Revenue Code section 6103(1)(7), which authorizes IRS to disclose return information with respect to unearned income to Federal, state, and local agencies administering certain benefit programs under the Act. Section 1860–D–14 of the Act requires our Commissioner to determine the eligibility of applicants for the prescription drug subsidy who selfcertify their income, resources, and family size. Pursuant to section 1860D– 14(a)(3) of the Act, we must determine whether a Social Security Part D eligible individual is a subsidy-eligible individual, and whether the individual is an individual as described in section 1860D–14(a). This agreement is executed in compliance with the E:\FR\FM\07APN1.SGM 07APN1

Agencies

Social Security Administration

[Federal Register Volume 80, Number 66 (Tuesday, April 7, 2015)]
[Notices]
[Pages 18669-18673]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-07881]

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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0015]

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.

Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2015-0015].

[[Page 18670]]

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 June
8, 2015. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Statement of Claimant or Other Person--20 CFR 404.702 &
416.570--0960-0045. SSA uses Form SSA-795 in special situations where
there is no authorized form or questionnaire, yet we require a signed
statement from the applicant, claimant, or other persons who have
knowledge of facts, in connection with claims for Social Security
benefits or Supplemental Security Income (SSI). The information we
request on the SSA-795 is of sufficient importance that we need both a
signed statement and a penalty clause. SSA uses this information to
process, in addition to claims for benefits, issues about continuing
eligibility; ongoing benefit amounts; use of funds by a representative
payee; fraud investigation; and a myriad of other program-related
matters. The most typical respondents are applicants for Social
Security, SSI, or recipients of these programs. However, respondents
also include friends and relatives of the involved parties, coworkers,
neighbors, or anyone else in a position to provide information
pertinent to the issue(s).
Type of Request: Revision of an OMB-approved information
collection.

2. Statement of Care and Responsibility for Beneficiary--20 CFR
404.2020, 404.2025, 408.620, 408.625, 416.620, 416.625--0960-0109. SSA
uses the information from Form SSA-788 to verify payee applicants'
statements of concern and to identify other potential payees. SSA is
concerned with selecting the most qualified representative payee who
will use Social Security benefits in the beneficiary's best interest.
SSA considers factors such as the payee applicant's capacity to perform
payee duties; awareness of the beneficiary's situation and needs;
demonstration of past; and current concern for the beneficiary's well-
being, etc. If the payee applicant does not have custody of the
beneficiary, SSA will obtain information from the custodian for
evaluation against information provided by the applicant. Respondents
are individuals who have custody of the beneficiary in cases where
someone else has filed to be the beneficiary's representative payee.
Type of Request: Revision of an OMB-approved information
collection.

3. Request for Internet Services--Authentication; Automated
Telephone Speech Technology--Knowledge-Based Authentication (RISA-
KBA)--20 CFR 401.45--0960-0596. The Request for Internet Services and
800# Automated Telephone Services Knowledge-Based Authentication is one
of the authentication methods SSA uses to allow individuals access to
their personal information through our Internet and Automated Telephone
Services. SSA asks individuals and third parties who seek personal
information from SSA records, or who register to participate in SSA's
online business services, to provide certain identifying information.
As an extra measure of protection, SSA asks requestors who use the
Internet and telephone services to provide additional identifying
information unique to those services so SSA can authenticate their
identities before releasing personal information. The respondents are
current beneficiaries who are requesting personal information from SSA,
as well as individuals and third parties who register for SSA's online
business services.
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)
----------------------------------------------------------------------------------------------------------------
Internet Requestors......................... 10,373,917 1 3 518,695
Telephone Requestors........................ 1,703,367 1 4 113,558
*Change of Address (on hold)................ 1 ............... ............... 1
*Screen Splash (on hold).................... 1 ............... ............... 1
-------------------------------------------------------------------
Totals:................................. 12,077,286 ............... ............... 632,255
----------------------------------------------------------------------------------------------------------------
* Reducing the burden to a one-hour placeholder burden; Screen Splash and Change of Address applications are on
hold.

4. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations require employers to
provide wage and tax data to SSA using Form W-2 or its electronic
equivalent. As part of this process, the employer must furnish the
employee's name and Social Security number (SSN). In addition, the
employee's name and SSN must match SSA's records for SSA to post
earnings to the employee's earnings

[[Page 18671]]

record. SSA offers the Social Security Number Verification Service
(SSNVS), which allows employers to verify the reported names and SSNs
of their employees match those in SSA's records. SSNVS is a cost-free
method for employers to verify employee information either through the
Internet or via telephone. The respondents are employers who need to
verify SSN data using SSA's records.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSNVS........................................... 44,975 60 5 224,875
SSNVS Telephone................................. 1,750 2 10 583
---------------------------------------------------------------
Totals...................................... 46,725 .............. .............. 225,458
----------------------------------------------------------------------------------------------------------------

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 May 7, 2015. Individuals can obtain copies of the OMB
clearance package by writing to OR.Reports.Clearance@ssa.gov.

Promoting Readiness of Minors in SSI (PROMISE) Evaluation--0960-0799.
Background

The Promoting Readiness of Minors in SSI (PROMISE) demonstration
pursues positive outcomes for children with disabilities who receive
SSI and their families by reducing dependency on SSI. The Department of
Education (ED) awarded six cooperative agreements to states to improve
the provision and coordination of services and support for children
with disabilities who receive SSI and their families to achieve
improved education and employment outcomes. ED awarded PROMISE funds to
five single-state projects, and to one six-state consortium.\1\ With
support from ED, the Department of Labor (DOL), and the Department of
Health and Human Services (HHS), SSA is evaluating the six PROMISE
projects. SSA contracted with Mathematica Policy Research to conduct
the evaluation.
---------------------------------------------------------------------------

\1\ The six-state consortium project goes by the name Achieving
Success by Promoting Readiness for Education and Employment (ASPIRE)
rather than by PROMISE.
---------------------------------------------------------------------------

Under PROMISE, targeted outcomes for youth include an enhanced
sense of self-determination; achievement of secondary and post-
secondary educational credentials; an attainment of early work
experiences culminating with competitive employment in an integrated
setting; and long-term reduction in reliance on SSI. Outcomes of
interest for families include heightened expectations for and support
of the long-term self-sufficiency of their youth; parent or guardian
attainment of education and training credentials; and increases in
earnings and total income. To achieve these outcomes, we expect the
PROMISE projects to make better use of existing resources by improving
service coordination among multiple state and local agencies and
programs.
ED, SSA, DOL, and HHS intend the PROMISE projects to address key
limitations in the existing service system for youth with disabilities.
By intervening early in the lives of these young people, at ages 14-16,
the projects engage the youth and their families well before critical
decisions regarding the age 18 redetermination are upon them. We expect
the required partnerships among the various state and Federal agencies
that serve youth with disabilities to result in improved integration of
services and fewer dropped handoffs as youth move from one agency to
another. By requiring the programs to engage and serve families and
provide youth with paid work experiences, the initiative is mandating
the adoption of critical best practices in promoting the independence
of youth with disabilities.

Project Description

SSA is requesting clearance for the collection of data needed to
implement and evaluate PROMISE. The evaluation provides empirical
evidence on the impact of the intervention for youth and their families
in several critical areas, including: (1) Improved educational
attainment; (2) increased employment skills, experience, and earnings;
and (3) long-term reduction in use of public benefits. We base the
PROMISE evaluation on a rigorous design that entails the random
assignment of approximately 2,000 youth in each of the six projects to
treatment or control groups (12,000 total). The PROMISE projects
provide enhanced services for youth in the treatment groups; whereas
youth in the control groups are eligible only for those services
already available in their communities independent of the
interventions.
The evaluation assesses the effect of PROMISE services on
educational attainment, employment, earnings, and reduced receipt of
disability payments. The three components of this evaluation include:
The process analysis, which documents program models,
assesses the relationships among the partner organizations, documents
whether the grantees implemented the programs as planned, identifies
features of the programs that may account for their impacts on youth
and families, and identifies lessons for future programs with similar
objectives.
The impact analysis, which determines whether youth and
families in the treatment groups receive more services than their
counterparts in the control groups. It also determines whether
treatment group members have better results than control group members
with respect to the targeted outcomes noted above.
The cost-benefit analysis, which assesses whether the
benefits of PROMISE, including increases in employment and reductions
in benefit receipt, are large enough to justify its costs. We conduct
this assessment from a range of perspectives, including those of the
participants, state and Federal governments, SSA, and society as a
whole.
SSA planned several data collection efforts for the evaluation.
These include: (1) Follow-up interviews with youth and their parent or
guardian 18 months and 5 years after enrollment; (2) phone and in-
person interviews with local program administrators, program
supervisors, and service delivery staff at two points in time over the
course of the demonstration; (3) two rounds of focus groups with
participating youth in the treatment group; (4) two rounds of focus
groups with parents or guardians of participating youth; and (5)
collection of administrative data. At this time, SSA requests clearance
for the 18-month

[[Page 18672]]

survey interviews. SSA will request clearance for the 5-year survey
interviews in a future submission. The respondents are the youth
participants in the PROMISE program, and the parents or guardians of
the youth participants.
Type of Request: Revision to an OMB-approved information
collection.

Note: This is a correction notice. SSA inadvertently published
the incorrect burden information for this collection at 80 FR 3713,
on 1/23/15. We are correcting this error here.

Time Burden on Respondents

----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion responses response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
2014: Interviews and Focus Group Discussions
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or 24 1 66 26
Directors......................................
Staff Interviews with PROMISE Project Staff..... 48 1 66 53
Youth Focus Groups--Non-participants............ 100 1 5 8
Youth Focus Groups--Participants................ 20 1 100 33
Parents or Guardian Focus Groups--Non- 100 1 5 8
participants...................................
Parents or Guardian Focus Groups--Participants.. 20 1 100 33
---------------------------------------------------------------
Totals...................................... 312 .............. .............. 161
----------------------------------------------------------------------------------------------------------------
2015: Interviews and Focus Group Discussions, and 18-Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or 51 1 66 56
Directors......................................
Staff Interviews with PROMISE Project Staff..... 97 1 66 107
Youth Focus Groups--Non-participants............ 220 1 5 18
Youth Focus Groups--Participants................ 60 1 100 100
Parents or Guardian Focus Groups--Non- 220 1 5 18
participants...................................
Parents or Guardian Focus Groups--Participants.. 60 1 100 100
18 Month Survey Interviews--Parent.............. 850 1 41 595
18 Month Survey Interviews--Youth............... 850 1 30 425
---------------------------------------------------------------
Totals...................................... 2,408 .............. .............. 1,405
----------------------------------------------------------------------------------------------------------------
2016: Interviews and Focus Group Discussions and 18 Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or 75 1 66 83
Directors......................................
Staff Interviews with PROMISE Project Staff..... 145 1 66 160
Youth Focus Groups--Non-participants............ 320 1 5 27
Youth Focus Groups--Participants................ 80 1 100 133
Parents or Guardian Focus Groups--Non- 320 1 5 27
participants...................................
Parents or Guardian Focus Groups--Participants.. 80 1 100 133
18 Month Survey Interviews--Parent.............. 5,100 1 41 3,485
18 Month Survey Interviews--Youth............... 5,100 1 30 2,550
---------------------------------------------------------------
Totals...................................... 11,220 .............. .............. 6,598
----------------------------------------------------------------------------------------------------------------
2017: 18 Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
18 Month Survey Interviews--Parent.............. 4,250 1 41 2,904
18 Month Survey Interviews--Youth............... 4,250 1 30 2,125
---------------------------------------------------------------
Totals...................................... 8,500 .............. .............. 5,029
----------------------------------------------------------------------------------------------------------------
Grand Total............................. 22,440 .............. .............. 13,193
----------------------------------------------------------------------------------------------------------------

Cost Burden for Respondents

----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of burden per Median hourly respondent
Respondent type respondents response response wage rate cost
(minutes) (dollars) (dollars)
----------------------------------------------------------------------------------------------------------------
2014: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group-- 100 1 5 $7.38 $61.00
Non-Participants...............
Parent or Guardian Focus Group-- 20 1 100 7.38 246.00
Participants...................
-------------------------------------------------------------------------------
Total....................... 120 .............. .............. .............. 307.00
----------------------------------------------------------------------------------------------------------------
2015: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group-- 220 1 5 7.38 135.00
Non-Participants...............

[[Page 18673]]

Parent or Guardian Focus Group-- 60 1 100 7.38 738.00
Participants...................
-------------------------------------------------------------------------------
Total....................... 280 .............. .............. .............. 873.00
----------------------------------------------------------------------------------------------------------------
2016: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group-- 320 1 5 7.38 196.00
Non-Participants...............
Parent or Guardian Focus Group-- 80 1 100 7.38 984.00
Participants...................
-------------------------------------------------------------------------------
Total....................... 400 .............. .............. .............. 1,180.00
----------------------------------------------------------------------------------------------------------------
Grand Total:................ 800 .............. .............. .............. 2,360.00
----------------------------------------------------------------------------------------------------------------

Date: April 2, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-07881 Filed 4-6-15; 8:45 am]
BILLING CODE CODE 4191-02-P

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