Agency Information Collection Activities: Proposed Request and Comment Request, 19820-19821 [05-7451]
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19820
Federal Register / Vol. 70, No. 71 / Thursday, April 14, 2005 / Notices
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.15
Margaret H. McFarland,
Deputy Secretary.
[FR Doc. E5–1758 Filed 4–13–05; 8:45 am]
BILLING CODE 8010–01–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 that will require
clearance by the Office of Management
and Budget (OMB) in compliance with
Pub. L. 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. The information collection
packages that may be included in this
notice are for new information
collections, approval of existing
information collections, revisions to
OMB-approved information collections,
and extensions (no change) of OMBapproved information collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and on ways
to minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Written
comments and recommendations
regarding the information collection(s)
should be submitted to the OMB Desk
Officer and the SSA Reports Clearance
Officer. The information can be mailed
and/or faxed to the individuals at the
addresses and fax numbers listed below:
(OMB):
Office of Management and Budget,
Attn: Desk Officer for SSA, Fax:
(202) 395–6974.
(SSA):
Social Security Administration,
DCFAM, Attn: Reports Clearance
Officer, 1338 Annex Building, 6401
Security Blvd., Baltimore, MD
21235, Fax: (410) 965–6400.
I. The information collections listed
below are pending at SSA and will be
submitted to OMB within 60 days from
the date of this notice. Therefore, your
comments should be submitted to SSA
within 60 days from the date of this
publication. You can obtain copies of
the collection instruments by calling the
SSA Reports Clearance Officer at (410)
965–0454 or by writing to the address
listed above.
15 17
CFR 200.30–3(a)(12).
VerDate jul<14>2003
19:36 Apr 13, 2005
Jkt 205001
1. Farm Arrangement Questionnaire—
20 CFR 404.1082(c)—0960–0064. SSA
uses the information collected on the
SSA–7157–F4 to determine if farm
rental income may be considered selfemployment income for Social Security
benefits coverage purposes. The
respondents are individuals alleging
self-employment income from the
renting of land for farming activities.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 38,000.
Frequency of Response: 1.
Average Burden per Response: 30
minutes.
Estimated Annual Burden: 19,000
hours.
2. Application for Benefits Under a
U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0448. The information collected on the
SSA–2490–BK is required to determine
entitlement to old-age, survivors or
disability benefits from the United
States or from a country that has entered
into a Social Security agreement with
the United States. The respondents are
individuals who are applying for
benefits from the U.S. or from a
totalization agreement country.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 23,200.
Frequency of Response: 1.
Average Burden per Response: 30
minutes.
Estimated Average Burden: 11,600
hours.
3. Letter to Landlord Requesting
Rental Information—20 CFR
416.1130(b)—0960–0454. Form SSA–
L5061 provides a nationally uniform
vehicle for collecting information from
landlords for use in making rental
subsidy determinations in the
Supplemental Security Income (SSI)
program. The information is used in
deciding whether income limits are met
for SSI eligibility. Respondents are
landlords who provide subsidized rental
arrangements to SSI applicants and
recipients.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 8,167
hours.
4. Plan for Achieving Self-Support—
20 CFR 416.1180–1182, 416.1225–1227,
416.110(e)—0960–0559. The
information on form SSA–545 is
collected by SSA when a Supplemental
Security Income (SSI) applicant/
recipient desires to use available income
and resources to obtain education and/
PO 00000
Frm 00094
Fmt 4703
Sfmt 4703
or training in order to become selfsupportive. The information is used to
evaluate the recipient’s plan for
achieving self-support to determine
whether the plan may be approved
under the provisions of the SSI program.
The respondents are SSI applicants/
recipients who are blind or disabled.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden per Response: 2
hours.
Estimated Annual Burden: 14,000
hours.
5. Disability Update Report—20 CFR
404.1589–404.1595, 20 CFR 416.988–
416.996—0960–0511. Forms SSA–455
and SSA–455–OCR–SM are used by
SSA to collect information when the
continuing disability review (CDR) diary
of a recipient of SSA-administered
payments, based on disability, has
matured or there is an indication of
possible medical improvement. The
information collected from beneficiaries
is reviewed by specialists in the
evaluation of work and earnings and in
disability adjudication. The respondents
are recipients of benefits, based on
disability, under title II and/or XVI of
the Social Security Act.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 981,000.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 245,250
hours.
II. The information collections listed
below have been submitted to OMB for
clearance. Your comments on the
information collections would be most
useful if received by OMB and SSA
within 30 days from the date of this
publication. You can obtain a copy of
the OMB clearance packages by calling
the SSA Reports Clearance Officer at
(410) 965–0454, or by writing to the
address listed above.
1. Statement Regarding
Contributions—20 CFR 360–366 and
404.736—0960–0020. The determination
of one-half support or contributions to
support must be made to entitle certain
child applicants to social security
benefits. SSA uses Form SSA–783 to
collect the information necessary to
make such a determination. The
respondents are persons giving
information about a child’s sources of
support for entitlement to child’s
benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
E:\FR\FM\14APN1.SGM
14APN1
Federal Register / Vol. 70, No. 71 / Thursday, April 14, 2005 / Notices
Average Burden per Response: 17
minutes.
Estimated Annual Burden: 8,500
hours.
2. Report of Death by Funeral
Director—20 CFR 404.715, 404.720,
416.635—0960–0142. SSA uses the
information on Form SSA–721 to make
timely and accurate decisions based on
the report of death including: (1)
Proving the death of an insured
individual, (2) learning of the death of
a beneficiary whose benefits should
terminate, and (3) determining who is
eligible for the Lump-Sum Death
Payment (LSDP) or may be eligible for
benefits. The respondents are funeral
directors with knowledge of the fact of
death.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 741,113.
Frequency of Response: 1.
Average Burden per Response: 3.5
minutes.
Estimated Annual Burden: 43,232
hours.
3. Authorization To Obtain Earnings
Data From the Social Security
Administration—0960–0602. The
information collected on Form SSA–581
is used to verify the authorization of the
wage earner, or other party, to access the
correct earnings record and disposition
of the response. This access is required
in order to produce an itemized
statement for release to the proper third
party. The respondents are individuals,
and various private/public
organizations/agencies needing detailed
earnings information.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 2
minutes.
Estimated Average Burden: 2,000
hours.
Dated: April 8, 2005.
Faye L. Lipsky,
Acting Reports Clearance Officer, Social
Security Administration.
[FR Doc. 05–7451 Filed 4–13–05; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Social Security Disability Program
Demonstration Project: Benefit Offset
Pilot Demonstration
Social Security Administration.
Notice.
AGENCY:
ACTION:
SUMMARY: We announce a
demonstration project relating to the
Social Security disability program under
VerDate jul<14>2003
19:36 Apr 13, 2005
Jkt 205001
title II of the Social Security Act (the
Act). In this demonstration, called the
Benefit Offset Pilot Demonstration, we
will test modifications to current
program rules that we apply to title II
disability beneficiaries who work. We
will also modify current rules for paying
outcome payments to providers of
services under the Ticket to Work and
Self-Sufficiency program (Ticket to
Work program). We are conducting this
project under the demonstration
authority provided in section 234 of the
Act.
EFFECTIVE DATES: We anticipate that we
will implement the Benefit Offset Pilot
Demonstration on or about May 1, 2005.
FOR FURTHER INFORMATION CONTACT:
Mark Green by e-mail at
mark.green@ssa.gov, by telephone at
(410) 965–9852 or by mail at Social
Security Administration, Office of
Program Development and Research,
3520 Annex Building, 6401 Security
Boulevard, Baltimore, MD 21235.
SUPPLEMENTARY INFORMATION:
The Benefit Offset Pilot Demonstration
In this demonstration project, we will
apply alternate rules for treating the
work activity of beneficiaries under the
title II disability program. Our ultimate
goal is to enable more beneficiaries to
return to work and maximize their
employment, earnings and economic
independence. The project will test the
effects of reducing benefits $1 for every
$2 of a beneficiary’s earnings above the
Substantial Gainful Activity (SGA)
amount when title II benefits otherwise
would not be payable during the
disability beneficiary’s reentitlement
period. This benefit offset will be
provided in concert with other support
services, such as benefits counseling.
The demonstration also will test the
effects of extending the duration of the
reentitlement period from the current 36
months to 72 months. The
demonstration also will test the effects
of altering current rules that we use in
continuing disability reviews. Only
beneficiaries selected for the treatment
group under the project will be eligible
for the demonstration provisions. We
will also modify the rules for paying
outcome payments to providers
participating in the Ticket to Work
program who have accepted tickets from
beneficiaries in the treatment group. We
are conducting this demonstration
project in the States of Connecticut,
Utah, Vermont and Wisconsin.
This pilot demonstration is the
beginning stage of demonstration
activities that we plan to conduct to test
the effects of a benefit offset as an
alternative approach for treating work
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Frm 00095
Fmt 4703
Sfmt 4703
19821
activity of title II disability beneficiaries.
Information available from this pilot
demonstration will be used to assist in
the development of a more expansive
demonstration project that we plan on
conducting. We plan to conduct a
demonstration project testing alternate
methods of treating work activity in the
title II disability program at a nationally
representative sample of sites. We
intend to enter into a contract to obtain
assistance in the design,
implementation, evaluation and
management of this project, which will
test a range of employment supports in
combination with a $1 reduction in
benefits for every $2 in earnings for
individuals receiving disability benefits
under title II of the Act. We estimate
that this national demonstration project
will begin in 2006. The contractor for
the national demonstration project will
carefully consider the information
available from this pilot project.
In the Benefit Offset Pilot
Demonstration, we have entered into
contracts with Connecticut, Utah,
Vermont and Wisconsin, to assist us in
conducting a pilot demonstration
designed to test a benefit offset in
concert with various support services
and inform the planning phases of the
national demonstration. In this pilot
demonstration, we are testing the
effectiveness of certain modifications of
title II disability program rules and a
requirement under section 1148 of the
Act. Our goal is to enable more
beneficiaries to return to work and
maximize their employment, earnings
and economic independence. For title II
disability beneficiaries who are
participating in the treatment group of
the demonstration project, we will
waive title II rules that provide that we
will stop benefits for any month, after
the third month, in which a beneficiary
performs SGA during the reentitlement
period, and rules regarding the duration
of the reentitlement period. In addition,
we will waive certain rules relating to
continuing disability reviews. We also
will waive rules regarding payments to
employment networks under the Ticket
to Work program.
We are conducting the Benefit Offset
Pilot Demonstration under the authority
of section 234 of the Act. Section 234 of
the Act directs the Commissioner of
Social Security to carry out experiments
and demonstration projects to determine
the relative advantages and
disadvantages of, among other
approaches, various alternative methods
of treating work activity of individuals
entitled to title II benefits based on
disability, including such methods as a
reduction in benefits based on earnings,
E:\FR\FM\14APN1.SGM
14APN1
]]>Agencies
[Federal Register Volume 70, Number 71 (Thursday, April 14, 2005)]
[Notices]
[Pages 19820-19821]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-7451]
=======================================================================
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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 that will require clearance by the
Office of Management and Budget (OMB) in compliance with Pub. L. 104-
13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The
information collection packages that may be included in this notice are
for new information collections, approval of existing information
collections, revisions to OMB-approved information collections, and
extensions (no change) 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed and/or faxed to the individuals
at the addresses and fax numbers listed below:
(OMB):
Office of Management and Budget, Attn: Desk Officer for SSA, Fax:
(202) 395-6974.
(SSA):
Social Security Administration, DCFAM, Attn: Reports Clearance
Officer, 1338 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: (410) 965-6400.
I. The information collections listed below are pending at SSA and
will be submitted to OMB within 60 days from the date of this notice.
Therefore, your comments should be submitted to SSA within 60 days from
the date of this publication. You can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at (410) 965-
0454 or by writing to the address listed above.
1. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064.
SSA uses the information collected on the SSA-7157-F4 to determine if
farm rental income may be considered self-employment income for Social
Security benefits coverage purposes. The respondents are individuals
alleging self-employment income from the renting of land for farming
activities.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 38,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 19,000 hours.
2. Application for Benefits Under a U.S. International Social
Security Agreement--20 CFR 404.1925--0960-0448. The information
collected on the SSA-2490-BK is required to determine entitlement to
old-age, survivors or disability benefits from the United States or
from a country that has entered into a Social Security agreement with
the United States. The respondents are individuals who are applying for
benefits from the U.S. or from a totalization agreement country.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 23,200.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Average Burden: 11,600 hours.
3. Letter to Landlord Requesting Rental Information--20 CFR
416.1130(b)--0960-0454. Form SSA-L5061 provides a nationally uniform
vehicle for collecting information from landlords for use in making
rental subsidy determinations in the Supplemental Security Income (SSI)
program. The information is used in deciding whether income limits are
met for SSI eligibility. Respondents are landlords who provide
subsidized rental arrangements to SSI applicants and recipients.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 8,167 hours.
4. Plan for Achieving Self-Support--20 CFR 416.1180-1182, 416.1225-
1227, 416.110(e)--0960-0559. The information on form SSA-545 is
collected by SSA when a Supplemental Security Income (SSI) applicant/
recipient desires to use available income and resources to obtain
education and/or training in order to become self-supportive. The
information is used to evaluate the recipient's plan for achieving
self-support to determine whether the plan may be approved under the
provisions of the SSI program. The respondents are SSI applicants/
recipients who are blind or disabled.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden per Response: 2 hours.
Estimated Annual Burden: 14,000 hours.
5. Disability Update Report--20 CFR 404.1589-404.1595, 20 CFR
416.988-416.996--0960-0511. Forms SSA-455 and SSA-455-OCR-SM are used
by SSA to collect information when the continuing disability review
(CDR) diary of a recipient of SSA-administered payments, based on
disability, has matured or there is an indication of possible medical
improvement. The information collected from beneficiaries is reviewed
by specialists in the evaluation of work and earnings and in disability
adjudication. The respondents are recipients of benefits, based on
disability, under title II and/or XVI of the Social Security Act.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 981,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 245,250 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at (410) 965-
0454, or by writing to the address listed above.
1. Statement Regarding Contributions--20 CFR 360-366 and 404.736--
0960-0020. The determination of one-half support or contributions to
support must be made to entitle certain child applicants to social
security benefits. SSA uses Form SSA-783 to collect the information
necessary to make such a determination. The respondents are persons
giving information about a child's sources of support for entitlement
to child's benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
[[Page 19821]]
Average Burden per Response: 17 minutes.
Estimated Annual Burden: 8,500 hours.
2. Report of Death by Funeral Director--20 CFR 404.715, 404.720,
416.635--0960-0142. SSA uses the information on Form SSA-721 to make
timely and accurate decisions based on the report of death including:
(1) Proving the death of an insured individual, (2) learning of the
death of a beneficiary whose benefits should terminate, and (3)
determining who is eligible for the Lump-Sum Death Payment (LSDP) or
may be eligible for benefits. The respondents are funeral directors
with knowledge of the fact of death.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 741,113.
Frequency of Response: 1.
Average Burden per Response: 3.5 minutes.
Estimated Annual Burden: 43,232 hours.
3. Authorization To Obtain Earnings Data From the Social Security
Administration--0960-0602. The information collected on Form SSA-581 is
used to verify the authorization of the wage earner, or other party, to
access the correct earnings record and disposition of the response.
This access is required in order to produce an itemized statement for
release to the proper third party. The respondents are individuals, and
various private/public organizations/agencies needing detailed earnings
information.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Average Burden: 2,000 hours.
Dated: April 8, 2005.
Faye L. Lipsky,
Acting Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-7451 Filed 4-13-05; 8:45 am]
BILLING CODE 4191-02-P
