Agency Information Collection Activities: Proposed Request, Comment Request and Correction Request, 27016-27019 [E6-6992]
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27016
Federal Register / Vol. 71, No. 89 / Tuesday, May 9, 2006 / Notices
Section
8(a)(17) of the Small Business Act (Act),
15 U.S.C. 637(a)(17), requires that
recipients of Federal contracts set aside
for small businesses, service-disabled
veteran-owned small businesses, or
SBA’s 8(a) Business Development
Program provide the product of a small
business manufacturer or processor, if
the recipient is other than the actual
manufacturer or processor of the
product. This requirement is commonly
referred to as the Nonmanufacturer
Rule.
The SBA regulations imposing this
requirement are found at 13 CFR
21.406(b). Section 8(a)(17)(b)(iv) of the
Act authorizes SBA to waive the
Nonmanufacturer Rule for any ‘‘class of
products’’ for which there are no small
business manufacturers or processors
available to participate in the Federal
market.
As implemented in SBA’s regulations
at 13 CFR 121.1202(c), in order to be
considered available to participate in
the Federal market for a class of
products, a small business manufacturer
must have submitted a proposal for a
contract solicitation or received a
contract from the Federal government
within the last 24 months. The SBA
defines ‘‘class of products’’ based on a
six digit coding system. The coding
system is the Office of Management and
Budget North American Industry
Classification System (NAICS).
The SBA received a request on
February 16, 2006 to waive the
Nonmanufacturer Rule for Lenses,
Ophthalmic, Manufacturing. In
response, on March 14, 2006, SBA
published in the Federal Register a
notice of intent to waive the
Nonmanufacturer Rule for Lenses,
Ophthalmic, Manufacturing. SBA
explained in the notice that it was
soliciting comments and sources of
small business manufacturers of this
class of product. In response to that
March 14, 2006 notice, SBA received a
comment from a small business
manufacturer indicating that they have
furnished this product to the Federal
government. Accordingly, based on the
available information, SBA has
determined that there is a small
business manufacturer of this class of
product, and, is therefore denying the
class waiver of the Nonmanufacturer
Rule for Lenses, Ophthalmic,
Manufacturing, NAICS codes 339115.
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SUPPLEMENTARY INFORMATION:
Dated: May 2, 2006.
Karen C. Hontz,
Associate Administrator for Government
Contracting.
[FR Doc. E6–6991 Filed 5–8–06; 8:45 am]
BILLING CODE 8025–01–P
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request,
Comment Request and Correction
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
Public Law 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, 1333 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. Certification by Religious Group—
20 CFR 404.1075—0960–0093. Form
SSA–1458 is used to determine if the
religious group meets the qualifications
set out in section 1402(g) of the Internal
Revenue Code which permits members
of certain religious groups and sects to
be exempt from payment of SelfEmployment Contribution Act taxes.
The respondents are spokespersons for
religious groups or sects.
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Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 180.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 45 hours.
2. Medical Consultant’s Review of
Mental Residual Functional Capacity
Assessment—20 CFR 404.1520a,
404.1640, 404.1643, 404.1645,
416.920a—0960–0678. Form SSA–392–
SUP is used by SSA’s regional review
component to facilitate the medical/
psychological consultant’s review of the
Mental Residual Functional Capacity
Form, SSA–4734–SUP. The SSA–392–
SUP records the reviewing medical/
psychological consultant’s assessment
of the SSA–4734–SUP prepared by the
adjudicating component and also
records whether the reviewer agrees or
disagrees with the manner in which the
SSA–4734–SUP was completed. The
SSA–392–SUP is required for each
SSA–4734–SUP form completed. The
respondents are the 256 medical/
psychological consultants responsible
for reviewing the SSA–4734–SUP.
Type of Request: Extension of an
OMB-approved information collection.
Number of Responses: 45,000.
Frequency of Response: 1.
Average Burden Per Response: 12
minutes.
Estimated Annual Burden: 9,000
hours.
3. Statement of Self-Employment
Income—20 CFR 404.101, 404.110,
404.1096(a)–(d)—0960–0046. SSA uses
the information on Form SSA–766 to
expedite the payment of benefits to an
individual who is self-employed and
who is establishing insured status in the
current year. Respondents are selfemployed individuals who may be
eligible for Social Security benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 5,000.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 417 hours.
4. Request for Deceased Individual’s
Social Security Record—20 CFR
402.130—0960–0665. The SSA–711 is
used to process requests from the public
for a microprint of the SS–5,
Application for Social Security Card, for
a deceased individual. Respondents are
members of the public who are
requesting deceased individuals’ Social
Security records.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 7
minutes.
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Federal Register / Vol. 71, No. 89 / Tuesday, May 9, 2006 / Notices
Estimated Annual Burden: 5,834
hours.
5. Request for Business Entity
Taxpayer Information—0960–NEW. The
SSA–1694 will be used to collect
information from law firms or other
business entities that have partners or
employees to whom SSA pays fees that
have been authorized as compensation
for the representation of claimants
before SSA. SSA will collect the name
of the firms and/or business entities, as
well as their addresses and Employer
Identification Numbers (EIN) to keep a
record on file for tax purposes. This
information will be used to meet any
requirement for issuance of a Form
1099–MISC. The respondents are law
firms or other business entities that have
partners or employees that are attorneys
or other qualified individuals who
represent claimants before SSA.
Type of Request: Request for a new
information collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 167 hours.
6. Identifying Information for Possible
Direct Payment of Authorized Fees—
0960–NEW. The SSA–1695 will be used
to collect information from appointed
representatives that will facilitate the
direct payment of authorized fees
related to the representation of
claimants for benefits before SSA and to
issue a Form 1099–MISC, as required.
The information will also be used to
establish a link between each claim for
benefits and the data that will be
collected on the SSA–1699 and stored
on an Appointed Representative
Database. Respondents are attorneys and
other individuals who represent
claimants for benefits before SSA.
Type of Request: Request for a new
information collection.
Number of Respondents: 10,000.
Frequency of Response: 25.
Number of Responses: 250,000.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 41,667
hours.
7. Request for Appointed
Representative’s Direct Payment
Information—0960–NEW. The SSA–
1699 will be used to collect information
from appointed representatives in order
to facilitate the direct payment of
authorized fees, including the possible
use of direct deposit to a financial
institution. SSA will also use the
information provided to meet any
requirement to issue a Form 1099–MISC
when SSA has paid the representative
aggregate fees of $600 or more in a
taxable year. Business affiliation
information will be used to determine if
a Form 1099–MISC should be issued to
a firm in those situations where the
representative is associated with a firm
as an employee or partner. Since the
SSA–1699 is used as a registration form
for the Appointed Representative
Database, representatives will only need
to fill it out once, unless they need to
make a change to any of their
information. This form is used in
Forms
Respondents
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SSA–8202–BK .................................................................................................
SSA–8202–OCR–SM ......................................................................................
Total Burden Hours for This Request:
478,333 hours.
9. Statement for Determining
Continuing Eligibility, Supplemental
Security Income Payment(s)—20 CFR
Subpart B, 416.204—0960–0416. SSA
uses the information collected on form
SSA–8203–BK for high-error-profile
(HEP) redeterminations of disability to
determine whether SSI recipients have
met and continue to meet all statutory
and regulatory requirements for SSI
eligibility and whether they have been,
and are still receiving, the correct
payment amount. The information is
normally completed in field offices by
personal contact (face-to-face or
telephone interview) using the
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Frequency of
response
1,000,000
700,000
automated Modernized SSI Claim
System (MSSICS). The respondents are
recipients of Title XVI benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 171,000.
Frequency of Response: 1.
Average Burden Per Response: 20
minutes.
Estimated Annual Burden: 57,000
hours.
10. Request for Internet Services—
Authentication; Automated Telephone
Speech Technology—Knowledge-Based
Authentication—20 CFR 401.45—0960–
0596. Individuals and third parties who
request personal information from SSA
records, or register with SSA in order to
PO 00000
conjunction with the SSA–1695, which
links the Appointed Representative
Database with the individual claims the
representatives handle. Respondents are
attorneys or non-attorneys eligible for
direct payment (i.e., have met certain
prerequisites established by law).
Type of Request: Request for a new
information collection.
Number of Respondents: 10,000.
Frequency of Response: 1.
Average Burden Per Response: 20
minutes.
Estimated Annual Burden: 3,333
hours.
8. Statement for Determining
Continuing Eligibility, Supplemental
Security Income Payment—20 CFR,
Subpart D, 416.204—0960–0145. SSA
uses form SSA–8202–BK to conduct
low- and middle-error-profile (LEPMEP) telephone or face-to-face
redetermination (RZ) interviews with
Supplemental Security Income (SSI)
recipients and representative payees.
The information collected during the
interview is used to determine whether
SSI recipients have met and continue to
meet all statutory and regulatory
requirements for SSI eligibility and
whether they have been, and are still
receiving, the correct payment amount.
Form SSA–8202–OCR–SM (Optical
Character Recognition Self-Mailer)
collects information similar to that
collected on Form SSA–8202–BK.
However, it is used exclusively in LEP
RZ cases on a 6-year cycle.
Average
burden per response
(minutes)
Estimated
annual burden
(hours)
21
11
350,000
128,333
1
1
participate in SSA’s online business
services, are asked to provide certain
identifying information to verify their
identity. 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
that SSA can authenticate their
identities before releasing personal
information. The respondents are
current beneficiaries who are requesting
personal information from SSA and/or
individuals or third parties who are
registering for SSA’s online business
services.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\09MYN1.SGM
09MYN1
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Federal Register / Vol. 71, No. 89 / Tuesday, May 9, 2006 / Notices
Number of
respondents
Forms
Frequency of
response
Average
burden per response
Burden hours
Internet Requestors .........................................................................................
Telephone Requestors ....................................................................................
2,076,138
889,488
1
1
11⁄2 Minutes
11⁄2 Minutes
51,903
22,237
Totals: .......................................................................................................
2,965,626
........................
........................
74,140
Estimated Annual Burden: 74,140
hours.
11. Integration Registration Services
(IRES) System—20 CFR 401.45—0960–
0626. The IRES System registers and
authenticates businesses, employers and
third parties with SSA, and issues them
Personal Identification Numbers (PIN).
These PINs will be used in the place of
handwritten signatures on forms, when
using SSA’s Business Services Online.
Respondents are employers and third
party submitters of wage data, business
entities providing tax payer
identification information and other
electronic records, and data exchange
partners conducting business in support
of SSA programs.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 460,000.
Frequency of Response: 1.
Average Burden Per Response: 2
minutes.
Estimated Annual Burden: 15,333
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. Letter to Employer Requesting Wage
Information—20 CFR 404.726—0960–
0138. The information collected on
Form SSA–L4201 is used by SSA to
collect wage information from
employers to establish and/or verify
wage information for Supplemental
Security Income (SSI) claimants and
recipients. Form SSA–L4201 is also
used to determine eligibility and proper
payment for SSI applicants/recipients.
The respondents are employers of
applicants for and recipients of SSI
payments.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 133,000.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 66,500
hours.
2. The Mental Health Treatment
Study (MHTS)—0960–NEW.
Background
As a result of advances in medical
treatment, assistive devices, changes in
the way those with disabilities are
viewed, and legislation designed to
assure access to employment, SSA is
taking on an increasingly active role in
assisting beneficiaries who want to
return to work. As a result, SSA plans
to develop the MHTS under section 234
of the Social Security Act (42 U.S.C.
434), which gives the Commissioner of
Social Security the authority to carry
out experiments and demonstration
projects designed to determine the
relative advantages and disadvantages of
interventions that facilitate a
beneficiary’s return to work. Part of the
Agency’s role involves finding ways to
promote work and increase
independence among disability
beneficiaries.
SSA received additional support for
this study in February 2001, through
President Bush’s New Freedom
Initiative—a comprehensive program
whose primary goal is to promote the
full participation of individuals with
disabilities in all areas of society. The
aim of the Initiative is to help
Americans with disabilities by
increasing their access to effective
technologies, expanding educational
opportunities, increasing the ability of
Americans with disabilities to integrate
into the workforce, and promoting
increased access into daily community
life. This initiative provided SSA with
the support necessary to address the
need to expand educational and
employment opportunities for
beneficiaries in an effort to provide
supports and services that will enable
them to maximize their self-sufficiency
and potentially enter or reenter the
workforce.
MHTS Collection
The MHTS is a randomized study
designed to test the degree to which
eliminating programmatic work
disincentives, establishing an accurate
diagnosis and delivering appropriate
mental health and supported
employment will lead to improved
functioning and competitive
employment among Social Security
Disability Insurance (SSDI) beneficiaries
with a primary impairment of
schizophrenia or affective disorder.
Study outcomes will assess the impact
and cost-effectiveness of the
intervention, including identification of
specific factors within the interventions
that result in positive employment
outcomes. This information will enable
SSA to further develop ways to improve
services to current and future
beneficiaries. The information will also
be used to guide any potential changes
to program rules to allow for better
coordination among other Federal and
State programs. Interested beneficiaries
will be initially screened to confirm
their ability to participate in the study.
The actual study is scheduled to be
conducted over a 2-year period with
initial measurement through a baseline
survey, followed by quarterly progress
surveys and a final follow-up survey.
For study purposes, participants will be
divided into two groups: (A) Treatment
Group and (B) Control Group. The
respondents to the study are SSDI
beneficiaries who meet the study
criteria and elect to participate.
Type of Request: New information
collection.
Collection Burden Estimate
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INITIAL SCREENER SURVEYS
Total number
of respondents
Questionnaire
Screener ..........................................................................................................
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Burden per
response
(minutes)
3,050
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Frequency of
response
4
09MYN1
1
Total annual
burden hours
203
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Federal Register / Vol. 71, No. 89 / Tuesday, May 9, 2006 / Notices
TREATMENT GROUP SURVEYS
Total number
of respondents
Questionnaire
Burden per
response
(minutes)
Frequency of
response
Total annual
burden hours
Baseline ...........................................................................................................
Quarterly ..........................................................................................................
Follow-up .........................................................................................................
1,500
1,500
1,500
30
25
20
1
7
1
750
4,375
500
Total ..........................................................................................................
........................
........................
........................
5,625
Burden per
response
(minutes)
Frequency of
response
CONTROL GROUP SURVEYS
Total number
of respondents
Questionnaire
Total annual
burden hours
Baseline ...........................................................................................................
Quarterly ..........................................................................................................
Follow-up .........................................................................................................
1,500
1,500
1,500
30
10
20
1
7
1
750
1,750
500
Total ..........................................................................................................
........................
........................
........................
3,000
TOTAL ESTIMATED BURDEN FOR ALL STUDY ACTIVITIES
Number of
surveys per
respondent
Number of
respondents
Participant
Total annual
burden hours
3,050
1,500
1,500
1
9
9
203
5,625
3,000
Total ......................................................................................................................................
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Screener Survey ..........................................................................................................................
Treatment Group (T) ....................................................................................................................
Control Group (C) ........................................................................................................................
6,050
........................
8,828
III. The information collection listed
below has been submitted to OMB for
clearance. This notice has been
previously published, and is being
republished because changes have been
made to the collection’s burden
estimate. Your comments on the
information collection would be most
useful if received by OMB and SSA
within 60 days from the date of this
publication. You can obtain a copy of
the OMB clearance package by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
Request for Reconsideration—20 CFR
404.907–404.921, 416.1407–416.1421,
408.1009—0960–0622. The information
collected on Form SSA–561–U2 is used
by SSA to document and initiate the
reconsideration process for determining
entitlement to Social Security benefits
(Title II), SSI payments (Title XVI),
Special Veterans Benefits (Title VIII),
Medicare (Title XVIII) and for making
initial determinations regarding
Medicare Part B income-related
premium subsidy reductions. The
respondents are individuals filing for
reconsideration.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 1,461,700.
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Frequency of Response: 1.
Average Burden Per Response: 8
minutes.
Estimated Annual Burden: 194,893
hours.
Dated: May 3, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E6–6992 Filed 5–8–06; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
The Ticket to Work and Work
Incentives Advisory Panel Meeting
AGENCY:
Social Security Administration
(SSA).
ACTION:
Notice of Quarterly Meeting.
June 7, 2006—9 a.m. to 5:30
p.m., June 8, 2006—9 a.m. to 5:30 p.m.,
June 9, 2006—8 a.m. to 4:30 p.m.
ADDRESSES: Double Tree Hotel Crystal
City, 300 Army Navy Drive, Arlington,
VA 22202.
Phone: 703–416–4100.
SUPPLEMENTARY INFORMATION:
Type of meeting: On June 7–9, 2006,
the Ticket to Work and Work Incentives
DATES:
PO 00000
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Sfmt 4703
Advisory Panel (the ‘‘Panel’’) will hold
a quarterly meeting open to the public.
Purpose: In accordance with section
10(a)(2) of the Federal Advisory
Committee Act, the Social Security
Administration (SSA) announces a
meeting of the Ticket to Work and Work
Incentives Advisory Panel. Section
101(f) of Public Law 106–170
establishes the Panel to advise the
President, the Congress, and the
Commissioner of SSA on issues related
to work incentive programs, planning,
and assistance for individuals with
disabilities as provided under section
101(f)(2)(A) of the TWWIA. The Panel is
also to advise the Commissioner on
matters specified in section 101(f)(2)(B)
of that Act, including certain issues
related to the Ticket to Work and SelfSufficiency Program established under
section 101(a) of that Act.
Interested parties are invited to attend
the meeting. The Panel will use the
meeting time to receive briefings and
presentations on matters of interest,
conduct full Panel deliberations on the
implementation of the Act and receive
public testimony.
The Panel will meet in person
commencing on Wednesday, June 7,
2006, from 9 a.m. until 5:30 p.m. The
quarterly meeting will continue on
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]]>Agencies
[Federal Register Volume 71, Number 89 (Tuesday, May 9, 2006)]
[Notices]
[Pages 27016-27019]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-6992]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request,
Comment Request and Correction 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 Public Law
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, 1333 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. Certification by Religious Group--20 CFR 404.1075--0960-0093.
Form SSA-1458 is used to determine if the religious group meets the
qualifications set out in section 1402(g) of the Internal Revenue Code
which permits members of certain religious groups and sects to be
exempt from payment of Self-Employment Contribution Act taxes. The
respondents are spokespersons for religious groups or sects.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 180.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 45 hours.
2. Medical Consultant's Review of Mental Residual Functional
Capacity Assessment--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645,
416.920a--0960-0678. Form SSA-392-SUP is used by SSA's regional review
component to facilitate the medical/psychological consultant's review
of the Mental Residual Functional Capacity Form, SSA-4734-SUP. The SSA-
392-SUP records the reviewing medical/psychological consultant's
assessment of the SSA-4734-SUP prepared by the adjudicating component
and also records whether the reviewer agrees or disagrees with the
manner in which the SSA-4734-SUP was completed. The SSA-392-SUP is
required for each SSA-4734-SUP form completed. The respondents are the
256 medical/psychological consultants responsible for reviewing the
SSA-4734-SUP.
Type of Request: Extension of an OMB-approved information
collection.
Number of Responses: 45,000.
Frequency of Response: 1.
Average Burden Per Response: 12 minutes.
Estimated Annual Burden: 9,000 hours.
3. Statement of Self-Employment Income--20 CFR 404.101, 404.110,
404.1096(a)-(d)--0960-0046. SSA uses the information on Form SSA-766 to
expedite the payment of benefits to an individual who is self-employed
and who is establishing insured status in the current year. Respondents
are self-employed individuals who may be eligible for Social Security
benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 5,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 417 hours.
4. Request for Deceased Individual's Social Security Record--20 CFR
402.130--0960-0665. The SSA-711 is used to process requests from the
public for a microprint of the SS-5, Application for Social Security
Card, for a deceased individual. Respondents are members of the public
who are requesting deceased individuals' Social Security records.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 7 minutes.
[[Page 27017]]
Estimated Annual Burden: 5,834 hours.
5. Request for Business Entity Taxpayer Information--0960-NEW. The
SSA-1694 will be used to collect information from law firms or other
business entities that have partners or employees to whom SSA pays fees
that have been authorized as compensation for the representation of
claimants before SSA. SSA will collect the name of the firms and/or
business entities, as well as their addresses and Employer
Identification Numbers (EIN) to keep a record on file for tax purposes.
This information will be used to meet any requirement for issuance of a
Form 1099-MISC. The respondents are law firms or other business
entities that have partners or employees that are attorneys or other
qualified individuals who represent claimants before SSA.
Type of Request: Request for a new information collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 167 hours.
6. Identifying Information for Possible Direct Payment of
Authorized Fees--0960-NEW. The SSA-1695 will be used to collect
information from appointed representatives that will facilitate the
direct payment of authorized fees related to the representation of
claimants for benefits before SSA and to issue a Form 1099-MISC, as
required. The information will also be used to establish a link between
each claim for benefits and the data that will be collected on the SSA-
1699 and stored on an Appointed Representative Database. Respondents
are attorneys and other individuals who represent claimants for
benefits before SSA.
Type of Request: Request for a new information collection.
Number of Respondents: 10,000.
Frequency of Response: 25.
Number of Responses: 250,000.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 41,667 hours.
7. Request for Appointed Representative's Direct Payment
Information--0960-NEW. The SSA-1699 will be used to collect information
from appointed representatives in order to facilitate the direct
payment of authorized fees, including the possible use of direct
deposit to a financial institution. SSA will also use the information
provided to meet any requirement to issue a Form 1099-MISC when SSA has
paid the representative aggregate fees of $600 or more in a taxable
year. Business affiliation information will be used to determine if a
Form 1099-MISC should be issued to a firm in those situations where the
representative is associated with a firm as an employee or partner.
Since the SSA-1699 is used as a registration form for the Appointed
Representative Database, representatives will only need to fill it out
once, unless they need to make a change to any of their information.
This form is used in conjunction with the SSA-1695, which links the
Appointed Representative Database with the individual claims the
representatives handle. Respondents are attorneys or non-attorneys
eligible for direct payment (i.e., have met certain prerequisites
established by law).
Type of Request: Request for a new information collection.
Number of Respondents: 10,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 3,333 hours.
8. Statement for Determining Continuing Eligibility, Supplemental
Security Income Payment--20 CFR, Subpart D, 416.204--0960-0145. SSA
uses form SSA-8202-BK to conduct low- and middle-error-profile (LEP-
MEP) telephone or face-to-face redetermination (RZ) interviews with
Supplemental Security Income (SSI) recipients and representative
payees. The information collected during the interview is used to
determine whether SSI recipients have met and continue to meet all
statutory and regulatory requirements for SSI eligibility and whether
they have been, and are still receiving, the correct payment amount.
Form SSA-8202-OCR-SM (Optical Character Recognition Self-Mailer)
collects information similar to that collected on Form SSA-8202-BK.
However, it is used exclusively in LEP RZ cases on a 6-year cycle.
----------------------------------------------------------------------------------------------------------------
Average
Frequency of burden per Estimated
Forms Respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8202-BK..................................... 1,000,000 1 21 350,000
SSA-8202-OCR-SM................................. 700,000 1 11 128,333
----------------------------------------------------------------------------------------------------------------
Total Burden Hours for This Request: 478,333 hours.
9. Statement for Determining Continuing Eligibility, Supplemental
Security Income Payment(s)--20 CFR Subpart B, 416.204--0960-0416. SSA
uses the information collected on form SSA-8203-BK for high-error-
profile (HEP) redeterminations of disability to determine whether SSI
recipients have met and continue to meet all statutory and regulatory
requirements for SSI eligibility and whether they have been, and are
still receiving, the correct payment amount. The information is
normally completed in field offices by personal contact (face-to-face
or telephone interview) using the automated Modernized SSI Claim System
(MSSICS). The respondents are recipients of Title XVI benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 171,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 57,000 hours.
10. Request for Internet Services--Authentication; Automated
Telephone Speech Technology--Knowledge-Based Authentication--20 CFR
401.45--0960-0596. Individuals and third parties who request personal
information from SSA records, or register with SSA in order to
participate in SSA's online business services, are asked to provide
certain identifying information to verify their identity. 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 that SSA can authenticate their identities before
releasing personal information. The respondents are current
beneficiaries who are requesting personal information from SSA and/or
individuals or third parties who are registering for SSA's online
business services.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 27018]]
----------------------------------------------------------------------------------------------------------------
Average
Forms Number of Frequency of burden per Burden hours
respondents response response
----------------------------------------------------------------------------------------------------------------
Internet Requestors............................. 2,076,138 1 1\1/2\ Minutes 51,903
Telephone Requestors............................ 889,488 1 1\1/2\ Minutes 22,237
---------------------------------------------------------------
Totals:..................................... 2,965,626 .............. .............. 74,140
----------------------------------------------------------------------------------------------------------------
Estimated Annual Burden: 74,140 hours.
11. Integration Registration Services (IRES) System--20 CFR
401.45--0960-0626. The IRES System registers and authenticates
businesses, employers and third parties with SSA, and issues them
Personal Identification Numbers (PIN). These PINs will be used in the
place of handwritten signatures on forms, when using SSA's Business
Services Online. Respondents are employers and third party submitters
of wage data, business entities providing tax payer identification
information and other electronic records, and data exchange partners
conducting business in support of SSA programs.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 460,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 15,333 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. Letter to Employer Requesting Wage Information--20 CFR 404.726--
0960-0138. The information collected on Form SSA-L4201 is used by SSA
to collect wage information from employers to establish and/or verify
wage information for Supplemental Security Income (SSI) claimants and
recipients. Form SSA-L4201 is also used to determine eligibility and
proper payment for SSI applicants/recipients. The respondents are
employers of applicants for and recipients of SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 133,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 66,500 hours.
2. The Mental Health Treatment Study (MHTS)--0960-NEW.
Background
As a result of advances in medical treatment, assistive devices,
changes in the way those with disabilities are viewed, and legislation
designed to assure access to employment, SSA is taking on an
increasingly active role in assisting beneficiaries who want to return
to work. As a result, SSA plans to develop the MHTS under section 234
of the Social Security Act (42 U.S.C. 434), which gives the
Commissioner of Social Security the authority to carry out experiments
and demonstration projects designed to determine the relative
advantages and disadvantages of interventions that facilitate a
beneficiary's return to work. Part of the Agency's role involves
finding ways to promote work and increase independence among disability
beneficiaries.
SSA received additional support for this study in February 2001,
through President Bush's New Freedom Initiative--a comprehensive
program whose primary goal is to promote the full participation of
individuals with disabilities in all areas of society. The aim of the
Initiative is to help Americans with disabilities by increasing their
access to effective technologies, expanding educational opportunities,
increasing the ability of Americans with disabilities to integrate into
the workforce, and promoting increased access into daily community
life. This initiative provided SSA with the support necessary to
address the need to expand educational and employment opportunities for
beneficiaries in an effort to provide supports and services that will
enable them to maximize their self-sufficiency and potentially enter or
reenter the workforce.
MHTS Collection
The MHTS is a randomized study designed to test the degree to which
eliminating programmatic work disincentives, establishing an accurate
diagnosis and delivering appropriate mental health and supported
employment will lead to improved functioning and competitive employment
among Social Security Disability Insurance (SSDI) beneficiaries with a
primary impairment of schizophrenia or affective disorder. Study
outcomes will assess the impact and cost-effectiveness of the
intervention, including identification of specific factors within the
interventions that result in positive employment outcomes. This
information will enable SSA to further develop ways to improve services
to current and future beneficiaries. The information will also be used
to guide any potential changes to program rules to allow for better
coordination among other Federal and State programs. Interested
beneficiaries will be initially screened to confirm their ability to
participate in the study. The actual study is scheduled to be conducted
over a 2-year period with initial measurement through a baseline
survey, followed by quarterly progress surveys and a final follow-up
survey. For study purposes, participants will be divided into two
groups: (A) Treatment Group and (B) Control Group. The respondents to
the study are SSDI beneficiaries who meet the study criteria and elect
to participate.
Type of Request: New information collection.
Collection Burden Estimate
Initial Screener Surveys
----------------------------------------------------------------------------------------------------------------
Burden per
Questionnaire Total number response Frequency of Total annual
of respondents (minutes) response burden hours
----------------------------------------------------------------------------------------------------------------
Screener........................................ 3,050 4 1 203
----------------------------------------------------------------------------------------------------------------
[[Page 27019]]
Treatment Group Surveys
----------------------------------------------------------------------------------------------------------------
Burden per
Questionnaire Total number response Frequency of Total annual
of respondents (minutes) response burden hours
----------------------------------------------------------------------------------------------------------------
Baseline........................................ 1,500 30 1 750
Quarterly....................................... 1,500 25 7 4,375
Follow-up....................................... 1,500 20 1 500
---------------------------------------------------------------
Total....................................... .............. .............. .............. 5,625
----------------------------------------------------------------------------------------------------------------
Control Group Surveys
----------------------------------------------------------------------------------------------------------------
Burden per
Questionnaire Total number response Frequency of Total annual
of respondents (minutes) response burden hours
----------------------------------------------------------------------------------------------------------------
Baseline........................................ 1,500 30 1 750
Quarterly....................................... 1,500 10 7 1,750
Follow-up....................................... 1,500 20 1 500
---------------------------------------------------------------
Total....................................... .............. .............. .............. 3,000
----------------------------------------------------------------------------------------------------------------
Total Estimated Burden for All Study Activities
----------------------------------------------------------------------------------------------------------------
Number of
Participant Number of surveys per Total annual
respondents respondent burden hours
----------------------------------------------------------------------------------------------------------------
Screener Survey................................................. 3,050 1 203
Treatment Group (T)............................................. 1,500 9 5,625
Control Group (C)............................................... 1,500 9 3,000
-----------------------------------------------
Total....................................................... 6,050 .............. 8,828
----------------------------------------------------------------------------------------------------------------
III. The information collection listed below has been submitted to
OMB for clearance. This notice has been previously published, and is
being republished because changes have been made to the collection's
burden estimate. Your comments on the information collection would be
most useful if received by OMB and SSA within 60 days from the date of
this publication. You can obtain a copy of the OMB clearance package by
calling the SSA Reports Clearance Officer at 410-965-0454, or by
writing to the address listed above.
Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009--0960-0622. The information collected on Form SSA-
561-U2 is used by SSA to document and initiate the reconsideration
process for determining entitlement to Social Security benefits (Title
II), SSI payments (Title XVI), Special Veterans Benefits (Title VIII),
Medicare (Title XVIII) and for making initial determinations regarding
Medicare Part B income-related premium subsidy reductions. The
respondents are individuals filing for reconsideration.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,461,700.
Frequency of Response: 1.
Average Burden Per Response: 8 minutes.
Estimated Annual Burden: 194,893 hours.
Dated: May 3, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-6992 Filed 5-8-06; 8:45 am]
BILLING CODE 4191-02-P
