Agency Information Collection Activities: Proposed Request and Comment Request, 13851-13854 [E7-5281]
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Federal Register / Vol. 72, No. 56 / Friday, March 23, 2007 / Notices
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Commission finds that the proposed
rule change is consistent with Section
6(b)(5) of the Act,17 which requires that
an exchange have rules designed, among
other things, to promote just and
equitable principles of trade, to remove
impediments to and perfect the
mechanism of a free and open market
and a national market system, and in
general to protect investors and the
public interest.
In addition, the Commission finds
that the proposal is consistent with
Section 12(f) of the Act,18 which permits
an exchange to trade, pursuant to UTP,
a security that is listed and registered on
another exchange.19 The Commission
notes that it previously approved the
listing and trading of the Shares on the
Amex.20 The Commission also finds that
the proposal is consistent with Rule
12f–5 under the Act,21 which provides
that an exchange shall not extend UTP
to a security unless the exchange has in
effect a rule or rules providing for
transactions in the class or type of
security to which the exchange extends
UTP. The Exchange has represented that
it meets this requirement because it
deems the Shares to be equity securities,
thus trading in the Shares will be
subject to the Exchange’s existing rules
governing the trading of equity
securities.
The Commission further believes that
the proposal is consistent with Section
11A(a)(1)(C)(iii) of the Act,22 which sets
forth Congress’ finding that it is in the
public interest and appropriate for the
protection of investors and the
maintenance of fair and orderly markets
to assure the availability to brokers,
dealers, and investors of information
with respect to quotations for and
transactions in securities.
Finally, the Commission notes that, if
the Shares should be delisted by the
Amex, the original listing exchange, the
Exchange would no longer have
authority to trade the Shares pursuant to
this order.
impact on efficiency, competition, and capital
formation. See 15 U.S.C. 78c(f).
17 15 U.S.C. 78f(b)(5).
18 15 U.S.C. 78l(f).
19 Section 12(a) of the Act, 15 U.S.C. 78l(a),
generally prohibits a broker-dealer from trading a
security on a national securities exchange unless
the security is registered on that exchange pursuant
to Section 12 of the Act. Section 12(f) of the Act
excludes from this restriction trading in any
security to which an exchange ‘‘extends UTP.’’
When an exchange extends UTP to a security, it
allows its members to trade the security as if it were
listed and registered on the exchange even though
it is not so listed and registered.
20 See Amex Order, supra note 4.
21 17 CFR 240.12f–5.
22 15 U.S.C. 78k–1(a)(1)(C)(iii).
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In support of this proposal, the
Exchange has made the following
representations:
1. The Exchange has appropriate rules
to facilitate transactions in this type of
security in this session.
2. The Exchange’s surveillance
procedures are adequate to properly
monitor the trading of the Shares on the
Exchange. The Exchange may obtain
information via the ISG from other
exchanges who are members or affiliates
of the ISG, including NYBOT. In
addition, to facilitate surveillance, the
Exchange represents that trading in the
Shares will be subject to Commentary
.02(e)(1)–(4) to NYSE Arca Equities Rule
8.200.
3. The Exchange will inform its ETP
Holders in an Information Bulletin of
the special characteristics and risks
associated with trading the Shares.
4. The Exchange will require its ETP
Holders to deliver a prospectus to
investors purchasing newly issued
Shares prior to or concurrently with the
confirmation of a transaction and will
note this prospectus delivery
requirement in the Information Bulletin.
5. The Exchange will cease trading the
Shares of a Fund if: (a) the listing
market stops trading the Shares because
of a regulatory halt similar to a halt
based on NYSE Arca Equities Rule 7.12
or a halt because the IFV or the value
of the applicable Index is no longer
available at least every 15 seconds; or
(b) the listing market delists the Shares.
6. The Exchange will halt trading as
provided in NYSE Arca Equities Rule
7.34.
This approval order is conditioned on
the Exchange’s adherence to these
representations.
The Commission finds good cause for
approving this proposal before the
thirtieth day after the publication of
notice thereof in the Federal Register.
As noted previously, the Commission
previously found that the listing and
trading of the Shares on the Amex is
consistent with the Act.23 The
Commission presently is not aware of
any regulatory issue that should cause it
to revisit that earlier finding or preclude
the trading of the Shares on the
Exchange pursuant to UTP. Therefore,
accelerating approval of this proposal
should benefit investors by creating,
without undue delay, additional
competition in the market for the
Shares.
V. Conclusion
It is therefore ordered, pursuant to
Section 19(b)(2) of the Act,24 that the
PO 00000
Amex Order, supra note 4.
U.S.C. 78s(b)(2).
proposed rule change (SR–NYSEArca–
2006–67), as modified by Amendment
No. 1 be, and it hereby is, approved on
an accelerated basis.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.25
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E7–5316 Filed 3–22–07; 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
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,
faxed or e-mailed 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, E-mail address:
OIRA_Submission@omb.eop.gov.
(SSA) Social Security Administration,
DCFAM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–965–6400, E-mail address:
OPLM.RCO@ssa.gov.
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
23 See
24 15
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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. State Agency Report of Obligations
for SSA Disability Programs (SSA–
4513); Time Report of Personnel
Services for Disability Determination
Services (SSA–4514); State Agency
Schedule of Equipment Purchased for
SSA Disability Programs (SSA–871)—20
CFR 404.1626–0960–0421. Forms SSA–
4513, SSA–4514 and SSA–871 are used
to collect data necessary for detailed
analysis and evaluation of costs
incurred by State Disability
Respondents
Frequency of
response
Determination Services in making
determinations of disability for SSA.
The data are also utilized in
determining funding levels for each
DDS. Respondents are State DDSs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 54.
Estimated Annual Burden: 756 hours.
Average burden per response
(minutes)
Total annual
responses
Estimated annual burden
(hours)
54
54
54
4
4
4
216
216
216
90
90
30
324
324
108
Totals ............................................................................
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SSA–4513 ............................................................................
SSA–4514 ............................................................................
SSA–871 ..............................................................................
54
........................
........................
........................
756
2. Subpoena-Disability Hearing—20
CFR 404.916(b)(1) & 416.1416(b)(1)—
0960–0428. Form SSA–1272–U4 is
completed by State and Federal
disability hearing officers (DHOs) to
subpoena evidence or testimony in
connections with hearings required by
the Social Security Act. Actual issuance
of the subpoena will be done by that
appropriate delegated SSA official.
Respondents are DHOs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 36.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 18 hours.
3. Summary of Evidence—20 CFR
404.913(b), 404.914(a), 416.1707,
416.1313(b), 416.1414(a)—0960–0430.
Form SSA–887 is completed by a DHO
from the claimant’s State Disability
Determination Service (DDS). The DHO
summarizes all medical and vocational
reports that were used to make the nodisability determination. This form,
which is used to prepare for and
conduct the disability hearing, is also
made available to claimants so that they
are aware of the basis for the nodisability decision and they can prepare
for the reconsideration accordingly.
Respondents are DHOs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 12,250
hours.
4. Information About Joint Checking/
Savings Accounts—20 CFR 416.1201(b),
416.1208—0960–0461. The SSA–2574 is
used to collect information when a
Supplemental Security Income (SSI)
applicant/recipient objects to the
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assumption that he/she owns all or part
of the funds in a joint checking or
savings account which bears his or her
name. Information about the account is
collected from both the SSI applicant/
recipient and other accountholder(s).
These statements regarding ownership
are required to determine whether the
account is a resource of the SSI
claimant. The amount of resources a
person owns is one of the factors
considered in determining eligibility for
SSI. Respondents are applicants and
recipients of SSI and individuals who
are joint owners of financial accounts
with SSI applicants/recipients.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden Per Response: 7
minutes.
Estimated Annual Burden: 23,333
hours.
5. Beneficiary Recontact Form—20
CFR 404.703, 404.705—0960–0502. SSA
must ensure that eligibility for benefits
continues after entitlement. Studies
show that mothers/fathers who marry
fail to report the marriage and/or the
fact that they no longer have a child
entitled in their care. SSA uses the
SSA–1588–OCR–SM to ask mothers/
fathers about their marital status and
children in care to detect overpayments
and avoid continuing payment to those
no longer entitled. Respondents are
recipients of survivor mother/father
Social Security benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 133,400.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 11,117
hours.
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6. Wage Reports and Pension
Information—20 CFR 422.122(b)—0960–
0547. The information collected through
20 CFR 422.122(b) is used by SSA to
identify the requestor of pension plan
information and to confirm the
individual is entitled to the data SSA
provides. Respondents are requestors of
pension plan information.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 600.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 300 hours.
7. SSI Monthly Wage Reporting
System— 20 CFR 416.701–732—0960–
0715.
Collection Background
SSI recipients are required to report
changes in their income, resources and
living arrangements that may affect
eligibility or payment amount.
Currently, SSI recipients report changes
on Form SSA–8150, Reporting Events—
SSI, or to an SSA teleservice
representative through SSA’s toll-free
telephone number, or they visit their
local Social Security office.
Wages have, historically, been the
source of SSI’s highest error rate largely
due to non-reporting by beneficiaries,
deemors, and representative payees.
Failure to report changes in wages
timely accounts for approximately $400
million in overpayments each year.
Consequently, SSA is evaluating
methods for increasing reporting. SSA
has tested and determined that given an
easily accessible automated format,
individuals will increase compliance
with reporting responsibilities.
Increased timely reporting has resulted
in a decrease in improper payments.
One of the methods tested, described
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below, is the SSI Wage Reporting
System.
Collection Description
Participants who need to report a
change in monthly wages (Comment:
There are other forms of earned income
that the phone line does not support)
will call SSA’s toll-free telephone
number to report the change. The
participants will access SSA’s system
using knowledge-based authentication
(providing name, SSN and date of birth).
Participants will speak their report
(voice recognition technology) and/or
key in the information using the
telephone key pad. This automated
system will then directly update our
records and issue receipts in
compliance with Section 202 of the
Social Security Protection Act of 2004.
We are requesting permanent
authorization of the existing wage
reporting system to continue providing
an alternative, and more efficient,
means by which beneficiaries, their
representative payees, and deemors can
report wages via a toll-free telephone
number. We believe this permanent
authorization is necessary to effectively
implement national usage of the system
and substantially increase the number of
reports received via this collection
method. Without permanent
authorization, we are concerned that an
interruption in reporting would prove
detrimental to our earlier efforts to
recruit and train reporters, would
damage the current regularity of
reporting, and would considerably
mitigate SSA’s potential to reduce
improper payments resulting from
erroneous, or deficient, wage reports.
Respondents to this collection are SSI
recipients, deemors and representative
payees of recipients who agree to
participate in the program.
Type of Request: Revision of OMB
approval.
Number of Respondents: 50,000.
Frequency of Response: 12.
Average Burden Per Response: 4
minutes.
Estimated Annual Burden: 40,000
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. Complaint Form for Allegations of
Discrimination in Programs or Activities
Conducted by the Social Security
Administration—0960–0585. The
information collected on form SSA–437
is used by SSA to investigate and
formally resolve complaints of
discrimination based on race, color, sex,
age, religion, disability, sexual
orientation, status as a parent,
retaliation, and national origin,
including limited or no ability with
English in any program or activity
conducted by SSA. A person who
believes that he or she has been
discriminated against on any of the
above basis may file a written complaint
of discrimination. The information will
be used to identify the complainant;
identify the alleged discriminatory act;
ascertain the date of such alleged act;
obtain the identity of any individual(s)
Number of
annual
responses
Respondent
with information about the alleged
discrimination; and ascertain other
relevant information that would assist
in the investigation and resolution of
the complaint. The respondents are
individuals who believe they have been
discriminated against by SSA or by
SSA’s employees, contractors or agents
in programs or activities conducted by
SSA.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 140.
Frequency of Response: 1.
Average Burden Per Response: 60
minutes.
Estimated Annual Burden: 140 hours.
2. Work Incentives Planning and
Assistance Program (formerly the BPAO
Program)—0960–0629. Like the Benefits
Planning Assistance Outreach (BPAO)
program which it replaces, the Work
Incentives Planning and Assistance
(WIPA) program collects identifying
information from the project sites and
the community work incentives
coordinators. In addition, data are
collected from the beneficiaries on
background employment, training,
benefits and work incentives. SSA is
interested in identifying beneficiary
outcomes under the WIPA program to
determine the extent to which
beneficiaries with disabilities achieve
their employment, financial and health
care goals. The data will also be
valuable to SSA in its analysis and
future planning for Social Security
Disability Insurance and SSI programs.
Type of Request: Revision of an OMBapproved information collection.
Estimated Annual Burden: 5,019
hours.
Average
burden per
response
(minutes)
Frequency of
response
Estimated
annual burden
(hours)
147
422
60,000
1
1
1
2
2
5
5
14
5,000
Totals ........................................................................................................
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Site ...................................................................................................................
CWIC ...............................................................................................................
Beneficiary .......................................................................................................
60,569
........................
........................
5,019
3. Expanded Monitoring Site Review
Questionnaire for Volume and Fee for
Service Payees (SSA–637); Expanded
Monitoring Site Review Beneficiary
Interview Form (SSA–639)—20 CFR
404.2035, 404.2065, 416.665, 416.701,
416.708—0960–0633. In situations
where a Social Security beneficiary or
SSI recipient is incompetent or
physically unable to take care of his or
her own affairs, SSA may pay Social
Security benefits and/or SSI payments
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to a relative, another person, or an
organization when the best interest of
the beneficiary will be served. In certain
situations SSA conducts site reviews in
order to ensure that payees are carrying
out their responsibilities in accordance
with representative payment policies
and procedures. SSA is also able to
identify poor payee performance,
uncover misuse and initiate corrective
action. Triennial site reviews are
conducted for fee-for-service payees and
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all volume payees (i.e., organizations
serving 100 or more beneficiaries and
individuals serving 20 or more
beneficiaries). The reviews include a
face-to-face meeting with the payee (and
appropriate staff), examination/
verification of a sample of beneficiary
records and supporting documentation,
and usually include beneficiary (if
competent adult) or custodian (if
different from payee) interviews. Forms
SSA–637 and SSA–639 are used to
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record the information collected during
these interviews. The respondents are
certain representative payees and also
competent Social Security beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Form No.
Estimated Annual Burden: 3,538
hours.
Time per
response
(minutes)
Reports
annually
Total hours
SSA–637 ..........................................................................................................
SSA–639 ..........................................................................................................
1,763
8,001
1
1
75
10
2,204
1,334
Totals ........................................................................................................
9,764
........................
........................
3,538
4. Direct Deposit Sign-Up Form
(Country)—31 CFR 210—0960–0686.
The SSA–1199 form captures the direct
deposit information for an account at a
foreign financial institution. Our
International Direct Deposit program
allows beneficiaries living abroad to
have their benefits deposited to an
account at a financial institution outside
the U.S. Routing account number
information varies slightly for each
country, so we use a variation of the SF–
1199 A (the government standard Direct
Deposit Sign-Up Form) for each country.
The respondents are Social Security
beneficiaries residing abroad.
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.
5. Certification of Prisoner Identity
Information—20 CFR 422.107—0960–
0688. When a valid agreement is in
place, prison officials verify the identity
of certain incarcerated U.S. citizens who
need replacement Social Security cards.
Information the prison officials provide
will be taken from the official prison
files and will be transcribed on their
letterhead. This information will be
used to establish the applicant’s identity
in the Social Security card process. The
respondents are prison officials that
certify identity of prisoners applying for
replacement Social Security cards.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 1,000.
Frequency of Response: 200.
Average Burden Per Response: 3
minutes.
Estimated Annual Burden: 10,000
hours.
Number of
respondents
Collections
6. Claimant Statement about Loan of
Food or Shelter; Statement about Food
or Shelter Provided to Another—20 CFR
416.1130–416.1148—0960–0529. Forms
SSA–5062 and SSA–L5063 are used to
obtain statements about food and/or
shelter provided to an SSI claimant or
recipient. SSA uses this information to
determine whether food and/or shelter
are bona fide loans or should be counted
as income for SSI purposes. This
determination can affect eligibility for
SSI and the amount of SSI benefits
payable. The respondents are claimants/
recipients for SSI benefits and
individuals that provide loans of food
and/or shelter to SSI claimants/
recipients.
Type of Request: Revision of an OMBapproved information collection.
Estimated Annual Burden: 21,846
hours.
Average burden per response
(minutes)
Frequency of
response
Estimated annual burden
(hours)
65,540
65,540
1
1
10
10
10,923
10,923
Totals ........................................................................................................
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SSA–5062 ........................................................................................................
SSA–L5063 ......................................................................................................
131,080
........................
........................
21,846
7. Internet Direct Deposit
Application—31 CFR 210—0960–0634.
SSA uses Direct Deposit/Electronic
Funds Transfer (DD/EFT) enrollment
information received from beneficiaries
to facilitate DD/EFT of their Social
Security benefits with a financial
institution. Respondents are Social
Security beneficiaries who use the
Internet to enroll in DD/EFT.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 80,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 13,333
hours.
8. Farm Self-Employment
Questionnaire—20 CFR 404.1095—
0960–0061. Section 211(a) of the Social
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Security Act requires the existence of a
trade or business as a prerequisite for
determining whether an individual or
partnership may have ‘‘net earnings
from self-employment.’’ Form SSA–
7156 elicits the information necessary to
determine the existence of an
agricultural trade or business and
subsequent covered earnings for Social
Security entitlement purposes. The
respondents are applicants for Social
Security benefits, whose entitlement
depends on whether the worker has
covered earnings from self-employment
as a farmer.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 47,500.
Frequency of Response: 1.
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Fmt 4703
Sfmt 4703
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 7,917
hours.
Dated: March 19, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E7–5281 Filed 3–22–07; 8:45 am]
BILLING CODE 4191–02–P
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[Federal Register Volume 72, Number 56 (Friday, March 23, 2007)]
[Notices]
[Pages 13851-13854]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-5281]
=======================================================================
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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 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, faxed or e-mailed 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, E-mail address: OIRA--Submission@omb.eop.gov.
(SSA) Social Security Administration, DCFAM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
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
[[Page 13852]]
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. State Agency Report of Obligations for SSA Disability Programs
(SSA-4513); Time Report of Personnel Services for Disability
Determination Services (SSA-4514); State Agency Schedule of Equipment
Purchased for SSA Disability Programs (SSA-871)--20 CFR 404.1626-0960-
0421. Forms SSA-4513, SSA-4514 and SSA-871 are used to collect data
necessary for detailed analysis and evaluation of costs incurred by
State Disability Determination Services in making determinations of
disability for SSA. The data are also utilized in determining funding
levels for each DDS. Respondents are State DDSs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 54.
Estimated Annual Burden: 756 hours.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Respondents Frequency of Total annual per response annual burden
response responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4513........................ 54 4 216 90 324
SSA-4514........................ 54 4 216 90 324
SSA-871......................... 54 4 216 30 108
-------------------------------------------------------------------------------
Totals...................... 54 .............. .............. .............. 756
----------------------------------------------------------------------------------------------------------------
2. Subpoena-Disability Hearing--20 CFR 404.916(b)(1) &
416.1416(b)(1)--0960-0428. Form SSA-1272-U4 is completed by State and
Federal disability hearing officers (DHOs) to subpoena evidence or
testimony in connections with hearings required by the Social Security
Act. Actual issuance of the subpoena will be done by that appropriate
delegated SSA official. Respondents are DHOs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 36.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 18 hours.
3. Summary of Evidence--20 CFR 404.913(b), 404.914(a), 416.1707,
416.1313(b), 416.1414(a)--0960-0430. Form SSA-887 is completed by a DHO
from the claimant's State Disability Determination Service (DDS). The
DHO summarizes all medical and vocational reports that were used to
make the no-disability determination. This form, which is used to
prepare for and conduct the disability hearing, is also made available
to claimants so that they are aware of the basis for the no-disability
decision and they can prepare for the reconsideration accordingly.
Respondents are DHOs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 12,250 hours.
4. Information About Joint Checking/Savings Accounts--20 CFR
416.1201(b), 416.1208--0960-0461. The SSA-2574 is used to collect
information when a Supplemental Security Income (SSI) applicant/
recipient objects to the assumption that he/she owns all or part of the
funds in a joint checking or savings account which bears his or her
name. Information about the account is collected from both the SSI
applicant/recipient and other accountholder(s). These statements
regarding ownership are required to determine whether the account is a
resource of the SSI claimant. The amount of resources a person owns is
one of the factors considered in determining eligibility for SSI.
Respondents are applicants and recipients of SSI and individuals who
are joint owners of financial accounts with SSI applicants/recipients.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden Per Response: 7 minutes.
Estimated Annual Burden: 23,333 hours.
5. Beneficiary Recontact Form--20 CFR 404.703, 404.705--0960-0502.
SSA must ensure that eligibility for benefits continues after
entitlement. Studies show that mothers/fathers who marry fail to report
the marriage and/or the fact that they no longer have a child entitled
in their care. SSA uses the SSA-1588-OCR-SM to ask mothers/fathers
about their marital status and children in care to detect overpayments
and avoid continuing payment to those no longer entitled. Respondents
are recipients of survivor mother/father Social Security benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 133,400.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 11,117 hours.
6. Wage Reports and Pension Information--20 CFR 422.122(b)--0960-
0547. The information collected through 20 CFR 422.122(b) is used by
SSA to identify the requestor of pension plan information and to
confirm the individual is entitled to the data SSA provides.
Respondents are requestors of pension plan information.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 600.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 300 hours.
7. SSI Monthly Wage Reporting System-- 20 CFR 416.701-732--0960-
0715.
Collection Background
SSI recipients are required to report changes in their income,
resources and living arrangements that may affect eligibility or
payment amount. Currently, SSI recipients report changes on Form SSA-
8150, Reporting Events--SSI, or to an SSA teleservice representative
through SSA's toll-free telephone number, or they visit their local
Social Security office.
Wages have, historically, been the source of SSI's highest error
rate largely due to non-reporting by beneficiaries, deemors, and
representative payees. Failure to report changes in wages timely
accounts for approximately $400 million in overpayments each year.
Consequently, SSA is evaluating methods for increasing reporting. SSA
has tested and determined that given an easily accessible automated
format, individuals will increase compliance with reporting
responsibilities. Increased timely reporting has resulted in a decrease
in improper payments. One of the methods tested, described
[[Page 13853]]
below, is the SSI Wage Reporting System.
Collection Description
Participants who need to report a change in monthly wages (Comment:
There are other forms of earned income that the phone line does not
support) will call SSA's toll-free telephone number to report the
change. The participants will access SSA's system using knowledge-based
authentication (providing name, SSN and date of birth). Participants
will speak their report (voice recognition technology) and/or key in
the information using the telephone key pad. This automated system will
then directly update our records and issue receipts in compliance with
Section 202 of the Social Security Protection Act of 2004.
We are requesting permanent authorization of the existing wage
reporting system to continue providing an alternative, and more
efficient, means by which beneficiaries, their representative payees,
and deemors can report wages via a toll-free telephone number. We
believe this permanent authorization is necessary to effectively
implement national usage of the system and substantially increase the
number of reports received via this collection method. Without
permanent authorization, we are concerned that an interruption in
reporting would prove detrimental to our earlier efforts to recruit and
train reporters, would damage the current regularity of reporting, and
would considerably mitigate SSA's potential to reduce improper payments
resulting from erroneous, or deficient, wage reports. Respondents to
this collection are SSI recipients, deemors and representative payees
of recipients who agree to participate in the program.
Type of Request: Revision of OMB approval.
Number of Respondents: 50,000.
Frequency of Response: 12.
Average Burden Per Response: 4 minutes.
Estimated Annual Burden: 40,000 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. Complaint Form for Allegations of Discrimination in Programs or
Activities Conducted by the Social Security Administration--0960-0585.
The information collected on form SSA-437 is used by SSA to investigate
and formally resolve complaints of discrimination based on race, color,
sex, age, religion, disability, sexual orientation, status as a parent,
retaliation, and national origin, including limited or no ability with
English in any program or activity conducted by SSA. A person who
believes that he or she has been discriminated against on any of the
above basis may file a written complaint of discrimination. The
information will be used to identify the complainant; identify the
alleged discriminatory act; ascertain the date of such alleged act;
obtain the identity of any individual(s) with information about the
alleged discrimination; and ascertain other relevant information that
would assist in the investigation and resolution of the complaint. The
respondents are individuals who believe they have been discriminated
against by SSA or by SSA's employees, contractors or agents in programs
or activities conducted by SSA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 140.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 140 hours.
2. Work Incentives Planning and Assistance Program (formerly the
BPAO Program)--0960-0629. Like the Benefits Planning Assistance
Outreach (BPAO) program which it replaces, the Work Incentives Planning
and Assistance (WIPA) program collects identifying information from the
project sites and the community work incentives coordinators. In
addition, data are collected from the beneficiaries on background
employment, training, benefits and work incentives. SSA is interested
in identifying beneficiary outcomes under the WIPA program to determine
the extent to which beneficiaries with disabilities achieve their
employment, financial and health care goals. The data will also be
valuable to SSA in its analysis and future planning for Social Security
Disability Insurance and SSI programs.
Type of Request: Revision of an OMB-approved information
collection.
Estimated Annual Burden: 5,019 hours.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Respondent annual response response annual burden
responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Site............................................ 147 1 2 5
CWIC............................................ 422 1 2 14
Beneficiary..................................... 60,000 1 5 5,000
---------------------------------------------------------------
Totals...................................... 60,569 .............. .............. 5,019
----------------------------------------------------------------------------------------------------------------
3. Expanded Monitoring Site Review Questionnaire for Volume and Fee
for Service Payees (SSA-637); Expanded Monitoring Site Review
Beneficiary Interview Form (SSA-639)--20 CFR 404.2035, 404.2065,
416.665, 416.701, 416.708--0960-0633. In situations where a Social
Security beneficiary or SSI recipient is incompetent or physically
unable to take care of his or her own affairs, SSA may pay Social
Security benefits and/or SSI payments to a relative, another person, or
an organization when the best interest of the beneficiary will be
served. In certain situations SSA conducts site reviews in order to
ensure that payees are carrying out their responsibilities in
accordance with representative payment policies and procedures. SSA is
also able to identify poor payee performance, uncover misuse and
initiate corrective action. Triennial site reviews are conducted for
fee-for-service payees and all volume payees (i.e., organizations
serving 100 or more beneficiaries and individuals serving 20 or more
beneficiaries). The reviews include a face-to-face meeting with the
payee (and appropriate staff), examination/verification of a sample of
beneficiary records and supporting documentation, and usually include
beneficiary (if competent adult) or custodian (if different from payee)
interviews. Forms SSA-637 and SSA-639 are used to
[[Page 13854]]
record the information collected during these interviews. The
respondents are certain representative payees and also competent Social
Security beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
Estimated Annual Burden: 3,538 hours.
----------------------------------------------------------------------------------------------------------------
Time per
Form No. Number of Reports response Total hours
respondents annually (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-637......................................... 1,763 1 75 2,204
SSA-639......................................... 8,001 1 10 1,334
---------------------------------------------------------------
Totals...................................... 9,764 .............. .............. 3,538
----------------------------------------------------------------------------------------------------------------
4. Direct Deposit Sign-Up Form (Country)--31 CFR 210--0960-0686.
The SSA-1199 form captures the direct deposit information for an
account at a foreign financial institution. Our International Direct
Deposit program allows beneficiaries living abroad to have their
benefits deposited to an account at a financial institution outside the
U.S. Routing account number information varies slightly for each
country, so we use a variation of the SF-1199 A (the government
standard Direct Deposit Sign-Up Form) for each country. The respondents
are Social Security beneficiaries residing abroad.
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.
5. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. When a valid agreement is in place, prison officials verify
the identity of certain incarcerated U.S. citizens who need replacement
Social Security cards. Information the prison officials provide will be
taken from the official prison files and will be transcribed on their
letterhead. This information will be used to establish the applicant's
identity in the Social Security card process. The respondents are
prison officials that certify identity of prisoners applying for
replacement Social Security cards.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 1,000.
Frequency of Response: 200.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 10,000 hours.
6. Claimant Statement about Loan of Food or Shelter; Statement
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. Forms SSA-5062 and SSA-L5063 are used to obtain statements
about food and/or shelter provided to an SSI claimant or recipient. SSA
uses this information to determine whether food and/or shelter are bona
fide loans or should be counted as income for SSI purposes. This
determination can affect eligibility for SSI and the amount of SSI
benefits payable. The respondents are claimants/recipients for SSI
benefits and individuals that provide loans of food and/or shelter to
SSI claimants/recipients.
Type of Request: Revision of an OMB-approved information
collection.
Estimated Annual Burden: 21,846 hours.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collections Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062........................................ 65,540 1 10 10,923
SSA-L5063....................................... 65,540 1 10 10,923
---------------------------------------------------------------
Totals...................................... 131,080 .............. .............. 21,846
----------------------------------------------------------------------------------------------------------------
7. Internet Direct Deposit Application--31 CFR 210--0960-0634. SSA
uses Direct Deposit/Electronic Funds Transfer (DD/EFT) enrollment
information received from beneficiaries to facilitate DD/EFT of their
Social Security benefits with a financial institution. Respondents are
Social Security beneficiaries who use the Internet to enroll in DD/EFT.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 80,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 13,333 hours.
8. Farm Self-Employment Questionnaire--20 CFR 404.1095--0960-0061.
Section 211(a) of the Social Security Act requires the existence of a
trade or business as a prerequisite for determining whether an
individual or partnership may have ``net earnings from self-
employment.'' Form SSA-7156 elicits the information necessary to
determine the existence of an agricultural trade or business and
subsequent covered earnings for Social Security entitlement purposes.
The respondents are applicants for Social Security benefits, whose
entitlement depends on whether the worker has covered earnings from
self-employment as a farmer.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 47,500.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 7,917 hours.
Dated: March 19, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-5281 Filed 3-22-07; 8:45 am]
BILLING CODE 4191-02-P
