Agency Information Collection Activities: Comment Request, 30656-30659 [E8-11898]
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Federal Register / Vol. 73, No. 103 / Wednesday, May 28, 2008 / Notices
disaster for the State of Maine (FEMA–
1755–DR), dated 05/09/2008.
Incident: Severe Storms and Flooding.
Incident Period: 04/28/2008 and
continuing through 05/14/2008.
DATES: Effective Date: 05/14/2008.
Physical Loan Application Deadline
Date: 07/08/2008.
EIDL Loan Application Deadline Date:
02/09/2009.
ADDRESSES: Submit completed loan
applications to: U.S. Small Business
Administration, Processing and
Disbursement Center, 14925 Kingsport
Road, Fort Worth, TX 76155.
FOR FURTHER INFORMATION CONTACT: A.
Escobar, Office of Disaster Assistance,
U.S. Small Business Administration,
409 3rd Street, SW., Suite 6050,
Washington, DC 20416.
SUPPLEMENTARY INFORMATION: The notice
of the President’s major disaster
declaration for the State of Maine, dated
05/09/2008 is hereby amended to
establish the incident period for this
disaster as beginning 04/28/2008 and
continuing through 05/14/2008.
All other information in the original
declaration remains unchanged.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
James E. Rivera,
Acting Associate Administrator for Disaster
Assistance.
[FR Doc. E8–11887 Filed 5–27–08; 8:45 am]
BILLING CODE 8025–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law (Pub. L.) 104–13, the
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes new 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 how to
minimize the burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, e-mail or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and the SSA Reports Clearance Officer
to the addresses or 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, DCBFM, Attn: Reports
Number of
respondents
Form number
Frequency of
response
Clearance Officer, 1333 Annex Building,
6401 Security Blvd., Baltimore, MD
21235, Fax: 410–965–6400, E-mail
address: OPLM.RCO@ssa.gov.
SSA has submitted the information
collections listed below. Your
comments on the information
collections will be most useful if OMB
and SSA receive them within 30 days
from the date of this publication. You
can request a copy of the information
collections by e-mail,
OPLM.RCO@ssa.gov, fax 410–965–6400,
or by calling the SSA Reports Clearance
Officer at 410–965–0454.
1. Report to United States Social
Security Administration by Person
Receiving Benefits for a Child or for an
Adult Unable to Handle Funds/Report
to the United States Social Security
Administration—0960–0049. SSA needs
the information on Forms SSA–7161–
OCR–SM and SSA–7162–OCR–SM to:
(1) Determine continuing entitlement to
Social Security benefits: (2) correct
benefit amounts for beneficiaries
outside the United States: and (3)
monitor the performance of
representative payees outside the
United States. The respondents are
individuals living outside the United
States who are receiving benefits on
their own (or for someone else) under
Title II of the Social Security Act.
Type of Request: Extension of an
OMB-approved information collection.
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
28,461
247,136
1
1
15
5
7,115
20,595
Totals .........................................................
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SSA–7161–OCR–SM .......................................
SSA–7162–OCR–SM .......................................
275,597
........................
........................
27,710
2. Questionnaire About Employment
or Self-Employment Outside the United
States—20 CFR 404.401(b)(1), 404.415 &
404.417—0960–0050. SSA uses Form
SSA–7163 to determine: (1) Whether
work performed by beneficiaries outside
the United States is cause for
deductions from their monthly benefits:
(2) which of two work tests (foreign or
regular test) is applicable; and (3) the
number of months, if any, for SSAimposed deductions. Respondents are
beneficiaries living and working outside
the United States.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
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16:31 May 27, 2008
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Average Burden Per Response: 12
minutes.
Estimated Annual Burden: 4,000
hours.
3. Petition to Obtain Approval of a
Fee for Representing a Claimant before
the Social Security Administration—20
CFR 404.1720, 404.1725, 416.1520 &
416.1525—0960–0104. Representatives
use Form SSA–1560 to charge a fee for
representing a claimant in proceedings
before SSA. A representative must file
either a fee petition or fee agreement
with SSA. If the representative files a
fee petition (Form SSA–1560) to obtain
approval of a fee, SSA reviews the
information to determine a reasonable
fee for the representative’s services.
Respondents are attorneys and non-
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attorneys who represent claimants for
Social Security benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 34,624.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 17,312
hours.
4. Annual Earnings Test Direct Mail
Follow-Up Program Notices—20 CFR
404.452–404.455—0960–0369. The MidYear Mailer ensures Social Security
payments are correct. Beneficiaries
under full retirement age (FRA) use
Forms SSA–L9778, SSA–L9779, and
SSA–L9781 to update their current year
estimate and their estimate for the
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following year. Beneficiaries use MidYear Mailer Forms SSA–L9784 and
SSA–L9785 to request earnings
estimates in the year of FRA for the
period prior to the month of FRA.
Beneficiaries will use new Form SSA–
L9790 to report earnings information at
the end of the year. The respondents are
working Retirement Survivors Insurance
beneficiaries with earnings over the
exempt amount.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 460,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 76,667
hours.
5. Electronic Benefit Verification
Information (BEVE)—20 CFR 401.40—
0960–0595. The electronic proof of
income (POI) verification Internet
service, BEVE, provides beneficiaries
the convenience of requesting a proof of
income statement through the Internet.
Beneficiaries often require a POI to
obtain housing, food stamps, or other
public services. SSA uses the
information BEVE collects to provide
the POI to the beneficiary, after
verifying the requestor’s identity. The
respondents are Social Security Title II,
Title XVI, and Medicare beneficiaries.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 314,974.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 26,248
hours.
6. Application for Survivors
Benefits—20 CFR 404.611(a) and (c)—
0960–0062. Surviving family members
of armed services personnel can file for
Social Security and Veterans’ benefits at
SSA or the Veterans Administration
(VA). If applicants go to the VA first,
they complete Form SSA–24, the
Application for Survivor’s Benefits. The
VA then forwards Form SSA–24 to SSA
for processing. If applicants previously
filed for benefits at SSA, the Agency
disregards this form. The respondents
are survivors of deceased armed services
personnel who are applying for benefits
at the VA.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 3,200.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 800 hours.
7. Quarterly Statistical Report on
Recipients and Payments under StateAdministered Assistance Programs for
Aged, Blind and Disabled (Individuals
and Couples) Recipients—20 CFR
416.2010, 20 CFR 416.2098—0960–
0130. States with agreements with SSA
under the State supplementation
provisions of the Social Security Act
must provide statistical data to SSA.
State Disability Determination Services
(DDS) inform SSA of expenditures and
caseloads of State-administered
supplements under the Supplemental
Security Income program. SSA needs
the data from this report to: (1)
Supplement the information it already
has about federally-administered
programs; (2) more fully explain the
effect of the public income support
programs on the needy, aged, blind, and
disabled; and (3) monitor State
compliance with the mandatory passalong provision. States and other
Federal agencies use data from this
report as well for various purposes. The
respondents are State DDSs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 31.
Frequency of Response: 4.
Average Burden Per Response: 60
minutes.
Estimated Annual Burden: 124 hours.
8. Employee Work Activity
Questionnaire—20 CFR 404.1574,
404.1592—0960–0483. Social Security
disability claimants qualify for benefits
when a verified physical or mental
impairment prevents them from
working. If disability claimants attempt
Number of
respondents
to return to work after receiving
disability benefits but are unable to
continue working, they submit Form
SSA–3033, the Employee Work Activity
Questionnaire, so SSA can evaluate the
work attempt. SSA also uses this form
to evaluate unsuccessful subsidy work.
Ultimately, SSA uses the form to
determine applicants’ continuing
eligibility for disability benefits. The
respondents are employers of Social
Security disability beneficiaries who
unsuccessfully attempted to return to
work.
Type of Request: Extension of an OMB
approved information collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 3,750
hours.
9. Medical Permit Parking
Application—41 CFR 101–20.104–2—
0960–0624. SSA employees and
contractors with a qualifying medical
condition who park at SSA-owned and
-leased facilities may receive a medical
parking permit. SSA uses three forms as
part of this program: SSA–3192, the
Physician’s Report (which the
applicant’s physician completes to
verify the medical condition); Form
SSA–3193, the Application and
Statement (which the person seeking the
permit completes when first applying
for the medical parking space); and
Form SSA–3194, the Renewal
Certification (which medical parking
permit holders complete to verify their
continued need for the permit). The
respondents are SSA employees and
contractors seeking medical parking
permits and their physicians. Note:
Because SSA employees are federal
workers and are PRA-exempt, the
burden below is only for SSA
contractors and physicians (of both SSA
employees and contractors).
Type of Request: Revision to an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated
annual burden
(hours)
75
75
10
1
1
1
90
30
5
113
38
1
Totals ........................................................................................................
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SSA–3192 ........................................................................................................
SSA–3193 ........................................................................................................
SSA–3194 ........................................................................................................
160
........................
........................
152
10. Authorization to Obtain Earnings
Data from the Social Security
Administration—0960–0602. A wage
earner or an organization may request
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16:31 May 27, 2008
Jkt 214001
detailed earnings information from SSA.
SSA collects the information on the
SSA–581 to identify the earnings record,
verify authorized access to the earnings
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Fmt 4703
Sfmt 4703
record, and produce an itemized
statement for release to the proper party.
The respondents are various private/
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public organizations/agencies needing
detailed earnings information.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 33,000.
Frequency of Response: 1.
Average Burden Per Response: 2
minutes.
Estimated Annual Burden: 1,100
hours.
11. Statement Regarding the Inferred
Death of an Individual by Reason of
Continued and Unexplained Absence—
20 CFR 404.720 & 404.721—0960–0002.
Section 202(d)–(i) of the Social Security
Act provides for the payment of various
monthly survivor benefits and a lump
sum death payment to certain survivors
upon the death of an individual who
dies fully or currently insured. If a
person has been absent from his or her
residence and has not been heard from
for at least 7 years, SSA will presume
he or she is deceased. SSA collects
information on Form SSA–723–F4 to
determine if SSA may presume a
missing wage earner is deceased and, if
so, to establish a date of presumed
death. The respondents are persons
having knowledge about the
disappearance of a wage earner.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 1,500
hours.
12. Railroad Employment
Questionnaire—20 CFR 404.1401,
404.1406–404.1408—0960–0078. SSA
uses the data on the SSA–671 to secure
sufficient information to effect the
required coordination with the Railroad
Retirement Board for Social Security
claims processing. SSA obtains data
whenever claimants give indications of
employment in the railroad industry.
The respondents are applicants for
Social Security benefits employed by a
railroad or dependents of railroad
workers.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 125,000.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 10,417
hours.
13. Government Pension
Questionnaire—20 CFR 404.408a—
0960–0160. The Social Security Act and
regulations provide an individual
receiving spousal benefits and
concurrently receiving a Government
pension based on his or her own
earnings not covered by Social Security
may have the amount of the Social
Security benefit reduced by two-thirds
the amount of the Government pension.
SSA uses the information on the SSA–
3885 to determine whether the
Number of
respondents
Form number
individual’s Social Security benefit is
subject to reduction, the amount of the
reduction, the effective date of the
reduction, and whether one of the
exceptions in 20 CFR 404.408a applies.
The respondents are individuals
receiving spousal benefits and a
Government pension.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 12.5
minutes.
Estimated Annual Burden: 6,250
hours.
14. Teacher Questionnaire and
Request for Administrative
Information—20 CFR 416.1103(f)—
0960–0646. SSA must consider all
relevant evidence when determining a
child’s disability under Title XVI of the
Social Security Act. When determining
the effects of a child’s (or other
individual’s) impairment(s), SSA must
obtain information about the child’s
functioning. Using Forms SSA–5665
and SSA–5666, SSA obtains formal
testing results, teacher reports, therapy
progress notes, individualized
education program information and
other records of a child’s educational
aptitude and achievement. The
respondents are parents, teachers and
other education personnel.
Type of Request: Extension of an
OMB-approved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Total annual
burden (hours)
618,000
615,000
1
1
20
15
206,000
153,750
Totals ........................................................................................................
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SSA–5665–BK .................................................................................................
SSA–5666 ........................................................................................................
1,233,000
........................
........................
359,750
SSA has made a correction to this
Notice. Previously we inadvertently
published the burden information for
only one of the forms. We are now
including a chart to show the
information for both forms.
15. Statement of Income and
Resources—20 CFR 416.207, 146.301—
416.310, 416.704, and 416.708—0960–
0124. SSA collects information about
income and resources on form SSA–
8010–BK in Supplemental Security
Income (SSI) claims and
redeterminations. SSA uses the
information to make initial or
continuing eligibility determinations for
SSI claimants/recipients who are subject
to deeming. The respondents are
persons whose income and resources
VerDate Aug<31>2005
16:31 May 27, 2008
Jkt 214001
may be deemed (considered available)
to applicants or beneficiaries of SSI
benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden Per Response: 26
minutes.
Estimated Annual Burden: 147,767
hours.
16. Medicare Part D Subsidies
Regulations—20 CFR Part 418—0960–
0702. The Medicare Prescription Drug
Improvement, and Modernization Act of
2003 (MMA) established the Medicare
Part D program for voluntary
prescription drug coverage of premium,
deductible, and co-payment costs for
certain low-income individuals. The
PO 00000
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Fmt 4703
Sfmt 4703
MMA also mandated the provision of
subsidies for those individuals who
qualify for the program and who meet
eligibility criteria for help with
premium, deductible, and/or copayment costs.
This law requires SSA to make
eligibility determinations and to provide
a process for appealing SSA’s
determinations. Regulation sections
418.3625(c), 418.3645, 418.3665(a), and
418.3670 contain public reporting
requirements, listed below. Respondents
are applicants for the Medicare Part D
subsidies who request an administrative
review hearing.
Type of Request: Revision to an
existing OMB-approved information
collection.
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Federal Register / Vol. 73, No. 103 / Wednesday, May 28, 2008 / Notices
Annual
number of
respondents
Section
§ 418.3625(c) One may request in writing a change in date/time for an administrative review hearing ...........................................................................
§ 418.3645 One may request in writing a different person to conduct the administrative hearing if they suspect bias ......................................................
§ 418.3665(a) One may withdraw their request in writing for an administrative review hearing .......................................................................................
§ 418.3670 Applicants may ask SSA to vacate their previous request to dismiss an administrative review hearing .........................................................
Total ..........................................................................................................
Dated: May 22, 2008.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E8–11898 Filed 5–27–08; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 6237]
Determination on Provision of
Assistance for Sudan
Pursuant to section 451 of the Foreign
Assistance Act of 1961, as amended (the
‘‘Act’’)(22 U.S.C. 2261), and Section 1–
100(a)(1) of Executive Order 12163, as
amended, I hereby authorize,
notwithstanding any other provision of
law, the use of up to $3 million in Fiscal
Year 2008 Peacekeeping Operations
(PKO) funds available under Chapter 6
of Part II of the Act, in order to provide,
for any unanticipated contingencies,
assistance authorized by Part I of the
Act (which is deemed to include
references to Chapter 6 of Part II) for
Sudan.
This determination shall be reported
to Congress promptly and published in
the Federal Register.
Dated: April 25, 2008.
John D. Negroponte,
Deputy Secretary of State, Department of
State.
[FR Doc. E8–11894 Filed 5–27–08; 8:45 am]
BILLING CODE 4710–26–P
DEPARTMENT OF STATE
[Public Notice 6238]
mstockstill on PROD1PC66 with NOTICES
Notice of Public Meeting on FY 2009
Refugee Admissions Program
There will be a meeting on the
President’s FY 2009 Refugee
Admissions Program on Wednesday,
June 11, 2008 from 3 p.m. to 5 p.m. The
meeting will be held at the Refugee
Processing Center, 1401 Wilson
VerDate Aug<31>2005
17:59 May 27, 2008
Jkt 214001
1
5
208
10
1
20
3
1,000
1
5
83
5
1
10
1
3,515
........................
........................
295
Dated: May 16, 2008.
Samuel Witten,
Acting Assistant Secretary, Department of
State.
[FR Doc. E8–11857 Filed 5–27–08; 8:45 am]
BILLING CODE 4710–33–P
DEPARTMENT OF STATE
[Public Notice 6226]
Shipping Coordinating Committee;
Notice of Subcommittee Meeting
The Subcommittee on the Safety of
Navigation of the Shipping Coordinating
Committee (SHC) will be holding an
open meeting at 9:30 a.m. on
Wednesday, June 11, 2008, in room
6215, U.S. Coast Guard Headquarters,
2100 Second Street, SW., Washington,
DC. The purpose of the meeting is to
prepare for the 54th session of the
Subcommittee on Safety of Navigation
(NAV) of the International Maritime
Organization (IMO) which is scheduled
for June 30–July 4, 2008, to be held at
Frm 00060
Fmt 4703
Sfmt 4703
Estimated
annual burden
(hours)
2,500
Boulevard, Suite 700, Arlington,
Virginia. The meeting’s purpose is to
hear the views of attendees on the
appropriate size and scope of the FY
2009 Refugee Admissions Program.
Seating is limited. Persons wishing to
attend this meeting must notify the
Bureau of Population, Refugees, and
Migration at telephone (202) 663–1006
by 5 p.m. on Friday, May 30, 2008, to
reserve a seat. Persons planning to
present oral comments must notify us
by 5 p.m. on Wednesday, June 4, 2008.
Persons planning to submit written
comments for consideration should
provide those comments by 5 on
Wednesday, June 4, 2008. All written
comments should either be e-mailed to
spruellda@state.gov or faxed to (202)
663–1364.
If you have questions about the public
meeting, please contact Delicia Spruell,
PRM/Admissions Program Officer at
(202) 663–1006. Information about the
Refugee Admissions Program may be
found at https://www.state.gov/g/prm/.
PO 00000
Average
burden per
response
(minutes)
Frequency of
response
IMO Headquarters, 4 Albert
Embankment, London SE1 7SR, United
Kingdom. Items of principal interest on
the agenda are:
—Routing of ships, ship reporting and
related matters;
—Development of guidelines for
integrated bridge systems (IBS),
including performance standards for
bridge alert management;
—Amendments to the General
Provisions on Ships’ Routing;
—Carriage requirements for a bridge
navigational watch alarm system;
—Review of the International
Regulations for Preventing Collisions at
Sea (COLREGs) regarding the right of
way of vessels over pleasure craft;
— Amendments to COLREG Annex I
related to color specification of lights;
— International Telecommunication
Union (ITU) matters, including
Radiocommunication ITU–R Study
Group 8;
—Code of conduct during
demonstrations/campaigns against ships
on high seas;
—Measures to minimize incorrect
data transmissions by automatic
identification system (AIS) equipment;
—Worldwide radio navigation system
(WWRNS);
—Development of an e-navigation
strategy;
—Development of carriage
requirements for electronic chart
display and information system
(ECDIS);
—Guidelines for uniform operating
limitations of high-speed craft;
—Guidelines on the layout and
ergonomic design of safety centers on
passenger Ships;
—Review of vague expressions in the
International Convention for the Safety
of Life at Sea (SOLAS) regulation V/22;
—Revision of the Guidance on the
application of AIS binary messages;
—Improved safety of pilot transfer
arrangements;
—Casualty analysis; and
—Consideration of International
Association of Classification Societies
(IACS) unified interpretations.
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]]>Agencies
[Federal Register Volume 73, Number 103 (Wednesday, May 28, 2008)]
[Notices]
[Pages 30656-30659]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-11898]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes new 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 how to minimize the
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Mail, e-mail or
fax your comments and recommendations on the information collection(s)
to the OMB Desk Officer and the SSA Reports Clearance Officer to the
addresses or 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, DCBFM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
SSA has submitted the information collections listed below. Your
comments on the information collections will be most useful if OMB and
SSA receive them within 30 days from the date of this publication. You
can request a copy of the information collections by e-mail,
OPLM.RCO@ssa.gov, fax 410-965-6400, or by calling the SSA Reports
Clearance Officer at 410-965-0454.
1. Report to United States Social Security Administration by Person
Receiving Benefits for a Child or for an Adult Unable to Handle Funds/
Report to the United States Social Security Administration--0960-0049.
SSA needs the information on Forms SSA-7161-OCR-SM and SSA-7162-OCR-SM
to: (1) Determine continuing entitlement to Social Security benefits:
(2) correct benefit amounts for beneficiaries outside the United
States: and (3) monitor the performance of representative payees
outside the United States. The respondents are individuals living
outside the United States who are receiving benefits on their own (or
for someone else) under Title II of the Social Security Act.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Frequency of burden per Estimated annual burden
Form number Number of respondents response response (hours)
(minutes)
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-7161-OCR-SM............................................... 28,461 1 15 7,115
SSA-7162-OCR-SM............................................... 247,136 1 5 20,595
-----------------------------------------------------------------------------------------
Totals.................................................... 275,597 .............. .............. 27,710
--------------------------------------------------------------------------------------------------------------------------------------------------------
2. Questionnaire About Employment or Self-Employment Outside the
United States--20 CFR 404.401(b)(1), 404.415 & 404.417--0960-0050. SSA
uses Form SSA-7163 to determine: (1) Whether work performed by
beneficiaries outside the United States is cause for deductions from
their monthly benefits: (2) which of two work tests (foreign or regular
test) is applicable; and (3) the number of months, if any, for SSA-
imposed deductions. Respondents are beneficiaries living and working
outside the United States.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden Per Response: 12 minutes.
Estimated Annual Burden: 4,000 hours.
3. Petition to Obtain Approval of a Fee for Representing a Claimant
before the Social Security Administration--20 CFR 404.1720, 404.1725,
416.1520 & 416.1525--0960-0104. Representatives use Form SSA-1560 to
charge a fee for representing a claimant in proceedings before SSA. A
representative must file either a fee petition or fee agreement with
SSA. If the representative files a fee petition (Form SSA-1560) to
obtain approval of a fee, SSA reviews the information to determine a
reasonable fee for the representative's services. Respondents are
attorneys and non-attorneys who represent claimants for Social Security
benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 34,624.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 17,312 hours.
4. Annual Earnings Test Direct Mail Follow-Up Program Notices--20
CFR 404.452-404.455--0960-0369. The Mid-Year Mailer ensures Social
Security payments are correct. Beneficiaries under full retirement age
(FRA) use Forms SSA-L9778, SSA-L9779, and SSA-L9781 to update their
current year estimate and their estimate for the
[[Page 30657]]
following year. Beneficiaries use Mid-Year Mailer Forms SSA-L9784 and
SSA-L9785 to request earnings estimates in the year of FRA for the
period prior to the month of FRA. Beneficiaries will use new Form SSA-
L9790 to report earnings information at the end of the year. The
respondents are working Retirement Survivors Insurance beneficiaries
with earnings over the exempt amount.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 460,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 76,667 hours.
5. Electronic Benefit Verification Information (BEVE)--20 CFR
401.40--0960-0595. The electronic proof of income (POI) verification
Internet service, BEVE, provides beneficiaries the convenience of
requesting a proof of income statement through the Internet.
Beneficiaries often require a POI to obtain housing, food stamps, or
other public services. SSA uses the information BEVE collects to
provide the POI to the beneficiary, after verifying the requestor's
identity. The respondents are Social Security Title II, Title XVI, and
Medicare beneficiaries.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 314,974.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 26,248 hours.
6. Application for Survivors Benefits--20 CFR 404.611(a) and (c)--
0960-0062. Surviving family members of armed services personnel can
file for Social Security and Veterans' benefits at SSA or the Veterans
Administration (VA). If applicants go to the VA first, they complete
Form SSA-24, the Application for Survivor's Benefits. The VA then
forwards Form SSA-24 to SSA for processing. If applicants previously
filed for benefits at SSA, the Agency disregards this form. The
respondents are survivors of deceased armed services personnel who are
applying for benefits at the VA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 3,200.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 800 hours.
7. Quarterly Statistical Report on Recipients and Payments under
State-Administered Assistance Programs for Aged, Blind and Disabled
(Individuals and Couples) Recipients--20 CFR 416.2010, 20 CFR
416.2098--0960-0130. States with agreements with SSA under the State
supplementation provisions of the Social Security Act must provide
statistical data to SSA. State Disability Determination Services (DDS)
inform SSA of expenditures and caseloads of State-administered
supplements under the Supplemental Security Income program. SSA needs
the data from this report to: (1) Supplement the information it already
has about federally-administered programs; (2) more fully explain the
effect of the public income support programs on the needy, aged, blind,
and disabled; and (3) monitor State compliance with the mandatory pass-
along provision. States and other Federal agencies use data from this
report as well for various purposes. The respondents are State DDSs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 31.
Frequency of Response: 4.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 124 hours.
8. Employee Work Activity Questionnaire--20 CFR 404.1574,
404.1592--0960-0483. Social Security disability claimants qualify for
benefits when a verified physical or mental impairment prevents them
from working. If disability claimants attempt to return to work after
receiving disability benefits but are unable to continue working, they
submit Form SSA-3033, the Employee Work Activity Questionnaire, so SSA
can evaluate the work attempt. SSA also uses this form to evaluate
unsuccessful subsidy work. Ultimately, SSA uses the form to determine
applicants' continuing eligibility for disability benefits. The
respondents are employers of Social Security disability beneficiaries
who unsuccessfully attempted to return to work.
Type of Request: Extension of an OMB approved information
collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 3,750 hours.
9. Medical Permit Parking Application--41 CFR 101-20.104-2--0960-
0624. SSA employees and contractors with a qualifying medical condition
who park at SSA-owned and -leased facilities may receive a medical
parking permit. SSA uses three forms as part of this program: SSA-3192,
the Physician's Report (which the applicant's physician completes to
verify the medical condition); Form SSA-3193, the Application and
Statement (which the person seeking the permit completes when first
applying for the medical parking space); and Form SSA-3194, the Renewal
Certification (which medical parking permit holders complete to verify
their continued need for the permit). The respondents are SSA employees
and contractors seeking medical parking permits and their physicians.
Note: Because SSA employees are federal workers and are PRA-exempt, the
burden below is only for SSA contractors and physicians (of both SSA
employees and contractors).
Type of Request: Revision to an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................ 75 1 90 113
SSA-3193........................................ 75 1 30 38
SSA-3194........................................ 10 1 5 1
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Totals...................................... 160 .............. .............. 152
----------------------------------------------------------------------------------------------------------------
10. Authorization to Obtain Earnings Data from the Social Security
Administration--0960-0602. A wage earner or an organization may request
detailed earnings information from SSA. SSA collects the information on
the SSA-581 to identify the earnings record, verify authorized access
to the earnings record, and produce an itemized statement for release
to the proper party. The respondents are various private/
[[Page 30658]]
public organizations/agencies needing detailed earnings information.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 33,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 1,100 hours.
11. Statement Regarding the Inferred Death of an Individual by
Reason of Continued and Unexplained Absence--20 CFR 404.720 & 404.721--
0960-0002. Section 202(d)-(i) of the Social Security Act provides for
the payment of various monthly survivor benefits and a lump sum death
payment to certain survivors upon the death of an individual who dies
fully or currently insured. If a person has been absent from his or her
residence and has not been heard from for at least 7 years, SSA will
presume he or she is deceased. SSA collects information on Form SSA-
723-F4 to determine if SSA may presume a missing wage earner is
deceased and, if so, to establish a date of presumed death. The
respondents are persons having knowledge about the disappearance of a
wage earner.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 1,500 hours.
12. Railroad Employment Questionnaire--20 CFR 404.1401, 404.1406-
404.1408--0960-0078. SSA uses the data on the SSA-671 to secure
sufficient information to effect the required coordination with the
Railroad Retirement Board for Social Security claims processing. SSA
obtains data whenever claimants give indications of employment in the
railroad industry. The respondents are applicants for Social Security
benefits employed by a railroad or dependents of railroad workers.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 125,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 10,417 hours.
13. Government Pension Questionnaire--20 CFR 404.408a--0960-0160.
The Social Security Act and regulations provide an individual receiving
spousal benefits and concurrently receiving a Government pension based
on his or her own earnings not covered by Social Security may have the
amount of the Social Security benefit reduced by two-thirds the amount
of the Government pension. SSA uses the information on the SSA-3885 to
determine whether the individual's Social Security benefit is subject
to reduction, the amount of the reduction, the effective date of the
reduction, and whether one of the exceptions in 20 CFR 404.408a
applies. The respondents are individuals receiving spousal benefits and
a Government pension.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 12.5 minutes.
Estimated Annual Burden: 6,250 hours.
14. Teacher Questionnaire and Request for Administrative
Information--20 CFR 416.1103(f)--0960-0646. SSA must consider all
relevant evidence when determining a child's disability under Title XVI
of the Social Security Act. When determining the effects of a child's
(or other individual's) impairment(s), SSA must obtain information
about the child's functioning. Using Forms SSA-5665 and SSA-5666, SSA
obtains formal testing results, teacher reports, therapy progress
notes, individualized education program information and other records
of a child's educational aptitude and achievement. The respondents are
parents, teachers and other education personnel.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Total annual
Form number respondents response response burden (hours)
(minutes)
----------------------------------------------------------------------------------------------------------------
SSA-5665-BK..................................... 618,000 1 20 206,000
SSA-5666........................................ 615,000 1 15 153,750
---------------------------------------------------------------
Totals...................................... 1,233,000 .............. .............. 359,750
----------------------------------------------------------------------------------------------------------------
SSA has made a correction to this Notice. Previously we
inadvertently published the burden information for only one of the
forms. We are now including a chart to show the information for both
forms.
15. Statement of Income and Resources--20 CFR 416.207, 146.301--
416.310, 416.704, and 416.708--0960-0124. SSA collects information
about income and resources on form SSA-8010-BK in Supplemental Security
Income (SSI) claims and redeterminations. SSA uses the information to
make initial or continuing eligibility determinations for SSI
claimants/recipients who are subject to deeming. The respondents are
persons whose income and resources may be deemed (considered available)
to applicants or beneficiaries of SSI benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden Per Response: 26 minutes.
Estimated Annual Burden: 147,767 hours.
16. Medicare Part D Subsidies Regulations--20 CFR Part 418--0960-
0702. The Medicare Prescription Drug Improvement, and Modernization Act
of 2003 (MMA) established the Medicare Part D program for voluntary
prescription drug coverage of premium, deductible, and co-payment costs
for certain low-income individuals. The MMA also mandated the provision
of subsidies for those individuals who qualify for the program and who
meet eligibility criteria for help with premium, deductible, and/or co-
payment costs.
This law requires SSA to make eligibility determinations and to
provide a process for appealing SSA's determinations. Regulation
sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain
public reporting requirements, listed below. Respondents are applicants
for the Medicare Part D subsidies who request an administrative review
hearing.
Type of Request: Revision to an existing OMB-approved information
collection.
[[Page 30659]]
----------------------------------------------------------------------------------------------------------------
Average
Annual number Frequency of burden per Estimated
Section of response response annual burden
respondents (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Sec. 418.3625(c) One may request in writing a 2,500 1 5 208
change in date/time for an administrative
review hearing.................................
Sec. 418.3645 One may request in writing a 10 1 20 3
different person to conduct the administrative
hearing if they suspect bias...................
Sec. 418.3665(a) One may withdraw their 1,000 1 5 83
request in writing for an administrative review
hearing........................................
Sec. 418.3670 Applicants may ask SSA to vacate 5 1 10 1
their previous request to dismiss an
administrative review hearing..................
---------------------------------------------------------------
Total....................................... 3,515 .............. .............. 295
----------------------------------------------------------------------------------------------------------------
Dated: May 22, 2008.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E8-11898 Filed 5-27-08; 8:45 am]
BILLING CODE 4191-02-P
