Agency Information Collection Activities: Comment Request, 30656-30659 [E8-11898]

Download as PDF 30656 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 ......................................................... mstockstill on PROD1PC66 with NOTICES 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. VerDate Aug<31>2005 16:31 May 27, 2008 Jkt 214001 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- PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 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 E:\FR\FM\28MYN1.SGM 28MYN1 30657 Federal Register / Vol. 73, No. 103 / Wednesday, May 28, 2008 / Notices 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 ........................................................................................................ mstockstill on PROD1PC66 with NOTICES 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 VerDate Aug<31>2005 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 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 record, and produce an itemized statement for release to the proper party. The respondents are various private/ E:\FR\FM\28MYN1.SGM 28MYN1 30658 Federal Register / Vol. 73, No. 103 / Wednesday, May 28, 2008 / Notices 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 ........................................................................................................ mstockstill on PROD1PC66 with NOTICES 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 Frm 00059 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. E:\FR\FM\28MYN1.SGM 28MYN1 30659 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 http://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. E:\FR\FM\28MYN1.SGM 28MYN1

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]


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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
                                                 ---------------------------------------------------------------
    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