Agency Information Collection Activities: Proposed Request and Comment Request, 23764-23767 [E9-11715]
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23764
Federal Register / Vol. 74, No. 96 / Wednesday, May 20, 2009 / Notices
Electronic Comments
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an e-mail to rulecomments@sec.gov. Please include File
Number SR–NASDAQ–2009–042 on the
subject line.
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Paper Comments
Budget (OMB) in compliance with
• Send paper comments in triplicate
Public Law (Pub. L.) 104–13, the
to Elizabeth M. Murphy, Secretary,
Paperwork Reduction Act of 1995,
Securities and Exchange Commission,
effective October 1, 1995. This notice
100 F Street, NE., Washington, DC
includes revisions and extensions of
20549–1090.
OMB-approved information collections
All submissions should refer to File
and a new collection.
Number SR–NASDAQ–2009–042. This
SSA is soliciting comments on the
file number should be included on the
accuracy of the agency’s burden
subject line if e-mail is used. To help the estimate; the need for the information;
Commission process and review your
its practical utility; ways to enhance its
comments more efficiently, please use
quality, utility, and clarity; and ways to
only one method. The Commission will minimize the burden on respondents,
post all comments on the Commission’s including the use of automated
Internet Web site (https://www.sec.gov/
collection techniques or other forms of
rules/sro.shtml). Copies of the
information technology. Mail, e-mail, or
submission, all subsequent
fax your comments and
amendments, all written statements
recommendations on the information
with respect to the proposed rule
collection(s) to the OMB Desk Officer
change that are filed with the
and the SSA Reports Clearance Officer
Commission, and all written
to the addresses or fax numbers shown
communications relating to the
below.
proposed rule change between the
(OMB),
Commission and any person, other than
Office of Management and Budget,
those that may be withheld from the
Attn: Desk Officer for SSA,
public in accordance with the
Fax: 202–395–6974,
provisions of 5 U.S.C. 552, will be
E-mail address:
available for inspection and copying in
OIRA_Submission@omb.eop.gov.
the Commission’s Public Reference
(SSA),
Room, 100 F Street, NE., Washington,
Social Security Administration,
DC 20549, on official business days
DCBFM,
between the hours of 10 a.m. and 3 p.m. Attn: Reports Clearance Officer,
Copies of the filing also will be available 1332 Annex Building,
for inspection and copying at the
6401 Security Blvd.,
principal office of the Exchange. All
Baltimore, MD 21235,
comments received will be posted
Fax: 410–965–6400,
without change; the Commission does
E-mail address: OPLM.RCO@ssa.gov.
not edit personal identifying
I. The information collection below is
information from submissions. You
pending at SSA. SSA will submit it to
should submit only information that
OMB within 60 days from the date of
you wish to make available publicly. All this notice. To be sure we consider your
submissions should refer to File
comments, we must receive them no
Number SR–NASDAQ–2009–042 and
later than July 20, 2009. Individuals can
should be submitted on or before June
obtain copies of the collection
10, 2009.
instrument by calling the SSA Reports
For the Commission, by the Division of
Clearance Officer at 410–965–3758 or by
Trading and Markets, pursuant to delegated
writing to the e-mail address we list
24
authority.
above.
Florence E. Harmon,
1. Questionnaire about Special
Deputy Secretary.
Veterans Benefits—0960–NEW. SSA
[FR Doc. E9–11740 Filed 5–19–09; 8:45 am]
will use the information collected on
the SSA–2010 to determine continuing
BILLING CODE 8010–01–P
eligibility for Special Veterans Benefits
24 17 CFR 200.30–3(a)(12).
and to determine how much (if any) of
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Fmt 4703
Sfmt 4703
a foreign pension may be used to reduce
or increase the amount of Social
Security Special Veterans retirement
benefits. The respondents will complete
the SSA–2010 biannually so SSA can
determine if benefits should be
increased, decreased, suspended, or
terminated, based on the data collected.
The respondents are beneficiaries
receiving Social Security Special
Veterans retirement benefits.
Type of Request: Request for a new
information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 20
minutes.
Estimated Annual Burden: 833 hours.
2. Request for Reconsideration—
Disability Cessation—20 CFR 404.909,
416.1409—0960–0349. Claimants or
their representatives use Form SSA–
789–U4 to request that SSA reconsider
a determination and to indicate whether
they wish to appear at a disability
hearing. The claimants can also use this
form to submit any additional
information/evidence for use in the
reconsidered determination and to
indicate if they will need an interpreter
for the hearing. SSA will use the
information on the completed form
either to arrange for a hearing or to
prepare a decision based on the
evidence of record. The respondents are
applicants or claimants for Social
Security benefits or Supplemental
Security Income (SSI) payments.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 13
minutes.
Estimated Annual Burden: 6,500
hours.
3. Function Report Adult—Third
Party—20 CFR 404.1512 & 416.912—
0960–0635. Disability Determination
Services (DDS) use the information from
the SSA–3380–BK to determine
eligibility for SSI and Social Security
Disability Insurance (SSDI) claims. The
information is an evidentiary source
DDSs evaluators use to determine
eligibility for SSI and SSDI claims. The
respondents are third parties familiar
with the functional limitations (or lack
thereof) of claimants who apply for
Social Security benefits and SSI
disability payments.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\20MYN1.SGM
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Federal Register / Vol. 74, No. 96 / Wednesday, May 20, 2009 / Notices
Number of
respondents
Respondent types
Average
burden per
response
(minutes)
Frequency of
response
Estimated
annual burden
(hours)
Individuals ........................................................................................................
Private Sector ..................................................................................................
500,000
500,000
1
1
61
61
508,333
508,333
Total ..........................................................................................................
1,000,000
........................
........................
1,016,666
4. Disability Hearing Officer’s
Decision—Title XVI Disabled Child
Continuing Disability Review—20 CFR
404.913–404.914, 404.917, 416.994a,
416.1413–416.1414, 416.1417—0960–
0657. Disability Hearing Officers (DHO)
use the SSA–1209–BK to prepare and
issue the disability determination for
Title XVI disabled child continuing
disability reviews. The form provides
the framework for addressing the crucial
elements of the case in a sequential and
logical fashion. The completed form is
the official document of the decision. A
copy becomes the personalized portion
of the notice to the claimant/
representative. The respondents are
DHOs in State DDSs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 267.
Frequency of Response: 79.
Total Number of Responses: 21,093.
Average Burden per Response: 85
minutes.
Estimated Annual Burden: 29,882
hours.
5. Medical Consultant’s Review of
Mental Residual Functional Capacity
Assessment—20 CFR 404.1520a,
404.1640, 404.1643, 404.1645,
416.920a—0960–0678. SSA uses Form
SSA–392–SUP to facilitate the medical/
psychological consultant’s review of the
Mental Residual Functional Capacity
Form, SSA–4734–SUP. The SSA–392–
SUP records the reviewing medical/
psychological consultant’s assessment
of the SSA–4734–SUP. It also
documents whether the reviewer agrees
or disagrees with how the adjudicator
completed the SSA–4734–SUP.
Medical/psychological consultants
prepare the SSA–392–SUP for each
SSA–4734–SUP an adjudicator
completes. The respondents are
medical/psychological consultants who
conduct a quality review of adjudicating
components’ completion of SSA’s
medical assessment forms.
Type of Request: Revision of an OMBapproved information collection.
Number of Responses: 45,000.
Frequency of Response: 1.
Number of
respondents
CFR section
Average Burden per Response: 12
minutes.
Estimated Annual Burden: 9,000
hours.
6. Representative Payment Policies
Regulation—20 CFR 404.2011,
404.2025, 416.611, 416.625—0960–
0679. When SSA determines it is not in
a beneficiary’s best interest to receive
payments directly, as it may cause
substantial harm, the beneficiary may
dispute SSA’s decision. If the
beneficiary disputes the decision, he or
she provides SSA with information the
agency will use to re-evaluate the
decision. In addition, after SSA selects
a representative payee, the payee must
provide SSA information on his or her
continuing relationship and
responsibility for the beneficiary he or
she represents and explain how he or
she used the beneficiary’s payments.
Respondents are beneficiaries and
representative payees.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Average burden
per response
Estimated annual
burden
404.2011(a)(1), 416.611(a)(1) .................................................
404.2025, 416.625 ...................................................................
250
3,000
1
1
15
6
63
300
Totals ................................................................................
3,250
..............................
..............................
363
7. Function Report Adult—20 CFR
404.1512 & 416.912—0960–0681. State
DDSs use Form SSA–3373–BK to collect
information about a disability
applicant’s or recipient’s impairmentrelated limitations and ability to
function. The information is an
evidentiary source DDSs evaluators use
to determine eligibility for SSI and SSDI
claims. The respondents are Title II and
Title XVI applicants (or current
recipients undergoing redeterminations)
for disability benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 4,005,367.
Frequency of Response: 1.
Average Burden per Response: 61
minutes.
VerDate Nov<24>2008
15:27 May 19, 2009
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Estimated Annual Burden: 4,072,123
hours.
II. SSA has submitted the information
collections we list below to OMB for
clearance. Your comments on the
information collections would be most
useful if OMB and SSA receive them
within 30 days from the date of this
publication. To be sure we consider
your comments, we must receive them
no later than June 19, 2009. You can
obtain a copy of the OMB clearance
packages by calling the SSA Reports
Clearance Officer at 410–965–3758 or by
writing to the above e-mail address.
1. Surveys in Accordance with E.O.
12862 for the Social Security
Administration—0960–0526. Under the
auspices of E.O.12862, Setting Customer
PO 00000
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Sfmt 4703
Service Standards, SSA conducts
multiple customer satisfaction surveys
each year. These voluntary customer
satisfaction assessments include paper,
Internet, and telephone surveys; mailed
questionnaires, focus groups, and
customer comment cards. The purpose
of these questionnaires is to assess
customer satisfaction with the
timeliness, appropriateness, access, and
overall quality of existing SSA services
and proposed modifications/new
versions of services. The respondents
are recipients of SSA services (including
most members of the public),
professionals, and individuals who
work on behalf of SSA beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
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Number of
respondents
(burden for all
activities within
that year)
Range of
response times
(minutes)
Frequency of
response
Burden (burden
for all activities
within that year;
reported in hours)
Year 1 (June 2009–May 2010) ................................................
Year 2 (June 2010–May 2011) ................................................
Year 3 (June 2011–June 2012) ...............................................
1,400,001
1,400,351
1,400,001
1
1
1
5–90
5–90
5–90
123,000
123,058
123,000
Totals ................................................................................
4,200,353
..............................
..............................
369,058
2. Youth Transition Process
Demonstration Evaluation Data
Collection—0960–0687.
Background
The purpose of the Youth Transition
Demonstration (YTD) project is to help
young people with disabilities make the
transition from school to work. While
participating in the project, youth can
continue to work and/or continue their
education because SSA waives certain
disability program rules and offers
services to youth who are receiving
disability benefits or have a high
probability of receiving them. We are
currently implementing YTD projects in
eight sites across the country. The
evaluation will produce empirical
evidence on the effects of the waivers
and project services including
educational attainment, employment,
earnings, and receipt of benefits by
youth with disabilities, but also on the
Social Security Trust Fund and Federal
income tax revenues. This project is
authorized by Sections 1110 and 234 of
the Social Security Act.
Project Description
Given the importance of estimating
YTD effects as accurately as possible,
we will evaluate the project using
rigorous analytic methods based on
randomly assigning youth to a treatment
or control group. We will conduct
Number of
respondents
several data collections. These include
(1) baseline interviews with youth and
their parents or guardians prior to
random assignment; (2) follow-up
interviews at 12 and 36 months after
random assignment; (3) interviews and/
or roundtable discussions with local
program administrators, program
supervisors, and service delivery staff;
and (4) focus groups of youths, their
parents, and service providers. The
respondents are youths with disabilities
enrolled in the project; their parents or
guardians; program staff; and service
providers.
Type of Request: Revision of an
existing OMB Clearance.
Average burden
per response
(hours)
Responses per
respondent
Total response
burden (hours)
Data collection year
Collection
2009 .................................
Baseline .....................................
Informed Consent ......................
12 Month Follow-up ...................
In-depth Interviews ....................
Focus Group ..............................
Program Staff/Service Provider
36 Month Follow-up ...................
1,895
1,895
1,518
120
150
80
364
1
1
1
1
1
1
1
0.55
0.083
0.83
0.42
1.5
1
0.83
1,042
157
1,260
50
225
80
302
Total 2009 .................
....................................................
6,022
..............................
..............................
3,116
3. The Mental Health Treatment
Study (MHTS)—0960–0726.
Background
Because of advances in medical
treatment, assistive devices, changes in
the way we view those with disabilities,
and legislation designed to assure access
to employment, SSA is taking on an
increasingly active role in assisting
Social Security disability beneficiaries
who want to return to work. As a result,
SSA developed the MHTS under
Section 234 of the Social Security Act
(42 U.S.C. 434), which gives the
Commissioner of Social Security the
authority to carry out experiments and
demonstration projects designed to
determine the relative advantages and
disadvantages of interventions that
facilitate a beneficiary’s return to work.
Part of the agency’s role involves
finding ways to promote work and
increase independence among disability
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15:27 May 19, 2009
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beneficiaries. SSA received additional
support for this study in February 2001,
through President Bush’s New Freedom
Initiative-a comprehensive program
whose primary goal is to promote the
full participation of individuals with
disabilities in all areas of society. The
aim of the initiative is to help
Americans with disabilities by
increasing their access to effective
technologies, expanding educational
opportunities, increasing the ability of
Americans with disabilities to integrate
into the workforce, and promoting
increased access into daily community
life. This initiative provided SSA with
the support that will enable
beneficiaries to maximize their selfsufficiency and potentially enter or
reenter the workforce.
MHTS Collection
The MHTS implemented a
randomized trial study that will
PO 00000
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evaluate the effect of the intervention on
employment and functional outcomes
for SSDI beneficiaries with a primary
mental impairment of schizophrenia or
affective disorder. SSA is currently
implementing the MHTS in 22
demonstration sites across the United
States, with one site having two
locations. The study participants are
SSDI beneficiaries with varying clinical
and demographic characteristics,
employment histories, and, sometimes,
additional medical impairments. The
study design has two arms: treatment
(special services), and control (regular
services) groups. SSA randomly
assigned study participants to the
treatment or control group. Each
treatment or control recipient will
participate for a total of 24 months
following enrollment. The treatment
intervention activities include the
following: diagnostic psychiatric
assessment, comprehensive medical
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assessment, systematic medication
management, supporting employment,
individualized clinical treatment,
supplemental health insurance,
coordination and payment of recipients’
claims, as well as quality assurance
mechanisms and adherence to treatment
guidelines, with subsequent training to
improve deficiencies as identified.
The comprehensive assessment of the
MHTS outcomes will identify which, if
any, of the interventions resulted in
successful employment and functioning
outcomes, and identify the
characteristics of the interventions that
contributed to the success. This
information enables SSA to develop
better ways to improve services to
Number of
respondents 1
Questionnaire
Frequency of
response
current and future recipients. SSA also
uses this information to guide any
potential changes to program rules to
allow for better coordination among
other Federal and state programs.
Type of Request: Revision of an OMBapproved information collection.
Burden per
response
(minutes)
Number of
responses
Total annual
burden (hours)
Screener Estimated Burden
Screener Survey ..................................................................
2,265
1
2,265
4
151
Estimated Burden for Treatment Group
Baseline ...............................................................................
Quarterly ..............................................................................
Follow-up ..............................................................................
1,121
1,121
1,121
1
7
1
1,121
7,847
1,121
47
18
30
878
2,354
561
Total ..............................................................................
........................
........................
10,089
........................
3,793
Estimated Burden for Control Group
Baseline ...............................................................................
Quarterly ..............................................................................
Follow-up ..............................................................................
1,117
1,117
1,117
1
7
1
1,117
7,819
1,117
47
7
30
875
912
559
Total ..............................................................................
........................
........................
10,053
........................
2,346
Total Estimated Burden for All Study Activities
Screener Survey ..................................................................
Treatment Group ..................................................................
Control Group ......................................................................
2,265
1,121
1,117
1
9
9
2,265
10,089
10,053
........................
........................
........................
151
3,793
2,346
Total ..............................................................................
........................
........................
22,407
........................
6,290
1 The
number of respondents may reduce over time due to study withdrawals.
Dated: May 14, 2009.
John Biles,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. E9–11715 Filed 5–19–09; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA 2009–0021]
Privacy Act of 1974, as Amended;
Computer Matching Program (SSA/
States, SDX–BENDEX–SVES Files)—
Match 6000 and 6003)
AGENCY:
Social Security Administration
(SSA).
ACTION: Notice of a renewal of an
existing computer matching program
which is scheduled to expire on
December 31, 2009.
SUMMARY: In accordance with the
provisions of the Privacy Act, as
amended, this notice announces a
renewal of an existing computer
VerDate Nov<24>2008
15:27 May 19, 2009
Jkt 217001
matching program that we are currently
conducting with the States.
DATES: We will file a report of the
subject matching program with the
Committee on Homeland Security and
Governmental Affairs of the Senate, the
Committee on Oversight and
Government Reform of the House of
Representatives, and the Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB). The matching program will be
effective as indicated below.
ADDRESSES: Interested parties may
comment on this notice by either
telefaxing to (410) 965–0201 or writing
to the Deputy Commissioner for Budget,
Finance and Management, 800 Altmeyer
Building, 6401 Security Boulevard,
Baltimore, MD 21235–6401. All
comments received will be available for
public inspection at this address.
FOR FURTHER INFORMATION CONTACT: The
Deputy Commissioner for Budget,
Finance and Management as shown
above.
SUPPLEMENTARY INFORMATION:
PO 00000
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Fmt 4703
Sfmt 4703
A. General
The Computer Matching and Privacy
Protection Act of 1988 (Pub. L. 100–
503), amended the Privacy Act (5 U.S.C.
552a) by describing the conditions
under which computer matching
involving the Federal government could
be performed and adding certain
protections for individuals applying for
and receiving Federal benefits. Section
7201 of the Omnibus Budget
Reconciliation Act of 1990 (Pub. L. 101–
508) further amended the Privacy Act
regarding protections for such
individuals.
The Privacy Act, as amended,
regulates the use of computer matching
by Federal agencies when records in a
system of records are matched with
other Federal, State, or local government
records. It requires Federal agencies
involved in computer matching
programs to:
(1) Negotiate written agreements with
the other agency or agencies
participating in the matching programs;
(2) Obtain the approval of the
matching agreement by the Data
E:\FR\FM\20MYN1.SGM
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]]>Agencies
[Federal Register Volume 74, Number 96 (Wednesday, May 20, 2009)]
[Notices]
[Pages 23764-23767]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-11715]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
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 revisions and extensions of OMB-approved
information collections and a new collection.
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 ways 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 shown 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,
1332 Annex Building,
6401 Security Blvd.,
Baltimore, MD 21235,
Fax: 410-965-6400,
E-mail address: OPLM.RCO@ssa.gov.
I. The information collection below is pending at SSA. SSA will
submit it to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than July
20, 2009. Individuals can obtain copies of the collection instrument by
calling the SSA Reports Clearance Officer at 410-965-3758 or by writing
to the e-mail address we list above.
1. Questionnaire about Special Veterans Benefits--0960-NEW. SSA
will use the information collected on the SSA-2010 to determine
continuing eligibility for Special Veterans Benefits and to determine
how much (if any) of a foreign pension may be used to reduce or
increase the amount of Social Security Special Veterans retirement
benefits. The respondents will complete the SSA-2010 biannually so SSA
can determine if benefits should be increased, decreased, suspended, or
terminated, based on the data collected. The respondents are
beneficiaries receiving Social Security Special Veterans retirement
benefits.
Type of Request: Request for a new information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 833 hours.
2. Request for Reconsideration--Disability Cessation--20 CFR
404.909, 416.1409--0960-0349. Claimants or their representatives use
Form SSA-789-U4 to request that SSA reconsider a determination and to
indicate whether they wish to appear at a disability hearing. The
claimants can also use this form to submit any additional information/
evidence for use in the reconsidered determination and to indicate if
they will need an interpreter for the hearing. SSA will use the
information on the completed form either to arrange for a hearing or to
prepare a decision based on the evidence of record. The respondents are
applicants or claimants for Social Security benefits or Supplemental
Security Income (SSI) payments.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 13 minutes.
Estimated Annual Burden: 6,500 hours.
3. Function Report Adult--Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Disability Determination Services (DDS) use the information
from the SSA-3380-BK to determine eligibility for SSI and Social
Security Disability Insurance (SSDI) claims. The information is an
evidentiary source DDSs evaluators use to determine eligibility for SSI
and SSDI claims. The respondents are third parties familiar with the
functional limitations (or lack thereof) of claimants who apply for
Social Security benefits and SSI disability payments.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 23765]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Respondent types Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Individuals..................................... 500,000 1 61 508,333
Private Sector.................................. 500,000 1 61 508,333
---------------------------------------------------------------
Total....................................... 1,000,000 .............. .............. 1,016,666
----------------------------------------------------------------------------------------------------------------
4. Disability Hearing Officer's Decision--Title XVI Disabled Child
Continuing Disability Review--20 CFR 404.913-404.914, 404.917,
416.994a, 416.1413-416.1414, 416.1417--0960-0657. Disability Hearing
Officers (DHO) use the SSA-1209-BK to prepare and issue the disability
determination for Title XVI disabled child continuing disability
reviews. The form provides the framework for addressing the crucial
elements of the case in a sequential and logical fashion. The completed
form is the official document of the decision. A copy becomes the
personalized portion of the notice to the claimant/representative. The
respondents are DHOs in State DDSs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 267.
Frequency of Response: 79.
Total Number of Responses: 21,093.
Average Burden per Response: 85 minutes.
Estimated Annual Burden: 29,882 hours.
5. Medical Consultant's Review of Mental Residual Functional
Capacity Assessment--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645,
416.920a--0960-0678. SSA uses Form SSA-392-SUP to facilitate the
medical/psychological consultant's review of the Mental Residual
Functional Capacity Form, SSA-4734-SUP. The SSA-392-SUP records the
reviewing medical/psychological consultant's assessment of the SSA-
4734-SUP. It also documents whether the reviewer agrees or disagrees
with how the adjudicator completed the SSA-4734-SUP. Medical/
psychological consultants prepare the SSA-392-SUP for each SSA-4734-SUP
an adjudicator completes. The respondents are medical/psychological
consultants who conduct a quality review of adjudicating components'
completion of SSA's medical assessment forms.
Type of Request: Revision of an OMB-approved information
collection.
Number of Responses: 45,000.
Frequency of Response: 1.
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 9,000 hours.
6. Representative Payment Policies Regulation--20 CFR 404.2011,
404.2025, 416.611, 416.625--0960-0679. When SSA determines it is not in
a beneficiary's best interest to receive payments directly, as it may
cause substantial harm, the beneficiary may dispute SSA's decision. If
the beneficiary disputes the decision, he or she provides SSA with
information the agency will use to re-evaluate the decision. In
addition, after SSA selects a representative payee, the payee must
provide SSA information on his or her continuing relationship and
responsibility for the beneficiary he or she represents and explain how
he or she used the beneficiary's payments. Respondents are
beneficiaries and representative payees.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of Frequency of Average burden Estimated annual
CFR section respondents response per response burden
----------------------------------------------------------------------------------------------------------------
404.2011(a)(1), 416.611(a)(1)....... 250 1 15 63
404.2025, 416.625................... 3,000 1 6 300
---------------------------------------------------------------------------
Totals.......................... 3,250 ................. ................. 363
----------------------------------------------------------------------------------------------------------------
7. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681.
State DDSs use Form SSA-3373-BK to collect information about a
disability applicant's or recipient's impairment-related limitations
and ability to function. The information is an evidentiary source DDSs
evaluators use to determine eligibility for SSI and SSDI claims. The
respondents are Title II and Title XVI applicants (or current
recipients undergoing redeterminations) for disability benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 4,005,367.
Frequency of Response: 1.
Average Burden per Response: 61 minutes.
Estimated Annual Burden: 4,072,123 hours.
II. SSA has submitted the information collections we list below to
OMB for clearance. Your comments on the information collections would
be most useful if OMB and SSA receive them within 30 days from the date
of this publication. To be sure we consider your comments, we must
receive them no later than June 19, 2009. You can obtain a copy of the
OMB clearance packages by calling the SSA Reports Clearance Officer at
410-965-3758 or by writing to the above e-mail address.
1. Surveys in Accordance with E.O. 12862 for the Social Security
Administration--0960-0526. Under the auspices of E.O.12862, Setting
Customer Service Standards, SSA conducts multiple customer satisfaction
surveys each year. These voluntary customer satisfaction assessments
include paper, Internet, and telephone surveys; mailed questionnaires,
focus groups, and customer comment cards. The purpose of these
questionnaires is to assess customer satisfaction with the timeliness,
appropriateness, access, and overall quality of existing SSA services
and proposed modifications/new versions of services. The respondents
are recipients of SSA services (including most members of the public),
professionals, and individuals who work on behalf of SSA beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 23766]]
----------------------------------------------------------------------------------------------------------------
Burden (burden
Number of for all
respondents Frequency of Range of activities within
(burden for all response response times that year;
activities within (minutes) reported in
that year) hours)
----------------------------------------------------------------------------------------------------------------
Year 1 (June 2009-May 2010)......... 1,400,001 1 5-90 123,000
Year 2 (June 2010-May 2011)......... 1,400,351 1 5-90 123,058
Year 3 (June 2011-June 2012)........ 1,400,001 1 5-90 123,000
---------------------------------------------------------------------------
Totals.......................... 4,200,353 ................. ................. 369,058
----------------------------------------------------------------------------------------------------------------
2. Youth Transition Process Demonstration Evaluation Data
Collection--0960-0687.
Background
The purpose of the Youth Transition Demonstration (YTD) project is
to help young people with disabilities make the transition from school
to work. While participating in the project, youth can continue to work
and/or continue their education because SSA waives certain disability
program rules and offers services to youth who are receiving disability
benefits or have a high probability of receiving them. We are currently
implementing YTD projects in eight sites across the country. The
evaluation will produce empirical evidence on the effects of the
waivers and project services including educational attainment,
employment, earnings, and receipt of benefits by youth with
disabilities, but also on the Social Security Trust Fund and Federal
income tax revenues. This project is authorized by Sections 1110 and
234 of the Social Security Act.
Project Description
Given the importance of estimating YTD effects as accurately as
possible, we will evaluate the project using rigorous analytic methods
based on randomly assigning youth to a treatment or control group. We
will conduct several data collections. These include (1) baseline
interviews with youth and their parents or guardians prior to random
assignment; (2) follow-up interviews at 12 and 36 months after random
assignment; (3) interviews and/or roundtable discussions with local
program administrators, program supervisors, and service delivery
staff; and (4) focus groups of youths, their parents, and service
providers. The respondents are youths with disabilities enrolled in the
project; their parents or guardians; program staff; and service
providers.
Type of Request: Revision of an existing OMB Clearance.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average burden
Data collection year Collection Number of Responses per per response Total response
respondents respondent (hours) burden (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
2009........................................ Baseline...................... 1,895 1 0.55 1,042
Informed Consent.............. 1,895 1 0.083 157
12 Month Follow-up............ 1,518 1 0.83 1,260
In-depth Interviews........... 120 1 0.42 50
Focus Group................... 150 1 1.5 225
Program Staff/Service Provider 80 1 1 80
36 Month Follow-up............ 364 1 0.83 302
-----------------------------------------------------------------------------------------------------------
Total 2009.............................. .............................. 6,022 ................. ................. 3,116
--------------------------------------------------------------------------------------------------------------------------------------------------------
3. The Mental Health Treatment Study (MHTS)--0960-0726.
Background
Because of advances in medical treatment, assistive devices,
changes in the way we view those with disabilities, and legislation
designed to assure access to employment, SSA is taking on an
increasingly active role in assisting Social Security disability
beneficiaries who want to return to work. As a result, SSA developed
the MHTS under Section 234 of the Social Security Act (42 U.S.C. 434),
which gives the Commissioner of Social Security the authority to carry
out experiments and demonstration projects designed to determine the
relative advantages and disadvantages of interventions that facilitate
a beneficiary's return to work. Part of the agency's role involves
finding ways to promote work and increase independence among disability
beneficiaries. SSA received additional support for this study in
February 2001, through President Bush's New Freedom Initiative-a
comprehensive program whose primary goal is to promote the full
participation of individuals with disabilities in all areas of society.
The aim of the initiative is to help Americans with disabilities by
increasing their access to effective technologies, expanding
educational opportunities, increasing the ability of Americans with
disabilities to integrate into the workforce, and promoting increased
access into daily community life. This initiative provided SSA with the
support that will enable beneficiaries to maximize their self-
sufficiency and potentially enter or reenter the workforce.
MHTS Collection
The MHTS implemented a randomized trial study that will evaluate
the effect of the intervention on employment and functional outcomes
for SSDI beneficiaries with a primary mental impairment of
schizophrenia or affective disorder. SSA is currently implementing the
MHTS in 22 demonstration sites across the United States, with one site
having two locations. The study participants are SSDI beneficiaries
with varying clinical and demographic characteristics, employment
histories, and, sometimes, additional medical impairments. The study
design has two arms: treatment (special services), and control (regular
services) groups. SSA randomly assigned study participants to the
treatment or control group. Each treatment or control recipient will
participate for a total of 24 months following enrollment. The
treatment intervention activities include the following: diagnostic
psychiatric assessment, comprehensive medical
[[Page 23767]]
assessment, systematic medication management, supporting employment,
individualized clinical treatment, supplemental health insurance,
coordination and payment of recipients' claims, as well as quality
assurance mechanisms and adherence to treatment guidelines, with
subsequent training to improve deficiencies as identified.
The comprehensive assessment of the MHTS outcomes will identify
which, if any, of the interventions resulted in successful employment
and functioning outcomes, and identify the characteristics of the
interventions that contributed to the success. This information enables
SSA to develop better ways to improve services to current and future
recipients. SSA also uses this information to guide any potential
changes to program rules to allow for better coordination among other
Federal and state programs.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of Burden per
Questionnaire respondents Frequency of Number of response Total annual
\1\ response responses (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Screener Estimated Burden
----------------------------------------------------------------------------------------------------------------
Screener Survey................. 2,265 1 2,265 4 151
----------------------------------------------------------------------------------------------------------------
Estimated Burden for Treatment Group
----------------------------------------------------------------------------------------------------------------
Baseline........................ 1,121 1 1,121 47 878
Quarterly....................... 1,121 7 7,847 18 2,354
Follow-up....................... 1,121 1 1,121 30 561
-------------------------------------------------------------------------------
Total....................... .............. .............. 10,089 .............. 3,793
----------------------------------------------------------------------------------------------------------------
Estimated Burden for Control Group
----------------------------------------------------------------------------------------------------------------
Baseline........................ 1,117 1 1,117 47 875
Quarterly....................... 1,117 7 7,819 7 912
Follow-up....................... 1,117 1 1,117 30 559
-------------------------------------------------------------------------------
Total....................... .............. .............. 10,053 .............. 2,346
-------------------------------------------------------------------------------
Total Estimated Burden for All Study Activities
----------------------------------------------------------------------------------------------------------------
Screener Survey................. 2,265 1 2,265 .............. 151
Treatment Group................. 1,121 9 10,089 .............. 3,793
Control Group................... 1,117 9 10,053 .............. 2,346
-------------------------------------------------------------------------------
Total....................... .............. .............. 22,407 .............. 6,290
----------------------------------------------------------------------------------------------------------------
\1\ The number of respondents may reduce over time due to study withdrawals.
Dated: May 14, 2009.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. E9-11715 Filed 5-19-09; 8:45 am]
BILLING CODE 4191-02-P
