Agency Information Collection Activities: Proposed Request and Comment Request, 37081-37083 [E9-17805]
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Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices
under Rule G–30. Large differences
between institutional and individual
prices that exceed the price/yield
variance that normally applies to
transactions of different sizes in the
primary market provide evidence that
the duty of fair pricing to individual
clients may not have been met.
2. Statutory Basis
The MSRB has adopted the proposed
rule change pursuant to Section
15B(b)(2)(C) of the Act,5 which provides
that the MSRB’s rules shall:
Be designed to prevent fraudulent and
manipulative acts and practices, to promote
just and equitable principles of trade, to
foster cooperation and coordination with
persons engaged in regulating, clearing,
settling, processing information with respect
to, and facilitating transactions in municipal
securities, to remove impediments to and
perfect the mechanism of a free and open
market in municipal securities, and, in
general, to protect investors and the public
interest.
The MSRB believes that the proposed
rule change is consistent with the Act
because it will further investor
protection by strengthening and
clarifying dealers’ customer protection
obligations relating to sales of municipal
securities to individual and other retail
customers, including but not limited to
the duty to provide material information
to customers investing in municipal
securities and to use material
information in fulfilling their suitability
obligations and their fair pricing
obligations.
B. Self-Regulatory Organization’s
Statement on Burden on Competition
The MSRB does not believe that the
proposed rule change will impose any
burden on competition that is not
necessary or appropriate in furtherance
of the purposes of the Act, as amended,
since it would apply equally to all
dealers.
jlentini on DSKJ8SOYB1PROD with NOTICES
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants or Others
Written comments were neither
solicited nor received on the proposed
rule change.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
The proposed rule change has become
effective pursuant to Section
19(b)(3)(A)(i) of the Act 6 and Rule 19b–
4(f)(1) thereunder,7 in that the proposed
5 15
U.S.C. 78o–4(b)(2)(C).
U.S.C. 78s(b)(3)(A)(i).
7 17 CFR 240.19b–4(f)(1).
6 15
VerDate Nov<24>2008
19:02 Jul 24, 2009
rule change constitutes a stated policy,
practice, or interpretation with respect
to the meaning, administration, or
enforcement of an existing rule of the
self-regulatory organization. At any time
within 60 days of the filing of the
proposed rule change, the Commission
may summarily abrogate such rule
change if it appears to the Commission
that such action is necessary or
appropriate in the public interest, for
the protection of investors, or otherwise
in furtherance of the purposes of the
Act.8
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
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–MSRB–2009–08 on the
subject line.
available for inspection and copying at
the principal office of the MSRB. All
comments received will be posted
without change; the Commission does
not edit personal identifying
information from submissions. You
should submit only information that
you wish to make available publicly. All
submissions should refer to File
Number SR–MSRB–2009–08 and should
be submitted on or before August 17,
2009.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.9
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E9–17820 Filed 7–24–09; 8:45 am]
BILLING CODE 8010–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law (Pub. L.) 104–13, the
Paper Comments
Paperwork Reduction Act of 1995,
• Send paper comments in triplicate
effective October 1, 1995. This notice
to Elizabeth M. Murphy, Secretary,
includes revisions and extensions of
Securities and Exchange Commission,
OMB-approved information collections
100 F Street, NE., Washington, DC
and a new collection.
20549–1090.
SSA is soliciting comments on the
All submissions should refer to File
accuracy of the agency’s burden
Number SR–MSRB–2009–08. This file
estimate; the need for the information;
number should be included on the
its practical utility; ways to enhance its
subject line if e-mail is used. To help the
quality, utility, and clarity; and ways to
Commission process and review your
minimize the burden on respondents,
comments more efficiently, please use
including the use of automated
only one method. The Commission will
collection techniques or other forms of
post all comments on the Commission’s
information technology. Mail, email, or
Internet Web site (https://www.sec.gov/
fax your comments and
rules/sro.shtml). Copies of the
recommendations on the information
submission, all subsequent
collection(s) to the OMB Desk Officer
amendments, all written statements
and the SSA Director for Reports
with respect to the proposed rule
Clearance to the addresses or fax
change that are filed with the
numbers shown below.
Commission, and all written
(OMB), Office of Management and
communications relating to the
Budget, Attn: Desk Officer for SSA,
proposed rule change between the
Fax: 202–395–6974, E-mail address:
Commission and any person, other than
OIRA_Submission@omb.eop.gov.
those that may be withheld from the
(SSA), Social Security Administration,
public in accordance with the
DCBFM, Attn: Director, Center for
provisions of 5 U.S.C. 552, will be
Reports Clearance, 1333 Annex
available for inspection and copying in
Building, 6401 Security Blvd.,
the Commission’s Public Reference
Baltimore, MD 21235, Fax: 410–965–
Room, 100 F Street, NE., Washington,
0454. E-mail address:
DC 20549, on official business days
OPLM.RCO@ssa.gov
between the hours of 10 a.m. and 3 p.m.
I. The information collection below is
Copies of such filing also will be
pending at SSA. SSA will submit it to
8 See Section 19(b)(3)(C) of the Act, 15 U.S.C.
78s(b)(3)(C).
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CFR 200.30–3(a)(12).
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Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices
OMB within 60 days from the date of
this notice. To be sure we consider your
comments, we must receive them no
later than September 25, 2009.
Individuals can obtain copies of the
collection instrument by calling the SSA
Director for Reports Clearance at 410–
965–0454 or by writing to the e-mail
address we list above.
1. Waiver of Right to Appear—
Disability Hearing—20 CFR 404.913–
404.914, 404.916(b)(5), 416.1413–
416.1414, 416.1416(b)(5)—0960–0534.
SSA uses Form SSA–773–U4 for
claimants, or their representatives, to
officially waive their right to appear at
a disability hearing. The disability
hearing officer uses the signed form as
a basis for not holding a hearing and for
preparing a written decision on the
claimant’s request for disability based
solely on the evidence of record. The
respondents are claimants for disability,
or their representatives, under Titles II
and XVI of the Social Security Act, who
wish to waive their right to appear at a
disability hearing.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden per Response: 3
minutes.
Estimated Annual Burden: 10 hours.
2. Medical Consultant’s Review of
Physical Residual Functional Capacity
Assessment—20 CFR 404.1545–.1546,
404.1640, 404.1643, 404.1645, 416.945–
.946—0960–0680. SSA uses Form SSA–
392 to facilitate the medical/
psychological consultant’s review of the
Physical Residual Functional Capacity
Form, SSA–4734. The SSA–392 records
the reviewing medical/psychological
consultant’s assessment of the SSA–
4734. It also documents whether the
reviewer agrees or disagrees with how
the adjudicator completed the SSA–
4734. Medical/psychological
consultants prepare the SSA–392 for
each SSA–4734 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: Extension of an
OMB-approved information collection.
Number of Respondents: 256.
Frequency of Response: 359.
Number of Responses: 91,904
Average Burden per Response: 12
minutes.
Estimated Annual Burden: 18,381
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 August 26, 2009. You can
obtain a copy of the OMB clearance
packages by calling the SSA Director for
Reports Clearance at 410–965–0454 or
by writing to the above email address.
1. 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
Number of
respondents
Collection method
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 uses the
information 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.
2. Disability Report—Adult—20 CFR
404.1512, 416.912—0960–0579. State
Disability Determination Services (DDS)
use the information SSA collects on the
SSA–3368 and its electronic versions to
determine if an adult disability
applicant’s impairment(s) is (are) severe
and, if so, how the impairment(s) affects
(affect) the applicant’s ability to work.
The information the DDSs collect on
this form is crucial in making disability
determinations for all adult claimants
filing for SSA disability benefits and/or
SSI payments. The respondents are
applicants for Title II benefits and/or
Title XVI payments. Type of Request:
Revision of an OMB-approved
information collection.
Average
burden per
response
(hours)
Frequency
of response
Estimated
annual burden
(hours)
22,950
2,238,826
319,994
10,264
1
1
1
1
1
1
11⁄2
11⁄2
22,950
2,238,826
479,991
15,396
Total ..................................................................................................
jlentini on DSKJ8SOYB1PROD with NOTICES
SSA–3368 (Paper Form) .........................................................................
Electronic Disability Collection System (EDCS) ......................................
i3368 (Internet) ........................................................................................
i3368PRO (Internet professional users—rollout only) .............................
2,592,034
..........................
..........................
2,757,163
3. Request for Internet Services—
Password Authentication—20 CFR
401.45—0960–0632. SSA has a
password infrastructure and process to
verify the identity of individuals who
choose to use the Internet and the
automated telephone response system to
conduct personal business with SSA in
an electronic environment. To obtain a
VerDate Nov<24>2008
19:02 Jul 24, 2009
Jkt 217001
password from SSA’s individual
password services, we prescribe
information an individual must provide.
SSA uses the information to
authenticate an individual prior to
issuing a temporary password. Once the
individual creates a permanent
password, he or she may use SSA
password protected services, e.g.,
PO 00000
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Fmt 4703
Sfmt 4703
account status, change of address, direct
deposit elections, or changes. The
respondents are individuals electing to
do personal business with SSA through
an electronic medium.
Type of Request: Extension of an
OMB-approved information collection.
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37083
Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices
Number of
respondents
Automated systems
Average
burden per
response
(minutes)
Frequency
of response
Annual burden
hours
Internet Requestors .................................................................................
Telephone Requestors ............................................................................
3,092,069
122,266
1
1
10
10
515,345
20,378
Total ..................................................................................................
3,214,335
1
..........................
535,723
4. Function Report Adult—Third
Party—20 CFR 404.1512 & 416.912—
0960–0635. DDSs use the SSA–3380 to
collect information about a disability
applicant’s or recipient’s impairment-
related limitations and ability to
function. The information is an
evidentiary source DDS evaluators use
to determine eligibility for SSI and SSDI
claims. The respondents are third
Number of
respondents
Respondent types
parties familiar with the functional
limitations (or lack thereof) of claimants
who apply for SSI and SSDI benefits.
Type of Request: Revision of an OMBapproved information collection.
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
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.
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
Number of
respondents
CFR section
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 with information on his or
her continuing relationship and
responsibility for the beneficiary 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.
Average
burden per
response
(minutes)
Frequency
of response
Estimated
annual burden
hours
250
3,000
1
1
15
6
63
300
Total ..................................................................................................
jlentini on DSKJ8SOYB1PROD with NOTICES
404.2011(a)(1), 416.611(a)(1) .................................................................
404.2025, 416.625 ...................................................................................
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 DDS 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.
VerDate Nov<24>2008
19:02 Jul 24, 2009
Jkt 217001
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.
Estimated Annual Burden: 4,072,123
hours.
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Dated: July 21, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social
Security Administration.
[FR Doc. E9–17805 Filed 7–24–09; 8:45 am]
BILLING CODE 4191–02–P
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]]>Agencies
[Federal Register Volume 74, Number 142 (Monday, July 27, 2009)]
[Notices]
[Pages 37081-37083]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-17805]
=======================================================================
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages 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, email, or
fax your comments and recommendations on the information collection(s)
to the OMB Desk Officer and the SSA Director for Reports Clearance 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: Director, Center
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd.,
Baltimore, MD 21235, Fax: 410-965-0454. E-mail address:
OPLM.RCO@ssa.gov
I. The information collection below is pending at SSA. SSA will
submit it to
[[Page 37082]]
OMB within 60 days from the date of this notice. To be sure we consider
your comments, we must receive them no later than September 25, 2009.
Individuals can obtain copies of the collection instrument by calling
the SSA Director for Reports Clearance at 410-965-0454 or by writing to
the e-mail address we list above.
1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534.
SSA uses Form SSA-773-U4 for claimants, or their representatives, to
officially waive their right to appear at a disability hearing. The
disability hearing officer uses the signed form as a basis for not
holding a hearing and for preparing a written decision on the
claimant's request for disability based solely on the evidence of
record. The respondents are claimants for disability, or their
representatives, under Titles II and XVI of the Social Security Act,
who wish to waive their right to appear at a disability hearing.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden per Response: 3 minutes.
Estimated Annual Burden: 10 hours.
2. Medical Consultant's Review of Physical Residual Functional
Capacity Assessment--20 CFR 404.1545-.1546, 404.1640, 404.1643,
404.1645, 416.945-.946--0960-0680. SSA uses Form SSA-392 to facilitate
the medical/psychological consultant's review of the Physical Residual
Functional Capacity Form, SSA-4734. The SSA-392 records the reviewing
medical/psychological consultant's assessment of the SSA-4734. It also
documents whether the reviewer agrees or disagrees with how the
adjudicator completed the SSA-4734. Medical/psychological consultants
prepare the SSA-392 for each SSA-4734 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: Extension of an OMB-approved information
collection.
Number of Respondents: 256.
Frequency of Response: 359.
Number of Responses: 91,904
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 18,381 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 August 26, 2009. You can obtain a copy of
the OMB clearance packages by calling the SSA Director for Reports
Clearance at 410-965-0454 or by writing to the above email address.
1. 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 uses the information
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.
2. Disability Report--Adult--20 CFR 404.1512, 416.912--0960-0579.
State Disability Determination Services (DDS) use the information SSA
collects on the SSA-3368 and its electronic versions to determine if an
adult disability applicant's impairment(s) is (are) severe and, if so,
how the impairment(s) affects (affect) the applicant's ability to work.
The information the DDSs collect on this form is crucial in making
disability determinations for all adult claimants filing for SSA
disability benefits and/or SSI payments. The respondents are applicants
for Title II benefits and/or Title XVI payments. Type of Request:
Revision of an OMB-approved information collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response annual burden
respondents response (hours) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper Form)....................... 22,950 1 1 22,950
Electronic Disability Collection System 2,238,826 1 1 2,238,826
(EDCS).....................................
i3368 (Internet)............................ 319,994 1 1\1/2\ 479,991
i3368PRO (Internet professional users-- 10,264 1 1\1/2\ 15,396
rollout only)..............................
-------------------------------------------------------------------
Total................................... 2,592,034 ............... ............... 2,757,163
----------------------------------------------------------------------------------------------------------------
3. Request for Internet Services--Password Authentication--20 CFR
401.45--0960-0632. SSA has a password infrastructure and process to
verify the identity of individuals who choose to use the Internet and
the automated telephone response system to conduct personal business
with SSA in an electronic environment. To obtain a password from SSA's
individual password services, we prescribe information an individual
must provide. SSA uses the information to authenticate an individual
prior to issuing a temporary password. Once the individual creates a
permanent password, he or she may use SSA password protected services,
e.g., account status, change of address, direct deposit elections, or
changes. The respondents are individuals electing to do personal
business with SSA through an electronic medium.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 37083]]
----------------------------------------------------------------------------------------------------------------
Average burden
Automated systems Number of Frequency of per response Annual burden
respondents response (minutes) hours
----------------------------------------------------------------------------------------------------------------
Internet Requestors......................... 3,092,069 1 10 515,345
Telephone Requestors........................ 122,266 1 10 20,378
-------------------------------------------------------------------
Total................................... 3,214,335 1 ............... 535,723
----------------------------------------------------------------------------------------------------------------
4. Function Report Adult--Third Party--20 CFR 404.1512 & 416.912--
0960-0635. DDSs use the SSA-3380 to collect information about a
disability applicant's or recipient's impairment-related limitations
and ability to function. The information is an evidentiary source DDS
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 SSI and SSDI benefits.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
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
----------------------------------------------------------------------------------------------------------------
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 with information on his or her continuing relationship and
responsibility for the beneficiary 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.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
CFR section Number of Frequency of per response annual burden
respondents response (minutes) hours
----------------------------------------------------------------------------------------------------------------
404.2011(a)(1), 416.611(a)(1)............... 250 1 15 63
404.2025, 416.625........................... 3,000 1 6 300
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Total................................... 3,250 ............... ............... 363
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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 DDS
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.
Dated: July 21, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-17805 Filed 7-24-09; 8:45 am]
BILLING CODE 4191-02-P
