Agency Information Collection Activities: Proposed Request and Comment Request, 27036-27041 [2010-11190]

Download as PDF 27036 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices communications relating to the proposed rule change between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for Web site viewing and printing in the Commission’s Public Reference Room, 100 F Street, NE., Washington, DC 20549, on official business days between the hours of 10 a.m. and 3 p.m. Copies of the filing also will be available for inspection and copying at the principal office of the ISE. 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–ISE–2010–38 and should be submitted on or before June 3, 2010. sroberts on DSKD5P82C1PROD with NOTICES IV. Commission’s Findings and Order Granting Accelerated Approval of Proposed Rule Change The Commission finds that the proposed rule change is consistent with the requirements of the Act and the rules and regulations thereunder applicable to a national securities exchange.12 Specifically, the Commission finds that the proposed rule change is consistent with Section 6(b)(4) 13 of the Act, which requires that the rules of a national securities exchange provide for the equitable allocation of reasonable dues, fees, and other charges among members and issuers and other persons using its facilities. As described more fully above, ISE recently amended DECN’s fee schedule for ISE Members pursuant to SR–ISE– 2010–37 (the ‘‘Member Fee Filing’’). The fee changes made pursuant to the Member Fee Filing became operative on May 1, 2010. DECN receives rebates and is charged fees for transactions it executes on EGDX or EDGA in its capacity as an introducing broker for its non-ISE member subscribers. The current proposal, which will apply retroactively to May 1, 2010, will allow DECN to pass through the revised rebates and fees to the non-ISE member subscribers for which it acts an introducing broker. The Commission 12 In approving this proposal, the Commission has considered its impact on efficiency, competition, and capital formation. 15 U.S.C 78c(f). 13 15 U.S.C. 78f(b)(4). VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 finds that the proposal is consistent with the Act because it will provide rebates and charge fees to non-ISE member subscribers that are equivalent to those established for ISE member subscribers in the Member Fee Filing.14 ISE has requested that the Commission find good cause for approving the proposed rule change prior to the thirtieth day after publication of notice of filing thereof in the Federal Register. As discussed above, the proposal will allow DECN to pass through to non-ISE member subscribers the revised rebate and fees established for ISE member subscribers in the Member Fee Filing, resulting in equivalent rebates and fees for ISE member and non-member subscribers. In addition, because the proposal will apply the revised rebates and fees retroactively to May 1, 2010, the revised rebates and fees will have the same effective date, thereby promoting consistency in the DECN’s fee schedule. Accordingly, the Commission finds good cause, pursuant to Section 19(b)(2) of the Act, for approving the proposed rule change prior to the thirtieth day after the date of publication of notice of filing thereof in the Federal Register. V. Conclusion It is therefore ordered, pursuant to Section 19(b)(2) of the Act,15 that the proposed rule change (SR–ISE–2010–38) be, and hereby is, approved on an accelerated basis. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.16 Florence E. Harmon, Deputy Secretary. [FR Doc. 2010–11398 Filed 5–12–10; 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 14 Id. 15 15 16 17 PO 00000 U.S.C. 78s(b)(2). CFR 200.30–3(a)(12). Frm 00119 Fmt 4703 Sfmt 4703 Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and extensions of OMB-approved information collections and a collection in use without an OMB number. 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 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 SSA Reports Clearance Director to the following addresses or fax numbers. (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 collections below are pending at SSA. SSA will submit them 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 12, 2010. Individuals can obtain copies of the collection instruments by calling the SSA Director for Reports Clearance at 410–965–0454 or by writing to the above e-mail address. 1. Request to Be Selected as a Payee— 20 CFR 404.2010–404.2055, 416.601– 416.665—0960–0014. An individual applying to be a representative payee for a Social Security or Supplemental Security Income (SSI) recipient completes Form SSA–11–BK. SSA obtains information from applicant payees regarding their relationship to the beneficiary, personal qualifications, concern for the beneficiary’s well-being, and intended use of benefits if appointed as payee. The respondents are individuals, private sector businesses and institutions, and state and local government institutions and agencies. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\13MYN1.SGM 13MYN1 27037 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices Number of respondents Collection method Average burden per response (minutes) Frequency of response Estimated annual burden (hours) Individuals/Households Representative Payee System (RPS) ............................................................. RPS/Signature Proxy ....................................................................................... Paper Version .................................................................................................. 135,000 765,000 450,000 1 1 1 10.5 9.5 10.5 23,625 121,125 78,750 Totals ........................................................................................................ 1,350,000 ........................ ........................ 223,500 RPS .................................................................................................................. RPS/Signature Proxy ....................................................................................... Paper Version .................................................................................................. 13,500 76,500 45,000 1 1 1 10.5 9.5 10.5 2,363 12,113 7,875 Totals ........................................................................................................ 135,000 ........................ ........................ 22,351 Private Sector State/Local/Tribal Government 1,500 8,500 5,000 1 1 1 10.5 9.5 10.5 263 1,346 875 Totals ........................................................................................................ 15,000 ........................ ........................ 2,484 Grand Total: ...................................................................................... sroberts on DSKD5P82C1PROD with NOTICES RPS .................................................................................................................. RPS/Signature Proxy ....................................................................................... Paper Version .................................................................................................. 1,500,000 ........................ ........................ 248,335 2. Representative Payee Evaluation Report—20 CFR 404.2065 & 416.665— 0960–0069. Sections 205(j) and 1631(a)(2) of the Social Security Act provide that SSA may appoint a representative payee to receive Title II benefits and/or Title XVI payments on behalf of individuals unable to manage those funds themselves. SSA requires the appointed representative payee to report once per year on how he or she used or conserved those funds. When a representative payee fails to adequately report to SSA, SSA conducts a face-toface interview with the payee and completes Form SSA–624, Representative Payee Evaluation Report, to determine the continued suitability of the representative payee to serve as a payee. The respondents are individuals or organizations serving as representative payees for individuals receiving Title II benefits and/or Title XVI payments, and who fail to comply with SSA’s statutory annual reporting requirement. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 266,000. Frequency of Response: 1. Average Burden per Response: 30 minutes. Estimated Annual Burden: 133,000 hours. 3. Waiver of Your Right to Personal Appearance before an Administrative Law Judge—20 CFR 404.948(b)(l)(i) and 416.1448(b)(l)(i)—0960–0284. Applicants for Social Security benefits and SSI payments have the statutory VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 right to appear in person (or through a representative) and present evidence about their claims at a hearing before an Administrative Law Judge (ALJ). If claimants wish to waive this right to appear before an ALJ, they must complete a written request. The applicants may use SSA Form HA–4608 for this purpose. The ALJ uses the information to document an individual’s claim to show that an oral hearing is not preferred in the appellate process. Respondents are claimants or their representatives for Title II benefits and/ or Title XVI payments who request to waive their right to appear in person before an ALJ. Type of Request: Revision of an approved-OMB information collection. Number of Respondents: 12,000. Frequency of Response: 1. Average Burden per Response: 2 minutes. Estimated Annual Burden: 400 hours. 4. Request for Change in Time/Place of Disability Hearing—20 CFR 404.914(c)(2) and 416.1414(c)(2)—0960– 0348. At the request of the claimant or their representative, SSA schedules evidentiary hearings at the reconsideration level for claimants of Title II benefits and/or Title XVI payments when we deny their claims for disability. When claimants or their representatives find they are unable to attend the hearing, they complete Form SSA–769 to request a change in time or place of the hearing. SSA uses the information as a basis for granting or PO 00000 Frm 00120 Fmt 4703 Sfmt 4703 denying requests for changes and for rescheduling disability hearings. Respondents are claimants or their representative who wish to request a change in the time and/or place of their hearing. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 7,483. Frequency of Response: 1. Average Burden per Response: 8 minutes. Estimated Annual Burden: 998 hours. 5. Agency/Employer Government Pension Offset Questionnaire—20 CFR 404.408(a)—0960–0470. When an individual is concurrently receiving Social Security spousal or surviving spousal benefits and a Government pension, the individual may have the amount of Social Security benefits reduced by the Government pension amount. This is the Government Pension Offset (GPO). SSA uses Form SSA–L4163 to collect accurate pension information from the Federal or state government agency paying the pension for purposes of applying the pension offset provision. The form is used only when: (1) The claimant does not have the information; and (2) the pensionpaying agency has not cooperated with the claimant. Respondents are state government agencies that have information SSA needs to determine if the GPO applies and the amount of offset. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 1,000. E:\FR\FM\13MYN1.SGM 13MYN1 27038 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices Frequency of Response: 1. Average Burden per Response: 3 minutes. Estimated Annual Burden: 50 hours. 6. Child Care Dropout Questionnaire—20 CFR 404.211(e)(4)— 0960–0474. The Social Security Act and SSA’s regulations permit the exclusion, from a disability computation period, of the years an individual was caring for his or her (or the spouse’s) child under age 3 if he or she had no earnings in the benefit computation years. We call this the child-care dropout exclusion. SSA uses the information from Form SSA–4162 to determine if an individual qualifies for this exclusion. Respondents are applicants for Title II disability benefits. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 2000. Frequency of Response: 1. Average Burden per Response: 5 minutes. Estimated Annual Burden: 167 hours. 7. Requests for Self-Employment Information, Employee Information, Employer Information—20 CFR 422.120—0960–0508. SSA collects information on Forms SSA–L2765, SSA–L3365, and SSA–L4002 to credit the reported earnings to the proper earnings record. When SSA cannot identify Form W–2 wage data for an individual, we place the data in the earnings suspense file and send one of the forms cited above to the employee (and in certain instances to the Number of respondents Collection method employer) to obtain the correct name and Social Security number (SSN). If the respondent furnishes the name and SSN information that agrees with SSA’s records, or provides information that resolves the discrepancy, SSA adds the reported earnings to the respondent’s Social Security record. While SSA does not require respondents to provide the information to keep a benefit, if they do not furnish the missing or corrected information, we cannot credit the wages or self-employment income to the proper earnings record. The respondents are self-employed individuals and employees whose name and SSN information do not agree with SSA’s records and their employers. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated annual burden (hours) 7,870 158,334 218,891 1 1 1 10 10 10 1,312 26,389 36,482 Totals ...................................................................................................... sroberts on DSKD5P82C1PROD with NOTICES SSA–L2765 .................................................................................................... SSA–L3365 .................................................................................................... SSA–L4002 .................................................................................................... 385,095 ........................ ........................ 64,183 8. Appointment of Representative—20 CFR 404.1707, 404.1720, 404.1725, 410.684 and 416.1507—0960–0527. Persons claiming rights or benefits under the Social Security Act must notify SSA in writing when they appoint an individual to represent them in dealings with SSA. SSA uses the information collected on Form SSA– 1696–U4 to verify the appointment of a representative. It also allows SSA to inform the representative of items that affect the recipient’s claim, and allows the claimant to give permission to his or her appointed representative to designate a person to copy claims files. Respondents are applicant/recipients of Social Security benefits who notify SSA they have appointed a person to represent them in their dealings with SSA. Number of Respondents: 551,520. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 91,920 hours. 9. Function Report—Child: Birth to 1st Birthday (SSA–3375), Age 1 to 3rd Birthday (SSA 3376), Age 3 to 6th Birthday (SSA–3377), Age 6 to 12th Birthday (SSA–3378), and Age 12 to 18th Birthday (SSA–3379)—20 CFR 416.912—0960–0542. Forms SSA–3375– BK through SSA–3379–BK request information from the child’s parent about the child’s day-to-day functioning. The five different versions of the form contain questions about functioning appropriate to a particular age group; thus, respondents use only one version for each child. The adjudicative team (disability examiners and medical/psychological consultants) of state Disability Determination Services (DDS) offices collect the information on the appropriate version of this form (in conjunction with medical and other evidence) to form a complete picture of the child’s ability to function and his or her impairment-related limitations. The adjudicative team uses the completed profile to determine whether the child’s impairment(s) results in marked and severe functional limitations and whether the child is disabled. The respondents are parents and/or guardians of child applicants for SSI payments. Number of respondents Collection method SSA–3820 (Paper Form) ............................................................................... VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 PO 00000 Frm 00121 Fmt 4703 Sfmt 4703 Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 500,000. Frequency of Response: 1. Average Burden per Response: 20 minutes. Estimated Annual Burden: 166,667 hours. 10. Disability Report–Child—20 CFR 416.912—0960–0577—When claimants file a claim for childhood disability benefits under the SSI program, they must furnish medical and other evidence to prove they are disabled. Form SSA–3820 collects various types of information about a child’s condition from treating sources and/or other medical sources of evidence. The DDS evaluators use the information to develop medical and school evidence and to assess the alleged disability. The information, together with medical evidence, forms the evidentiary basis upon which SSA makes its initial disability evaluation. The respondents are claimants seeking SSI childhood disability payments. Type of Request: Revision of an OMBapproved information collection. Frequency of response 500 E:\FR\FM\13MYN1.SGM Average burden per response (minutes) 1 13MYN1 60 Estimated annual burden (hours) 500 27039 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices Number of respondents Collection method Frequency of response Average burden per response (minutes) Estimated annual burden (hours) Electronic Disability Collection System (EDCS) ............................................ i3820 (Internet) .............................................................................................. 422,000 93,293 1 1 34 120 239,133 186,586 Totals ...................................................................................................... 515,793 ........................ ........................ 426,219 11. eData Registration—20 CFR 401.45—0960–0757—The eData Services Web site allows various external organizations to submit files to a variety of SSA systems and in some cases receive return files. The users include state/local government agencies, other Federal agencies, and some private sector business entities. The SSA systems that process data transferred via eData include, but are not limited to, systems responsible for disability processing and benefit determination or termination. A sponsor within SSA who knows the requestor completes the registration form, SSA– 118, and submits the information to SSA’s User Interface Team (UIT). SSA uses the information on Form SSA–118 (Government-to-Government Services Online Web site Registration Form) to maintain the identity of the requestor within eData. Once this is completed, SSA provides the requestor with the Number of respondents Collection method new password and conducts a walkthrough of the eData Web site as necessary. The organization can also modify its online account (e.g., address change) by completing an online Form SSA–119 (Government-to-Government Service Online Web site Account Modification/Deletion Form). Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated annual burden (hours) 925 2,500 1 1 15 15 231 625 Totals ...................................................................................................... sroberts on DSKD5P82C1PROD with NOTICES SSA–118 ........................................................................................................ SSA–119 ........................................................................................................ 3,425 ........................ ........................ 856 12. Technical Updates to Applicability of the Supplemental Security Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical Treatment Facilities—20 CFR 404.708(k)—0960–0758. Section 1611(e)(1)(A) of the Social Security Act states that no resident of a public institution is eligible for SSI benefits. However, Sections 1611(e)(1)(B) and (G) list certain exceptions to this provision that make it necessary for SSA to collect information about any SSI recipient who enters or leaves a medical treatment facility or other public or private institution. SSA’s regulation, 20 CFR 404.708(k), establishes the reporting guidelines that implement this legislative requirement. SSA uses the information to determine eligibility for SSI and the payment amount. The respondents are SSI recipients who enter or leave an institution. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 34,200. Frequency of Response: 1. Average Burden per Response: 7 minutes. Estimated Annual Burden: 3,990 hours. 13. Statement for Certificate of Election for Reduced Widower(er)’s and Surviving Divorced Spouse’s Benefits— 20 CFR 404.335—0960–0759. Section VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 202(q) of the Social Security Act provides for the authority to reduce benefits under certain conditions when elected by a Title II beneficiary. However, reduced benefits are not payable to an already entitled spouse (or divorced spouse) who: • Is at least age 62 and under full retirement age in the month of the number holder’s death; and • Is receiving reduced spouse’s (or divorced spouse’s) benefits and either retirement or disability benefits in the month before the month of the number holder’s death. To elect reduced widow(er) benefits, a recipient completes Form SSA–4111. SSA uses the information collected on Form SSA–4111 to pay a qualified dually entitled widow(er) (or surviving divorced spouse) who elects to receive a reduced widow(er) benefit. The respondents are qualified dually entitled widow(er)s (or surviving divorced spouse) who elect to receive a reduced widow(er) benefit. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 24,000. Frequency of Response: 1. Average Burden per Response: 15 minutes. Estimated Annual Burden: 6,000 hours. II. SSA has submitted the information collections listed below to OMB for PO 00000 Frm 00122 Fmt 4703 Sfmt 4703 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 14, 2010. 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 e-mail address. 1. Certificate of Responsibility for Welfare and Care of Child Not in Applicant’s Custody—20 CFR 404.330, 404.339–341 and 404.348–404.349— 0960–0019. SSA uses information from Form SSA–781 to determine if noncustodial parents who are filing for spouse’s or mother’s and father’s benefits based on having a child in their care meet the in-care requirements. Respondents are applicants for Title II spouse’s and/or mother’s and father’s benefits. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 14,000. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 2,333 hours. 2. Disability Report-Appeal—20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 405 Subpart C, 422.140— E:\FR\FM\13MYN1.SGM 13MYN1 27040 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices 0960–0144. SSA requires disability claimants who are appealing an unfavorable disability determination to complete Form SSA–3441–BK. This form allows claimants to disclose any changes to their disability or resources that might influence SSA’s unfavorable determination. SSA may use the information to: (1) Reconsider and Respondents are individuals who appeal a denial, reduction, or cessation of Social Security disability income and SSI payments, or who are requesting a hearing before an ALJ. Type of Request: Revision of an OMBapproved information collection. review an initial disability determination; (2) review a continuing disability; and (3) evaluate a request for a hearing. This information assists the DDS offices and ALJs in: (1) Preparing for the appeals and hearings; and (2) issuing a determination or decision on an individual’s entitlement (initial or continuing) to disability benefits. Number of respondents Collection method Average burden per response (minutes) Frequency of response Estimated annual burden (hours) SSA–3441 (Paper Form) ............................................................................... Electronic Disability Collect System (EDCS) ................................................. I3441 (Internet Form) ..................................................................................... 12,604 843,090 417,268 1 1 1 45 45 120 9,453 632,318 834,536 Totals ...................................................................................................... 1,272,962 ........................ ........................ 1,476,307 3. Request for Hearing by Administrative Law Judge—20 CFR 404.929, 404.933, 416.1429, 404.1433, 405.722, 418.1350—0960–0269. When SSA denies applicants’ or beneficiaries’ requests for new or continuing benefits, those applicants/beneficiaries are entitled to request a hearing to appeal the decision. SSA uses Form HA–501 to document such requests. Although SSA collects this information, actual hearings take place before ALJs employed by the Department of Health and Human Services (HHS). The respondents are: (1) Applicants for or current recipients of various Social Security benefits who want to appeal SSA’s denial of their requests for new or continued benefits; and (2) Medicare Part B recipients who must pay the Medicare Part B Income-Related Monthly Adjustment Amount and want to appeal SSA’s decision at a hearing before an HHS ALJ. Note: This is a correction notice. SSA published this information collection as an extension on March 4, 2010 at 75 FR 9992. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection. sroberts on DSKD5P82C1PROD with NOTICES Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 669,469. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 111,578 hours. 4. Information about Joint Checking/ Savings Accounts—20 CFR 416.120, 416.1208—0960–0461. SSA considers a person’s resources when evaluating eligibility for SSI payments. Generally, we consider funds in checking and savings accounts to be resources owned by the individuals whose names appear on the account. Individuals applying for SSI, however, may rebut this assumption of ownership in a joint account if they submit certain evidence that establishes the funds do not belong to them. SSA uses Form SSA–2574 to collect information from SSI applicants/ recipients who object to the assumption that they own all or part of the funds in a joint checking or savings account bearing their names. SSA collects information about the account from both the SSI applicant/recipient and other account holder(s). After receiving the completed form, SSA determines if we should consider the account to be a resource for the SSI applicant/recipient. The respondents are applicants and recipients of SSI and individuals who list themselves as joint owners of financial accounts with SSI applicants/ recipients. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 200,000. Frequency of Response: 1. Average Burden per Response: 7 minutes. Estimated Annual Burden: 23,333 hours. Frequency of reporting Collection method 5. SSI Monthly Wage Reporting (Telephone)—20 CFR 416.701–732— 0960–0715. SSA requires SSI recipients to report changes that could affect their eligibility for and the amount of their SSI payments, such as changes in income, resources, and living arrangements. The SSITWR, formerly the Statement for SSI Monthly Wage Reporting (Telephone), enables SSI recipients to meet these requirements by providing them with a fully automated mechanism to report their monthly wages by telephone, instead of contacting their local field offices. The SSITWR allows callers to report their wages by speaking their responses through voice recognition technology or by keying in responses using the telephone key pad. To ensure the security of the information provided, SSITWR asks callers to provide information SSA can compare against our records for authentication purposes. Once the system authenticates the identity of the callers, the callers can speak or key in their wage data. The respondents are SSI recipients, deemors, and representative payees of recipients. Note: This is a correction notice: SSA published the incorrect burden information for this collection at 75 FR 9992, on March 4, 2010. We are correcting this error here. Type of Request: Revision of an OMBapproved information collection. Estimated completion time (minutes) Number of respondents Burden (hours) Training/Instruction .......................................................................................... SSITWR ........................................................................................................... 1 12 85,000 85,000 35 5 49,583 85,000 Total .......................................................................................................... ........................ * 85,000 ........................ 134,583 VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 PO 00000 Frm 00123 Fmt 4703 Sfmt 4703 E:\FR\FM\13MYN1.SGM 13MYN1 Federal Register / Vol. 75, No. 92 / Thursday, May 13, 2010 / Notices DEPARTMENT OF STATE 6. Treating Physician Consultative Examination Interest Form—20 CFR 404.1519g–i—0960–0751. When an applicant for Social Security disability benefits has not consulted a physician for a specified period preceding the application, SSA will ask the applicant to complete a consultative examination (CE). If the applicant has a treating physician (TP), SSA sends a medical evidence of record request letter and Form SSA–84 to the applicant’s TP; the TP completes the SSA–84 and returns it to SSA to indicate interest in conducting the CE. If the TP does not return the SSA–84, SSA assumes the TP is not interested in performing the CE. Respondents are disability benefit applicants’ treating physicians. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 168. Frequency of Response: 1. Average Burden per Response: 5 minutes. Estimated Annual Burden: 14 hours. 7. Claimant Travel Reimbursement Request—20 CFR 404.999a–d—0960– 0752. SSA sends Form SSA–104 to Social Security benefits recipients with a CE appointment notice. To receive reimbursement for their travel expenses to the CE, recipients must: (1) Submit an itemized list of expenditures for their trip; and (2) complete, sign, and return the SSA–104 to SSA. SSA collects this information to determine eligibility for and the amount of reimbursement. Respondents are applicants for disability claims applying for reimbursement of travel expenses to a CE. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 11,092. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 1,849 hours. sroberts on DSKD5P82C1PROD with NOTICES Note:* The same 85,000 respondents are completing both activities, so the actual total number of respondents is only 85,000. Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: Edmund S. Muskie Graduate Fellowship Program Dated: May 7, 2010. Faye I. Lipsky, Acting Center Director, Center for Reports Clearance, Social Security Administration. [FR Doc. 2010–11190 Filed 5–12–10; 8:45 am] BILLING CODE 4191–02–P VerDate Mar<15>2010 15:56 May 12, 2010 Jkt 220001 the world.’’ The funding authority for the program above is provided through legislation. [Public Notice 7001] Announcement Type: New Cooperative Agreement. Funding Opportunity Number: ECA/ A/E/EUR 11–01. Catalog of Federal Domestic Assistance Number: 19.011 Key Dates: Application Deadline: June 23, 2010. Executive Summary: The Muskie Program selects outstanding citizens from Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia, Ukraine, Uzbekistan, Tajikistan and Turkmenistan (herein referred to as Eurasia) to receive fellowships for Master’s level study in the United States in the fields of business administration, economics, law, public administration, and public policy. Candidates from countries other than Russia and Ukraine will be also considered in additional fields of education, environmental management, international affairs, library and information science, journalism/mass communications, and public health per guidelines outlined in the Project Objectives, Goals, and Implementation (POGI) document. Muskie Program fellows will be enrolled in graduate degree, certificate, and nondegree programs lasting one to two academic years. Funding should support a minimum of 140 fellows for Master’s level fellowships under the FY 2011 program. Every effort should be made to maximize the number of awards granted. I. Funding Opportunity Description Authority Overall grant making authority for this program is contained in the Mutual Educational and Cultural Exchange Act of 1961, Public Law 87–256, as amended, also known as the FulbrightHays Act. The purpose of the Act is ‘‘to enable the Government of the United States to increase mutual understanding between the people of the United States and the people of other countries * * *; to strengthen the ties which unite us with other nations by demonstrating the educational and cultural interests, developments, and achievements of the people of the United States and other nations * * * and thus to assist in the development of friendly, sympathetic and peaceful relations between the United States and the other countries of PO 00000 Frm 00124 Fmt 4703 Sfmt 4703 27041 Purpose The Muskie Program is designed to promote mutual understanding, build democracy and foster the transition to market economies in Eurasia through intensive academic study and professional training. The academic component of the program will begin in the fall semester of academic year 2011– 2012. Fellows may participate in a nine, twelve, eighteen, or twenty-four month academic program leading to a Master’s degree. Fellows also take part in an eight to twelve week internship during the summer following the first academic year, with an option for a second internship following the second year of study. At the end of their designated academic and/or internship programs, fellows are required to return immediately to their home countries. Applicant organizations must demonstrate the ability to administer all aspects of the Muskie Program— recruitment, selection, university placements, orientation, monitoring and support of FY 2011 fellows including all logistics, financial management, evaluation, follow-on, and alumni. Applicant organizations must demonstrate the ability to recruit and select a diverse pool of candidates from various geographic regions in Eurasia. The cooperating organization will serve as the principal liaison with Muskie Program host institutions for the Bureau. Further details on specific program responsibilities can be found in the Project Objectives, Goals, and Implementation (POGI), which is part of the formal solicitation package. Interested organizations should read the entire Federal Register announcement for all information prior to preparing proposals. The Bureau will award one cooperative agreement for this program. Should an applicant organization wish to work with other organizations in the implementation of this program, the Bureau requests that a sub-award agreement be developed. The same requirements apply to the sub-recipient as to the recipient organization. In a cooperative agreement, the Office of Academic Exchange Programs, European and Eurasian Branch (ECA/E/ E/EUR) is substantially involved in program activities above and beyond routine grant monitoring. ECA/A/E/EUR activities and responsibilities for this program are as follows: 1. Participating in the design and direction of program activities; 2. Approval of key personnel; E:\FR\FM\13MYN1.SGM 13MYN1

Agencies

Social Security Administration

[Federal Register Volume 75, Number 92 (Thursday, May 13, 2010)]
[Notices]
[Pages 27036-27041]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-11190]

=======================================================================
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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 collection in use without an OMB number.
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 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 SSA Reports Clearance Director to the following
addresses or fax numbers.

(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 collections below are pending at SSA. SSA will
submit them 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
12, 2010. Individuals can obtain copies of the collection instruments
by calling the SSA Director for Reports Clearance at 410-965-0454 or by
writing to the above e-mail address.
1. Request to Be Selected as a Payee--20 CFR 404.2010-404.2055,
416.601-416.665--0960-0014. An individual applying to be a
representative payee for a Social Security or Supplemental Security
Income (SSI) recipient completes Form SSA-11-BK. SSA obtains
information from applicant payees regarding their relationship to the
beneficiary, personal qualifications, concern for the beneficiary's
well-being, and intended use of benefits if appointed as payee.
The respondents are individuals, private sector businesses and
institutions, and state and local government institutions and agencies.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 27037]]

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Individuals/Households
----------------------------------------------------------------------------------------------------------------
Representative Payee System (RPS)............... 135,000 1 10.5 23,625
RPS/Signature Proxy............................. 765,000 1 9.5 121,125
Paper Version................................... 450,000 1 10.5 78,750
---------------------------------------------------------------
Totals...................................... 1,350,000 .............. .............. 223,500
----------------------------------------------------------------------------------------------------------------
Private Sector
----------------------------------------------------------------------------------------------------------------
RPS............................................. 13,500 1 10.5 2,363
RPS/Signature Proxy............................. 76,500 1 9.5 12,113
Paper Version................................... 45,000 1 10.5 7,875
---------------------------------------------------------------
Totals...................................... 135,000 .............. .............. 22,351
----------------------------------------------------------------------------------------------------------------
State/Local/Tribal Government
----------------------------------------------------------------------------------------------------------------
RPS............................................. 1,500 1 10.5 263
RPS/Signature Proxy............................. 8,500 1 9.5 1,346
Paper Version................................... 5,000 1 10.5 875
---------------------------------------------------------------
Totals...................................... 15,000 .............. .............. 2,484
---------------------------------------------------------------
Grand Total:............................ 1,500,000 .............. .............. 248,335
----------------------------------------------------------------------------------------------------------------

2. Representative Payee Evaluation Report--20 CFR 404.2065 &
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Social
Security Act provide that SSA may appoint a representative payee to
receive Title II benefits and/or Title XVI payments on behalf of
individuals unable to manage those funds themselves. SSA requires the
appointed representative payee to report once per year on how he or she
used or conserved those funds. When a representative payee fails to
adequately report to SSA, SSA conducts a face-to-face interview with
the payee and completes Form SSA-624, Representative Payee Evaluation
Report, to determine the continued suitability of the representative
payee to serve as a payee. The respondents are individuals or
organizations serving as representative payees for individuals
receiving Title II benefits and/or Title XVI payments, and who fail to
comply with SSA's statutory annual reporting requirement.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 266,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 133,000 hours.
3. Waiver of Your Right to Personal Appearance before an
Administrative Law Judge--20 CFR 404.948(b)(l)(i) and
416.1448(b)(l)(i)--0960-0284. Applicants for Social Security benefits
and SSI payments have the statutory right to appear in person (or
through a representative) and present evidence about their claims at a
hearing before an Administrative Law Judge (ALJ). If claimants wish to
waive this right to appear before an ALJ, they must complete a written
request. The applicants may use SSA Form HA-4608 for this purpose. The
ALJ uses the information to document an individual's claim to show that
an oral hearing is not preferred in the appellate process.
Respondents are claimants or their representatives for Title II
benefits and/or Title XVI payments who request to waive their right to
appear in person before an ALJ.
Type of Request: Revision of an approved-OMB information
collection.
Number of Respondents: 12,000.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 400 hours.
4. Request for Change in Time/Place of Disability Hearing--20 CFR
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the
claimant or their representative, SSA schedules evidentiary hearings at
the reconsideration level for claimants of Title II benefits and/or
Title XVI payments when we deny their claims for disability. When
claimants or their representatives find they are unable to attend the
hearing, they complete Form SSA-769 to request a change in time or
place of the hearing. SSA uses the information as a basis for granting
or denying requests for changes and for rescheduling disability
hearings. Respondents are claimants or their representative who wish to
request a change in the time and/or place of their hearing.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 7,483.
Frequency of Response: 1.
Average Burden per Response: 8 minutes.
Estimated Annual Burden: 998 hours.
5. Agency/Employer Government Pension Offset Questionnaire--20 CFR
404.408(a)--0960-0470. When an individual is concurrently receiving
Social Security spousal or surviving spousal benefits and a Government
pension, the individual may have the amount of Social Security benefits
reduced by the Government pension amount. This is the Government
Pension Offset (GPO). SSA uses Form SSA-L4163 to collect accurate
pension information from the Federal or state government agency paying
the pension for purposes of applying the pension offset provision. The
form is used only when: (1) The claimant does not have the information;
and (2) the pension-paying agency has not cooperated with the claimant.
Respondents are state government agencies that have information SSA
needs to determine if the GPO applies and the amount of offset.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,000.

[[Page 27038]]

Frequency of Response: 1.
Average Burden per Response: 3 minutes.
Estimated Annual Burden: 50 hours.
6. Child Care Dropout Questionnaire--20 CFR 404.211(e)(4)--0960-
0474. The Social Security Act and SSA's regulations permit the
exclusion, from a disability computation period, of the years an
individual was caring for his or her (or the spouse's) child under age
3 if he or she had no earnings in the benefit computation years. We
call this the child-care dropout exclusion.
SSA uses the information from Form SSA-4162 to determine if an
individual qualifies for this exclusion. Respondents are applicants for
Title II disability benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 2000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 167 hours.
7. Requests for Self-Employment Information, Employee Information,
Employer Information--20 CFR 422.120--0960-0508. SSA collects
information on Forms SSA-L2765, SSA-L3365, and SSA-L4002 to credit the
reported earnings to the proper earnings record. When SSA cannot
identify Form W-2 wage data for an individual, we place the data in the
earnings suspense file and send one of the forms cited above to the
employee (and in certain instances to the employer) to obtain the
correct name and Social Security number (SSN). If the respondent
furnishes the name and SSN information that agrees with SSA's records,
or provides information that resolves the discrepancy, SSA adds the
reported earnings to the respondent's Social Security record. While SSA
does not require respondents to provide the information to keep a
benefit, if they do not furnish the missing or corrected information,
we cannot credit the wages or self-employment income to the proper
earnings record. The respondents are self-employed individuals and
employees whose name and SSN information do not agree with SSA's
records and their employers.
Type of Request: Revision of an OMB-approved information
collection.

8. Appointment of Representative--20 CFR 404.1707, 404.1720,
404.1725, 410.684 and 416.1507--0960-0527. Persons claiming rights or
benefits under the Social Security Act must notify SSA in writing when
they appoint an individual to represent them in dealings with SSA. SSA
uses the information collected on Form SSA-1696-U4 to verify the
appointment of a representative. It also allows SSA to inform the
representative of items that affect the recipient's claim, and allows
the claimant to give permission to his or her appointed representative
to designate a person to copy claims files. Respondents are applicant/
recipients of Social Security benefits who notify SSA they have
appointed a person to represent them in their dealings with SSA.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 91,920 hours.
9. Function Report--Child: Birth to 1st Birthday (SSA-3375), Age 1
to 3rd Birthday (SSA 3376), Age 3 to 6th Birthday (SSA-3377), Age 6 to
12th Birthday (SSA-3378), and Age 12 to 18th Birthday (SSA-3379)--20
CFR 416.912--0960-0542. Forms SSA-3375-BK through SSA-3379-BK request
information from the child's parent about the child's day-to-day
functioning. The five different versions of the form contain questions
about functioning appropriate to a particular age group; thus,
respondents use only one version for each child.
The adjudicative team (disability examiners and medical/
psychological consultants) of state Disability Determination Services
(DDS) offices collect the information on the appropriate version of
this form (in conjunction with medical and other evidence) to form a
complete picture of the child's ability to function and his or her
impairment-related limitations. The adjudicative team uses the
completed profile to determine whether the child's impairment(s)
results in marked and severe functional limitations and whether the
child is disabled. The respondents are parents and/or guardians of
child applicants for SSI payments.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 500,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 166,667 hours.
10. Disability Report-Child--20 CFR 416.912--0960-0577--When
claimants file a claim for childhood disability benefits under the SSI
program, they must furnish medical and other evidence to prove they are
disabled. Form SSA-3820 collects various types of information about a
child's condition from treating sources and/or other medical sources of
evidence. The DDS evaluators use the information to develop medical and
school evidence and to assess the alleged disability. The information,
together with medical evidence, forms the evidentiary basis upon which
SSA makes its initial disability evaluation. The respondents are
claimants seeking SSI childhood disability payments.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 27039]]

Electronic Disability Collection System (EDCS). 422,000 1 34 239,133
i3820 (Internet)............................... 93,293 1 120 186,586
----------------------------------------------------------------
Totals..................................... 515,793 .............. .............. 426,219
----------------------------------------------------------------------------------------------------------------

11. eData Registration--20 CFR 401.45--0960-0757--The eData
Services Web site allows various external organizations to submit files
to a variety of SSA systems and in some cases receive return files. The
users include state/local government agencies, other Federal agencies,
and some private sector business entities. The SSA systems that process
data transferred via eData include, but are not limited to, systems
responsible for disability processing and benefit determination or
termination. A sponsor within SSA who knows the requestor completes the
registration form, SSA-118, and submits the information to SSA's User
Interface Team (UIT). SSA uses the information on Form SSA-118
(Government-to-Government Services Online Web site Registration Form)
to maintain the identity of the requestor within eData. Once this is
completed, SSA provides the requestor with the new password and
conducts a walkthrough of the eData Web site as necessary. The
organization can also modify its online account (e.g., address change)
by completing an online Form SSA-119 (Government-to-Government Service
Online Web site Account Modification/Deletion Form).
Type of Request: Revision of an OMB-approved information
collection.

12. Technical Updates to Applicability of the Supplemental Security
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical
Treatment Facilities--20 CFR 404.708(k)--0960-0758. Section
1611(e)(1)(A) of the Social Security Act states that no resident of a
public institution is eligible for SSI benefits. However, Sections
1611(e)(1)(B) and (G) list certain exceptions to this provision that
make it necessary for SSA to collect information about any SSI
recipient who enters or leaves a medical treatment facility or other
public or private institution. SSA's regulation, 20 CFR 404.708(k),
establishes the reporting guidelines that implement this legislative
requirement. SSA uses the information to determine eligibility for SSI
and the payment amount. The respondents are SSI recipients who enter or
leave an institution.
Type of Request: Revision of an OMB-approved information
collection. Number of Respondents: 34,200.
Frequency of Response: 1.
Average Burden per Response: 7 minutes.
Estimated Annual Burden: 3,990 hours.
13. Statement for Certificate of Election for Reduced Widower(er)'s
and Surviving Divorced Spouse's Benefits--20 CFR 404.335--0960-0759.
Section 202(q) of the Social Security Act provides for the authority to
reduce benefits under certain conditions when elected by a Title II
beneficiary. However, reduced benefits are not payable to an already
entitled spouse (or divorced spouse) who:
Is at least age 62 and under full retirement age in the
month of the number holder's death; and
Is receiving reduced spouse's (or divorced spouse's)
benefits and either retirement or disability benefits in the month
before the month of the number holder's death.
To elect reduced widow(er) benefits, a recipient completes Form
SSA-4111. SSA uses the information collected on Form SSA-4111 to pay a
qualified dually entitled widow(er) (or surviving divorced spouse) who
elects to receive a reduced widow(er) benefit. The respondents are
qualified dually entitled widow(er)s (or surviving divorced spouse) who
elect to receive a reduced widow(er) benefit.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 24,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 6,000 hours.
II. SSA has submitted the information collections listed 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 14, 2010. 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 e-mail address.
1. Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody--20 CFR 404.330, 404.339-341 and 404.348-
404.349--0960-0019. SSA uses information from Form SSA-781 to determine
if non-custodial parents who are filing for spouse's or mother's and
father's benefits based on having a child in their care meet the in-
care requirements. Respondents are applicants for Title II spouse's
and/or mother's and father's benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 14,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 2,333 hours.
2. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 405 Subpart C, 422.140--

[[Page 27040]]

0960-0144. SSA requires disability claimants who are appealing an
unfavorable disability determination to complete Form SSA-3441-BK. This
form allows claimants to disclose any changes to their disability or
resources that might influence SSA's unfavorable determination. SSA may
use the information to: (1) Reconsider and review an initial disability
determination; (2) review a continuing disability; and (3) evaluate a
request for a hearing. This information assists the DDS offices and
ALJs in: (1) Preparing for the appeals and hearings; and (2) issuing a
determination or decision on an individual's entitlement (initial or
continuing) to disability benefits. Respondents are individuals who
appeal a denial, reduction, or cessation of Social Security disability
income and SSI payments, or who are requesting a hearing before an ALJ.
Type of Request: Revision of an OMB-approved information
collection.

3. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 405.722, 418.1350--0960-0269. When SSA
denies applicants' or beneficiaries' requests for new or continuing
benefits, those applicants/beneficiaries are entitled to request a
hearing to appeal the decision. SSA uses Form HA-501 to document such
requests. Although SSA collects this information, actual hearings take
place before ALJs employed by the Department of Health and Human
Services (HHS). The respondents are: (1) Applicants for or current
recipients of various Social Security benefits who want to appeal SSA's
denial of their requests for new or continued benefits; and (2)
Medicare Part B recipients who must pay the Medicare Part B Income-
Related Monthly Adjustment Amount and want to appeal SSA's decision at
a hearing before an HHS ALJ.

Note: This is a correction notice. SSA published this
information collection as an extension on March 4, 2010 at 75 FR
9992. Since we are revising the Privacy Act Statement, this is now a
revision of an OMB-approved information collection.

Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 669,469.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 111,578 hours.
4. Information about Joint Checking/Savings Accounts--20 CFR
416.120, 416.1208--0960-0461. SSA considers a person's resources when
evaluating eligibility for SSI payments. Generally, we consider funds
in checking and savings accounts to be resources owned by the
individuals whose names appear on the account. Individuals applying for
SSI, however, may rebut this assumption of ownership in a joint account
if they submit certain evidence that establishes the funds do not
belong to them. SSA uses Form SSA-2574 to collect information from SSI
applicants/recipients who object to the assumption that they own all or
part of the funds in a joint checking or savings account bearing their
names. SSA collects information about the account from both the SSI
applicant/recipient and other account holder(s). After receiving the
completed form, SSA determines if we should consider the account to be
a resource for the SSI applicant/recipient. The respondents are
applicants and recipients of SSI and individuals who list themselves as
joint owners of financial accounts with SSI applicants/recipients.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden per Response: 7 minutes.
Estimated Annual Burden: 23,333 hours.
5. SSI Monthly Wage Reporting (Telephone)--20 CFR 416.701-732--
0960-0715. SSA requires SSI recipients to report changes that could
affect their eligibility for and the amount of their SSI payments, such
as changes in income, resources, and living arrangements. The SSITWR,
formerly the Statement for SSI Monthly Wage Reporting (Telephone),
enables SSI recipients to meet these requirements by providing them
with a fully automated mechanism to report their monthly wages by
telephone, instead of contacting their local field offices. The SSITWR
allows callers to report their wages by speaking their responses
through voice recognition technology or by keying in responses using
the telephone key pad. To ensure the security of the information
provided, SSITWR asks callers to provide information SSA can compare
against our records for authentication purposes. Once the system
authenticates the identity of the callers, the callers can speak or key
in their wage data. The respondents are SSI recipients, deemors, and
representative payees of recipients.

Note: This is a correction notice: SSA published the incorrect
burden information for this collection at 75 FR 9992, on March 4,
2010. We are correcting this error here.

Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Estimated
Collection method Frequency of Number of completion Burden (hours)
reporting respondents time (minutes)
----------------------------------------------------------------------------------------------------------------
Training/Instruction............................ 1 85,000 35 49,583
SSITWR.......................................... 12 85,000 5 85,000
---------------------------------------------------------------
Total....................................... .............. * 85,000 .............. 134,583
----------------------------------------------------------------------------------------------------------------

[[Page 27041]]

Note:* The same 85,000 respondents are completing both
activities, so the actual total number of respondents is only
85,000.

6. Treating Physician Consultative Examination Interest Form--20
CFR 404.1519g-i--0960-0751. When an applicant for Social Security
disability benefits has not consulted a physician for a specified
period preceding the application, SSA will ask the applicant to
complete a consultative examination (CE). If the applicant has a
treating physician (TP), SSA sends a medical evidence of record request
letter and Form SSA-84 to the applicant's TP; the TP completes the SSA-
84 and returns it to SSA to indicate interest in conducting the CE. If
the TP does not return the SSA-84, SSA assumes the TP is not interested
in performing the CE. Respondents are disability benefit applicants'
treating physicians.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 168.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 14 hours.
7. Claimant Travel Reimbursement Request--20 CFR 404.999a-d--0960-
0752. SSA sends Form SSA-104 to Social Security benefits recipients
with a CE appointment notice. To receive reimbursement for their travel
expenses to the CE, recipients must: (1) Submit an itemized list of
expenditures for their trip; and (2) complete, sign, and return the
SSA-104 to SSA. SSA collects this information to determine eligibility
for and the amount of reimbursement. Respondents are applicants for
disability claims applying for reimbursement of travel expenses to a
CE.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 11,092.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 1,849 hours.

Dated: May 7, 2010.
Faye I. Lipsky,
Acting Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-11190 Filed 5-12-10; 8:45 am]
BILLING CODE 4191-02-P

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