Agency Information Collection Activities: Proposed Request and Comment Request, 45190-45194 [2010-18854]
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For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.18
Florence E. Harmon,
Deputy Secretary.
[FR Doc. 2010–18893 Filed 7–30–10; 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
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes revisions of OMB-approved
information collections.
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 October 1,
2010. Individuals can obtain copies of
the collection instruments by calling the
SSA Reports Clearance Officer at 410–
965–8783 or by writing to the above email address.
1. Request for Corrections of Earnings
Record—20 CFR 404.820 and 20 CFR
422.125—0960–0029. Individuals
alleging inaccurate earnings records that
SSA maintains for them use Form SSA–
7008 to provide the information SSA
needs to check earnings posted, and as
necessary, initiate development to
resolve any inaccuracies. The
respondents are individuals who
request correction of earnings posted to
their Social Security earnings record.
Type of Request: Revision of an OMBapproved information 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 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 Officer 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: Reports Clearance
Officer, 1333 Annex Building, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–965–6400, E-mail address:
OPLM.RCO@ssa.gov.
Number of
respondents
Method of collection
Frequency of
response
Estimated
burden per
response
(minutes)
Estimated
annual
burden
(hours)
37,500
337,500
1
1
10
10
6,250
56,250
Total ..........................................................................................................
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Paper form .......................................................................................................
In-person or telephone interview .....................................................................
375,000
........................
........................
62,500
2. Missing and Discrepant Wage
Reports Letter and Questionnaire—26
CFR 31.6051–2—0960–0432. Each year
employers report the wage amounts they
paid their employees to the Internal
Revenue Service (IRS) for tax purposes,
and separately to SSA for retirement
and disability coverage purposes. These
reported amounts should equal each
other. However, each year some
employer wage reports SSA receives are
less than the wage amounts employers
report to the IRS. SSA uses Forms SSA–
L93–SM, SSA–L94–SM, SSA–95–SM,
and SSA–97–SM to ensure employees
receive full credit for their wages.
Respondents are employers who
reported lower wage amounts to SSA
than they reported to the IRS.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden per Response: 30
minutes.
Estimated Annual Burden: 180,000
hours.
3. Appointment of Representative—20
CFR 404.1707, 4041720, 404.1725,
410.684 and 416.1507—0960–0527.
Persons claiming benefits under the
Social Security Act must notify SSA in
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writing when they appoint an
individual to represent them in dealings
with SSA. SSA collects the information
on Form SSA–1696–U4 to verify the
appointment of such representatives.
The SSA–1696–U4 also allows SSA to
inform representatives of items affecting
the recipient’s claim and allows
claimants to give permission to their
appointed representatives to designate a
person to copy claims files.
Respondents are applicants/recipients
of Social Security benefits or
Supplemental Security Income (SSI)
payments who are notifying SSA they
have appointed a person to represent
them in their dealings with SSA.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 91,920
hours.
4. Appeal of Determination for Help
with Medicare Prescription Drug Plan
Costs—0960–0695. Public Law 108–173,
the Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA) established the Medicare
Part D program for voluntary
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prescription drug coverage for certain
low-income individuals. The MMA
stipulates subsidies must be available
for individuals who are eligible for the
program and who meet eligibility
criteria for help with premium,
deductible, and/or co-payment costs.
Form SSA–1021, Appeal of
Determination for Help with Medicare
Prescription Drug Plan Costs, obtains
information from individuals who
appeal SSA’s decisions regarding
eligibility or continuing eligibility for a
Medicare Part D subsidy. The
respondents are applicants who are
appealing SSA’s eligibility or
continuing eligibility decisions.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 12,500
hours.
5. Consent Based Social Security
Number Verification Process—20 CFR
400.100—0960–0760. The ConsentBased Social Security Number (SSN)
Verification (CBSV) process is a feebased automated SSN verification
service available to private businesses
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and other requesting parties. To use the
system, private businesses and
requesting parties must register with
SSA and obtain valid consent from the
SSN number holders prior to
verification. We collect the information
to verify if the submitted name and SSN
match the information contained in SSA
records. After completing a registration
process and paying the fee, the
requesting party can use the CBSV
Internet application to submit a file
containing names of number holders
who have given valid consent, along
with each number holder’s
accompanying SSN and date of birth (if
available), or obtain real-time results
using a web service application or SSA’s
Business Services Online application.
SSA matches the information against
the SSA master file of SSNs, using SSN,
name, date of birth and gender code (if
available). The requesting party
retrieves the results file from SSA; the
results file indicates only a match or no
match for each SSN submitted.
Under the CBSV process, the
requesting party does not submit the
consent forms of the number holders to
SSA. SSA requires each requesting party
to retain a valid consent form for each
SSN verification request. The requesting
party retains the consent forms in either
electronic or paper format.
To ensure the integrity of the CBSV
process, SSA added a strong audit
component that requires audits (called
‘‘compliance reviews’’) at the discretion
of the agency with all audit costs borne
by the requesting party. Independent
certified public accountants (CPA)
conduct these reviews to ensure
compliance with all the terms and
Number of
respondents
Requirement
Registration Process ........................................................................................
Creation of file with SSN holder identification data; maintaining required
documentation/forms ....................................................................................
Using the system to upload request file, check status, and download results
file .................................................................................................................
Storing consent forms ......................................................................................
Activities related to compliance review ............................................................
Total ..........................................................................................................
conditions of the party’s agreement with
SSA, including a review of the consent
forms. CPAs conduct the review at the
requesting party’s place of business to
ensure the integrity of the process. In
addition, SSA reserves the right to
perform unannounced onsite
inspections of the entire process,
including review of the technical
systems that maintain the data and
transaction records. The respondents to
the CBSV collection are the
participating companies, members of
the public who consent to the SSN
verification, and CPAs who provide
compliance review services.
Type of Request: Revision of an OMBapproved information collection.
Time Burden
Participating Companies
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
115
1
120
230
115
*251
60
28,865
115
115
115
251
251
251
5
60
60
2,405
28,865
28,865
........................
........................
........................
89,230
* Please note: There are 251 Federal business days per year on which a requesting party could submit a file.
People whose SSNs SSA Will Verify:
Number of
respondents
Requirement
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
Reading and signing authorization for SSA to release SSN verification ........
Responding to CPA re-contact ........................................................................
986,585
4,750
1
1
3
5
49,329
479
Total ..........................................................................................................
........................
........................
........................
49,808
CPAs (conducting compliance reviews
and preparing written report of
findings):
Number of Respondents: 115.
Frequency of Response: 1.
Average Burden per Response: 4,800.
Estimated Annual Burden: 9,200
hours.
Total Collective Burden: 577,408.
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Cost Burden
The public burden cost is dependent
upon the number of companies and
transactions. SSA based the cost
estimates below upon 115 participating
companies submitting 986,585
transactions. The total cost for
developing the system was $5.6 million.
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SSA has already expended $3.0 million
that we will recoup over the depreciable
life of the system based on the fee-pertransaction model.
One-Time per Company Registration
Fee—$5,000.
Estimated per SSN Transaction Fee—
$5.1
1 The annual costs associated with the transaction
to each company are dependent upon the number
of SSN transactions submitted to SSA by the
company on a yearly basis. For example, if a
company anticipates submitting one million
requests to SSA for the year, its total transaction
cost for the year would be $5 × 1,000,000 or
$5,000,000. Periodically, SSA will calculate its
costs to provide CBSV services and adjust the fee
charged. SSA will notify companies in writing of
any change and companies will have the
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Estimated per Company Cost to Build
Web Service—$200,000.2
Estimated per Company Cost to Store
Consent Forms—$300.
Estimated per Company Cost To
Contract with CPA for Audit—$8,000.
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
opportunity to cancel the agreement or continue
service using the new transaction fee.
2 A company may choose to submit batch files via
the SSA Web site or submit real-time individual
requests via the SSA Web site. There is no public
burden cost with either of these methods using the
CBSV system.
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within 30 days from the date of this
publication. To be sure we consider
your comments, we must receive them
no later than September 1, 2010. You
can obtain a copy of the OMB clearance
packages by calling the SSA Reports
Clearance Officer at 410–965–8783 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 SSI recipient
completes Form SSA–11–BK. SSA
obtains information from applicant
payees regarding their relationship to
the beneficiary; personal qualifications;
their concern for the beneficiary’s wellbeing; and their intended use of benefits
Number of
respondents
Collection method
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.
Individuals/Households (90%):
Frequency of
response
Average
burden per
response
Total annual
burden
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
Frequency of
response
Average
burden per
response
Private Sector (9%):
Number of
respondents
Collection method
Total annual
burden
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
Frequency of
response
Average
burden per
response
State/Local/Tribal Government (1%):
Number of
respondents
Collection method
Total annual
burden
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 .........................................................................................
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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
state that SSA may appoint a
representative payee to receive Title II
benefits and/or Title XVI payments on
behalf of individuals unable to manage
or direct the management of those funds
themselves. SSA requires the appointed
representative payees to report once per
year on how they used or conserved
those funds. When a representative
payee fails to report adequately to SSA
as required, 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
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organizations serving as representative
payees for individuals receiving Title II
benefits and/or Title XVI payments 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
right to appear in person (or through a
representative) and present evidence
about their claims at a hearing before an
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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.
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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 claimants or
their representatives, 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 scheduled 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
representatives 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. We call this 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 pensionoffset provision. We only use the form
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/or the amount of
offset.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 1,000.
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
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uses 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: 2,000.
Frequency of Response: 1.
Average Burden per Response: 5
minutes.
Estimated Annual Burden: 167 hours.
7. 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 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
children’s ability to function and their
impairment-related limitations. The
adjudicative team uses the completed
profile to determine whether each
child’s impairment(s) results in marked
and severe functional limitations and
whether each 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.
8. Registration for Appointed
Representative Services and Direct
Payment—0960–0732. SSA uses Form
SSA–1699 to register appointed
representatives of claimants before SSA
who:
• Want to register for direct payment
of fees;
• Registered for direct payment of
fees prior to 10/31/09, but need to
update their information;
• Registered as appointed
representatives on or after 10/31/09, but
need to update their information; and/
or
• Received a notice from SSA
instructing them to complete this form.
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45193
By registering these individuals, SSA:
(1) Authenticates and authorizes them
to do business with us; (2) allows them
access to our records for the claimants
they represent; (3) facilitates direct
payment of authorized fees to appointed
representatives; and (4) collects the
information we will need to meet IRS
requirements to issue specific IRS forms
if we pay these representatives in excess
of a specific amount ($600).
In February 2010, we received
emergency clearance for a new,
simplified version of this form. We are
now seeking full clearance for this
simplified version. The respondents are
appointed representatives who want to
use Form SSA–1699 for any of the
purposes cited in this notice.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 52,800.
Frequency of Response: 1.
Average Burden Per Response: 20
minutes.
Estimated Annual Burden: 17,600
hours.
9. Government-to-Government
Services Online Web site Registration;
Government-to-Government Services
Online Web site Account Modification/
Deletion Form—20 CFR 401.45—0960–
0757. The Government-to-Government
Services Online (GSO) 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 GSO 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
(GSO Web site Registration Form) to
maintain the identity of the requestor
within GSO. Once this is completed,
SSA provides the requestor with the
new password and conducts a
walkthrough of the GSO Web site as
necessary. The organization can also
modify its online account (e.g., address
change) by completing Form SSA–119
(GSO Web site Account Modification/
Deletion Form).
Note: This is a correction notice. SSA
published this information with the incorrect
form name on May 13, 2010 at 75 FRN 27036.
We are correcting this error here.
Also, Form SSA–118 is now Form
SSA–159, and Form SSA–119 is now
Form SSA–160.
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Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Collection instrument
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual
burden
(hours)
SSA–159 ..........................................................................................................
SSA–160 ..........................................................................................................
925
2,500
1
1
15
15
231
625
Totals ........................................................................................................
3,425
........................
........................
856
10. Technical Updates to
Applicability of the Supplemental
Security Income (SSI) Reduced Benefit
Rate for Individuals Residing in Medical
Treatment Facilities—20 CFR
416.708(k)—0960–0758. Section
1611(e)(1)(A) of the Social Security Act
states no resident of a public institution
is eligible for SSI payments. 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 416.708(k) establishes the reporting
guidelines that implement this
legislative requirement. SSA collects the
information to determine eligibility for
SSI and the payment amount. The
respondents are SSI recipients who
enter or leave an institution.
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Note: This is a correction notice: SSA
published the incorrect CFR number for this
collection at 75 FR 27036, on 5/13/10. We are
correcting this error here.
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.
11. Statement for Certificate of
Election for Reduced Widow(er)’s and
Surviving Divorced Spouse’s Benefits—
20 CFR 404.335—0960–0759. Section
202(q) of the Social Security Act
provides the authority to reduce benefits
under certain conditions when a Title II
beneficiary elects to do so. 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.
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SSA collects the information 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.
12. Questionnaire about Special
Veterans Benefits—0960–NEW. SSA
will use the information collected on
the SSA–2010 to determine continuing
eligibility for Social Security Special
Veterans Benefits (SVB), and to
determine how much (if any) of a
foreign pension we may use to reduce
or increase the amount of Social
Security SVB. The respondents will
complete the SSA–2010 biannually so
SSA can determine if we should
increase, decrease, suspend, or
terminate benefits based on the data we
collect. The respondents are
beneficiaries receiving Social Security
SVB.
Type of Request: Request for a new
information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 20
minutes.
Estimated Annual Burden: 833 hours.
Dated: July 28, 2010.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2010–18854 Filed 7–30–10; 8:45 am]
BILLING CODE 4191–02–P
PO 00000
DEPARTMENT OF STATE
[Public Notice 7096]
Culturally Significant Objects Imported
for Exhibition Determinations:
‘‘Drawing from Nature: Landscapes by
Max Liebermann, Lovis Corinth, and
Max Slevogt’’
Notice is hereby given of the
following determinations: Pursuant to
the authority vested in me by the Act of
October 19, 1965 (79 Stat. 985; 22 U.S.C.
2459), Executive Order 12047 of March
27, 1978, the Foreign Affairs Reform and
Restructuring Act of 1998 (112 Stat.
2681, et seq.; 22 U.S.C. 6501 note, et
seq.), Delegation of Authority No. 234 of
October 1, 1999, and Delegation of
Authority No. 236–3 of August 28, 2000,
I hereby determine that the objects to be
included in the exhibition ‘‘Drawing
from Nature: Landscapes by Max
Liebermann, Lovis Corinth, and Max
Slevogt,’’ imported from abroad for
temporary exhibition within the United
States, are of cultural significance. The
objects are imported pursuant to loan
agreements with the foreign owners or
custodians. I also determine that the
exhibition or display of the exhibit
objects at the Museum of Fine Arts,
Houston, Houston, Texas, from on or
about September 12, 2010, until on or
about December 5, 2010, and at possible
additional exhibitions or venues yet to
be determined, is in the national
interest. I have ordered that Public
Notice of these Determinations be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: For
further information, including a list of
the exhibit objects, contact Paul W.
Manning, Attorney-Adviser, Office of
the Legal Adviser, U.S. Department of
State (telephone: 202–632–6469). The
mailing address is U.S. Department of
State, SA–5, L/PD, Fifth Floor (Suite
5H03), Washington, DC 20522–0505.
SUMMARY:
Dated: July 23, 2010.
Ann Stock,
Assistant Secretary, Bureau of Educational
and Cultural Affairs, Department of State.
[FR Doc. 2010–18930 Filed 7–30–10; 8:45 am]
BILLING CODE 4710–05–P
Frm 00108
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]]>Agencies
[Federal Register Volume 75, Number 147 (Monday, August 2, 2010)]
[Notices]
[Pages 45190-45194]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-18854]
=======================================================================
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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 of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and 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 Officer 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: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, 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
October 1, 2010. Individuals can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
8783 or by writing to the above e-mail address.
1. Request for Corrections of Earnings Record--20 CFR 404.820 and
20 CFR 422.125--0960-0029. Individuals alleging inaccurate earnings
records that SSA maintains for them use Form SSA-7008 to provide the
information SSA needs to check earnings posted, and as necessary,
initiate development to resolve any inaccuracies. The respondents are
individuals who request correction of earnings posted to their Social
Security earnings record.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of burden per Estimated
Method of collection respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper form...................................... 37,500 1 10 6,250
In-person or telephone interview................ 337,500 1 10 56,250
---------------------------------------------------------------
Total....................................... 375,000 .............. .............. 62,500
----------------------------------------------------------------------------------------------------------------
2. Missing and Discrepant Wage Reports Letter and Questionnaire--26
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts
they paid their employees to the Internal Revenue Service (IRS) for tax
purposes, and separately to SSA for retirement and disability coverage
purposes. These reported amounts should equal each other. However, each
year some employer wage reports SSA receives are less than the wage
amounts employers report to the IRS. SSA uses Forms SSA-L93-SM, SSA-
L94-SM, SSA-95-SM, and SSA-97-SM to ensure employees receive full
credit for their wages. Respondents are employers who reported lower
wage amounts to SSA than they reported to the IRS.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
3. Appointment of Representative--20 CFR 404.1707, 4041720,
404.1725, 410.684 and 416.1507--0960-0527. Persons claiming benefits
under the Social Security Act must notify SSA in writing when they
appoint an individual to represent them in dealings with SSA. SSA
collects the information on Form SSA-1696-U4 to verify the appointment
of such representatives. The SSA-1696-U4 also allows SSA to inform
representatives of items affecting the recipient's claim and allows
claimants to give permission to their appointed representatives to
designate a person to copy claims files. Respondents are applicants/
recipients of Social Security benefits or Supplemental Security Income
(SSI) payments who are notifying SSA they have appointed a person to
represent them in their dealings with SSA.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 91,920 hours.
4. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. Public Law 108-173, the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA) established the
Medicare Part D program for voluntary prescription drug coverage for
certain low-income individuals. The MMA stipulates subsidies must be
available for individuals who are eligible for the program and who meet
eligibility criteria for help with premium, deductible, and/or co-
payment costs. Form SSA-1021, Appeal of Determination for Help with
Medicare Prescription Drug Plan Costs, obtains information from
individuals who appeal SSA's decisions regarding eligibility or
continuing eligibility for a Medicare Part D subsidy. The respondents
are applicants who are appealing SSA's eligibility or continuing
eligibility decisions.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 12,500 hours.
5. Consent Based Social Security Number Verification Process--20
CFR 400.100--0960-0760. The Consent-Based Social Security Number (SSN)
Verification (CBSV) process is a fee-based automated SSN verification
service available to private businesses
[[Page 45191]]
and other requesting parties. To use the system, private businesses and
requesting parties must register with SSA and obtain valid consent from
the SSN number holders prior to verification. We collect the
information to verify if the submitted name and SSN match the
information contained in SSA records. After completing a registration
process and paying the fee, the requesting party can use the CBSV
Internet application to submit a file containing names of number
holders who have given valid consent, along with each number holder's
accompanying SSN and date of birth (if available), or obtain real-time
results using a web service application or SSA's Business Services
Online application. SSA matches the information against the SSA master
file of SSNs, using SSN, name, date of birth and gender code (if
available). The requesting party retrieves the results file from SSA;
the results file indicates only a match or no match for each SSN
submitted.
Under the CBSV process, the requesting party does not submit the
consent forms of the number holders to SSA. SSA requires each
requesting party to retain a valid consent form for each SSN
verification request. The requesting party retains the consent forms in
either electronic or paper format.
To ensure the integrity of the CBSV process, SSA added a strong
audit component that requires audits (called ``compliance reviews'') at
the discretion of the agency with all audit costs borne by the
requesting party. Independent certified public accountants (CPA)
conduct these reviews to ensure compliance with all the terms and
conditions of the party's agreement with SSA, including a review of the
consent forms. CPAs conduct the review at the requesting party's place
of business to ensure the integrity of the process. In addition, SSA
reserves the right to perform unannounced onsite inspections of the
entire process, including review of the technical systems that maintain
the data and transaction records. The respondents to the CBSV
collection are the participating companies, members of the public who
consent to the SSN verification, and CPAs who provide compliance review
services.
Type of Request: Revision of an OMB-approved information
collection.
Time Burden
Participating Companies
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Requirement respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Registration Process............................ 115 1 120 230
Creation of file with SSN holder identification 115 *251 60 28,865
data; maintaining required documentation/forms.
Using the system to upload request file, check 115 251 5 2,405
status, and download results file..............
Storing consent forms........................... 115 251 60 28,865
Activities related to compliance review......... 115 251 60 28,865
---------------------------------------------------------------
Total....................................... .............. .............. .............. 89,230
----------------------------------------------------------------------------------------------------------------
* Please note: There are 251 Federal business days per year on which a requesting party could submit a file.
People whose SSNs SSA Will Verify:
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Requirement respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Reading and signing authorization for SSA to 986,585 1 3 49,329
release SSN verification.......................
Responding to CPA re-contact.................... 4,750 1 5 479
---------------------------------------------------------------
Total....................................... .............. .............. .............. 49,808
----------------------------------------------------------------------------------------------------------------
CPAs (conducting compliance reviews and preparing written report of
findings):
Number of Respondents: 115.
Frequency of Response: 1.
Average Burden per Response: 4,800.
Estimated Annual Burden: 9,200 hours.
Total Collective Burden: 577,408.
Cost Burden
The public burden cost is dependent upon the number of companies
and transactions. SSA based the cost estimates below upon 115
participating companies submitting 986,585 transactions. The total cost
for developing the system was $5.6 million. SSA has already expended
$3.0 million that we will recoup over the depreciable life of the
system based on the fee-per-transaction model.
One-Time per Company Registration Fee--$5,000.
Estimated per SSN Transaction Fee--$5.\1\
---------------------------------------------------------------------------
\1\ The annual costs associated with the transaction to each
company are dependent upon the number of SSN transactions submitted
to SSA by the company on a yearly basis. For example, if a company
anticipates submitting one million requests to SSA for the year, its
total transaction cost for the year would be $5 x 1,000,000 or
$5,000,000. Periodically, SSA will calculate its costs to provide
CBSV services and adjust the fee charged. SSA will notify companies
in writing of any change and companies will have the opportunity to
cancel the agreement or continue service using the new transaction
fee.
---------------------------------------------------------------------------
Estimated per Company Cost to Build Web Service--$200,000.\2\
---------------------------------------------------------------------------
\2\ A company may choose to submit batch files via the SSA Web
site or submit real-time individual requests via the SSA Web site.
There is no public burden cost with either of these methods using
the CBSV system.
---------------------------------------------------------------------------
Estimated per Company Cost to Store Consent Forms--$300.
Estimated per Company Cost To Contract with CPA for Audit--$8,000.
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
[[Page 45192]]
within 30 days from the date of this publication. To be sure we
consider your comments, we must receive them no later than September 1,
2010. You can obtain a copy of the OMB clearance packages by calling
the SSA Reports Clearance Officer at 410-965-8783 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 SSI recipient completes
Form SSA-11-BK. SSA obtains information from applicant payees regarding
their relationship to the beneficiary; personal qualifications; their
concern for the beneficiary's well-being; and their 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.
Individuals/Households (90%):
----------------------------------------------------------------------------------------------------------------
Average
Collection method Number of Frequency of burden per Total annual
respondents response response burden
----------------------------------------------------------------------------------------------------------------
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
=================================================
----------------------------------------------------------------------------------------------------------------
Private Sector (9%):
----------------------------------------------------------------------------------------------------------------
Average
Collection method Number of Frequency of burden per Total annual
respondents response response burden
----------------------------------------------------------------------------------------------------------------
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 (1%):
----------------------------------------------------------------------------------------------------------------
Average
Collection method Number of Frequency of burden per Total annual
respondents response response burden
----------------------------------------------------------------------------------------------------------------
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 state that SSA may appoint a representative payee to
receive Title II benefits and/or Title XVI payments on behalf of
individuals unable to manage or direct the management of those funds
themselves. SSA requires the appointed representative payees to report
once per year on how they used or conserved those funds. When a
representative payee fails to report adequately to SSA as required, 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 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.
[[Page 45193]]
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
claimants or their representatives, 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
scheduled 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 representatives
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. We call this 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. We
only use the form 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/or the amount of offset.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,000.
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 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: 2,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 167 hours.
7. 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
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 children's ability to function and their impairment-
related limitations. The adjudicative team uses the completed profile
to determine whether each child's impairment(s) results in marked and
severe functional limitations and whether each 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.
8. Registration for Appointed Representative Services and Direct
Payment--0960-0732. SSA uses Form SSA-1699 to register appointed
representatives of claimants before SSA who:
Want to register for direct payment of fees;
Registered for direct payment of fees prior to 10/31/09,
but need to update their information;
Registered as appointed representatives on or after 10/31/
09, but need to update their information; and/or
Received a notice from SSA instructing them to complete
this form.
By registering these individuals, SSA: (1) Authenticates and
authorizes them to do business with us; (2) allows them access to our
records for the claimants they represent; (3) facilitates direct
payment of authorized fees to appointed representatives; and (4)
collects the information we will need to meet IRS requirements to issue
specific IRS forms if we pay these representatives in excess of a
specific amount ($600).
In February 2010, we received emergency clearance for a new,
simplified version of this form. We are now seeking full clearance for
this simplified version. The respondents are appointed representatives
who want to use Form SSA-1699 for any of the purposes cited in this
notice.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 52,800.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 17,600 hours.
9. Government-to-Government Services Online Web site Registration;
Government-to-Government Services Online Web site Account Modification/
Deletion Form--20 CFR 401.45--0960-0757. The Government-to-Government
Services Online (GSO) 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 GSO 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 (GSO Web site Registration Form) to
maintain the identity of the requestor within GSO. Once this is
completed, SSA provides the requestor with the new password and
conducts a walkthrough of the GSO Web site as necessary. The
organization can also modify its online account (e.g., address change)
by completing Form SSA-119 (GSO Web site Account Modification/Deletion
Form).
Note: This is a correction notice. SSA published this
information with the incorrect form name on May 13, 2010 at 75 FRN
27036. We are correcting this error here.
Also, Form SSA-118 is now Form SSA-159, and Form SSA-119 is now
Form SSA-160.
[[Page 45194]]
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-159......................................... 925 1 15 231
SSA-160......................................... 2,500 1 15 625
---------------------------------------------------------------
Totals...................................... 3,425 .............. .............. 856
----------------------------------------------------------------------------------------------------------------
10. Technical Updates to Applicability of the Supplemental Security
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section
1611(e)(1)(A) of the Social Security Act states no resident of a public
institution is eligible for SSI payments. 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 416.708(k)
establishes the reporting guidelines that implement this legislative
requirement. SSA collects the information to determine eligibility for
SSI and the payment amount. The respondents are SSI recipients who
enter or leave an institution.
Note: This is a correction notice: SSA published the incorrect
CFR number for this collection at 75 FR 27036, on 5/13/10. We are
correcting this error here.
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.
11. Statement for Certificate of Election for Reduced Widow(er)'s
and Surviving Divorced Spouse's Benefits--20 CFR 404.335--0960-0759.
Section 202(q) of the Social Security Act provides the authority to
reduce benefits under certain conditions when a Title II beneficiary
elects to do so. 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 collects the information 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.
12. Questionnaire about Special Veterans Benefits--0960-NEW. SSA
will use the information collected on the SSA-2010 to determine
continuing eligibility for Social Security Special Veterans Benefits
(SVB), and to determine how much (if any) of a foreign pension we may
use to reduce or increase the amount of Social Security SVB. The
respondents will complete the SSA-2010 biannually so SSA can determine
if we should increase, decrease, suspend, or terminate benefits based
on the data we collect. The respondents are beneficiaries receiving
Social Security SVB.
Type of Request: Request for a new information collection.
Number of Respondents: 2,500.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 833 hours.
Dated: July 28, 2010.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2010-18854 Filed 7-30-10; 8:45 am]
BILLING CODE 4191-02-P
