Agency Information Collection Activities: Proposed Request and Comment Request, 5233-5235 [2011-1924]

Download as PDF 5233 Federal Register / Vol. 76, No. 19 / Friday, January 28, 2011 / Notices responsibility for the remaining areas at a later date. The next meeting date was determined before the meeting was adjourned at 1:49 p.m. FOR FURTHER INFORMATION CONTACT: Rusty Pickens, Special Consultant to the Office of the CIO, U.S. Small Business Administration, Rusty.Pickens@sba.gov. Paul T. Christy, SBA Chief Information Officer. [FR Doc. 2011–1849 Filed 1–27–11; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION WReier-Aviles on DSKGBLS3C1PROD with NOTICES 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 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions to 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 at 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 March 29, 2011. 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. Statement Regarding the Inferred Death of an Individual by Reason of Continued and Unexplained Absence— 20 CFR 404.720–721—0960–0002. Section 202(d)–(i) of the Social Security Act (Act) provides for the payment of various monthly survivor benefits and a lump sum death payment to certain survivors upon the death of an individual who dies while fully or currently insured. In cases where insured wage earners have been absent from their homes for at least seven years, and there is no evidence these individuals are alive, SSA may presume they are deceased and pay their survivors the appropriate benefits. SSA uses the information from Form SSA– 723 to determine if we may presume a missing wage earner is deceased, and if so, establish a date of presumed death. The respondents are relatives, friends, neighbors, or acquaintances of the presumed deceased wage earner or the person who is filing for survivors benefits. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 3,000. Frequency of Response: 1. Average Burden per Response: 30 minutes. Estimated Annual Burden: 1,500 hours. 2. Questionnaire for Children Claiming SSI Benefits—20 CFR 416.912(a)—0960–0499. Section 1631(d)(2) of the Act allows SSA to collect information to determine the eligibility of an applicant’s claim for Supplemental Security Income (SSI) payments. Parents or legal guardians seeking to obtain or retain SSI eligibility for their children use Form SSA–3881– BK to provide SSA with the addresses of non-medical sources such as schools, counselors, agencies, organizations, or therapists who would have information about a child’s functioning. SSA uses this information to help determine a child’s claim or continuing eligibility for SSI. The respondents are applicants who appeal SSI childhood disability decisions or recipients undergoing a continuing disability review. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 253,000. Type of respondent Number of respondents Individuals/Households .................................................................................... VerDate Mar<15>2010 15:05 Jan 27, 2011 Jkt 223001 PO 00000 Frm 00104 Fmt 4703 Sfmt 4703 Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 126,500 hours. 3. Electronic Benefit Verification Information (BEVE)—20 CFR 401.40— 0960–0595. The electronic proof of income (POI) verification Internet service, BEVE, provides SSI recipients, Social Security beneficiaries, and Medicare beneficiaries the convenience of requesting a POI statement through the Internet. Beneficiaries and SSI recipients often require POI to obtain housing, food stamps, or other public services. After verifying the requestor’s identity, SSA uses the information from BEVE to provide the POI statement. The respondents are Social Security beneficiaries, Medicare beneficiaries, and SSI recipients. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 870,958. Frequency of Response: 1. Average Burden per Response: 5 minutes. Estimated Annual Burden: 72,580 hours. II. SSA 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 February 28, 2011. 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. Advanced Notice of Termination of Child’s Benefits & Student’s Statement Regarding School Attendance—20 CFR 404.350–404.352, 404.367–404.368— 0960–0105. SSA collects information on Forms SSA–1372–BK and SSA–1372– BK–FC to determine whether children of an insured worker meet the eligibility requirements for student benefits. The data we collect allows SSA to determine student entitlement and decide whether to terminate benefits. The respondents are student claimants for Social Security benefits, their respective schools, and in some cases, their representative payees. Type of Request: Revision of an OMBapproved information collection. SSA–1372–BK: Frequency of response 99,850 E:\FR\FM\28JAN1.SGM 1 28JAN1 Average burden per response (minutes) 8 Total annual burden (hours) 13,313 5234 Federal Register / Vol. 76, No. 19 / Friday, January 28, 2011 / Notices Type of respondent Number of respondents Frequency of response Average burden per response (minutes) Total annual burden (hours) State/Local/Tribal Government ........................................................................ 99,850 1 3 4,993 Totals ........................................................................................................ 199,700 ........................ ........................ 18,306 Frequency of response Average burden per response (minutes) SSA–1372–BK–FC: Type of respondent Number of respondents Total annual burden (hours) Individuals/Households .................................................................................... State/Local/Tribal Government ........................................................................ 150 150 1 1 8 3 20 8 Totals ........................................................................................................ 300 ........................ ........................ 28 Total Burden: 18,334 hours. 2. Agreement to Sell Property—20 CFR 416.1240–416.1245—0960–0127. Individuals or couples who are otherwise eligible for SSI payments, but whose resources exceed the allowable limit, may receive conditional payments if they agree to dispose of the excess non-liquid resources and (in the case of current recipients) return excess SSI payments. SSA uses Form SSA–8060– U3 to document this agreement and to ensure the individuals understand their obligations. Respondents are applicants for and recipients of SSI payments who agree to dispose of excess non-liquid resources and return excess SSI payments. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 20,000. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 3,333 hours. 3. Reporting Events—SSI—20 CFR 416.701–.732—0960–0128. SSI applicants, recipients, or their representative payees must report any change in circumstances that could affect eligibility for SSI payments or the payment amount. SSA uses Form SSA– 8150 for this purpose. The information assists us in determining if we should continue SSI payments or change a payment amount. The respondents are applicants for or recipients of SSI payments, or their representative payees. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 27,320. Frequency of Response: 1. Average Burden per Response: 5 minutes. Estimated Annual Burden: 2,277 hours. 4. Modified Benefit Formula Questionnaire—0960–0395. Sections 215(a)(7) and 215(d)(3) of the Act specify how SSA computes benefits for retired and disabled workers receiving employment pensions not covered by Social Security. This is the Windfall Elimination Provision (WEP), which removes an unintended advantage in computing Social Security benefits for persons with substantial pensions from non-covered employment. SSA collects information on Form SSA–150 to determine the correct formula to use in computing the Social Security benefits for pensions subject to WEP. The respondents are applicants for title II benefits who have pensions from noncovered employment. WReier-Aviles on DSKGBLS3C1PROD with NOTICES Type of respondent Number of respondents Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 90,000. Frequency of Response: 1. Average Burden per Response: 8 minutes. Estimated Annual Burden: 12,000 hours. 5. Epidemiological Research Report— 20 CFR 401.165—0960–0701. Section 311 of the Social Security Independence and Program Improvements Act of 1994 directs SSA to provide support to health researchers involved in epidemiological research. Specifically, when we determine a study contributes to a national health interest, SSA furnishes information to determine whether a study subject appears in SSA administrative records as alive or deceased (vital status). SSA charges a small fee per request for providing this information. Web-posted questions solicit the information SSA needs to provide the data and to collect the fees. The requestors are scientific researchers who are applying to receive vital status information about individuals from Social Security administrative data records. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Total annual burden (hours) State & Local Government .............................................................................. Private Entities ................................................................................................. Federal Entities ................................................................................................ 15 13 2 1 1 1 120 120 120 30 26 4 Totals ........................................................................................................ 30 ........................ ........................ 60 VerDate Mar<15>2010 15:05 Jan 27, 2011 Jkt 223001 PO 00000 Frm 00105 Fmt 4703 Sfmt 4703 E:\FR\FM\28JAN1.SGM 28JAN1 Federal Register / Vol. 76, No. 19 / Friday, January 28, 2011 / Notices Cost Burden Average annual cost per respondent (based on SSA data): $3,665. Total estimated annual cost burden: $109,950. Dated: January 25, 2011. Faye Lipsky, Reports Clearance Officer, Center for Reports Clearance, Social Security Administration. [FR Doc. 2011–1924 Filed 1–27–11; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No. SSA 2010–0082] Privacy Act of 1974, as Amended; Computer Matching Program (SSA Internal Match)—Match Number 1014 AGENCY: Social Security Administration (SSA) Notice of a new computer matching program. ACTION: In accordance with the provisions of the Privacy Act, as amended, this notice announces a new computer matching program that we are conducting with ourselves. DATES: We will file a report of the subject matching program with the Committee on Homeland Security and Governmental Affairs of the Senate; the Committee on Oversight and Government Reform of the House of Representatives, and the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). The matching program will be effective as indicated below. ADDRESSES: Interested parties may comment on this notice by either telefaxing to (410) 966–0869 or writing to the Executive Director, Office of Privacy and Disclosure, Office of the General Counsel, 617 Altmeyer Building, 6401 Security Boulevard, Baltimore, MD 21235–6401. All comments received will be available for public inspection at this address. FOR FURTHER INFORMATION CONTACT: The Executive Director, Office of Privacy and Disclosure, Office of the General Counsel as shown above. SUPPLEMENTARY INFORMATION: SUMMARY: WReier-Aviles on DSKGBLS3C1PROD with NOTICES A. General The Computer Matching and Privacy Protection Act of 1988 (Pub. L. 100– 503), amended the Privacy Act (5 U.S.C. 552a) by describing the conditions under which computer matching involving the Federal government could be performed and adding certain protections for persons applying for, and receiving, Federal benefits. Section VerDate Mar<15>2010 15:05 Jan 27, 2011 Jkt 223001 7201 of the Omnibus Budget Reconciliation Act of 1990 (Pub. L. 101– 508) further amended the Privacy Act regarding protections for such persons. The Privacy Act, as amended, regulates the use of computer matching by Federal agencies when records in a system of records are matched with other Federal, State, or local government records. It requires Federal agencies involved in computer matching programs to: (1) Negotiate written agreements with the other agency or agencies participating in the matching programs; (2) Obtain the approval of the matching agreement by the Data Integrity Boards (DIB) of the participating Federal agencies; (3) Publish notice of the computer matching program in the Federal Register; (4) Furnish detailed reports about matching programs to Congress and OMB; (5) Notify applicants and beneficiaries that their records are subject to matching; and (6) Verify match findings before reducing, suspending, terminating, or denying a person’s benefits or payments. B. SSA Computer Matches Subject to the Privacy Act We have taken action to ensure that all of our computer matching programs comply with the requirements of the Privacy Act, as amended. Dawn S. Wiggins, Acting Executive Director, Office of Privacy and Disclosure, Office of the General Counsel. Notice of Computer Matching Program, SSA Internal Match A. Participating Agency SSA. B. Purpose of the Matching Program The purpose of this matching program is to establish the terms, conditions, and safeguards under which we will compare our current employee records of the Federal Personnel/Payroll System with the Disability Income (DI) and Supplemental Security Income (SSI) beneficiaries/recipients through a periodic computerized comparison of records. We will use this information to verify self-certification statements of income in order to verify continuing eligibility and benefit amounts of beneficiaries. C. Authority for Conducting the Matching Program The legal authority for this agreement is as follows: PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 5235 1. Section 1631(f) of the Social Security Act (Act) (42 U.S.C. 1383(f)) provides that ‘‘[t]he head of any Federal agency shall provide such information as the Commissioner of Social Security needs for the purposes of determining eligibility for or amount of benefits or verifying information with respect thereto.’’ 2. Section 1631(e)(1)(B) of the Act (42 U.S.C. 1383(e)) provides that Social Security is required to verify eligibility of a recipient or applicant for SSI using independent or collateral sources. 3. Section 224(h) of the Act (42 U.S.C. 424a(h)) provides that Social Security is entitled to review information to determine the amount of DI benefits and to verify information with respect thereto. 4. This agreement is subject to the provisions of the Privacy Act of 1974, 5 U.S.C. 552a, as amended, and the provisions of the Computer Matching and Privacy Protection Act of 1988. The Privacy Act provides that no record contained in a system of records may be disclosed to a recipient agency or nonfederal agency for use in a computer matching program except pursuant to a written agreement containing specific provisions. 5 U.S.C. 552a(o). The comparison of records that is the subject of this agreement constitutes a matching program within the meaning of the Privacy Act, 5 U.S.C. 552a(a)(8)(A). D. Categories of Records and Persons Covered by the Matching Program We will compare identifying information from The Payroll, Leave and Attendance Records (60–0238) last published on January 11, 2006, at 71 FR 1856 with identifying information from The Master Files of Social Security Number (SSN) Holders and SSN Applications (60–0058) last published on December 29, 2010, at 74 FR 62866; The Master Beneficiary Record (60– 0090) last published on January 11, 2006, at 71 FR 1826; and The Supplemental Security Income Record and Special Veterans Benefits (60–0103) last published on January 11, 2006, at 71 FR 1830. E. Inclusive Dates of the Matching Program The effective date of this matching program is March 10, 2011 provided that the following notice periods have lapsed: 30 days after publication of this notice in the Federal Register and 40 days after notice of the matching program is sent to Congress and OMB. The matching program will continue for 18 months from the effective date and may be extended for an additional 12 E:\FR\FM\28JAN1.SGM 28JAN1

Agencies

[Federal Register Volume 76, Number 19 (Friday, January 28, 2011)]
[Notices]
[Pages 5233-5235]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-1924]


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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 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions to 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 at 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 
March 29, 2011. 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. Statement Regarding the Inferred Death of an Individual by 
Reason of Continued and Unexplained Absence--20 CFR 404.720-721--0960-
0002. Section 202(d)-(i) of the Social Security Act (Act) provides for 
the payment of various monthly survivor benefits and a lump sum death 
payment to certain survivors upon the death of an individual who dies 
while fully or currently insured. In cases where insured wage earners 
have been absent from their homes for at least seven years, and there 
is no evidence these individuals are alive, SSA may presume they are 
deceased and pay their survivors the appropriate benefits. SSA uses the 
information from Form SSA-723 to determine if we may presume a missing 
wage earner is deceased, and if so, establish a date of presumed death. 
The respondents are relatives, friends, neighbors, or acquaintances of 
the presumed deceased wage earner or the person who is filing for 
survivors benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 3,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 1,500 hours.
    2. Questionnaire for Children Claiming SSI Benefits--20 CFR 
416.912(a)--0960-0499. Section 1631(d)(2) of the Act allows SSA to 
collect information to determine the eligibility of an applicant's 
claim for Supplemental Security Income (SSI) payments. Parents or legal 
guardians seeking to obtain or retain SSI eligibility for their 
children use Form SSA-3881-BK to provide SSA with the addresses of non-
medical sources such as schools, counselors, agencies, organizations, 
or therapists who would have information about a child's functioning. 
SSA uses this information to help determine a child's claim or 
continuing eligibility for SSI. The respondents are applicants who 
appeal SSI childhood disability decisions or recipients undergoing a 
continuing disability review.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 253,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 126,500 hours.
    3. Electronic Benefit Verification Information (BEVE)--20 CFR 
401.40--0960-0595. The electronic proof of income (POI) verification 
Internet service, BEVE, provides SSI recipients, Social Security 
beneficiaries, and Medicare beneficiaries the convenience of requesting 
a POI statement through the Internet. Beneficiaries and SSI recipients 
often require POI to obtain housing, food stamps, or other public 
services. After verifying the requestor's identity, SSA uses the 
information from BEVE to provide the POI statement. The respondents are 
Social Security beneficiaries, Medicare beneficiaries, and SSI 
recipients.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 870,958.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 72,580 hours.
    II. SSA 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 February 28, 2011. 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. Advanced Notice of Termination of Child's Benefits & Student's 
Statement Regarding School Attendance--20 CFR 404.350-404.352, 404.367-
404.368--0960-0105. SSA collects information on Forms SSA-1372-BK and 
SSA-1372-BK-FC to determine whether children of an insured worker meet 
the eligibility requirements for student benefits. The data we collect 
allows SSA to determine student entitlement and decide whether to 
terminate benefits. The respondents are student claimants for Social 
Security benefits, their respective schools, and in some cases, their 
representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.
    SSA-1372-BK:

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden   Total annual
               Type of  respondent                   Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Individuals/Households..........................          99,850               1               8          13,313

[[Page 5234]]

 
State/Local/Tribal Government...................          99,850               1               3           4,993
                                                 ---------------------------------------------------------------
    Totals......................................         199,700  ..............  ..............          18,306
----------------------------------------------------------------------------------------------------------------

    SSA-1372-BK-FC:

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden   Total annual
               Type of  respondent                   Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Individuals/Households..........................             150               1               8              20
State/Local/Tribal Government...................             150               1               3               8
                                                 ---------------------------------------------------------------
    Totals......................................             300  ..............  ..............              28
----------------------------------------------------------------------------------------------------------------

    Total Burden: 18,334 hours.
    2. Agreement to Sell Property--20 CFR 416.1240-416.1245--0960-0127. 
Individuals or couples who are otherwise eligible for SSI payments, but 
whose resources exceed the allowable limit, may receive conditional 
payments if they agree to dispose of the excess non-liquid resources 
and (in the case of current recipients) return excess SSI payments. SSA 
uses Form SSA-8060-U3 to document this agreement and to ensure the 
individuals understand their obligations. Respondents are applicants 
for and recipients of SSI payments who agree to dispose of excess non-
liquid resources and return excess SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 3,333 hours.
    3. Reporting Events--SSI--20 CFR 416.701-.732--0960-0128. SSI 
applicants, recipients, or their representative payees must report any 
change in circumstances that could affect eligibility for SSI payments 
or the payment amount. SSA uses Form SSA-8150 for this purpose. The 
information assists us in determining if we should continue SSI 
payments or change a payment amount. The respondents are applicants for 
or recipients of SSI payments, or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 27,320.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 2,277 hours.
    4. Modified Benefit Formula Questionnaire--0960-0395. Sections 
215(a)(7) and 215(d)(3) of the Act specify how SSA computes benefits 
for retired and disabled workers receiving employment pensions not 
covered by Social Security. This is the Windfall Elimination Provision 
(WEP), which removes an unintended advantage in computing Social 
Security benefits for persons with substantial pensions from non-
covered employment. SSA collects information on Form SSA-150 to 
determine the correct formula to use in computing the Social Security 
benefits for pensions subject to WEP. The respondents are applicants 
for title II benefits who have pensions from non-covered employment.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 90,000.
    Frequency of Response: 1.
    Average Burden per Response: 8 minutes.
    Estimated Annual Burden: 12,000 hours.
    5. Epidemiological Research Report--20 CFR 401.165--0960-0701. 
Section 311 of the Social Security Independence and Program 
Improvements Act of 1994 directs SSA to provide support to health 
researchers involved in epidemiological research. Specifically, when we 
determine a study contributes to a national health interest, SSA 
furnishes information to determine whether a study subject appears in 
SSA administrative records as alive or deceased (vital status). SSA 
charges a small fee per request for providing this information. Web-
posted questions solicit the information SSA needs to provide the data 
and to collect the fees. The requestors are scientific researchers who 
are applying to receive vital status information about individuals from 
Social Security administrative data records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden   Total annual
               Type of  respondent                   Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
State & Local Government........................              15               1             120              30
Private Entities................................              13               1             120              26
Federal Entities................................               2               1             120               4
                                                 ---------------------------------------------------------------
    Totals......................................              30  ..............  ..............              60
----------------------------------------------------------------------------------------------------------------


[[Page 5235]]

Cost Burden

    Average annual cost per respondent (based on SSA data): $3,665.
    Total estimated annual cost burden: $109,950.

    Dated: January 25, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-1924 Filed 1-27-11; 8:45 am]
BILLING CODE 4191-02-P