Agency Information Collection Activities: Proposed Request and Comment Request, 53703-53704 [2011-22007]

Download as PDF 53703 Federal Register / Vol. 76, No. 167 / Monday, August 29, 2011 / Notices Fax: 410–965–6400, E-mail address: OPLM.RCO@ssa.gov. SSA submitted the information collection listed below to OMB for clearance. Your comments on the information collection would be most useful if OMB and SSA receive them within 30 days from the date of this publication. To consider your comments, we must receive them no later than September 28, 2011. You can obtain a copy of the OMB clearance package by calling the SSA Reports Clearance Officer at 410–965–8783 or by writing to the above e-mail address. costs. This law requires SSA to make eligibility determinations and to provide a process for appealing SSA’s determinations. Regulation sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain public reporting requirements pertaining to administrative review hearings. Respondents are applicants for the Medicare Part D subsidies who request an administrative review hearing. Type of Request: Extension of an OMB-approved information collection. Medicare Part D Subsidies Regulations—20 CFR 418.3625, 418.3645, 418.3665(a), and 418.3670— 0960–0702. The Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003 established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low-income individuals. The MMA also mandated the provision of subsidies for those individuals who qualify for the program and who meet eligibility criteria for help with premium, deductible, or co-payment Number of respondents Section Frequency of response Average burden per response (minutes) Total annual burden (hours) 418.3625(c) ...................................................................................................... 418.3645 .......................................................................................................... 418.3665(a) ...................................................................................................... 418.3670 .......................................................................................................... 2,500 10 1,000 5 1 1 1 1 5 20 5 10 208 3 83 1 Total .......................................................................................................... 3,515 ........................ ........................ 295 Dated: August 24, 2011. Faye Lipsky, Reports Clearance Officer, Center for Reports Clearance, Social Security Administration. [FR Doc. 2011–21956 Filed 8–26–11; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION Emcdonald on DSK2BSOYB1PROD 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 a request for a new information collection, and 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, email, 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, VerDate Mar<15>2010 16:45 Aug 26, 2011 Jkt 223001 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 Collection Below Is Pending at SSA SSA will submit it to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than October 28, 2011. Individuals can obtain copies of the collection instrument by calling the SSA Reports Clearance Officer at 410–965–8783 or by writing to the above e-mail address. Screen Pop—20 CFR 401.45—0960– New. Section 205(a) of the Social Security Act (Act) requires SSA to verify the identity of individuals who request a record or information pertaining to themselves, and to establish procedures for disclosing personal information. SSA has established Screen Pop, an automated telephone process, to speed up verification for such individuals. Accessing Screen Pop, callers enter their Social Security number (SSN) using their telephone keypad or speech technology prior to speaking with a National 800 Number Network (N8NN) agent. The automated Screen Pop application collects the SSN and routes it to the ‘‘Start New Call’’ Customer Help and Information (CHIP) screen. Functionality for the Screen Pop application ends once the SSN connects PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 to the CHIP screen and the SSN routes to the agent’s screen. When the call connects to the SSA agent, the agent can use the SSN to access the caller’s record as needed. The respondents for this collection are individuals who contact SSA’s N8NN to speak with an agent. Type of Request: Request for a new information collection. Number of Respondents: 34,000,000. Frequency of Response: 1. Average Burden per Response: 1 minute. Estimated Annual Burden: 566,667 hours. II. SSA Submitted the Information Collections Below to OMB for Clearance Your comments regarding 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 September 28, 2011. Individuals can obtain copies of the OMB clearance packages by calling the SSA Reports Clearance Officer at 410– 965–8783 or by writing to the above email address. 1. Application for Benefits Under a U.S. International Social Security Agreement—20 CFR 404.1925–0960– 0448 Section 233(a) of the Act authorizes the President to broker international Social Security agreements (totalization agreements) between the United States E:\FR\FM\29AUN1.SGM 29AUN1 53704 Federal Register / Vol. 76, No. 167 / Monday, August 29, 2011 / Notices and foreign countries. SSA collects information using Form SSA–2490–BK to determine entitlement to Social Security benefits from the United States, or from a country that enters into a totalization agreement with the United States. The respondents are individuals applying for Old Age Survivors and Disability Insurance benefits from the Number of respondents Form No. United States or from a totalization agreement country. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Total annual burden (hours) SSA–2490–BK (MCS) ..................................................................... SSA–2490–BK (paper) .................................................................... 14,000 2,000 1 1 30 30 7,000 1,000 Totals ........................................................................................ 16,000 ............................ ............................ 8,000 2. Plan for Achieving Self-Support (PASS)—20 CFR 416.110(e), 416.1180– 1182, 416.1225–1227–0960–0559 The Supplemental Security Income (SSI) program encourages disability payment recipients to return to work. One of the program objectives is to provide incentives and opportunities that help recipients do this. The PASS provision allows individuals to use available income or resources (such as business equipment, education, or specialized training) to enter or re-enter the workforce and become selfsupporting. In turn, SSA does not count the income or resources recipients use to fund a PASS when determining an individual’s SSI eligibility or payment amount. An SSI recipient, who wants to use available income and resources to obtain education or training to become self-supporting, completes the SSA–545. SSA uses the information from the SSA–545 to evaluate the recipient’s PASS, and to determine eligibility under the provisions of the SSI program. The respondents are SSI recipients who are blind or disabled and want to develop a plan to work. Note: This is a correction notice. SSA published this information collection as an extension on June 15, 2011 at 76 FR 35067. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 7,000. Frequency of Response: 1. Average Burden Per Response: 2 hours. Estimated Annual Burden: 14,000 hours. 3. Authorization To Disclose Information to SSA—20 CFR 404.1512 and 416.912, 45 CFR 160 and 164– 0960–0623 SSA must obtain sufficient evidence to make eligibility determinations for Number of respondents Modaility Title II and Title XVI payments. Therefore, the applicant must authorize the release of information from various sources to SSA. The applicant uses the SSA–827 to provide consent for the release of medical records, education records, and other information related to his or her ability to perform tasks. Once the applicant completes the SSA–827, SSA or the State Disability Determination Service sends the form to the designated source(s) to obtain pertinent records. The respondents are applicants for Title II benefits and Title XVI payments. Type of Request: Revision of an OMBapproved information collection. Note: This is a correction notice: SSA published incorrect burden information for this collection at 76 FR 23640, on April 27, 2011. We are correcting the error here. Average burden per response (minutes) Frequency of response Total annual burden (hours) SSA–827 with electronic signature (adult first person only) ........... SSA–827 with wet signature ........................................................... Reading the Internet Instructions .................................................... 2,530,000 1,591,551 708,100 1 1 1 9 10 3 379,500 265,258 35,405 Totals ........................................................................................ 4,829,651 ............................ ............................ 680,163 Dated: August 24, 2011. Faye Lipsky, Reports Clearance Officer, Center for Reports Clearance, Social Security Administration. [FR Doc. 2011–22007 Filed 8–26–11; 8:45 am] Emcdonald on DSK2BSOYB1PROD with NOTICES BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 7570] 30-Day Notice of Proposed Information Collection: Passport Demand Forecasting Study Phase III, OMB Number 1405–0177 Notice of request for public comment and submission to OMB of proposed collection of information. ACTION: The Department of State has submitted the following information collection request to the Office of SUMMARY: VerDate Mar<15>2010 16:45 Aug 26, 2011 Jkt 223001 PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995. • Title of Information Collection: Passport Demand Forecasting Study Phase III. • OMB Control Number: OMB Number 1405–0177. • Type of Request: Revision of a Currently Approved Collection. • Originating Office: Bureau of Consular Affairs, Office of Passport Services CA/PPT. • Form Number: SV2011–0010. E:\FR\FM\29AUN1.SGM 29AUN1

Agencies

[Federal Register Volume 76, Number 167 (Monday, August 29, 2011)]
[Notices]
[Pages 53703-53704]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-22007]


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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 a request for a new information collection, and 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, email, 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 Collection Below Is Pending at SSA

    SSA will submit it to OMB within 60 days from the date of this 
notice. To be sure we consider your comments, we must receive them no 
later than October 28, 2011. Individuals can obtain copies of the 
collection instrument by calling the SSA Reports Clearance Officer at 
410-965-8783 or by writing to the above e-mail address.
    Screen Pop--20 CFR 401.45--0960-New. Section 205(a) of the Social 
Security Act (Act) requires SSA to verify the identity of individuals 
who request a record or information pertaining to themselves, and to 
establish procedures for disclosing personal information. SSA has 
established Screen Pop, an automated telephone process, to speed up 
verification for such individuals. Accessing Screen Pop, callers enter 
their Social Security number (SSN) using their telephone keypad or 
speech technology prior to speaking with a National 800 Number Network 
(N8NN) agent. The automated Screen Pop application collects the SSN and 
routes it to the ``Start New Call'' Customer Help and Information 
(CHIP) screen. Functionality for the Screen Pop application ends once 
the SSN connects to the CHIP screen and the SSN routes to the agent's 
screen. When the call connects to the SSA agent, the agent can use the 
SSN to access the caller's record as needed.
    The respondents for this collection are individuals who contact 
SSA's N8NN to speak with an agent.
    Type of Request: Request for a new information collection.
    Number of Respondents: 34,000,000.
    Frequency of Response: 1.
    Average Burden per Response: 1 minute.
    Estimated Annual Burden: 566,667 hours.

II. SSA Submitted the Information Collections Below to OMB for 
Clearance

    Your comments regarding 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 September 28, 2011. Individuals can obtain copies 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. Application for Benefits Under a U.S. International Social Security 
Agreement--20 CFR 404.1925-0960-0448

    Section 233(a) of the Act authorizes the President to broker 
international Social Security agreements (totalization agreements) 
between the United States

[[Page 53704]]

and foreign countries. SSA collects information using Form SSA-2490-BK 
to determine entitlement to Social Security benefits from the United 
States, or from a country that enters into a totalization agreement 
with the United States. The respondents are individuals applying for 
Old Age Survivors and Disability Insurance benefits from the United 
States or from a totalization agreement country.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                               Average  burden
                Form No.                      Number of       Frequency of      per  response     Total annual
                                             respondents        response          (minutes)      burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2490-BK (MCS).......................            14,000                 1                30             7,000
SSA-2490-BK (paper).....................             2,000                 1                30             1,000
                                         -----------------------------------------------------------------------
    Totals..............................            16,000  ................  ................             8,000
----------------------------------------------------------------------------------------------------------------

2. Plan for Achieving Self-Support (PASS)--20 CFR 416.110(e), 416.1180-
1182, 416.1225-1227-0960-0559

    The Supplemental Security Income (SSI) program encourages 
disability payment recipients to return to work. One of the program 
objectives is to provide incentives and opportunities that help 
recipients do this. The PASS provision allows individuals to use 
available income or resources (such as business equipment, education, 
or specialized training) to enter or re-enter the workforce and become 
self-supporting. In turn, SSA does not count the income or resources 
recipients use to fund a PASS when determining an individual's SSI 
eligibility or payment amount. An SSI recipient, who wants to use 
available income and resources to obtain education or training to 
become self-supporting, completes the SSA-545. SSA uses the information 
from the SSA-545 to evaluate the recipient's PASS, and to determine 
eligibility under the provisions of the SSI program.
    The respondents are SSI recipients who are blind or disabled and 
want to develop a plan to work.

    Note:  This is a correction notice. SSA published this 
information collection as an extension on June 15, 2011 at 76 FR 
35067. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 hours.
    Estimated Annual Burden: 14,000 hours.

3. Authorization To Disclose Information to SSA--20 CFR 404.1512 and 
416.912, 45 CFR 160 and 164-0960-0623

    SSA must obtain sufficient evidence to make eligibility 
determinations for Title II and Title XVI payments. Therefore, the 
applicant must authorize the release of information from various 
sources to SSA. The applicant uses the SSA-827 to provide consent for 
the release of medical records, education records, and other 
information related to his or her ability to perform tasks. Once the 
applicant completes the SSA-827, SSA or the State Disability 
Determination Service sends the form to the designated source(s) to 
obtain pertinent records. The respondents are applicants for Title II 
benefits and Title XVI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

    Note:  This is a correction notice: SSA published incorrect 
burden information for this collection at 76 FR 23640, on April 27, 
2011. We are correcting the error here.


----------------------------------------------------------------------------------------------------------------
                                                                               Average  burden
                Modaility                     Number of       Frequency of      per  response     Total annual
                                             respondents        response          (minutes)      burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-827 with electronic signature (adult         2,530,000                 1                 9           379,500
 first person only).....................
SSA-827 with wet signature..............         1,591,551                 1                10           265,258
Reading the Internet Instructions.......           708,100                 1                 3            35,405
                                         -----------------------------------------------------------------------
    Totals..............................         4,829,651  ................  ................           680,163
----------------------------------------------------------------------------------------------------------------


    Dated: August 24, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-22007 Filed 8-26-11; 8:45 am]
BILLING CODE 4191-02-P