Agency Information Collection Activities: Proposed Request and Comment Request, 73112-73113 [2012-29577]
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Federal Register / Vol. 77, No. 236 / Friday, December 7, 2012 / Notices
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 and one extension 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, Email address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
DCRDP, Attn: Reports Clearance
Director, 107 Altmeyer Building, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–966–2830, Email address:
OR.Reports.Clearance@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 February 5, 2013. Individuals
can obtain copies of the collection
Number of
responses
Modality of completion
instruments by writing to the above
email address.
Statement for Determining Continuing
Eligibility, Supplemental Security
Income Payment(s)—416.204–0960–
0416. SSA conducts disability
redeterminations to determine if
Supplemental Security Income (SSI)
recipients (1) met and continue to meet
all statutory and regulatory
requirements for SSI eligibility and (2)
are receiving the correct SSI payment
amount. SSA makes these
redeterminations through periodic use
of Form SSA–8203–BK. SSA conducts
this legally mandated information
collection in field offices via personal
contact (face-to-face or telephone
interview) using the automated
Modernized SSI Claim System
(MSSICS). The respondents are SSI
recipients or their representative payees.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
MSSICS ...........................................................................................................
MSSICS/Signature Proxy ................................................................................
Paper ...............................................................................................................
810,824
777,085
27,824
1
1
1
20
19
20
270,275
246,077
9,275
Totals ........................................................................................................
1,615,733
........................
........................
525,627
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 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
January 7, 2013. Individuals can obtain
copies of the OMB clearance packages
by writing to
OR.Reports.Clearance@ssa.gov.
1. Claimant Statement about Loan of
Food or Shelter; Statement about Food
or Shelter Provided to Another—20 CFR
416.1130–416.1148–0960–0529. SSA
bases an SSI claimant or recipient’s
eligibility on need, as measured by the
amount of income an individual
receives. Per our calculations, income
includes other people providing in-kind
support and maintenance in the form of
food and shelter to SSI applicants or
recipients. SSA uses Forms SSA–5062
and SSA–L5063 to obtain statements
Number of
responses
Modality of completion
about food or shelter provided to SSI
claimants or recipients. SSA uses this
information to determine whether food
or shelters are bona fide loans or income
for SSI purposes. This determination
may affect the claimants’ or recipients’
eligibility for SSI as well as the amounts
of their SSI payments. The respondents
are claimants and recipients for SSI
payments, and individuals who provide
loans of food or shelter to them.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
34,900
34,900
34,900
34,900
1
1
1
1
10
10
10
10
5,817
5,817
5,817
5,817
Total ..........................................................................................................
tkelley on DSK3SPTVN1PROD with
SSA–5062 Paper form .....................................................................................
SSA–L5063 Paper form ...................................................................................
SSA–5062 MSSICS .........................................................................................
SSA–L5063 MSSICS .......................................................................................
139,600
........................
........................
23,268
2. Site Review Questionnaire for
Volume and Fee-for-Service Payees and
Beneficiary Interview Form—20 CFR
404.2035, 404.2065, 416.665, 416.701,
and 416.708—0960–0633. SSA asks
organizational representative payees to
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18:05 Dec 06, 2012
Jkt 229001
complete Form SSA–637, the Site
Review Questionnaire for Volume and
Fee-for-Service Payees, to provide
information on how they carry out their
responsibilities, including how they
manage beneficiary funds. SSA then
PO 00000
Frm 00105
Fmt 4703
Sfmt 4703
obtains information from the
beneficiaries these organizations
represent via Form SSA–639,
Beneficiary Interview Form, to
corroborate the payees’ statements. Due
to the sensitivity of the information,
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07DEN1
73113
Federal Register / Vol. 77, No. 236 / Friday, December 7, 2012 / Notices
SSA employees always complete the
forms based on the answers respondents
give during a personal interview. The
respondents are individuals, State and
local governments, non-profit and forprofit organizations serving as
representative payees, and the
beneficiaries they serve.
Number of
responses
Modality of completion
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–637 ..........................................................................................................
SSA–639 ..........................................................................................................
1,999
8,293
1
1
120
10
3,998
1,382
Totals ........................................................................................................
10,292
........................
........................
5,380
3. Certification of Prisoner Identity
Information—20 CFR 422.107—0960–
0688. Inmates of Federal, State, or local
prisons may need a Social Security card
as verification of their Social Security
number for school or work programs, or
as proof of employment eligibility upon
release from incarceration. Before SSA
can issue a replacement Social Security
card, applicants must show SSA proof
of their identity. People who are in
prison for an extended period typically
do not have current identity documents.
Therefore, under formal written
agreement with the correctional
institution, SSA allows prison officials
to verify the identity of certain
incarcerated U.S. citizens who need
replacement Social Security cards.
Information prison officials provide
comes from the official prison files, sent
on correctional facility letterhead. SSA
uses this information to establish the
applicant’s identity in the replacement
Social Security card process. The
respondents are prison officials who
certify the identity of prisoners applying
for replacement Social Security cards.
Type of Request: Extension of an
OMB-approved Information Collection.
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Verification of Prisoner Identity Statements ....................................................
1,100
200
3
11,000
Dated: December 4, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
qualification and training, and training
program approvals.
Written comments should be
submitted by February 5, 2013.
DATES:
[FR Doc. 2012–29577 Filed 12–6–12; 8:45 am]
FOR FURTHER INFORMATION CONTACT:
BILLING CODE 4191–02–P
Kathy DePaepe at (405) 954–9362, or by
email at: Kathy.A.DePaepe@faa.gov.
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Agency Information Collection
Activities: Requests for Comments;
Clearance of Renewed Approval of
Information Collection: Certificated
Training Centers—Simulator Rule
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice and request for
comments.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, FAA
invites public comments about our
intention to request the Office of
Management and Budget (OMB)
approval to renew an information
collection. To determine regulatory
compliance, there is a need for airmen
to maintain records of certain training
and recency of experience; a training
center has to maintain records of
student’s training, employee
tkelley on DSK3SPTVN1PROD with
SUMMARY:
VerDate Mar<15>2010
18:05 Dec 06, 2012
Jkt 229001
SUPPLEMENTARY INFORMATION:
OMB Control Number: 2120–0570.
Title: Certificated Training Centers—
Simulator Rule.
Form Numbers: There are no FAA
forms associated with this collection.
Type of Review: Renewal of an
information collection.
Background: 14 CFR 142.73 requires
that training centers maintain records
for a period of one year to show trainee
qualifications for training, testing, or
checking, training attempts, training
checking, and testing results, and for
one year following termination of
employment the qualification of
instructors and evaluators providing
those services. The information is
maintained by the certificate holder and
subject to review by aviation safety
inspectors (operations), designated to
provide surveillance to training centers
to ensure compliance with airman
training, testing, and certification
requirements specified in other parts of
the 14 CFR.
PO 00000
Frm 00106
Fmt 4703
Sfmt 4703
Respondents: Approximately 113
training centers and associated satellite
facilities.
Frequency: Information is collected
on occasion.
Estimated Average Burden per
Response: 1,177.6 hours.
Estimated Total Annual Burden:
126,092 hours.
Send comments to the FAA
at the following address: Ms. Kathy
DePaepe, Room 126B, Federal Aviation
Administration, AES–200, 6500 S.
MacArthur Blvd., Oklahoma City, OK
73169.
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including (a)
Whether the proposed collection of
information is necessary for FAA’s
performance; (b) the accuracy of the
estimated burden; (c) ways for FAA to
enhance the quality, utility and clarity
of the information collection; and (d)
ways that the burden could be
minimized without reducing the quality
of the collected information. The agency
will summarize and/or include your
comments in the request for OMB’s
clearance of this information collection.
ADDRESSES:
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]]>Agencies
[Federal Register Volume 77, Number 236 (Friday, December 7, 2012)]
[Notices]
[Pages 73112-73113]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-29577]
[[Page 73112]]
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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 and one extension 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, Email address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, DCRDP, Attn: Reports Clearance
Director, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: OR.Reports.Clearance@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
February 5, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Statement for Determining Continuing Eligibility, Supplemental
Security Income Payment(s)--416.204-0960-0416. SSA conducts disability
redeterminations to determine if Supplemental Security Income (SSI)
recipients (1) met and continue to meet all statutory and regulatory
requirements for SSI eligibility and (2) are receiving the correct SSI
payment amount. SSA makes these redeterminations through periodic use
of Form SSA-8203-BK. SSA conducts this legally mandated information
collection in field offices via personal contact (face-to-face or
telephone interview) using the automated Modernized SSI Claim System
(MSSICS). The respondents are SSI recipients or their representative
payees.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
MSSICS.......................................... 810,824 1 20 270,275
MSSICS/Signature Proxy.......................... 777,085 1 19 246,077
Paper........................................... 27,824 1 20 9,275
---------------------------------------------------------------
Totals...................................... 1,615,733 .............. .............. 525,627
----------------------------------------------------------------------------------------------------------------
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 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than January 7, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Claimant Statement about Loan of Food or Shelter; Statement
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148-
0960-0529. SSA bases an SSI claimant or recipient's eligibility on
need, as measured by the amount of income an individual receives. Per
our calculations, income includes other people providing in-kind
support and maintenance in the form of food and shelter to SSI
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to
obtain statements about food or shelter provided to SSI claimants or
recipients. SSA uses this information to determine whether food or
shelters are bona fide loans or income for SSI purposes. This
determination may affect the claimants' or recipients' eligibility for
SSI as well as the amounts of their SSI payments. The respondents are
claimants and recipients for SSI payments, and individuals who provide
loans of food or shelter to them.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper form............................. 34,900 1 10 5,817
SSA-L5063 Paper form............................ 34,900 1 10 5,817
SSA-5062 MSSICS................................. 34,900 1 10 5,817
SSA-L5063 MSSICS................................ 34,900 1 10 5,817
---------------------------------------------------------------
Total....................................... 139,600 .............. .............. 23,268
----------------------------------------------------------------------------------------------------------------
2. Site Review Questionnaire for Volume and Fee-for-Service Payees
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665,
416.701, and 416.708--0960-0633. SSA asks organizational representative
payees to complete Form SSA-637, the Site Review Questionnaire for
Volume and Fee-for-Service Payees, to provide information on how they
carry out their responsibilities, including how they manage beneficiary
funds. SSA then obtains information from the beneficiaries these
organizations represent via Form SSA-639, Beneficiary Interview Form,
to corroborate the payees' statements. Due to the sensitivity of the
information,
[[Page 73113]]
SSA employees always complete the forms based on the answers
respondents give during a personal interview. The respondents are
individuals, State and local governments, non-profit and for-profit
organizations serving as representative payees, and the beneficiaries
they serve.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-637......................................... 1,999 1 120 3,998
SSA-639......................................... 8,293 1 10 1,382
---------------------------------------------------------------
Totals...................................... 10,292 .............. .............. 5,380
----------------------------------------------------------------------------------------------------------------
3. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a
Social Security card as verification of their Social Security number
for school or work programs, or as proof of employment eligibility upon
release from incarceration. Before SSA can issue a replacement Social
Security card, applicants must show SSA proof of their identity. People
who are in prison for an extended period typically do not have current
identity documents. Therefore, under formal written agreement with the
correctional institution, SSA allows prison officials to verify the
identity of certain incarcerated U.S. citizens who need replacement
Social Security cards. Information prison officials provide comes from
the official prison files, sent on correctional facility letterhead.
SSA uses this information to establish the applicant's identity in the
replacement Social Security card process. The respondents are prison
officials who certify the identity of prisoners applying for
replacement Social Security cards.
Type of Request: Extension of an OMB-approved Information
Collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements 1,100 200 3 11,000
----------------------------------------------------------------------------------------------------------------
Dated: December 4, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-29577 Filed 12-6-12; 8:45 am]
BILLING CODE 4191-02-P
