Agency Information Collection Activities: Proposed Request and Comment Request, 76591-76594 [2012-31161]

Download as PDF 76591 Federal Register / Vol. 77, No. 249 / Friday, December 28, 2012 / Notices SOCIAL SECURITY ADMINISTRATION and SSA Reports Clearance Officer at the following addresses or fax numbers. Agency Information Collection Activities: Proposed Request and Comment Request (OMB) 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 extensions 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 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 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 February 26, 2013. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Information About Joint Checking/ Savings Accounts—20 CFR 416.120, 416.1208—0960–0461. SSA considers a person’s resources when evaluating Number of respondents Modality of completion eligibility for Supplemental Security Income (SSI). Generally, we consider funds in checking and savings accounts as resources owned by the individuals whose names appear on the account. However, individuals applying for SSI may rebut this assumption of ownership in a joint account by submitting certain evidence to establish the funds do not belong to them. SSA uses Form SSA– 2574 to collect information from SSI applicants and recipients who object to the assumption that they own all or part of the funds in a joint checking or savings account bearing their names. SSA collects information about the account from both the SSI applicant or recipient and the other account holder(s). After receiving the completed form, SSA determines if we should consider the account as a resource for the SSI applicant or recipient. The respondents are applicants and recipients of SSI, and individuals who list themselves as joint owners of financial accounts with SSI applicants or recipients. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–2574 ........................................................................................................ Paper form ....................................................................................................... Modernized SSI Claims System ...................................................................... 50,000 150,000 1 1 7 7 5,833 17,500 Totals ........................................................................................................ 200,000 ........................ ........................ 23,333 2. Real Property Current Market Value Estimate—0960–0471. SSA considers an individual’s resources when evaluating eligibility for SSI. The value of an individual’s resources, including nonhome real property, is one of the eligibility considerations for SSI. As part of initial applications and in post- entitlement situations, SSA uses Form SSA–L2794 to obtain current market value estimates of the claimant’s real property from individuals knowledgeable about real estate values. We allow respondents to use readily available records to complete the form, or we can accept their best estimates. The respondents are small business operators in real estate, State and local government employees tasked with assessing real property values, and other individuals knowledgeable about local real estate values. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–L2794 ...................................................................................................... tkelley on DSK3SPTVN1PROD with Modality of completion 5,438 1 20 1,813 3. SSI Monthly Wage Reporting (Telephone and Mobile)—20 CFR 416.701–732—0960–0715. SSA requires SSI recipients to report changes which could affect their eligibility for, and the amount of, their SSI payments, such as changes in income, resources, and living arrangements. SSA’s SSI Telephone Wage Reporting (SSITWR) and SSI Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet these VerDate Mar<15>2010 20:15 Dec 27, 2012 Jkt 229001 requirements through an automated mechanism to report their monthly wages by telephone and mobile application, instead of contacting their local field offices. The SSITWR allows callers to report their wages by speaking their responses through voice recognition technology, or by keying in responses using a telephone key pad. The SSIMWR allows recipients to report their wages through the mobile wage PO 00000 Frm 00143 Fmt 4703 Sfmt 4703 reporting application on their smartphone. SSITWR and SSIMWR systems collect the same information and send it to SSA over secure channels. To ensure the security of the information provided, SSITWR and SSIMWR ask respondents to provide information SSA can compare against our records for authentication purposes. Once the system authenticates the identity of the respondents, they can E:\FR\FM\28DEN1.SGM 28DEN1 76592 Federal Register / Vol. 77, No. 249 / Friday, December 28, 2012 / Notices report their wage data. The respondents are SSI recipients, deemors, or their representative payees. Type of Request: Extension of an OMB-approved information collection. Number of respondents Modality of completion Frequency of response (Number of responses) Average burden per response (minutes) Estimated total annual burden (hours) Training/Instruction* ............................................................. SSITWR ............................................................................... SSIMWR .............................................................................. 85,000 80,000 5,000 1 12 12 (85,000) (960,000) (60,000) 35 5 3 49,583 80,000 3,000 Total .............................................................................. 85,000 ........................ (1,105,000) ........................ 132,583 NOTE: The same 85,000 respondents are completing training and a modality of collection, therefore the actual total number of respondents is still 85,000. 4. Centenarian Project Development Worksheets: Face-to-Face Interview and Telephone Interview—20 CFR 416.204(b) and 422.135—0960–0780. SSA conducts interviews with title II beneficiaries and title XVI recipients age 100 and older to: (1) Assess if the beneficiaries are still living; (2) prevent fraud, through either identity misrepresentation or representative payee misuse of funds; and (3) evaluate the well-being of the beneficiaries. SSA field office personnel obtain the information through one-time interviews with the centenarians. If the centenarians have representatives or caregivers, SSA personnel invite them to the interviews. During the interview, SSA employees make overall observations of the centenarian and their representative payee (if applicable). The interviewer uses the appropriate Centenarian Development Worksheet as a guide for the interview, in addition to documenting findings during the interview. Non-completion of the Worksheets, or refusal of the interview, does not result in the suspension of the centenarian’s payments. SSA conducts each interview either over the telephone or through a face-to-face discussion with the centenarian. This is a national project for our title II beneficiaries and title XVI recipients. Respondents are SSI recipients or Social Security beneficiaries 100 years old or older, their representative payees, or their caregivers. Type of Request: Revision of an OMBapproved information collection. Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Centenarian Worksheets: Face-to-Face Interview; Telephone Interview ....... 22,000 1 15 5,500 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 28, 2013. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Farm Self-Employment Questionnaire—20 CFR 404.1082(c) & 404.1095—0960–0061. SSA requires the existence of a trade or business before determining if an individual or partnership may have net earnings from self-employment. When a claimant indicates self-employment as a farmer, SSA obtains the information we need to determine the existence of an agricultural trade or business and subsequent covered earnings for Social Security entitlement purposes using Form SSA–7165, Farm SelfEmployment Questionnaire. As part of the application process, we conduct a personal interview, either face-to-face or via telephone, and document the interview using Form SSA–7165. The respondents are applicants for Social Security benefits, whose entitlement depends on workers having covered earnings from self-employment as farmers. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–7156 ........................................................................................................ tkelley on DSK3SPTVN1PROD with Modality of completion 47,500 1 10 7,917 2. Response to Notice of Revised Determination—20 CFR 404.913-.914, 404.992(b), 416.1413–.1414 and 416.1492(d)–0960–0347. When SSA determines (1) claimants for initial disability benefits do not actually have VerDate Mar<15>2010 20:15 Dec 27, 2012 Jkt 229001 a disability or (2) current disability recipients’ records show their disability ceased, SSA must notify the disability claimants or recipients of this decision. In response to this notice, the affected claimants and disability recipients have PO 00000 Frm 00144 Fmt 4703 Sfmt 4703 the following recourse: (1) They may request a disability hearing to contest SSA’s decision and (2) they may submit additional information or evidence for SSA to consider. Disability claimants, recipients, and their representatives use E:\FR\FM\28DEN1.SGM 28DEN1 76593 Federal Register / Vol. 77, No. 249 / Friday, December 28, 2012 / Notices Form SSA–765 to accomplish these two actions. The respondents are disability claimants, current disability recipients, or their representatives. Modality of completion Number of respondents SSA–765 .......................................................................................................... Type of Request: Revision of an OMBapproved information collection. 1,925 3. Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information—0960–0740. This information collection comprises several regulation sections that provide additional safeguards for Social Security beneficiaries whose representative payees receive their payments. SSA requires representative payees to notify us of any event or change in circumstances that would affect receipt of benefits or performance of payee duties. SSA uses the information to determine continued eligibility for Number of respondents Regulation section Frequency of response 1 Average burden per response (minutes) Estimated total annual burden (hours) 30 963 benefits, the amount of benefits due, and if the payee is suitable to continue serving as payee. The respondents are representative payees who receive and use benefits on behalf of Social Security beneficiaries. Type of Request: Extension of an OMB-approved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) 404.2035(d)—Paper/Mail ................................................................................. 404.2035(d)—Office interview/Intranet ............................................................ 404.2035(f)—Paper/Mail .................................................................................. 404.2035(f)—Office interview/Intranet ............................................................. 416.635(d)—Paper/Mail ................................................................................... 416.635(d)—Office interview/Intranet .............................................................. 416.635(f)—Paper/Mail .................................................................................... 416.635(f)-Office interview/Intranet ................................................................. 27,500 522,500 275 5,225 15,000 285,000 150 2,850 1 1 1 1 1 1 1 1 5 5 5 5 5 5 5 5 2,292 43,542 23 435 1,250 23,750 13 238 Totals ........................................................................................................ 858,500 ........................ ........................ 71,543 4. Request for Reinstatement (Title II)—20 CFR 404.1592b—404.1592f– 0960–0742. SSA allows certain previously entitled disability beneficiaries to request expedited reinstatement (EXR) of benefits under title II of the Social Security Act (Act) when their medical condition no longer permits them to perform substantial gainful activity. SSA uses Form SSA– 371 to obtain (1) a signed statement from individuals requesting an EXR of their title II disability benefits, and (2) proof the requestors meet the EXR requirements. SSA maintains the form in the disability folder of the applicant to demonstrate the requestors’ awareness of the EXR requirements, and their choice to request EXR. Respondents are applicants for EXR of title II disability benefits. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–371 .......................................................................................................... tkelley on DSK3SPTVN1PROD with Modality of completion 10,000 1 2 333 5. Request for Reinstatement (Title XVI)—20 CFR 416.999–416.999d–0960– 0744. SSA allows certain previously entitled disability recipients to request EXR of benefits under title XVI of the Act when their medical condition no longer permits them to perform substantial gainful activity. SSA uses Form SSA–372 to (1) inform previously entitled recipients of the EXR VerDate Mar<15>2010 20:15 Dec 27, 2012 Jkt 229001 requirements of SSI payments under title XVI of the Act, and (2) document their requests for EXR. We require this application for reinstatement of benefits for respondents to obtain SSI disability payments for EXR. When an SSA claims representative learns of individuals whose medical conditions no longer permit them to perform substantial gainful activity as defined in the Act, PO 00000 Frm 00145 Fmt 4703 Sfmt 4703 the claims representative gives or mails the form to the previously entitled individuals if they request EXR over the phone. SSA employees collect this information whenever an individual files for EXR benefits. The respondents are applicants for EXR of SSI disability payments. Type of Request: Revision of an OMB approved information collection. E:\FR\FM\28DEN1.SGM 28DEN1 76594 Federal Register / Vol. 77, No. 249 / Friday, December 28, 2012 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–372 .......................................................................................................... 2,000 1 2 67 6. Protecting the Public and Our Personnel To Ensure Operational Effectiveness (RIN 0960–AH35), Regulation 3729I—20 CFR 422.905, 422.906–0960–0796. Background When members of the public demonstrate disruptive, violent, or threatening actions or behavior toward SSA employees, the agency takes measures to ensure the safety of everyone involved, including banning such individuals from appearing in person at any of our field offices. In lieu of in-person office visits, the agency provides services to banned individuals through alternate methods, including our 800 number, online applications, mail services, or, in limited circumstances, face-to-face services by appointment with additional security present. On September 2, 2011, the agency published regulations and notifications processes for the ban decision at 76 FR 54700. We are currently requesting full approval for the public reporting burdens from the interim final rules. We previously obtained emergency OMB approval for these burdens. Information Collection Description The interim final ban decision rules contain two public reporting burdens: • 20 CFR 422.905—after SSA issues a ban decision against an individual, the individual has 60 days to appeal the determination. Individuals must submit a written appeal stating why they believe SSA should rescind the ban and allow them to conduct business with us on a face-to-face basis in one of our offices. There is no printed form for this Number of respondents Regulation section request; banned individuals create their own written statement of appeal, and submit it to a sole decision-maker in the regional office of the region where the ban originated. The individuals may also provide additional documentation to support their appeal. • 20 CFR 422.906—three years after the original ban decision, banned individuals may re-submit a written appeal of the determination. The same criteria apply as for the original appeal: (1) It must be in writing; (2) it must go to a sole decision-maker in the regional office of the region where the ban originated for review; and (3) it may accompany supporting documentation. Respondents for this collection are individuals appealing their banning from SSA field offices. Type of Request: Extension of an OMB-approved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) 20 CFR 422.905 .............................................................................................. 20 CFR 422.906 .............................................................................................. 75 75 1 1 15 20 19 25 Totals ........................................................................................................ 150 ........................ ........................ 44 Dated: December 21, 2012. Paul Kryglik, Director Office of Regulations & Report, Clearance Social Security Administration. [FR Doc. 2012–31161 Filed 12–27–12; 8:45 am] BILLING CODE 4191–02–P tkelley on DSK3SPTVN1PROD with OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE Generalized System of Preferences (GSP): Notice Regarding the Disposition of a Product Petition From the 2011 GSP Annual Product Review and the Acceptance of Product Petitions for the 2012 GSP Annual Product Review Office of the United States Trade Representative. ACTION: Notice. AGENCY: VerDate Mar<15>2010 20:15 Dec 27, 2012 Jkt 229001 SUMMARY: This notice announces (1) the disposition of a petition on certain pinch-seal plastic bags, accepted in the 2011 GSP Annual Product Review, and (2) those petitions submitted in connection with the 2012 GSP Annual Product Review which have been accepted for further review. This notice also sets forth the schedule for submitting comments and for public hearings associated with the 2012 review of petitions and products. FOR FURTHER INFORMATION CONTACT: Tameka Cooper, GSP Program, Office of the United States Trade Representative, 600 17th Street NW., Room 422, Washington, DC 20508. The telephone number is (202) 395–6971, the fax number is (202) 395–9674, and the email address is Tameka_Cooper@ustr.eop.gov. DATES: The GSP regulations (15 CFR part 2007) provide the schedule of dates PO 00000 Frm 00146 Fmt 4703 Sfmt 4703 for conducting an annual review, unless otherwise specified in a notice published in the Federal Register. The schedule for the 2012 GSP Annual Product Review is set forth below. Notification of any other changes will be published in the Federal Register. February 14, 2013—Comments, prehearing briefs, and requests to appear at the GSP Subcommittee Public Hearing on the 2012 GSP Annual Product Review are due by 5 p.m. February 28, 2013—GSP Subcommittee Public Hearing on all proposed or petitioned product additions and competitive need limitation (CNL) waiver petitions accepted for the 2012 GSP Annual Product Review. See ‘‘Notice of Public Hearing’’ below for further details. March 28, 2013—Submission of posthearing comments or briefs in E:\FR\FM\28DEN1.SGM 28DEN1

Agencies

[Federal Register Volume 77, Number 249 (Friday, December 28, 2012)]
[Notices]
[Pages 76591-76594]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-31161]



[[Page 76591]]

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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 extensions 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 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 
February 26, 2013. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Information About Joint Checking/Savings Accounts--20 CFR 
416.120, 416.1208--0960-0461. SSA considers a person's resources when 
evaluating eligibility for Supplemental Security Income (SSI). 
Generally, we consider funds in checking and savings accounts as 
resources owned by the individuals whose names appear on the account. 
However, individuals applying for SSI may rebut this assumption of 
ownership in a joint account by submitting certain evidence to 
establish the funds do not belong to them. SSA uses Form SSA-2574 to 
collect information from SSI applicants and recipients who object to 
the assumption that they own all or part of the funds in a joint 
checking or savings account bearing their names. SSA collects 
information about the account from both the SSI applicant or recipient 
and the other account holder(s). After receiving the completed form, 
SSA determines if we should consider the account as a resource for the 
SSI applicant or recipient. The respondents are applicants and 
recipients of SSI, and individuals who list themselves as joint owners 
of financial accounts with SSI applicants or recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2574........................................          50,000               1               7           5,833
Paper form......................................
Modernized SSI Claims System....................         150,000               1               7          17,500
                                                 ---------------------------------------------------------------
    Totals......................................         200,000  ..............  ..............          23,333
----------------------------------------------------------------------------------------------------------------

    2. Real Property Current Market Value Estimate--0960-0471. SSA 
considers an individual's resources when evaluating eligibility for 
SSI. The value of an individual's resources, including non-home real 
property, is one of the eligibility considerations for SSI. As part of 
initial applications and in post-entitlement situations, SSA uses Form 
SSA-L2794 to obtain current market value estimates of the claimant's 
real property from individuals knowledgeable about real estate values. 
We allow respondents to use readily available records to complete the 
form, or we can accept their best estimates. The respondents are small 
business operators in real estate, State and local government employees 
tasked with assessing real property values, and other individuals 
knowledgeable about local real estate values.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L2794...................................           5,438                1               20            1,813
----------------------------------------------------------------------------------------------------------------

    3. SSI Monthly Wage Reporting (Telephone and Mobile)--20 CFR 
416.701-732--0960-0715. SSA requires SSI recipients to report changes 
which could affect their eligibility for, and the amount of, their SSI 
payments, such as changes in income, resources, and living 
arrangements. SSA's SSI Telephone Wage Reporting (SSITWR) and SSI 
Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet these 
requirements through an automated mechanism to report their monthly 
wages by telephone and mobile application, instead of contacting their 
local field offices. The SSITWR allows callers to report their wages by 
speaking their responses through voice recognition technology, or by 
keying in responses using a telephone key pad. The SSIMWR allows 
recipients to report their wages through the mobile wage reporting 
application on their smartphone. SSITWR and SSIMWR systems collect the 
same information and send it to SSA over secure channels. To ensure the 
security of the information provided, SSITWR and SSIMWR ask respondents 
to provide information SSA can compare against our records for 
authentication purposes. Once the system authenticates the identity of 
the respondents, they can

[[Page 76592]]

report their wage data. The respondents are SSI recipients, deemors, or 
their representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
     Modality of completion          Number of     Frequency of     (Number of     per response    total annual
                                    respondents      response       responses)       (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Training/Instruction*...........          85,000               1        (85,000)              35          49,583
SSITWR..........................          80,000              12       (960,000)               5          80,000
SSIMWR..........................           5,000              12        (60,000)               3           3,000
                                 -------------------------------------------------------------------------------
    Total.......................          85,000  ..............     (1,105,000)  ..............         132,583
----------------------------------------------------------------------------------------------------------------
Note: The same 85,000 respondents are completing training and a modality of collection, therefore the actual
  total number of respondents is still 85,000.

    4. Centenarian Project Development Worksheets: Face-to-Face 
Interview and Telephone Interview--20 CFR 416.204(b) and 422.135--0960-
0780. SSA conducts interviews with title II beneficiaries and title XVI 
recipients age 100 and older to: (1) Assess if the beneficiaries are 
still living; (2) prevent fraud, through either identity 
misrepresentation or representative payee misuse of funds; and (3) 
evaluate the well-being of the beneficiaries. SSA field office 
personnel obtain the information through one-time interviews with the 
centenarians. If the centenarians have representatives or caregivers, 
SSA personnel invite them to the interviews. During the interview, SSA 
employees make overall observations of the centenarian and their 
representative payee (if applicable). The interviewer uses the 
appropriate Centenarian Development Worksheet as a guide for the 
interview, in addition to documenting findings during the interview. 
Non-completion of the Worksheets, or refusal of the interview, does not 
result in the suspension of the centenarian's payments. SSA conducts 
each interview either over the telephone or through a face-to-face 
discussion with the centenarian. This is a national project for our 
title II beneficiaries and title XVI recipients. Respondents are SSI 
recipients or Social Security beneficiaries 100 years old or older, 
their representative payees, or their caregivers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Centenarian Worksheets: Face-to-Face                  22,000                1               15            5,500
 Interview; Telephone Interview.............
----------------------------------------------------------------------------------------------------------------

    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 28, 2013. Individuals can obtain copies of the 
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) & 
404.1095--0960-0061. SSA requires the existence of a trade or business 
before determining if an individual or partnership may have net 
earnings from self-employment. When a claimant indicates self-
employment as a farmer, SSA obtains the information we need to 
determine the existence of an agricultural trade or business and 
subsequent covered earnings for Social Security entitlement purposes 
using Form SSA-7165, Farm Self-Employment Questionnaire. As part of the 
application process, we conduct a personal interview, either face-to-
face or via telephone, and document the interview using Form SSA-7165. 
The respondents are applicants for Social Security benefits, whose 
entitlement depends on workers having covered earnings from self-
employment as farmers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7156....................................          47,500                1               10            7,917
----------------------------------------------------------------------------------------------------------------

    2. Response to Notice of Revised Determination--20 CFR 
404.913-.914, 404.992(b), 416.1413-.1414 and 416.1492(d)-0960-0347. 
When SSA determines (1) claimants for initial disability benefits do 
not actually have a disability or (2) current disability recipients' 
records show their disability ceased, SSA must notify the disability 
claimants or recipients of this decision. In response to this notice, 
the affected claimants and disability recipients have the following 
recourse: (1) They may request a disability hearing to contest SSA's 
decision and (2) they may submit additional information or evidence for 
SSA to consider. Disability claimants, recipients, and their 
representatives use

[[Page 76593]]

Form SSA-765 to accomplish these two actions. The respondents are 
disability claimants, current disability recipients, or their 
representatives.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
            Modality of completion                Number of      Frequency of     per response    annual burden
                                                 respondents       response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-765......................................           1,925                1              30              963
----------------------------------------------------------------------------------------------------------------

    3. Representative Payment Policies and Administrative Procedures 
for Imposing Penalties for False or Misleading Statements or 
Withholding of Information--0960-0740. This information collection 
comprises several regulation sections that provide additional 
safeguards for Social Security beneficiaries whose representative 
payees receive their payments. SSA requires representative payees to 
notify us of any event or change in circumstances that would affect 
receipt of benefits or performance of payee duties. SSA uses the 
information to determine continued eligibility for benefits, the amount 
of benefits due, and if the payee is suitable to continue serving as 
payee. The respondents are representative payees who receive and use 
benefits on behalf of Social Security beneficiaries.
    Type of Request: Extension of an OMB-approved information 
collection.

 
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
               Regulation section                    Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
404.2035(d)--Paper/Mail.........................          27,500               1               5           2,292
404.2035(d)--Office interview/Intranet..........         522,500               1               5          43,542
404.2035(f)--Paper/Mail.........................             275               1               5              23
404.2035(f)--Office interview/Intranet..........           5,225               1               5             435
416.635(d)--Paper/Mail..........................          15,000               1               5           1,250
416.635(d)--Office interview/Intranet...........         285,000               1               5          23,750
416.635(f)--Paper/Mail..........................             150               1               5              13
416.635(f)-Office interview/Intranet............           2,850               1               5             238
                                                 ---------------------------------------------------------------
    Totals......................................         858,500  ..............  ..............          71,543
----------------------------------------------------------------------------------------------------------------

    4. Request for Reinstatement (Title II)--20 CFR 404.1592b--
404.1592f-0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under title II of the Social Security Act (Act) when their medical 
condition no longer permits them to perform substantial gainful 
activity. SSA uses Form SSA-371 to obtain (1) a signed statement from 
individuals requesting an EXR of their title II disability benefits, 
and (2) proof the requestors meet the EXR requirements. SSA maintains 
the form in the disability folder of the applicant to demonstrate the 
requestors' awareness of the EXR requirements, and their choice to 
request EXR. Respondents are applicants for EXR of title II disability 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

 
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-371.....................................          10,000                1                2              333
----------------------------------------------------------------------------------------------------------------

    5. Request for Reinstatement (Title XVI)--20 CFR 416.999-416.999d-
0960-0744. SSA allows certain previously entitled disability recipients 
to request EXR of benefits under title XVI of the Act when their 
medical condition no longer permits them to perform substantial gainful 
activity. SSA uses Form SSA-372 to (1) inform previously entitled 
recipients of the EXR requirements of SSI payments under title XVI of 
the Act, and (2) document their requests for EXR. We require this 
application for reinstatement of benefits for respondents to obtain SSI 
disability payments for EXR. When an SSA claims representative learns 
of individuals whose medical conditions no longer permit them to 
perform substantial gainful activity as defined in the Act, the claims 
representative gives or mails the form to the previously entitled 
individuals if they request EXR over the phone. SSA employees collect 
this information whenever an individual files for EXR benefits. The 
respondents are applicants for EXR of SSI disability payments.
    Type of Request: Revision of an OMB approved information 
collection.

[[Page 76594]]



 
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-372.....................................           2,000                1                2               67
----------------------------------------------------------------------------------------------------------------

    6. Protecting the Public and Our Personnel To Ensure Operational 
Effectiveness (RIN 0960-AH35), Regulation 3729I--20 CFR 422.905, 
422.906-0960-0796.

Background

    When members of the public demonstrate disruptive, violent, or 
threatening actions or behavior toward SSA employees, the agency takes 
measures to ensure the safety of everyone involved, including banning 
such individuals from appearing in person at any of our field offices. 
In lieu of in-person office visits, the agency provides services to 
banned individuals through alternate methods, including our 800 number, 
online applications, mail services, or, in limited circumstances, face-
to-face services by appointment with additional security present.
    On September 2, 2011, the agency published regulations and 
notifications processes for the ban decision at 76 FR 54700. We are 
currently requesting full approval for the public reporting burdens 
from the interim final rules. We previously obtained emergency OMB 
approval for these burdens.

Information Collection Description

    The interim final ban decision rules contain two public reporting 
burdens:
     20 CFR 422.905--after SSA issues a ban decision against an 
individual, the individual has 60 days to appeal the determination. 
Individuals must submit a written appeal stating why they believe SSA 
should rescind the ban and allow them to conduct business with us on a 
face-to-face basis in one of our offices. There is no printed form for 
this request; banned individuals create their own written statement of 
appeal, and submit it to a sole decision-maker in the regional office 
of the region where the ban originated. The individuals may also 
provide additional documentation to support their appeal.
     20 CFR 422.906--three years after the original ban 
decision, banned individuals may re-submit a written appeal of the 
determination. The same criteria apply as for the original appeal: (1) 
It must be in writing; (2) it must go to a sole decision-maker in the 
regional office of the region where the ban originated for review; and 
(3) it may accompany supporting documentation.
    Respondents for this collection are individuals appealing their 
banning from SSA field offices.
    Type of Request: Extension of an OMB-approved information 
collection.

 
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
               Regulation section                    Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 422.905..................................              75               1              15              19
20 CFR 422.906..................................              75               1              20              25
                                                 ---------------------------------------------------------------
    Totals......................................             150  ..............  ..............              44
----------------------------------------------------------------------------------------------------------------


    Dated: December 21, 2012.
Paul Kryglik,
Director Office of Regulations & Report, Clearance Social Security 
Administration.
[FR Doc. 2012-31161 Filed 12-27-12; 8:45 am]
BILLING CODE 4191-02-P
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