Agency Information Collection Activities: Proposed Request and Comment Request, 56265-56266 [2013-22168]

Download as PDF 56265 Federal Register / Vol. 78, No. 177 / Thursday, September 12, 2013 / Notices Type of Request: Revision of an OMBapproved information collection. Number of respondents Modality of completion Frequency of response Average burden per response (minute) Estimated annual burden (hours) Form SSA–1 MCS/Signature Proxy ...................................................................................... Paper ............................................................................................................... Medicare-only MCS ......................................................................................... Medicare-only Paper ........................................................................................ 1,441,400 2,300 418,300 300 1 1 1 1 10 11 7 7 240,233 422 48,802 35 Totals ........................................................................................................ 1,862,300 ........................ ........................ 289,492 MCS/Signature Proxy ...................................................................................... Paper ............................................................................................................... 364,000 1,200 1 1 14 15 84,933 300 Totals ............................................................................................................... 341,200 ........................ ........................ 85,233 MCS/Signature Proxy ...................................................................................... Paper ............................................................................................................... 1,695,800 53,300 1 1 19 20 537,003 17,767 Totals ........................................................................................................ 1,749,100 ........................ ........................ 554,770 iClaim 3rd Party ............................................................................................... iClaim Applicant after 3rd Party Completion ................................................... First Party iClaim—Domestic Applicant ........................................................... First Party iClaim—Foreign Applicant .............................................................. Medicare-only iClaim ....................................................................................... 431,357 431,357 1,838,943 8,291 552,400 1 1 1 1 1 15 5 15 3 10 107,839 35,946 459,736 415 92,067 Totals ........................................................................................................ 3,262,348 ........................ ........................ 696,003 200,000 1 10 33,333 7,438,948 ........................ ........................ 1,658,831 Form SSA–2 Form SSA–16 iClaim Screens iAppointment Screens iAppointment .................................................................................................... Grand Total Total .......................................................................................................... Dated: September 9, 2013. Naomi Sipple, Management Analyst, Reports Clearance Team, Social Security Administration. [FR Doc. 2013–22169 Filed 9–11–13; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION tkelley on DSK3SPTVN1PROD 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 VerDate Mar<15>2010 19:54 Sep 11, 2013 Jkt 229001 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., PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 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 November 12, 2013. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Agreement to Sell Property—20 CFR 416.1240—416.1245—0960–0127. Individuals or couples who are otherwise eligible for Supplemental Security Income (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 make repayments. SSA uses Form SSA–8060– U3 to document this agreement, and to ensure the individuals understand their E:\FR\FM\12SEN1.SGM 12SEN1 56266 Federal Register / Vol. 78, No. 177 / Thursday, September 12, 2013 / Notices obligations. Respondents are applicants for and recipients of SSI payments who will be disposing of excess non-liquid resources. 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) SSA–8060–U3 ................................................................................................. 20,000 1 10 3,000 2. 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 support health researchers involved in epidemiological research. Specifically, when we determine a study contributes to a data and to collect the fees. The respondents are qualified health and 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. national health interest, SSA furnishes information to determine if 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 Average burden per response (minutes) Frequency of response Number of respondents Modality of completion Estimated total annual burden (hours) State & Local Government .............................................................................. Private Entities ................................................................................................. 15 10 1 1 120 120 30 20 Totals ........................................................................................................ 25 ........................ ........................ 50 Cost Burden Average annual cost per respondent (based on SSA data): $3,500. Total estimated annual cost burden: $108,500. II. SSA submitted the information collection below to OMB for clearance. Your comments regarding the information collection 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 October 15, 2013. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ ssa.gov. Disability Report—Child—20 CFR 416.912—0960–0577. Sections 223(d)(5)(A) and 1631(e)(1) of the Social Security Act (Act) require SSI claimants to furnish medical and other evidence to prove they are disabled. SSA uses Form SSA–3820 to collect various types of information about a child’s condition from treating sources or other medical Number of respondents Modality of completion sources of evidence. State Disability Determination Services evaluators use the information from Form SSA–3820 to develop medical and school evidence, and to assess the alleged disability. The information, together with medical evidence, forms the evidentiary basis upon which SSA makes its initial disability evaluation. The respondents are claimants seeking SSI childhood disability payments. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–3820 ........................................................................................................ Electronic Disability Collect System ................................................................ i3820 ................................................................................................................ 500 1,000 540,000 1 1 1 90 120 60 750 2,000 540,000 Totals ........................................................................................................ 541,500 ........................ ........................ 542,750 Dated: September 9, 2013. Naomi Sipple, Management Analyst, Reports Clearance Team, Social Security Administration. [FR Doc. 2013–22168 Filed 9–11–13; 8:45 am] tkelley on DSK3SPTVN1PROD with NOTICES BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No. SSA–2013–0034] Consent Based Social Security Number Verification (CBSV) Service Social Security Administration. Notice of Revised Transaction Fee for CBSV Service. AGENCY: ACTION: We provide fee-based Social Security number (SSN) verification services to enrolled private businesses, State and local government agencies SUMMARY: VerDate Mar<15>2010 19:54 Sep 11, 2013 Jkt 229001 PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 who obtain a valid, signed consent form from the SSN holder. We originally published a notice announcing the CBSV service in the Federal Register on August 10, 2007. Based on the signed consent form, we verify the number holders’ SSNs for the requesting party. The Privacy Act of 1974 (5 United States Code (U.S.C.) 552a(b)), section 1106 of the Social Security Act (42 U.S.C. 1306) and our regulation at 20 Code of Federal Regulation 401.100, establish the legal authority for us to provide SSN E:\FR\FM\12SEN1.SGM 12SEN1

Agencies

[Federal Register Volume 78, Number 177 (Thursday, September 12, 2013)]
[Notices]
[Pages 56265-56266]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-22168]


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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 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 
November 12, 2013. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Agreement to Sell Property--20 CFR 416.1240--416.1245--0960-
0127. Individuals or couples who are otherwise eligible for 
Supplemental Security Income (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 make repayments. SSA 
uses Form SSA-8060-U3 to document this agreement, and to ensure the 
individuals understand their

[[Page 56266]]

obligations. Respondents are applicants for and recipients of SSI 
payments who will be disposing of excess non-liquid resources.
    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-8060-U3.................................          20,000                1               10            3,000
----------------------------------------------------------------------------------------------------------------

    2. 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 support health researchers 
involved in epidemiological research. Specifically, when we determine a 
study contributes to a national health interest, SSA furnishes 
information to determine if 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 respondents are qualified health and 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
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
State & Local Government........................              15               1             120              30
Private Entities................................              10               1             120              20
                                                 ---------------------------------------------------------------
    Totals......................................              25  ..............  ..............              50
----------------------------------------------------------------------------------------------------------------

Cost Burden

    Average annual cost per respondent (based on SSA data): $3,500.
    Total estimated annual cost burden: $108,500.
    II. SSA submitted the information collection below to OMB for 
clearance. Your comments regarding the information collection 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 October 15, 2013. Individuals can obtain copies of the 
OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.
    Disability Report--Child--20 CFR 416.912--0960-0577. Sections 
223(d)(5)(A) and 1631(e)(1) of the Social Security Act (Act) require 
SSI claimants to furnish medical and other evidence to prove they are 
disabled. SSA uses Form SSA-3820 to collect various types of 
information about a child's condition from treating sources or other 
medical sources of evidence. State Disability Determination Services 
evaluators use the information from Form SSA-3820 to develop medical 
and school evidence, and to assess the alleged disability. The 
information, together with medical evidence, forms the evidentiary 
basis upon which SSA makes its initial disability evaluation. The 
respondents are claimants seeking SSI childhood disability payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3820........................................             500               1              90             750
Electronic Disability Collect System............           1,000               1             120           2,000
i3820...........................................         540,000               1              60         540,000
�������������������������������������������������
    Totals......................................         541,500  ..............  ..............         542,750
----------------------------------------------------------------------------------------------------------------


    Dated: September 9, 2013.
Naomi Sipple,
Management Analyst, Reports Clearance Team, Social Security 
Administration.
[FR Doc. 2013-22168 Filed 9-11-13; 8:45 am]
BILLING CODE 4191-02-P