Agency Information Collection Activities: Proposed Request and Comment Request, 17632-17635 [2014-06929]
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17632
Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices
is suspended for the period from 9:30
a.m. EDT on March 26, 2014, through
11:59 p.m. EDT on April 8, 2014.
By the Commission.
Jill M. Peterson,
Assistant Secretary.
[FR Doc. 2014–07055 Filed 3–26–14; 11:15 am]
BILLING CODE 8011–01–P
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 (Pub. L.) 104–13, the
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes revisions and an 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,
OLCA, Attn: Reports Clearance Director,
3100 West High Rise, 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 May 27, 2014. Individuals can
obtain copies of the collection
instruments by writing to the above
email address.
1. Representative Payee Report-Adult,
Representative Payee Report-Child,
Representative Payee ReportOrganizational Representative Payees—
20 CFR 404.635, 404.2035, 404.2065,
and 416.665—0960–0068. When SSA
determines it is not in an Old Age
Survivors and Disability Insurance
Number of
respondents
Modality of collection
(OASDI) or Supplemental Security
Income (SSI) recipient’s best interest to
receive Social Security payments
directly, the agency will designate a
representative payee for the recipient.
The representative payee can be: (1) A
family member; (2) a non-family
member who is a private citizen and is
acquainted with the beneficiary; (3) an
organization; (4) a state or local
government agency; or (5) a business. In
the capacity of representative payee, the
person or organization receives the SSA
recipient’s payments directly and
manages these payments. As part of its
stewardship mandate, SSA must ensure
the representative payees are properly
using the payments they receive for the
recipients they represent. The agency
annually collects the information
necessary to make this assessment using
the SSA–623, Representative Payee
Report-Adult, SSA–6230,
Representative Payee Report-Child,
SSA–6234, Representative Payee
Report-Organizational Representative
Payees, and through the electronic
Internet application Internet
Representative Payee Accounting
(iRPA). The respondents are
representative payees of OASDI and SSI
recipients.
Type of Request: Revision to an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated total
annual burden
(hours)
SSA–623 ..........................................................................................................
SSA–6230 ........................................................................................................
SSA–6234 ........................................................................................................
iRPA* ...............................................................................................................
2,811,819
2,968,096
719,469
650,000
1
1
1
1
15
15
15
15
702,955
742,024
179,867
162,500
*Totals .......................................................................................................
7,149,384
........................
........................
1,787,346
* One Internet platform encompasses all three paper forms.
2. Statement of Income and
Resources—20 CFR 416.207, 146.301–
416.310, 416.704, and 416.708—0960–
0124. SSA collects information about
income and resources on the SSA–
8010–BK for SSI claims and
redeterminations. SSA uses the
information to make initial or
continuing eligibility determinations for
SSI claimants or recipients who are
subject to deeming. The respondents are
persons whose income and resources
SSA may deem (consider to be
available) to SSI applicants or
recipients.
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–8010–BK .................................................................................................
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Modality of completion
341,000
1
26
147,767
3. Authorization to Obtain Earnings
Data From the Social Security
Administration—0960–0602. On
occasion, organizations and agencies,
both public and private, need to obtain
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Jkt 232001
detailed earnings information about
specific Social Security number (SSN)
holding wage earners for business
purposes (e.g. pension funds, State
agencies, etc.). Respondents use Form
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Sfmt 4703
SSA–581 to identify the SSN holder
whose information they are requesting,
and provide authorization from the SSN
holder, when applicable. SSA uses the
information provided on Form SSA–581
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to: (1) Identify the wage earner; (2)
establish the period of earnings
information requested; (3) verify the
wage earner authorized SSA to release
this information to the requesting party;
and (4) produce the Itemized Statement
of Earnings (SSA–1826). The
respondents are private businesses, state
or local agencies, and other federal
agencies.
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–581 ..........................................................................................................
24,000
1
2
800
4. State Death Match Collections—20
CFR 404.301, 404.310–404.311, 404.316,
404.330–404–341, 404.350–404.352,
404.371; 416.912–0960–0700. SSA uses
the State Death Match Collections to
ensure the accuracy of payment files by
detecting unreported or inaccurate
Electronic Death Registration Process
(EDR). Both death match processes are
automated electronic transfers between
the states and SSA. The respondents are
the states’ bureaus of vital statistics.
Type of Request: Revision of an OMBapproved information collection.
deaths of beneficiaries. Under the Social
Security Act (Act), entitlement to
retirement, disability, wife’s, husband’s,
or parent’s benefits terminate when the
beneficiary dies. The states furnish
death certificate information to SSA via
the manual registration process or the
Frequency of
response
(per state)
Number of
respondents
Modality of collection
Average cost
per record
request
Estimated total
cost burden
State Death Match—Manual Process .............................................................
State Death Match—EDR ................................................................................
17
36
50,000
50,000
$.84
3.01
$714,000
5,418,000
Totals ........................................................................................................
53
........................
........................
*6,132,000
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*Please note that both of these data matching processes are electronic and there is no hourly burden for the respondent to provide this
information.
5. Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery—0960–0788.
SSA, as part of our continuing effort to
reduce paperwork and respondent
burden, invites the general public to
take this opportunity to comment on the
‘‘Generic Clearance for the Collection of
Qualitative Feedback on Agency Service
Delivery ’’ for approval under the
Paperwork Reduction Act (PRA) (44
U.S.C. 3501 et. seq.). This collection was
developed as part of a Federal
Government-wide effort to streamline
the process for seeking feedback from
the public on service delivery.
Under the auspices of Executive
Order 12862, Setting Customer Service
Standards, SSA conducts multiple
satisfaction surveys each year. This
proposed information collection activity
provides a means to garner qualitative
customer and stakeholder feedback in
an efficient, timely manner, in
accordance with SSA’s commitment to
improving service delivery. By
qualitative feedback we mean
information that provides useful
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
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18:57 Mar 27, 2014
Jkt 232001
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative,
and actionable communications
between SSA and our customers and
stakeholders.
The solicitation of feedback will target
areas such as: Timeliness,
appropriateness, accuracy of
information, courtesy, efficiency of
service delivery, and resolution of
issues with service delivery. Responses
will be assessed to plan and inform
efforts to improve or maintain the
quality of service offered to the public.
If this information is not collected, vital
feedback from customers and
stakeholders on SSA’s services will be
unavailable.
We will only submit a collection for
approval under this generic clearance if
it meets the following conditions: (1)
The collections are voluntary; (2) the
collections are low-burden for
respondents (based on considerations of
total burden hours, total number of
respondents, or burden-hours per
respondent) and are low-cost for both
the respondents and the Federal
Government; (3) the collections are noncontroversial and do not raise issues of
concern to other Federal agencies; (4)
any collection targeted to the
solicitation of opinions from
respondents who have experience with
the program or may have experience
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Sfmt 4703
with the program in the near future; (5)
personally identifiable information (PII)
is collected only to the extent necessary
and is not retained; (6) information
gathered will be used only internally for
general service improvement and
program management purposes and is
not intended for release outside of the
agency; (7) information gathered will
not be used for the purpose of
substantially informing influential
policy decisions; and (8) information
gathered will yield qualitative
information; the collections will not be
designed or expected to yield
statistically reliable results or used as
though the results are generalizable to
the population of study.
Feedback collected under this generic
clearance provides useful information,
but it does not yield data that can be
generalized to the overall population.
This type of generic clearance for
qualitative information will not be used
for quantitative information collections
that are designed to yield reliably
actionable results, such as monitoring
trends over time or documenting
program performance. Such data uses
require more rigorous designs that
address the target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
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methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior to
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
As a general matter, information
collections will not result in any new
system of records containing privacy
information and will not ask questions
of a sensitive nature, such as sexual
behavior and attitudes, religious beliefs,
and other matters that are commonly
considered private.
The respondents are recipients of SSA
services (including most members of the
public), professionals, and individuals
who work on behalf of SSA
beneficiaries.
Type of Request: Extension of an
OMB-approved information collection.
copies of the OMB clearance packages
by writing to OR.Reports.Clearance@
ssa.gov.
1. Student Reporting Form—20 CFR
404.352(b)(2); 404.367; 404.368;
404.415; 404.434; 422.135—0960–0088.
To qualify for Social Security Title II
student benefits, student beneficiaries
must be in full-time attendance status at
an educational institution. In addition,
SSA requires these beneficiaries to
report events that may cause a
reduction, termination, or suspension of
their benefits. SSA collects such
information on Forms SSA–1383 and
SSA–1383–FC to determine if the
changes or events the student
beneficiaries report will affect their
continuing entitlement to SSA benefits.
SSA also uses the SSA–1383 and SSA–
1383–FC to calculate the correct benefit
amounts for student beneficiaries. The
respondents are Social Security Title II
student beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
Affected Public: Individuals and
households, businesses and
organizations, State, Local or Tribal
government.
Total Estimated Number of
Respondents: 45,530.
Below we provide projected average
estimates for the next three years:
Average Expected Annual Number of
Activities: 125.
Annual Respondents: 15,177.
Annual Responses: 15,177.
Frequency of Response: Once per
request.
Average Minutes per Response: 41.53
minutes.
Estimated Annual Burden: 10,505
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 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
April 28, 2014. Individuals can obtain
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
SSA–1383 ........................................................................................................
SSA–1383–FC .................................................................................................
74,887
113
1
1
6
6
7,489
11
Totals ........................................................................................................
75,000
........................
........................
7,500
2. Reporting Events—SSI—20 CFR
416.701–416.732—0960–0128. SSA
mails the SSA–8150 to SSI recipients
when they allege payment or eligibilitychanging events. Either the SSI
recipients fill out the paper version of
the form, or they complete the form
through an in-person or telephone
interview with an SSA employee who
records the information using the
Modernized SSI Claims System. In
addition to the SSA–8150, recipients
may need to submit supplementary
documentation showing the payment or
eligibility-changing events (e.g.,
payment stubs, or rental agreements).
SSA uses Form SSA–8150 and the
supplementary documentation to
determine changes in SSI eligibility and
amounts. The respondents are current
SSI recipients, or their representatives,
who experience a payment or eligibilitychanging event.
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–8150 ........................................................................................................
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Modality of completion
36,767
1
5
3,064
3. Government Pension
Questionnaire—20 CFR 404.408a—
0960–0160. The basic Social Security
benefits application (OMB No. 0960–
0618) contains a lead question asking if
the applicants are qualified (or will
qualify) to receive a government
pension. If the respondent is qualified,
or will qualify, to receive a government
pension, the applicant completes Form
SSA–3885 either on paper or through a
personal interview with an SSA claims
representative. If the applicants are not
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18:57 Mar 27, 2014
Jkt 232001
entitled to receive a government
pension at the time they apply for Social
Security benefits, SSA requires them to
provide the government pension
information as beneficiaries when they
become eligible to receive their
pensions. Regardless of the timing, at
some point the applicants or
beneficiaries must complete and sign
Form SSA–3885 to report information
about their government pensions before
the pensions begin. SSA uses the
information to: (1) Determine whether
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Sfmt 4703
the Government Pension Offset
provision applies; (2) identify
exceptions as stated in 20 CFR 404.408a;
and (3) determine the benefit reduction
amount and effective date. If the
applicants and beneficiaries do not
respond using this questionnaire, SSA
offsets their entire benefit amount. The
respondents are applicants or recipients
of spousal benefits who are eligible for
or already receiving a Government
pension.
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Federal Register / Vol. 79, No. 60 / Friday, March 28, 2014 / Notices
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–3885 ........................................................................................................
76,000
1
13
16,467
4. Modified Benefit Formula
Questionnaire—0960–0395. SSA
collects information on Form SSA–150
to determine which formula to use in
computing the Social Security benefit
for someone who receives a pension
from employment not covered by Social
Security. The Windfall Elimination
Provision (WEP) requires use of a
benefit formula replacing a smaller
percentage of a worker’s pre-retirement
earnings. However, the resulting amount
cannot show a difference in the benefit
computed using the modified and
regular formulas greater than one-half
the amount of the pension received in
the first month an individual is entitled
to both the pension and the Social
Security benefit. The SSA–150 collects
the information needed to make all the
necessary benefit computations. SSA
requires the respondents to furnish the
information on Form SSA–150 so we
can calculate their benefits using the
data they supply. SSA calculates the
benefits of applicants who do not
respond to this questionnaire using the
full WEP reduction. SSA employees
collect this information once from the
applicants at the time they file their
claim. The respondents are applicants
for old age and disability benefits.
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–150 ..........................................................................................................
90,000
1
8
12,000
5. Employee Identification
Statement—20 CFR 404.702—0960–
0473. When two or more individuals
report earnings under the same SSN,
SSA collects information on Form SSA–
4156 to credit the earnings to the correct
individual and SSN. We send the SSA–
4156 to the employer to: (1) Identify the
employees involved; (2) resolve the
discrepancy, and (3) credit the earnings
to the correct SSN. The respondents are
employers involved in erroneous wage
reporting for an employee.
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–4156 ........................................................................................................
4,750
1
10
792
Dated: March 25, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2014–06929 Filed 3–27–14; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 8675]
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30-Day Notice of Proposed Information
Collection: Online Application for
Immigrant Visa and Alien Registration
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State has
submitted the information collection
described below to the Office of
Management and Budget (OMB) for
approval. In accordance with the
SUMMARY:
VerDate Mar<15>2010
18:57 Mar 27, 2014
Jkt 232001
Paperwork Reduction Act of 1995 we
are requesting comments on this
collection from all interested
individuals and organizations. The
purpose of this Notice is to allow 30
days for public comment.
DATES: Submit comments directly to the
Office of Management and Budget
(OMB) up to April 28, 2014.
ADDRESSES: Direct comments to the
Department of State Desk Officer in the
Office of Information and Regulatory
Affairs at the Office of Management and
Budget (OMB). You may submit
comments by the following methods:
• Email: oira_submission@
omb.eop.gov. You must include the DS
form number, information collection
title, and the OMB control number in
the subject line of your message.
• Fax: 202–395–5806. Attention: Desk
Officer for Department of State.
FOR FURTHER INFORMATION CONTACT:
Direct requests for additional
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Sfmt 4703
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument and supporting documents,
to Sydney Taylor at PRA_
BurdenComments@state.gov.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Online Application for Immigrant
Visa and Alien Registration.
• OMB Control Number: 1405–0185.
• Type of Request: Revision of a
Currently Approved Collection.
• Originating Office: CA/VO/L/R.
• Form Number: DS–260.
• Respondents: Immigrant Visa
Applicants.
• Estimated Number of Respondents:
586,000 respondents.
• Estimated Number of Responses:
586,000 respondents.
• Average Time per Response: 2 hour.
• Total Estimated Burden Time:
1,172,000 hours.
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]]>Agencies
[Federal Register Volume 79, Number 60 (Friday, March 28, 2014)]
[Notices]
[Pages 17632-17635]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06929]
=======================================================================
-----------------------------------------------------------------------
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 (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes revisions and an 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, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 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 May
27, 2014. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. Representative Payee Report-Adult, Representative Payee Report-
Child, Representative Payee Report-Organizational Representative
Payees--20 CFR 404.635, 404.2035, 404.2065, and 416.665--0960-0068.
When SSA determines it is not in an Old Age Survivors and Disability
Insurance (OASDI) or Supplemental Security Income (SSI) recipient's
best interest to receive Social Security payments directly, the agency
will designate a representative payee for the recipient. The
representative payee can be: (1) A family member; (2) a non-family
member who is a private citizen and is acquainted with the beneficiary;
(3) an organization; (4) a state or local government agency; or (5) a
business. In the capacity of representative payee, the person or
organization receives the SSA recipient's payments directly and manages
these payments. As part of its stewardship mandate, SSA must ensure the
representative payees are properly using the payments they receive for
the recipients they represent. The agency annually collects the
information necessary to make this assessment using the SSA-623,
Representative Payee Report-Adult, SSA-6230, Representative Payee
Report-Child, SSA-6234, Representative Payee Report-Organizational
Representative Payees, and through the electronic Internet application
Internet Representative Payee Accounting (iRPA). The respondents are
representative payees of OASDI and SSI recipients.
Type of Request: Revision to an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of collection Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-623......................................... 2,811,819 1 15 702,955
SSA-6230........................................ 2,968,096 1 15 742,024
SSA-6234........................................ 719,469 1 15 179,867
iRPA*........................................... 650,000 1 15 162,500
---------------------------------------------------------------
*Totals..................................... 7,149,384 .............. .............. 1,787,346
----------------------------------------------------------------------------------------------------------------
* One Internet platform encompasses all three paper forms.
2. Statement of Income and Resources--20 CFR 416.207, 146.301-
416.310, 416.704, and 416.708--0960-0124. SSA collects information
about income and resources on the SSA-8010-BK for SSI claims and
redeterminations. SSA uses the information to make initial or
continuing eligibility determinations for SSI claimants or recipients
who are subject to deeming. The respondents are persons whose income
and resources SSA may deem (consider to be available) to SSI applicants
or recipients.
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-8010-BK................................. 341,000 1 26 147,767
----------------------------------------------------------------------------------------------------------------
3. Authorization to Obtain Earnings Data From the Social Security
Administration--0960-0602. On occasion, organizations and agencies,
both public and private, need to obtain detailed earnings information
about specific Social Security number (SSN) holding wage earners for
business purposes (e.g. pension funds, State agencies, etc.).
Respondents use Form SSA-581 to identify the SSN holder whose
information they are requesting, and provide authorization from the SSN
holder, when applicable. SSA uses the information provided on Form SSA-
581
[[Page 17633]]
to: (1) Identify the wage earner; (2) establish the period of earnings
information requested; (3) verify the wage earner authorized SSA to
release this information to the requesting party; and (4) produce the
Itemized Statement of Earnings (SSA-1826). The respondents are private
businesses, state or local agencies, and other federal agencies.
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-581..................................... 24,000 1 2 800
----------------------------------------------------------------------------------------------------------------
4. State Death Match Collections--20 CFR 404.301, 404.310-404.311,
404.316, 404.330-404-341, 404.350-404.352, 404.371; 416.912-0960-0700.
SSA uses the State Death Match Collections to ensure the accuracy of
payment files by detecting unreported or inaccurate deaths of
beneficiaries. Under the Social Security Act (Act), entitlement to
retirement, disability, wife's, husband's, or parent's benefits
terminate when the beneficiary dies. The states furnish death
certificate information to SSA via the manual registration process or
the Electronic Death Registration Process (EDR). Both death match
processes are automated electronic transfers between the states and
SSA. The respondents are the states' bureaus of vital statistics.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Frequency of Average cost Estimated
Modality of collection Number of response (per per record total cost
respondents state) request burden
----------------------------------------------------------------------------------------------------------------
State Death Match--Manual Process............... 17 50,000 $.84 $714,000
State Death Match--EDR.......................... 36 50,000 3.01 5,418,000
---------------------------------------------------------------
Totals...................................... 53 .............. .............. *6,132,000
----------------------------------------------------------------------------------------------------------------
*Please note that both of these data matching processes are electronic and there is no hourly burden for the
respondent to provide this information.
5. Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery--0960-0788. SSA, as part of our continuing
effort to reduce paperwork and respondent burden, invites the general
public to take this opportunity to comment on the ``Generic Clearance
for the Collection of Qualitative Feedback on Agency Service Delivery
'' for approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501
et. seq.). This collection was developed as part of a Federal
Government-wide effort to streamline the process for seeking feedback
from the public on service delivery.
Under the auspices of Executive Order 12862, Setting Customer
Service Standards, SSA conducts multiple satisfaction surveys each
year. This proposed information collection activity provides a means to
garner qualitative customer and stakeholder feedback in an efficient,
timely manner, in accordance with SSA's commitment to improving service
delivery. By qualitative feedback we mean information that provides
useful insights on perceptions and opinions, but are not statistical
surveys that yield quantitative results that can be generalized to the
population of study. This feedback will provide insights into customer
or stakeholder perceptions, experiences and expectations, provide an
early warning of issues with service, or focus attention on areas where
communication, training or changes in operations might improve delivery
of products or services. These collections will allow for ongoing,
collaborative, and actionable communications between SSA and our
customers and stakeholders.
The solicitation of feedback will target areas such as: Timeliness,
appropriateness, accuracy of information, courtesy, efficiency of
service delivery, and resolution of issues with service delivery.
Responses will be assessed to plan and inform efforts to improve or
maintain the quality of service offered to the public. If this
information is not collected, vital feedback from customers and
stakeholders on SSA's services will be unavailable.
We will only submit a collection for approval under this generic
clearance if it meets the following conditions: (1) The collections are
voluntary; (2) the collections are low-burden for respondents (based on
considerations of total burden hours, total number of respondents, or
burden-hours per respondent) and are low-cost for both the respondents
and the Federal Government; (3) the collections are non-controversial
and do not raise issues of concern to other Federal agencies; (4) any
collection targeted to the solicitation of opinions from respondents
who have experience with the program or may have experience with the
program in the near future; (5) personally identifiable information
(PII) is collected only to the extent necessary and is not retained;
(6) information gathered will be used only internally for general
service improvement and program management purposes and is not intended
for release outside of the agency; (7) information gathered will not be
used for the purpose of substantially informing influential policy
decisions; and (8) information gathered will yield qualitative
information; the collections will not be designed or expected to yield
statistically reliable results or used as though the results are
generalizable to the population of study.
Feedback collected under this generic clearance provides useful
information, but it does not yield data that can be generalized to the
overall population. This type of generic clearance for qualitative
information will not be used for quantitative information collections
that are designed to yield reliably actionable results, such as
monitoring trends over time or documenting program performance. Such
data uses require more rigorous designs that address the target
population to which generalizations will be made, the sampling frame,
the sample design (including stratification and clustering), the
precision requirements or power calculations that justify the proposed
sample size, the expected response rate,
[[Page 17634]]
methods for assessing potential non-response bias, the protocols for
data collection, and any testing procedures that were or will be
undertaken prior to fielding the study. Depending on the degree of
influence the results are likely to have, such collections may still be
eligible for submission for other generic mechanisms that are designed
to yield quantitative results.
As a general matter, information collections will not result in any
new system of records containing privacy information and will not ask
questions of a sensitive nature, such as sexual behavior and attitudes,
religious beliefs, and other matters that are commonly considered
private.
The respondents are recipients of SSA services (including most
members of the public), professionals, and individuals who work on
behalf of SSA beneficiaries.
Type of Request: Extension of an OMB-approved information
collection.
Affected Public: Individuals and households, businesses and
organizations, State, Local or Tribal government.
Total Estimated Number of Respondents: 45,530.
Below we provide projected average estimates for the next three
years:
Average Expected Annual Number of Activities: 125.
Annual Respondents: 15,177.
Annual Responses: 15,177.
Frequency of Response: Once per request.
Average Minutes per Response: 41.53 minutes.
Estimated Annual Burden: 10,505 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 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than April 28, 2014. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Student Reporting Form--20 CFR 404.352(b)(2); 404.367; 404.368;
404.415; 404.434; 422.135--0960-0088. To qualify for Social Security
Title II student benefits, student beneficiaries must be in full-time
attendance status at an educational institution. In addition, SSA
requires these beneficiaries to report events that may cause a
reduction, termination, or suspension of their benefits. SSA collects
such information on Forms SSA-1383 and SSA-1383-FC to determine if the
changes or events the student beneficiaries report will affect their
continuing entitlement to SSA benefits. SSA also uses the SSA-1383 and
SSA-1383-FC to calculate the correct benefit amounts for student
beneficiaries. The respondents are Social Security Title II student
beneficiaries.
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-1383........................................ 74,887 1 6 7,489
SSA-1383-FC..................................... 113 1 6 11
---------------------------------------------------------------
Totals...................................... 75,000 .............. .............. 7,500
----------------------------------------------------------------------------------------------------------------
2. Reporting Events--SSI--20 CFR 416.701-416.732--0960-0128. SSA
mails the SSA-8150 to SSI recipients when they allege payment or
eligibility-changing events. Either the SSI recipients fill out the
paper version of the form, or they complete the form through an in-
person or telephone interview with an SSA employee who records the
information using the Modernized SSI Claims System. In addition to the
SSA-8150, recipients may need to submit supplementary documentation
showing the payment or eligibility-changing events (e.g., payment
stubs, or rental agreements). SSA uses Form SSA-8150 and the
supplementary documentation to determine changes in SSI eligibility and
amounts. The respondents are current SSI recipients, or their
representatives, who experience a payment or eligibility-changing
event.
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-8150.................................... 36,767 1 5 3,064
----------------------------------------------------------------------------------------------------------------
3. Government Pension Questionnaire--20 CFR 404.408a--0960-0160.
The basic Social Security benefits application (OMB No. 0960-0618)
contains a lead question asking if the applicants are qualified (or
will qualify) to receive a government pension. If the respondent is
qualified, or will qualify, to receive a government pension, the
applicant completes Form SSA-3885 either on paper or through a personal
interview with an SSA claims representative. If the applicants are not
entitled to receive a government pension at the time they apply for
Social Security benefits, SSA requires them to provide the government
pension information as beneficiaries when they become eligible to
receive their pensions. Regardless of the timing, at some point the
applicants or beneficiaries must complete and sign Form SSA-3885 to
report information about their government pensions before the pensions
begin. SSA uses the information to: (1) Determine whether the
Government Pension Offset provision applies; (2) identify exceptions as
stated in 20 CFR 404.408a; and (3) determine the benefit reduction
amount and effective date. If the applicants and beneficiaries do not
respond using this questionnaire, SSA offsets their entire benefit
amount. The respondents are applicants or recipients of spousal
benefits who are eligible for or already receiving a Government
pension.
[[Page 17635]]
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-3885.................................... 76,000 1 13 16,467
----------------------------------------------------------------------------------------------------------------
4. Modified Benefit Formula Questionnaire--0960-0395. SSA collects
information on Form SSA-150 to determine which formula to use in
computing the Social Security benefit for someone who receives a
pension from employment not covered by Social Security. The Windfall
Elimination Provision (WEP) requires use of a benefit formula replacing
a smaller percentage of a worker's pre-retirement earnings. However,
the resulting amount cannot show a difference in the benefit computed
using the modified and regular formulas greater than one-half the
amount of the pension received in the first month an individual is
entitled to both the pension and the Social Security benefit. The SSA-
150 collects the information needed to make all the necessary benefit
computations. SSA requires the respondents to furnish the information
on Form SSA-150 so we can calculate their benefits using the data they
supply. SSA calculates the benefits of applicants who do not respond to
this questionnaire using the full WEP reduction. SSA employees collect
this information once from the applicants at the time they file their
claim. The respondents are applicants for old age and 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-150..................................... 90,000 1 8 12,000
----------------------------------------------------------------------------------------------------------------
5. Employee Identification Statement--20 CFR 404.702--0960-0473.
When two or more individuals report earnings under the same SSN, SSA
collects information on Form SSA-4156 to credit the earnings to the
correct individual and SSN. We send the SSA-4156 to the employer to:
(1) Identify the employees involved; (2) resolve the discrepancy, and
(3) credit the earnings to the correct SSN. The respondents are
employers involved in erroneous wage reporting for an employee.
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-4156.................................... 4,750 1 10 792
----------------------------------------------------------------------------------------------------------------
Dated: March 25, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-06929 Filed 3-27-14; 8:45 am]
BILLING CODE 4191-02-P
