Agency Information Collection Activities: Proposed Request and Comment Request, 21499-21501 [2014-08606]
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21499
Federal Register / Vol. 79, No. 73 / Wednesday, April 16, 2014 / Notices
Dated: April 10, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2014–08578 Filed 4–15–14; 8:45 am]
BILLING CODE 4191–02–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 of OMB-approved
information collections and one new
information collection.
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 June 16,
2014. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. National Beneficiary Survey—
0960–NEW. SSA is proposing to
undertake the National Beneficiary
Survey (NBS), a survey intended to
gather data from Supplemental Security
Income (SSI) recipients and Social
Security Disability Insurance (SSDI)
beneficiaries about their characteristics,
their well-being, and other factors that
promote or hinder employment. In
particular, the survey seeks to uncover
important information about the factors
that promote beneficiary self-sufficiency
and, conversely, factors that impede
beneficiary efforts to maintain
employment. We will use this data to
improve the administration and
effectiveness of the SSDI and SSI
programs. These results will be valuable
as SSA and other policymakers continue
efforts to improve programs and services
that help SSDI beneficiaries and SSI
recipients become more self-sufficient.
Background
SSDI and SSI programs provide a
crucial and necessary safety net for
working-age people with disabilities. By
improving employment outcomes for
SSDI beneficiaries and SSI recipients,
SSA supports the effort to reduce the
reliance of people with disabilities on
these programs. SSA conducted the
prior NBS in 2004, 2005, 2006, and
2010, and was an important first step in
understanding the work interest and
experiences of SSI recipients and SSDI
beneficiaries, and in gaining
information about their impairments,
health, living arrangements, family
structure, pre-disability occupation, and
use of non-SSA programs (e.g., the
Supplemental Nutrition Assistance
Number of
respondents
pmangrum on DSK3VPTVN1PROD with NOTICES
Administration year
2015
Cross-Sectional Samples:
Representative Beneficiary Sample .........................................................
Successful Worker Qualitative Interviews ................................................
Program). The prior NBS data is
available to researchers and the public.
The National Beneficiary Survey (NBS)
The primary purpose of the new NBSGeneral Waves is to assess beneficiary
well-being and interest in work, learn
about beneficiary work experiences
(successful and unsuccessful), and
identify factors that promote or restrict
long-term work success. Information
collected in the survey includes factors
such as health, living arrangements,
family structure, current occupation,
use of non-SSA programs, knowledge of
SSDI and SSI work incentive programs,
obstacles to work, and beneficiary
interest and motivation to return to
work.
We propose to conduct the first wave
of the NBS-General Waves in 2015. We
will further conduct subsequent rounds
in 2017 (round 2) and 2019 (round 3).
The information we will collect is not
available from SSA administrative data
or other sources. In the NBS-General
Waves, the sample design is similar to
what we used for the prior NBS.
Enhancement of the prior questionnaire
includes additional questions on the
factors that promote or hinder
employment success. We also propose
to conduct semi-structured qualitative
interviews (in 2015 only) to provide
SSA an in-depth understanding of
factors that aid or inhibit individuals in
their efforts to obtain and retain
employment and advance in the
workplace. We will use the qualitative
data to add context and understanding
when interpreting survey results, and to
inform the sample and survey design of
rounds 2 and 3.
Respondents are current SSDI
beneficiaries and SSI recipients.
Respondent participation in the NBS is
voluntary and the decision to
participate or not has no impact on
current or future receipt of payments or
benefits.
Type of Request: This is a new
information collection request.
Frequency of
response
Average
burden per
response
(hours)
Estimated total
annual burden
(hours)
4,000
90
1
1
.75
1.00
3,000
90
Subtotal .............................................................................................
2017
Cross-Sectional Samples:
Representative Beneficiary Sample .........................................................
Successful Workers ..................................................................................
........................
........................
........................
3,090
4,000
4,500
1
1
.75
.92
3,000
4,140
Subtotal .............................................................................................
........................
........................
........................
7,140
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16APN1
21500
Federal Register / Vol. 79, No. 73 / Wednesday, April 16, 2014 / Notices
Number of
respondents
Administration year
Frequency of
response
Average
burden per
response
(hours)
Estimated total
annual burden
(hours)
2019
Cross-Sectional Samples:
Representative Beneficiary Sample .........................................................
Successful Workers ..................................................................................
Longitudinal Samples:
Successful Workers ..................................................................................
4,000
3,000
1
1
.75
.92
3,000
2,760
2,250
1
.75
1,688
Subtotal .............................................................................................
........................
........................
........................
7,448
Total Burden ...............................................................................
26,550
........................
........................
17,678
2. Marriage Certification—20 CFR
404.725—0960–0009. Sections 202(b)
and 202(c) of the Social Security Act
(Act) stipulate that every spouse of an
individual entitled to Old-Age,
Survivors, and Disability Insurance
(OASDI) benefits is entitled to a spouse
benefit if the wife or husband, in
addition to meeting the entitlement
requirements, meets the relationship
criteria in Section 216(h)(1)(A) and (B).
SSA uses Form SSA–3 to determine if
a spouse claimant has the necessary
relationship to the Social Security
number holder (i.e., the worker) to
qualify for the worker’s OASDI benefits.
The respondents are applicants for
spouse’s OASDI 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–3 ..............................................................................................................
180,000
1
5
15,000
3. Supplemental Security Income
(SSI)—Quality Review Case Analysis—
0960–0133. To assess the SSI program
and ensure the accuracy of payments,
SSA conducts legally mandated
periodic SSI case analysis quality
reviews. SSA uses Form SSA–8508–BK
to conduct these reviews, collecting
information on operating efficiency, the
quality of underlying policies, and the
effect of incorrect payments. SSA also
uses the data to determine SSI program
payment accuracy rate, which is a
performance measure for the agency’s
Number of
respondents
Modality of completion
service delivery goals. Respondents are
recipients of SSI payments selected for
quality reviews.
Type of Request: Revision of an OMB
approved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
225
4,275
1
1
60
60
225
4,275
Total ..........................................................................................................
pmangrum on DSK3VPTVN1PROD with NOTICES
SSA–8508–BK (paper interview) .....................................................................
SSA–8508–BK (electronic) ..............................................................................
4,500
........................
........................
4,500
4. Claimant’s Work Background—20
CFR 404.1512(a); 404.1520(a)(4);
404.1565(b); 416.912(a); 416.920(a)(4);
416.965(b)—0960–0300. Sections 205(a)
and 1631(e) of the Act provide the
Commissioner of Social Security with
the authority to establish procedures for
determining if a claimant is entitled to
disability benefits. The administrative
law judge (ALJ) may ask individuals to
provide background information on
Form HA–4633 about work they
performed in the past 15 years. When a
claimant requests a hearing before an
ALJ to establish an entitlement to
disability benefits, the ALJ may request
that the claimant provide a work history
to assist the ALJ in fully inquiring into
statutory issues related to the disability.
The ALJ uses the information collected
from the claimants on Form HA–4633
to: (1) Identify the claimant’s relevant
work history; (2) decide if expert
vocational testimony is required and, if
so, have a vocational expert available to
testify during the hearing; and (3)
Number of
respondents
Modality of completion
HA–4633—PDF/paper version ........................................................................
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provide a reference for the ALJ to
discuss the claimant’s work history. The
ALJ makes the completed HA–4633 part
of the documentary evidence of record.
The respondents are claimants for
disability benefits under Title II or Title
XVI who requested a hearing before an
ALJ after SSA denied their application
for disability payments.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
20,000
E:\FR\FM\16APN1.SGM
1
16APN1
Average
burden per
response
(minutes)
15
Estimated total
annual burden
(hours)
5,000
21501
Federal Register / Vol. 79, No. 73 / Wednesday, April 16, 2014 / Notices
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Electronic Records Express ............................................................................
180,000
1
15
45,000
Total ..........................................................................................................
200,000
........................
........................
50,000
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 May
16, 2014. Individuals can obtain copies
of the OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Statement of Death by Funeral
Director—20 CFR 404.715 and
404.720—0960–0142. When an SSAinsured worker dies, the funeral director
or funeral home responsible for the
worker’s burial or cremation completes
Form SSA–721 and sends it to SSA.
SSA uses this information for three
purposes: (1) To establish proof of death
for the insured worker; (2) to determine
if the insured individual was receiving
any pre-death benefits SSA needs to
terminate; and (3) to ascertain which
surviving family member is eligible for
the lump-sum death payment or for
other death benefits. The respondents
are funeral directors who handled death
arrangements for the insured
individuals.
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–721 ..........................................................................................................
319,811
1
4
21,321
2. Medicare Income-Related Monthly
Adjustment Amount—Life-Changing
Event Form—0960–0784. Federally
mandated reductions in the Federal
Medicare Part B and prescription drug
coverage subsidies result in selected
Medicare recipients paying higher
premiums with income above a specific
threshold. The amount of the premium
subsidy reduction is an income-related
monthly adjustment amount (IRMAA).
The Internal Revenue Service (IRS)
transmits income tax return data to SSA
for SSA to determine the IRMAA. SSA
uses the Form SSA–44 to determine if
a recipient qualifies for a reduction in
the IRMAA. If affected Medicare
recipients believe SSA should use more
recent tax data because of a lifechanging event that significantly
reduces their income, they can report
these changes to SSA and ask for a new
Number of
respondents
Modality of completion
initial determination of their IRMAA.
The respondents are Medicare Part B
and prescription drug coverage
recipients and enrollees with modified
adjusted gross income over a highincome threshold who experience one
of the eight significant life-changing
events.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Personal Interview (SSA field office) ...............................................................
SSA–44 Paper Form .......................................................................................
147,000
39,000
1
1
30
45
73,500
29,250
Totals ........................................................................................................
186,000
........................
........................
102,750
Dated: April 11, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2014–08606 Filed 4–15–14; 8:45 am]
pmangrum on DSK3VPTVN1PROD with NOTICES
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 8697; Docket No. DOS–2014–
0008]
Notice of Meeting of the Cultural
Property Advisory Committee
There will be a meeting of the
Cultural Property Advisory Committee
June 2–4, 2014, at the U.S. Department
of State, Annex 5, 2200 C Street NW.,
Washington, DC. Portions of this
meeting will be closed to the public, as
discussed below.
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During the closed portion of the
meeting, the Committee will begin its
review of a new cultural property
request from the Government of the
Arab Republic of Egypt seeking import
restrictions on archaeological and
ethnological material [Docket No. DOS–
2014–0008]. An open session to receive
oral public comment on this request
will be held on Monday, June 2, 2014,
beginning at 12:00 p.m. EDT.
Also during the closed portion of the
meeting, the Committee will conduct an
interim review of the Memorandum of
Understanding Between the Government
E:\FR\FM\16APN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 73 (Wednesday, April 16, 2014)]
[Notices]
[Pages 21499-21501]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-08606]
-----------------------------------------------------------------------
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 of OMB-approved information collections
and one new information collection.
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 June
16, 2014. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. National Beneficiary Survey--0960-NEW. SSA is proposing to
undertake the National Beneficiary Survey (NBS), a survey intended to
gather data from Supplemental Security Income (SSI) recipients and
Social Security Disability Insurance (SSDI) beneficiaries about their
characteristics, their well-being, and other factors that promote or
hinder employment. In particular, the survey seeks to uncover important
information about the factors that promote beneficiary self-sufficiency
and, conversely, factors that impede beneficiary efforts to maintain
employment. We will use this data to improve the administration and
effectiveness of the SSDI and SSI programs. These results will be
valuable as SSA and other policymakers continue efforts to improve
programs and services that help SSDI beneficiaries and SSI recipients
become more self-sufficient.
Background
SSDI and SSI programs provide a crucial and necessary safety net
for working-age people with disabilities. By improving employment
outcomes for SSDI beneficiaries and SSI recipients, SSA supports the
effort to reduce the reliance of people with disabilities on these
programs. SSA conducted the prior NBS in 2004, 2005, 2006, and 2010,
and was an important first step in understanding the work interest and
experiences of SSI recipients and SSDI beneficiaries, and in gaining
information about their impairments, health, living arrangements,
family structure, pre-disability occupation, and use of non-SSA
programs (e.g., the Supplemental Nutrition Assistance Program). The
prior NBS data is available to researchers and the public.
The National Beneficiary Survey (NBS)
The primary purpose of the new NBS-General Waves is to assess
beneficiary well-being and interest in work, learn about beneficiary
work experiences (successful and unsuccessful), and identify factors
that promote or restrict long-term work success. Information collected
in the survey includes factors such as health, living arrangements,
family structure, current occupation, use of non-SSA programs,
knowledge of SSDI and SSI work incentive programs, obstacles to work,
and beneficiary interest and motivation to return to work.
We propose to conduct the first wave of the NBS-General Waves in
2015. We will further conduct subsequent rounds in 2017 (round 2) and
2019 (round 3). The information we will collect is not available from
SSA administrative data or other sources. In the NBS-General Waves, the
sample design is similar to what we used for the prior NBS. Enhancement
of the prior questionnaire includes additional questions on the factors
that promote or hinder employment success. We also propose to conduct
semi-structured qualitative interviews (in 2015 only) to provide SSA an
in-depth understanding of factors that aid or inhibit individuals in
their efforts to obtain and retain employment and advance in the
workplace. We will use the qualitative data to add context and
understanding when interpreting survey results, and to inform the
sample and survey design of rounds 2 and 3.
Respondents are current SSDI beneficiaries and SSI recipients.
Respondent participation in the NBS is voluntary and the decision to
participate or not has no impact on current or future receipt of
payments or benefits.
Type of Request: This is a new information collection request.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Administration year Number of Frequency of per response total annual
respondents response (hours) burden (hours)
----------------------------------------------------------------------------------------------------------------
2015 .............. .............. .............. ..............
Cross-Sectional Samples:
Representative Beneficiary Sample........... 4,000 1 .75 3,000
Successful Worker Qualitative Interviews.... 90 1 1.00 90
�������������������������������������������������
Subtotal................................ .............. .............. .............. 3,090
2017 .............. .............. .............. ..............
Cross-Sectional Samples:
Representative Beneficiary Sample........... 4,000 1 .75 3,000
Successful Workers.......................... 4,500 1 .92 4,140
�������������������������������������������������
Subtotal................................ .............. .............. .............. 7,140
[[Page 21500]]
2019 .............. .............. .............. ..............
Cross-Sectional Samples:
Representative Beneficiary Sample........... 4,000 1 .75 3,000
Successful Workers.......................... 3,000 1 .92 2,760
Longitudinal Samples:
Successful Workers.......................... 2,250 1 .75 1,688
�������������������������������������������������
Subtotal................................ .............. .............. .............. 7,448
�������������������������������������������������
Total Burden........................ 26,550 .............. .............. 17,678
----------------------------------------------------------------------------------------------------------------
2. Marriage Certification--20 CFR 404.725--0960-0009. Sections
202(b) and 202(c) of the Social Security Act (Act) stipulate that every
spouse of an individual entitled to Old-Age, Survivors, and Disability
Insurance (OASDI) benefits is entitled to a spouse benefit if the wife
or husband, in addition to meeting the entitlement requirements, meets
the relationship criteria in Section 216(h)(1)(A) and (B). SSA uses
Form SSA-3 to determine if a spouse claimant has the necessary
relationship to the Social Security number holder (i.e., the worker) to
qualify for the worker's OASDI benefits. The respondents are applicants
for spouse's OASDI 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-3....................................... 180,000 1 5 15,000
----------------------------------------------------------------------------------------------------------------
3. Supplemental Security Income (SSI)--Quality Review Case
Analysis--0960-0133. To assess the SSI program and ensure the accuracy
of payments, SSA conducts legally mandated periodic SSI case analysis
quality reviews. SSA uses Form SSA-8508-BK to conduct these reviews,
collecting information on operating efficiency, the quality of
underlying policies, and the effect of incorrect payments. SSA also
uses the data to determine SSI program payment accuracy rate, which is
a performance measure for the agency's service delivery goals.
Respondents are recipients of SSI payments selected for quality
reviews.
Type of Request: Revision of an OMB approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8508-BK (paper interview)................... 225 1 60 225
SSA-8508-BK (electronic)........................ 4,275 1 60 4,275
�������������������������������������������������
Total....................................... 4,500 .............. .............. 4,500
----------------------------------------------------------------------------------------------------------------
4. Claimant's Work Background--20 CFR 404.1512(a); 404.1520(a)(4);
404.1565(b); 416.912(a); 416.920(a)(4); 416.965(b)--0960-0300. Sections
205(a) and 1631(e) of the Act provide the Commissioner of Social
Security with the authority to establish procedures for determining if
a claimant is entitled to disability benefits. The administrative law
judge (ALJ) may ask individuals to provide background information on
Form HA-4633 about work they performed in the past 15 years. When a
claimant requests a hearing before an ALJ to establish an entitlement
to disability benefits, the ALJ may request that the claimant provide a
work history to assist the ALJ in fully inquiring into statutory issues
related to the disability. The ALJ uses the information collected from
the claimants on Form HA-4633 to: (1) Identify the claimant's relevant
work history; (2) decide if expert vocational testimony is required
and, if so, have a vocational expert available to testify during the
hearing; and (3) provide a reference for the ALJ to discuss the
claimant's work history. The ALJ makes the completed HA-4633 part of
the documentary evidence of record. The respondents are claimants for
disability benefits under Title II or Title XVI who requested a hearing
before an ALJ after SSA denied their application for disability
payments.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-4633--PDF/paper version...................... 20,000 1 15 5,000
[[Page 21501]]
Electronic Records Express...................... 180,000 1 15 45,000
�������������������������������������������������
Total....................................... 200,000 .............. .............. 50,000
----------------------------------------------------------------------------------------------------------------
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 May 16, 2014. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Statement of Death by Funeral Director--20 CFR 404.715 and
404.720--0960-0142. When an SSA-insured worker dies, the funeral
director or funeral home responsible for the worker's burial or
cremation completes Form SSA-721 and sends it to SSA. SSA uses this
information for three purposes: (1) To establish proof of death for the
insured worker; (2) to determine if the insured individual was
receiving any pre-death benefits SSA needs to terminate; and (3) to
ascertain which surviving family member is eligible for the lump-sum
death payment or for other death benefits. The respondents are funeral
directors who handled death arrangements for the insured individuals.
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-721..................................... 319,811 1 4 21,321
----------------------------------------------------------------------------------------------------------------
2. Medicare Income-Related Monthly Adjustment Amount--Life-Changing
Event Form--0960-0784. Federally mandated reductions in the Federal
Medicare Part B and prescription drug coverage subsidies result in
selected Medicare recipients paying higher premiums with income above a
specific threshold. The amount of the premium subsidy reduction is an
income-related monthly adjustment amount (IRMAA). The Internal Revenue
Service (IRS) transmits income tax return data to SSA for SSA to
determine the IRMAA. SSA uses the Form SSA-44 to determine if a
recipient qualifies for a reduction in the IRMAA. If affected Medicare
recipients believe SSA should use more recent tax data because of a
life-changing event that significantly reduces their income, they can
report these changes to SSA and ask for a new initial determination of
their IRMAA. The respondents are Medicare Part B and prescription drug
coverage recipients and enrollees with modified adjusted gross income
over a high-income threshold who experience one of the eight
significant life-changing events.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal Interview (SSA field office)........... 147,000 1 30 73,500
SSA-44 Paper Form............................... 39,000 1 45 29,250
---------------------------------------------------------------
Totals...................................... 186,000 .............. .............. 102,750
----------------------------------------------------------------------------------------------------------------
Dated: April 11, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-08606 Filed 4-15-14; 8:45 am]
BILLING CODE 4191-02-P
