Agency Information Collection Activities: Proposed Request and Comment Request, 51647-51649 [2015-21045]
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51647
Federal Register / Vol. 80, No. 164 / Tuesday, August 25, 2015 / Notices
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2015–0050]
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
and extensions of OMB-approved
information collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA, Fax:
202–395–6974, Email address: OIRA_
Submission@omb.eop.gov. (SSA), Social
Security Administration, 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.
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2015–0050].
I. The information collection below is
pending at SSA. SSA will submit it to
OMB within 60 days from the date of
this notice. To be sure we consider your
comments, we must receive them no
later than October 26, 2015. Individuals
can obtain copies of the collection
instrument by writing to the above
email address.
Response to Notice of Revised
Determination—20 CFR 404.913–
404.914, 404.992(b), 416.1413–
416.1414, and 416.1492(d)—0960–0347.
When SSA determines: (1) Claimants for
initial disability benefits do not actually
have a disability, or (2) current
disability recipients’ records show their
disability ceased, SSA notifies the
disability claimants or recipients of this
decision. In response to this notice, the
affected claimants and disability
recipients have the following recourse:
(1) They may request a disability
hearing to contest SSA’s decision and
(2) they may submit additional
information or evidence for SSA to
consider. Disability claimants,
recipients, and their representatives use
Form SSA–765 to accomplish these two
actions. If respondents request the first
option, SSA’s Disability Hearings Unit
uses the form to schedule a hearing;
ensure an interpreter is present, if
required; and ensure the disability
recipients or claimants and their
representatives receive a notice about
the place and time of the hearing. If
respondents choose the second option,
SSA uses the form and other evidence
to reevaluate the claimant’s case and
determine if the new information or
evidence will change SSA’s decision.
The respondents are disability
claimants, current disability recipients,
or their representatives.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–765 ..........................................................................................................
1,925
1
30
963
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
September 24, 2015. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Physician’s/Medical Officer’s
Statement of Patient’s Capability to
Manage Benefits—20 CFR 404.2015 and
416.615—0960–0024. SSA appoints a
representative payee in cases where we
determine beneficiaries are not capable
of managing their own benefits. In those
instances, we require medical evidence
to determine the beneficiaries’
capability of managing or directing their
benefit payments. SSA collects medical
evidence on Form SSA–787 to (1)
determine beneficiaries’ capability or
inability to handle their own benefits,
and (2) assist in determining the
beneficiaries’ need for a representative
payee. The respondents are the
beneficiary’s physicians, or medical
officers of the institution in which the
beneficiary resides.
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–787 ..........................................................................................................
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Modality of completion
120,000
1
10
20,000
2. State Supplementation Provisions:
Agreement; Payments—20 CFR
416.2095–416.2098, 20 CFR 416.2099—
0960–0240. Section 1618 of the Social
Security Act (Act) requires those states
administering their own supplementary
income payment program(s) to
demonstrate compliance with the Act by
VerDate Sep<11>2014
17:10 Aug 24, 2015
Jkt 235001
passing Federal cost-of-living increases
on to individuals who are eligible for
state supplementary payments, and
informing SSA of their compliance. In
general, states report their
supplementary payment information
annually by the maintenance-ofpayment levels method. However, SSA
PO 00000
Frm 00117
Fmt 4703
Sfmt 4703
may ask them to report up to four times
in a year by the total-expenditures
method. Regardless of the method, the
states confirm their compliance with the
requirements, and provide any changes
to their optional supplementary
payment rates. SSA uses the
information to determine each state’s
E:\FR\FM\25AUN1.SGM
25AUN1
51648
Federal Register / Vol. 80, No. 164 / Tuesday, August 25, 2015 / Notices
compliance or noncompliance with the
pass-along requirements of the Act to
determine eligibility for Medicaid
reimbursement. If a state fails to keep
payments at the required level, it
becomes ineligible for Medicaid
reimbursement under Title XIX of the
Act. Respondents are state agencies
administering supplemental programs.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Total Expenditures ...........................................................................................
Maintenance of Payment Levels .....................................................................
7
26
4
1
60
60
28
26
Total ..........................................................................................................
33
........................
........................
54
3. Continuation of Supplemental
Security Income Payments for the
Temporarily Institutionalized—
Certification of Period and Need to
Maintain Home—20 CFR
416.212(b)(1)—0960–0516. When SSI
recipients (1) enter a public institution
or (2) enter a private medical treatment
facility with Medicaid paying more than
50 percent of expenses, SSA must
reduce recipients’ SSI payments to a
nominal sum. However, if this
institutionalization is temporary
(defined as a maximum of three
months), SSA may waive the reduction.
Before SSA can waive the SSI payment
reduction, the agency must receive the
following documentation: (1) A
physician’s certification stating the SSI
recipient will only be institutionalized
for a maximum of three months, and (2)
certification from the recipient, the
recipient’s family, or friends, confirming
the recipient needs SSI payments to
maintain the living arrangements to
which the individual will return postinstitutionalization. To obtain this
information, SSA employees contact the
recipient (or a knowledgeable source) to
obtain the required physician’s
certification and the statement of need.
SSA does not require any specific
format for these items, so long as we
obtain the necessary attestations. The
respondents are SSI recipients, their
family or friends, as well as physicians
or hospital staff members who treat the
SSI recipient.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Physician’s Certifications and Statements from Other Respondents ..............
60,000
1
5
5,000
Social Security record. Respondents are
members of the public requesting
deceased individuals’ Social Security
records.
Type of Request: Revision of an OMBapproved information collection.
record to process the request. SSA uses
the information the respondent provides
on Form SSA–711, or via an Internet
request through SSA’s electronic
Freedom of Information Act (eFOIA)
Web site, to (1) verify the wage earner
is deceased and (2) access the correct
4. Request for Deceased Individual’s
Social Security Record—20 CFR
402.130—0960–0665. When a member
of the public requests an individual’s
Social Security record, SSA needs the
name and address of the requestor as
well as a description of the requested
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Internet Request through eFOIA .....................................................................
SSA–711 (paper) .............................................................................................
49,800
200
1
1
7
7
5,810
23
Total ..........................................................................................................
50,000
........................
........................
5,833
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Cost Burden *:
In addition, SSA charges fees to the
respondent for this information. The
following charts shows the fees per
transaction based on the information the
Information provided
(or not provided)
Modality of completion
SSA–711 (paper) ..........................................
SSA–711 (paper) ..........................................
eFOIA (Internet) ............................................
eFOIA (Internet) ............................................
VerDate Sep<11>2014
17:10 Aug 24, 2015
Jkt 235001
respondent provides on the SSA–711 (or
in eFOIA):
SSN
SSN
SSN
SSN
PO 00000
of
of
of
of
decedent
decedent
decedent
decedent
Frm 00118
is
is
is
is
Cost per
transaction
not provided .............................................................................
provided ...................................................................................
not provided .............................................................................
provided ...................................................................................
Fmt 4703
Sfmt 4703
E:\FR\FM\25AUN1.SGM
25AUN1
$29
27
18
18
51649
Federal Register / Vol. 80, No. 164 / Tuesday, August 25, 2015 / Notices
* As these costs are dependent on the
respondent’s provided information, we
charge them on an as needed basis, and
cannot provide a total annual estimate
of the cost burden. We do not know
whether the respondent provided the
decedent’s SSN until we manually
review and process each SSA–711.
5. Electronic Health Records
Partnering Program Evaluation Form—
20 CFR 404.1614, 416.1014, 24 CFR
495.300–495.370—0960–0798. The
Health Information Technology for
Economic and Clinical Health (HITECH)
Act promotes the adoption and
meaningful use of health information
technology (IT), particularly in the
context of working with government
agencies. Similarly, section 3004 of the
Public Health Service Act requires
health care providers or health
insurance issuers with government
contracts to implement, acquire, or
upgrade their health IT systems and
products to meet adopted standards and
implementation specifications. To
support expansion of SSA’s health IT
initiative as defined under HITECH,
SSA developed Form SSA–680, the
Health IT Partner Program
Assessment—participating Facilities
and Available Content Form. The SSA–
680 allows healthcare providers to
provide the information SSA needs to
determine their ability to exchange
health information with us
electronically. We evaluate potential
partners (i.e., healthcare providers and
organizations) on (1) the accessibility of
health information they possess, and (2)
the content value of their electronic
health records’ systems for our
disability adjudication processes. SSA
reviews the completeness of
organizations’ SSA–680 responses as
one part of our careful analysis of their
readiness to enter into a health IT
partnership with us. The respondents
are healthcare providers and
organizations exchanging information
with the agency.
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–680 ..........................................................................................................
30
1
5
150
Dated: August 20, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2015–21045 Filed 8–24–15; 8:45 am]
BILLING CODE 4191–02–P
OFFICE OF THE UNITED STATES
TRADE REPRESENTATIVE
Generalized System of Preferences
(GSP): Deadline for Comments on U.S.
International Trade Commission
Report
Office of the United States
Trade Representative.
ACTION: Notice of deadline for
comments.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
AGENCY:
Summary and Dates: In late August,
the U.S. International Trade
Commission (USITC) is expected to
release the public version of its
statutorily-mandated report, requested
by the Office of the United States Trade
Representative (USTR), providing
advice on the probable economic effect
of granting a waiver of the application
of competitive need limitations (CNLs)
to two products from Thailand.
Comments on the USITC report on these
products should be submitted via
www.regulations.gov in docket number
USTR–2015–0007, per the guidelines
described below, within seven calendar
days of the public release of the USITC
report.
FOR FURTHER INFORMATION CONTACT: The
GSP Program at the Office of the United
States Trade Representative. The
VerDate Sep<11>2014
17:10 Aug 24, 2015
Jkt 235001
telephone number is (202) 395–2974,
the fax number is (202) 395–9674, and
the email address is gsp@ustr.eop.gov.
SUPPLEMENTARY INFORMATION: On July 6,
2015, USTR announced in the Federal
Register (80 FR 38501) the launch of a
review of products under the
Generalized System of Preferences
(GSP) program that, based on full-year
2014 import data, are subject to certain
actions related to competitive need
limitations (CNLs). That notice
indicated that two products from
Thailand—HTS 2008.19.15 and HTS
7408.29.10—will be removed from
eligibility for GSP for Thailand on
October 1, 2015, unless the President
grants a waiver for the product for
Thailand in response to a petition filed
by an interested party. The government
of Thailand subsequently filed petitions
seeking CNL waivers for both products.
Pursuant to U.S. law and regulations
pertaining to GSP, USTR requested the
USITC provide advice regarding the
probable economic effect of granting the
subject waivers.
The USITC is expected to release the
public version of its report on these two
waiver requests in late August 2015.
Comments on the USITC report should
be submitted to USTR via
www.regulations.gov in Docket Number
USTR–2015–0007, per the guidelines
described below, within seven calendar
days after the date of the release of the
report.
Requirements for Submissions
2007, except as modified in Generalized
System of Preferences (GSP): Notice of
a GSP Product Review, Including
Possible Actions Related to Competitive
Need Limitations (80 FR 38501)
published on July 6, 2015. These
regulations are available on the Office of
the United States Trade Representative
Web site at https://ustr.gov/issue-areas/
trade-development/preferenceprograms/generalized-systempreference-gsp/gsp-program-inf.
All submissions in response to this
notice must be in English and must be
submitted electronically via https://
www.regulations.gov, using docket
number USTR–2015–0007. Instructions
on how to file documents on https://
www.regulations.gov can be found in
the referenced July 6, 2015 Federal
Register notice (80 FR 38501), available
at https://www.regulations.gov/
#!documentDetail;D=USTR-2015-00070001. Hand-delivered submissions will
not be accepted.
Public Viewing of Review Submissions
Submissions in response to this
notice, except for information granted
‘‘business confidential’’ status under 15
CFR part 2003.6, will be available for
public viewing pursuant to 15 CFR part
2007.6 at https://www.regulations.gov
upon completion of processing. Such
submissions may be viewed by entering
the docket number USTR–2015–0007 in
All submissions in response to this
notice must conform to the GSP
regulations set forth at 15 CFR part
PO 00000
Frm 00119
Fmt 4703
Sfmt 4703
E:\FR\FM\25AUN1.SGM
25AUN1
]]>Agencies
[Federal Register Volume 80, Number 164 (Tuesday, August 25, 2015)]
[Notices]
[Pages 51647-51649]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-21045]
[[Page 51647]]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2015-0050]
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 and extensions of OMB-approved information
collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers. (OMB), Office of Management and Budget, Attn:
Desk Officer for SSA, Fax: 202-395-6974, Email address:
OIRA_Submission@omb.eop.gov. (SSA), Social Security Administration,
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.
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2015-0050].
I. The information collection below is pending at SSA. SSA will
submit it to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
October 26, 2015. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Response to Notice of Revised Determination--20 CFR 404.913-
404.914, 404.992(b), 416.1413-416.1414, and 416.1492(d)--0960-0347.
When SSA determines: (1) Claimants for initial disability benefits do
not actually have a disability, or (2) current disability recipients'
records show their disability ceased, SSA notifies the disability
claimants or recipients of this decision. In response to this notice,
the affected claimants and disability recipients have the following
recourse: (1) They may request a disability hearing to contest SSA's
decision and (2) they may submit additional information or evidence for
SSA to consider. Disability claimants, recipients, and their
representatives use Form SSA-765 to accomplish these two actions. If
respondents request the first option, SSA's Disability Hearings Unit
uses the form to schedule a hearing; ensure an interpreter is present,
if required; and ensure the disability recipients or claimants and
their representatives receive a notice about the place and time of the
hearing. If respondents choose the second option, SSA uses the form and
other evidence to reevaluate the claimant's case and determine if the
new information or evidence will change SSA's decision. The respondents
are disability claimants, current disability recipients, or their
representatives.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-765..................................... 1,925 1 30 963
----------------------------------------------------------------------------------------------------------------
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 September 24, 2015. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Physician's/Medical Officer's Statement of Patient's Capability
to Manage Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA
appoints a representative payee in cases where we determine
beneficiaries are not capable of managing their own benefits. In those
instances, we require medical evidence to determine the beneficiaries'
capability of managing or directing their benefit payments. SSA
collects medical evidence on Form SSA-787 to (1) determine
beneficiaries' capability or inability to handle their own benefits,
and (2) assist in determining the beneficiaries' need for a
representative payee. The respondents are the beneficiary's physicians,
or medical officers of the institution in which the beneficiary
resides.
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-787..................................... 120,000 1 10 20,000
----------------------------------------------------------------------------------------------------------------
2. State Supplementation Provisions: Agreement; Payments--20 CFR
416.2095-416.2098, 20 CFR 416.2099--0960-0240. Section 1618 of the
Social Security Act (Act) requires those states administering their own
supplementary income payment program(s) to demonstrate compliance with
the Act by passing Federal cost-of-living increases on to individuals
who are eligible for state supplementary payments, and informing SSA of
their compliance. In general, states report their supplementary payment
information annually by the maintenance-of-payment levels method.
However, SSA may ask them to report up to four times in a year by the
total-expenditures method. Regardless of the method, the states confirm
their compliance with the requirements, and provide any changes to
their optional supplementary payment rates. SSA uses the information to
determine each state's
[[Page 51648]]
compliance or noncompliance with the pass-along requirements of the Act
to determine eligibility for Medicaid reimbursement. If a state fails
to keep payments at the required level, it becomes ineligible for
Medicaid reimbursement under Title XIX of the Act. Respondents are
state agencies administering supplemental programs.
Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
Total Expenditures.............................. 7 4 60 28
Maintenance of Payment Levels................... 26 1 60 26
---------------------------------------------------------------
Total....................................... 33 .............. .............. 54
----------------------------------------------------------------------------------------------------------------
3. Continuation of Supplemental Security Income Payments for the
Temporarily Institutionalized--Certification of Period and Need to
Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When SSI recipients (1)
enter a public institution or (2) enter a private medical treatment
facility with Medicaid paying more than 50 percent of expenses, SSA
must reduce recipients' SSI payments to a nominal sum. However, if this
institutionalization is temporary (defined as a maximum of three
months), SSA may waive the reduction. Before SSA can waive the SSI
payment reduction, the agency must receive the following documentation:
(1) A physician's certification stating the SSI recipient will only be
institutionalized for a maximum of three months, and (2) certification
from the recipient, the recipient's family, or friends, confirming the
recipient needs SSI payments to maintain the living arrangements to
which the individual will return post-institutionalization. To obtain
this information, SSA employees contact the recipient (or a
knowledgeable source) to obtain the required physician's certification
and the statement of need. SSA does not require any specific format for
these items, so long as we obtain the necessary attestations. The
respondents are SSI recipients, their family or friends, as well as
physicians or hospital staff members who treat the SSI recipient.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Physician's Certifications and Statements 60,000 1 5 5,000
from Other Respondents.....................
----------------------------------------------------------------------------------------------------------------
4. Request for Deceased Individual's Social Security Record--20 CFR
402.130--0960-0665. When a member of the public requests an
individual's Social Security record, SSA needs the name and address of
the requestor as well as a description of the requested record to
process the request. SSA uses the information the respondent provides
on Form SSA-711, or via an Internet request through SSA's electronic
Freedom of Information Act (eFOIA) Web site, to (1) verify the wage
earner is deceased and (2) access the correct Social Security record.
Respondents are members of the public requesting deceased individuals'
Social Security records.
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)
----------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA.................. 49,800 1 7 5,810
SSA-711 (paper)................................. 200 1 7 23
---------------------------------------------------------------
Total....................................... 50,000 .............. .............. 5,833
----------------------------------------------------------------------------------------------------------------
Cost Burden *:
In addition, SSA charges fees to the respondent for this
information. The following charts shows the fees per transaction based
on the information the respondent provides on the SSA-711 (or in
eFOIA):
----------------------------------------------------------------------------------------------------------------
Cost per
Modality of completion Information provided (or not provided) transaction
----------------------------------------------------------------------------------------------------------------
SSA-711 (paper)............................... SSN of decedent is not provided................. $29
SSA-711 (paper)............................... SSN of decedent is provided..................... 27
eFOIA (Internet).............................. SSN of decedent is not provided................. 18
eFOIA (Internet).............................. SSN of decedent is provided..................... 18
----------------------------------------------------------------------------------------------------------------
[[Page 51649]]
* As these costs are dependent on the respondent's provided
information, we charge them on an as needed basis, and cannot provide a
total annual estimate of the cost burden. We do not know whether the
respondent provided the decedent's SSN until we manually review and
process each SSA-711.
5. Electronic Health Records Partnering Program Evaluation Form--20
CFR 404.1614, 416.1014, 24 CFR 495.300-495.370--0960-0798. The Health
Information Technology for Economic and Clinical Health (HITECH) Act
promotes the adoption and meaningful use of health information
technology (IT), particularly in the context of working with government
agencies. Similarly, section 3004 of the Public Health Service Act
requires health care providers or health insurance issuers with
government contracts to implement, acquire, or upgrade their health IT
systems and products to meet adopted standards and implementation
specifications. To support expansion of SSA's health IT initiative as
defined under HITECH, SSA developed Form SSA-680, the Health IT Partner
Program Assessment--participating Facilities and Available Content
Form. The SSA-680 allows healthcare providers to provide the
information SSA needs to determine their ability to exchange health
information with us electronically. We evaluate potential partners
(i.e., healthcare providers and organizations) on (1) the accessibility
of health information they possess, and (2) the content value of their
electronic health records' systems for our disability adjudication
processes. SSA reviews the completeness of organizations' SSA-680
responses as one part of our careful analysis of their readiness to
enter into a health IT partnership with us. The respondents are
healthcare providers and organizations exchanging information with the
agency.
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-680..................................... 30 1 5 150
----------------------------------------------------------------------------------------------------------------
Dated: August 20, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-21045 Filed 8-24-15; 8:45 am]
BILLING CODE 4191-02-P
