Agency Information Collection Activities: Proposed Request and Comment Request, 51647-51649 [2015-21045]

Download as PDF 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]]

=======================================================================
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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
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