Agency Information Collection Activities: Proposed Request and Comment Request, 71908-71911 [2015-29269]

Download as PDF 71908 Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices adding certain protections for persons applying for, and receiving, Federal benefits. Section 7201 of the Omnibus Budget Reconciliation Act of 1990 (Pub. L. 101–508) further amended the Privacy Act regarding protections for such persons. The Privacy Act, as amended, regulates the use of computer matching by Federal agencies when records in a system of records are matched with other Federal, State, or local government records. It requires Federal agencies involved in computer matching programs to: (1) Negotiate written agreements with the other agency or agencies participating in the matching programs; (2) Obtain approval of the matching agreement by the Data Integrity Boards of the participating Federal agencies; (3) Publish notice of the computer matching program in the Federal Register; (4) Furnish detailed reports about matching programs to Congress and OMB; (5) Notify applicants and beneficiaries that their records are subject to matching; and (6) Verify match findings before reducing, suspending, terminating, or denying a person’s benefits or payments. B. SSA Computer Matches Subject to the Privacy Act We have taken action to ensure that all of our computer matching programs comply with the requirements of the Privacy Act, as amended. Mary Ann Zimmerman, Acting Executive Director, Office of Privacy and Disclosure, Office of the General Counsel. Notice of Computer Matching Program, SSA With the Office of Child Support Enforcement (OCSE) A. PARTICIPATING AGENCIES SSA and OCSE. mstockstill on DSK4VPTVN1PROD with NOTICES B. PURPOSE OF THE MATCHING PROGRAM The purpose of this matching program is to govern a matching program between the OCSE and us. The agreement covers the Quarterly Wage and Unemployment Insurance batch match for Title II Disability Insurance (DI). This agreement also governs the use, treatment, and safeguarding of the information exchanged. OCSE is the ‘‘source agency’’ and we are the ‘‘recipient agency,’’ as defined by the Privacy Act. 5 U.S.C. 552a(a)(9) and (11). We will use the quarterly wage and unemployment insurance information from OCSE to establish or verify VerDate Sep<11>2014 18:14 Nov 16, 2015 Jkt 238001 eligibility, continuing entitlement, or payment amounts, or all of the above, of individuals under the DI program. C. AUTHORITY FOR CONDUCTING THE MATCHING PROGRAM The legal authority for disclosures under this agreement are: (1) 453(j)(4) of the Social Security Act (Act) which provides that OCSE shall provide our Commissioner with all information in the National Directory of New Hires (NDNH). 42 U.S.C. 653(j)(4); and (2) 224(h)(1) of the Act provides that the head of any Federal agency shall provide information within its possession as our Commissioner may require for purposes of making a timely determination of the amount of the reduction, if any, required by section 224 in benefits payable under Title II of the Act. 42 U.S.C. 424a(h). Disclosures under this agreement shall be made in accordance with 5 U.S.C. 552a(b)(3), and in compliance with the matching procedures in 5 U.S.C. 552a(o), (p), and (r). D. CATEGORIES OF RECORDS AND PERSONS COVERED BY THE MATCHING PROGRAM Systems of Records (SOR): We published notice of the relevant SORs in the Federal Register. Our SORs are the Master Beneficiary Record (MBR), SSA/ ORSIS 60–0090 last published January 11, 2006 at 72 FR 1826; and the Completed Determination RecordContinuing Disability Determination file (CDR–CDD), SSA/OD 60–0050 last published January 11, 2006 at 72 FR 1813. OCSE will match our information in the MBR and CDR–CDD against the quarterly wage and unemployment insurance information furnished by state and federal agencies maintained in its SOR ‘‘OCSE National Directory of New Hires’’ (NDNH), No. 09–80–0381, established by publication in the Federal Register on January 5, 2011 at 76 FR 560. Routine use (9) of the system of records authorizes disclosure of NDNH information to SSA, 76 FR 560, 562 (January 5, 2011). Data Elements Used in the Matching Program: We will provide electronically to OCSE the following data elements in the finder file of DI beneficiaries: Individual’s SSN and Name. OCSE will provide electronically to us the following data elements from the NDNH in the quarterly wage file: Quarterly wage record identifier, For employees: (1) Name (first, middle, last), (2) SSN, (3) Verification request code, (4) Processed date, (5) Non-verifiable indicator, (6) Wage amount, and (7) Reporting period; For employers of individuals in the quarterly wage file of PO 00000 Frm 00139 Fmt 4703 Sfmt 4703 the NDNH: (1) Name, (2) Employer identification number, and (3) Address(es); Transmitter agency code, Transmitter state code, and State or agency name. OCSE will provide electronically to us the following data elements from the NDNH in the unemployment insurance file: Unemployment insurance record identifier, Processed date, SSN, Verification request code, Name (first, middle, last), Address, Unemployment insurance benefit amount, Reporting period, Transmitter agency code, Transmitter state code, and State or agency name. E. INCLUSIVE DATES OF THE MATCHING PROGRAM The effective date of this matching program is November 1, 2015; provided that the following notice periods have lapsed: 30 days after publication of this notice in the Federal Register and 40 days after notice of the matching program is sent to Congress and OMB. The matching program will continue for 18 months from the effective date and, if both agencies meet certain conditions, it may extend for an additional 12 months thereafter. [FR Doc. 2015–29283 Filed 11–16–15; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2015–0067] 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– E:\FR\FM\17NON1.SGM 17NON1 Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices 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– 2015–0067]. 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 January 19, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Certificate of Responsibility for Welfare and Care of Child Not in Applicant’s Custody—20 CFR 404.330, 404.339–404.341 and 404.348– 404.349—0960–0019. Under the provisions of the Social Security Act (Act), non-custodial parents who are filing for spouse, mother, or father Social Security benefits based on having 71909 the child of a number holder or worker in their care, must meet the in-care requirements the Act discusses. The incare provision requires claimants to have an entitled child under age 16 or disabled in their care. SSA uses Form SSA–781, Certificate of Responsibility for Welfare and Care of Child in Applicant’s Custody, to determine if claimants meet the requirement. The respondents are applicants for spouse, mother’s or father’s Social Security 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–781 .......................................................................................................... 14,000 1 10 2,333 2. Request for Change in Time/Place of Disability Hearing—20 CFR 404.914(c)(2) and 416.1414(c)(2)—0960– 0348. At the request of the claimants or their representative, SSA schedules evidentiary hearings at the reconsideration level for claimants of Title II benefits or Title XVI payments when we deny their claims for disability. When claimants or their representatives find they are unable to attend the scheduled hearing, they complete Form SSA–769 to request a change in time or place of the hearing. SSA uses the information as a basis for granting or denying requests for changes and for rescheduling disability hearings. Respondents are claimants or their representatives who wish to request a change in the time or place of their hearing. 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–769–U4 ................................................................................................... 7,483 1 8 998 3. Notice Regarding Substitution of Party Upon Death of Claimant— Reconsideration of Disability Cessation—20 CFR 404.907–404.921 and 416.1407–416.1421—0960–0351. When a claimant dies before we make a determination on that person’s request for reconsideration of a disability cessation, SSA seeks a qualified substitute party to pursue the appeal. If SSA locates a qualified substitute party, the agency uses Form SSA–770 to collect information about whether to pursue or withdraw the reconsideration request. We use this information as the basis for the decision to continue or discontinue with the appeals process. Respondents are substitute applicants who are pursuing a reconsideration request for a deceased claimant. 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–770 .......................................................................................................... mstockstill on DSK4VPTVN1PROD with NOTICES Modality of completion 1,200 1 5 100 4. Beneficiary Interview and Auditor’s Observations Form—0960–0630. SSA’s Office of the Inspector General collects information from Form SSA–322, the Beneficiary Interview and Auditor’s Observation form, to interview VerDate Sep<11>2014 18:14 Nov 16, 2015 Jkt 238001 beneficiaries or their payees to determine whether they are complying with their duties and responsibilities. The respondents are randomly selected Supplemental Security Income (SSI) recipients and Social Security PO 00000 Frm 00140 Fmt 4703 Sfmt 4703 beneficiaries who have representative payees. Type of Request: Revision of previously approved collection. E:\FR\FM\17NON1.SGM 17NON1 71910 Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–322 .......................................................................................................... 1,000 1 15 250 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 December 17, 2015. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution—20 CFR 416.200 and 416.203—0960–0293. SSA collects and verifies financial information from individuals applying for SSI payments to determine if the applicant meets the SSI resource eligibility requirements. If the SSI claimants provide incomplete, unavailable, or seemingly altered records, SSA contacts their financial institutions to verify the existence, Modality of completion ownership, and value of accounts owned. Financial institutions require individuals to sign Form SSA–4641–F4, or complete one of SSA’s electronic applications, e4641 or the Access to Financial Institutions (AFI) screens, to authorize them to disclose records to SSA. The respondents are SSI applicants, recipients, and their deemors. Type of Request: Revision of an OMBapproved information collection. Number of respondents Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–4641 (paper) ........................................................................................... e4641 and AFI (electronic) .............................................................................. 252,500 15,747,500 1 1 6 2 25,250 524,917 Totals ........................................................................................................ 16,000,000 ........................ ........................ 550,167 2. Surveys in Accordance with E.O. 12862 for the Social Security Administration—0960–0526. Under the auspices of Executive Order 12862, Setting Customer Service Standards, SSA conducts multiple customer satisfaction surveys each year. These voluntary customer satisfaction assessments include paper, Internet, and telephone surveys; mailed questionnaires; and customer comment cards. The purpose of these questionnaires is to assess customer satisfaction with the timeliness, appropriateness, access, and overall quality of existing SSA services and Number of respondents proposed modifications or new versions of services. The respondents are recipients of SSA services (including most members of the public), professionals, and individuals who work on behalf of SSA beneficiaries. Type of Request: Extension of an OMB-approved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 9,164,640 9,170,140 9,175,640 1 1 1 3–30 3–30 3–30 1,346,904 1,347,404 1,348,504 Totals ........................................................................................................ mstockstill on DSK4VPTVN1PROD with NOTICES Year 1 .............................................................................................................. Year 2 .............................................................................................................. Year 3 .............................................................................................................. 27,510,420 ........................ ........................ 4,042,812 3. The Ticket to Work and SelfSufficiency Program—20 CFR 411— 0960–0644. SSA’s Ticket to Work (TTW) Program transitions Social Security Disability Insurance (SSDI) and SSI recipients toward independence by allowing them to receive Social Security payments while maintaining employment under the auspices of the program. SSA uses service providers, called Employment Networks (ENs), to supervise participant progress through the stages of TTW Program participation, such as job searches and interviews, progress reviews, and changes in ticket status. ENs can be VerDate Sep<11>2014 18:14 Nov 16, 2015 Jkt 238001 private for-profit and nonprofit organizations, as well as state vocational rehabilitation agencies (VRs). SSA and the ENs utilize the TTW program manager to operate the TTW Program and exchange information about participants. For example, the ENs use the program manager to provide updates on tasks such as selecting a payment system or requesting payments for helping the beneficiary achieve certain work goals. Since the ENs are not PRAexempt, the multiple information collections within the TTW program manager require OMB approval, and we clear them under this information PO 00000 Frm 00141 Fmt 4703 Sfmt 4703 collection request (ICR). Most of the categories of information in this ICR are necessary for SSA to: (1) Comply with the Ticket to Work legislation; and (2) provide proper oversight of the program. SSA collects this information through several modalities, including forms, electronic exchanges, and written documentation. The respondents are the ENs or state VRs, as well as SSDI beneficiaries and blind or disabled SSI recipients working under the auspices of the TTW Program. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\17NON1.SGM 17NON1 71911 Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices Modality of completion Number of respondents a) 20 CFR 411.140(d)(2)—Interactive Voice Recognition Telephone ............ a) 20 CFR 411.140(d)(2)—Portal .................................................................... a) 20 CFR 411.140(d)(3)—Virtual Job Fair Registration-Employment Networks ............................................................................................................ a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 ................. a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 Portal ...... a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 ................. a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 Portal ...... a) 20 CFR 411.166; 411.170(b)—Electronic File Submission ........................ b) 20 CFR 411.145; 411.325 ........................................................................... b) 20 CFR 411.145; 411.325—Portal .............................................................. b) 20 CFR 411.535(a)(1)(iii)—Data Sharing/Portal ......................................... c) 20 CFR 411.192(b)&(c) ............................................................................... c) 20 CFR 411.200(b)—SSA–1375 ................................................................. c) 20 CFR 411.200(b)—Portal ......................................................................... c) 20 CFR 411.210(b) ...................................................................................... c) 20 CFR 411.200(b) Wise Webinar Registration Page ................................ c) 20 CFR 411.200(b) Virtual Job Fair Registration ........................................ d) 20 CFR 411.365; 411.505; 411.515 ........................................................... e) 20 CFR 411.325(d); 411.415 ...................................................................... f) 20 CFR 411.575—SSA–1389; SSA–1391; SSA–1393; SSA–1396; SSA– 1398; SSA–1399 .......................................................................................... f) 20 CFR 411.575—Portal .............................................................................. f) 20 CFR 411.575—Automatic Payments ...................................................... f) 20 CFR 411.560—SSA–1401 ...................................................................... g) 20 CFR 411.325(f) ...................................................................................... h) 20 CFR 411.435; 411.615; 411.625 ........................................................... i) 20 CFR 411.320—SSA–1394 ...................................................................... i) 20 CFR 411.320—SSA–1394 Portal ............................................................ Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 6,428 25,713 2.5 1.25 268 536 500 948 3,792 1,956 5,868 40,324 2,494 7,481 8,505 6 112,362 64,824 41 24,000 9,000 6 1* 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 15 11 60 10 5 15 11 5 30 15 5 30 3 10 10 480 83 237 695 1,956 978 3,360 624 1,372 709 3 28,091 5,402 21 1,200 1,500 1 8 2,805 42,075 11,220 100 1,371 2 52 158 1 1 1 1 1 1 1 1 40 22 0 20 45 120 10 5 1,870 15,427 0 33 1,028 4 9 13 372,032 Totals ........................................................................................................ 1 1 ........................ ........................ 65,428 * (None received in 2012, 2013, 2014) 4. Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information—0960–0740. This information collection request comprises several regulation sections that provide additional safeguards for Social Security beneficiaries’ whose representative payees receive their payment. SSA requires representative payees to notify them of any event or change in circumstances that would affect receipt of benefits or performance of payee duties. SSA uses the information to determine continued Regulation section Number of respondents eligibility for benefits, the amount of benefits due and if the payee is suitable to continue servicing as payee. The respondents are representative payees who receive and use benefits on behalf of Social Security beneficiaries. Type of Collection: Extension of an OMB-approved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 28,600 543,400 286 5,434 15,600 286,400 156 2,964 1 1 1 1 1 1 1 1 5 5 5 5 5 5 5 5 2,383 45,283 24 453 1,300 23,867 13 247 Total .......................................................................................................... mstockstill on DSK4VPTVN1PROD with NOTICES 404.2035(d)—Paper/Mail ................................................................................. 404.2035(d)—Office interview/Intranet ............................................................ 404.2035(f)—Paper/Mail .................................................................................. 404.2035(f)—Office interview/Intranet ............................................................. 416.635(d)—Paper/Mail ................................................................................... 416.635(d)—Office interview/Intranet .............................................................. 416.635(f)—Paper/Mail .................................................................................... 416.635(f)—Office interview/Intranet ............................................................... 882,840 ........................ - 73,570 Dated: November 11, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015–29269 Filed 11–16–15; 8:45 am] BILLING CODE 4191–02–P VerDate Sep<11>2014 18:14 Nov 16, 2015 Jkt 238001 PO 00000 Frm 00142 Fmt 4703 Sfmt 9990 E:\FR\FM\17NON1.SGM 17NON1

Agencies

Social Security Administration

[Federal Register Volume 80, Number 221 (Tuesday, November 17, 2015)]
[Notices]
[Pages 71908-71911]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-29269]

-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0067]

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-

[[Page 71909]]

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-2015-0067].
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
January 19, 2016. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody--20 CFR 404.330, 404.339-404.341 and 404.348-
404.349--0960-0019. Under the provisions of the Social Security Act
(Act), non-custodial parents who are filing for spouse, mother, or
father Social Security benefits based on having the child of a number
holder or worker in their care, must meet the in-care requirements the
Act discusses. The in-care provision requires claimants to have an
entitled child under age 16 or disabled in their care. SSA uses Form
SSA-781, Certificate of Responsibility for Welfare and Care of Child in
Applicant's Custody, to determine if claimants meet the requirement.
The respondents are applicants for spouse, mother's or father's Social
Security benefits.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-781..................................... 14,000 1 10 2,333
----------------------------------------------------------------------------------------------------------------

2. Request for Change in Time/Place of Disability Hearing--20 CFR
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the
claimants or their representative, SSA schedules evidentiary hearings
at the reconsideration level for claimants of Title II benefits or
Title XVI payments when we deny their claims for disability. When
claimants or their representatives find they are unable to attend the
scheduled hearing, they complete Form SSA-769 to request a change in
time or place of the hearing. SSA uses the information as a basis for
granting or denying requests for changes and for rescheduling
disability hearings. Respondents are claimants or their representatives
who wish to request a change in the time or place of their hearing.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-769-U4.................................. 7,483 1 8 998
----------------------------------------------------------------------------------------------------------------

3. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR 404.907-404.921 and
416.1407-416.1421--0960-0351. When a claimant dies before we make a
determination on that person's request for reconsideration of a
disability cessation, SSA seeks a qualified substitute party to pursue
the appeal. If SSA locates a qualified substitute party, the agency
uses Form SSA-770 to collect information about whether to pursue or
withdraw the reconsideration request. We use this information as the
basis for the decision to continue or discontinue with the appeals
process. Respondents are substitute applicants who are pursuing a
reconsideration request for a deceased claimant.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-770..................................... 1,200 1 5 100
----------------------------------------------------------------------------------------------------------------

4. Beneficiary Interview and Auditor's Observations Form--0960-
0630. SSA's Office of the Inspector General collects information from
Form SSA-322, the Beneficiary Interview and Auditor's Observation form,
to interview beneficiaries or their payees to determine whether they
are complying with their duties and responsibilities. The respondents
are randomly selected Supplemental Security Income (SSI) recipients and
Social Security beneficiaries who have representative payees.
Type of Request: Revision of previously approved collection.

[[Page 71910]]

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-322..................................... 1,000 1 15 250
----------------------------------------------------------------------------------------------------------------

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 December 17, 2015. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution--20 CFR 416.200 and
416.203--0960-0293. SSA collects and verifies financial information
from individuals applying for SSI payments to determine if the
applicant meets the SSI resource eligibility requirements. If the SSI
claimants provide incomplete, unavailable, or seemingly altered
records, SSA contacts their financial institutions to verify the
existence, ownership, and value of accounts owned. Financial
institutions require individuals to sign Form SSA-4641-F4, or complete
one of SSA's electronic applications, e4641 or the Access to Financial
Institutions (AFI) screens, to authorize them to disclose records to
SSA. The respondents are SSI applicants, recipients, and their deemors.
Type of Request: Revision of an OMB-approved information
collection.

2. Surveys in Accordance with E.O. 12862 for the Social Security
Administration--0960-0526. Under the auspices of Executive Order 12862,
Setting Customer Service Standards, SSA conducts multiple customer
satisfaction surveys each year. These voluntary customer satisfaction
assessments include paper, Internet, and telephone surveys; mailed
questionnaires; and customer comment cards. The purpose of these
questionnaires is to assess customer satisfaction with the timeliness,
appropriateness, access, and overall quality of existing SSA services
and proposed modifications or new versions of services. The respondents
are recipients of SSA services (including most members of the public),
professionals, and individuals who work on behalf of SSA beneficiaries.
Type of Request: Extension of an OMB-approved information
collection.

3. The Ticket to Work and Self-Sufficiency Program--20 CFR 411--
0960-0644. SSA's Ticket to Work (TTW) Program transitions Social
Security Disability Insurance (SSDI) and SSI recipients toward
independence by allowing them to receive Social Security payments while
maintaining employment under the auspices of the program. SSA uses
service providers, called Employment Networks (ENs), to supervise
participant progress through the stages of TTW Program participation,
such as job searches and interviews, progress reviews, and changes in
ticket status. ENs can be private for-profit and nonprofit
organizations, as well as state vocational rehabilitation agencies
(VRs). SSA and the ENs utilize the TTW program manager to operate the
TTW Program and exchange information about participants. For example,
the ENs use the program manager to provide updates on tasks such as
selecting a payment system or requesting payments for helping the
beneficiary achieve certain work goals. Since the ENs are not PRA-
exempt, the multiple information collections within the TTW program
manager require OMB approval, and we clear them under this information
collection request (ICR). Most of the categories of information in this
ICR are necessary for SSA to: (1) Comply with the Ticket to Work
legislation; and (2) provide proper oversight of the program. SSA
collects this information through several modalities, including forms,
electronic exchanges, and written documentation. The respondents are
the ENs or state VRs, as well as SSDI beneficiaries and blind or
disabled SSI recipients working under the auspices of the TTW Program.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 71911]]

----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
a) 20 CFR 411.140(d)(2)--Interactive Voice 6,428 1 2.5 268
Recognition Telephone..........................
a) 20 CFR 411.140(d)(2)--Portal................. 25,713 1 1.25 536
a) 20 CFR 411.140(d)(3)--Virtual Job Fair 500 1 10 83
Registration-Employment Networks...............
a) 20 CFR 411.140(d)(3); 411.325(a); 948 1 15 237
411.150(b)(3)--SSA-1365........................
a) 20 CFR 411.140(d)(3); 411.325(a); 3,792 1 11 695
411.150(b)(3)--SSA-1365 Portal.................
a) 20 CFR 411.140(d)(3); 411.325(a); 1,956 1 60 1,956
411.150(b)(3)--SSA-1370........................
a) 20 CFR 411.140(d)(3); 411.325(a); 5,868 1 10 978
411.150(b)(3)--SSA-1370 Portal.................
a) 20 CFR 411.166; 411.170(b)--Electronic File 40,324 1 5 3,360
Submission.....................................
b) 20 CFR 411.145; 411.325...................... 2,494 1 15 624
b) 20 CFR 411.145; 411.325--Portal.............. 7,481 1 11 1,372
b) 20 CFR 411.535(a)(1)(iii)--Data Sharing/ 8,505 1 5 709
Portal.........................................
c) 20 CFR 411.192(b)&(c)........................ 6 1 30 3
c) 20 CFR 411.200(b)--SSA-1375.................. 112,362 1 15 28,091
c) 20 CFR 411.200(b)--Portal.................... 64,824 1 5 5,402
c) 20 CFR 411.210(b)............................ 41 1 30 21
c) 20 CFR 411.200(b) Wise Webinar Registration 24,000 1 3 1,200
Page...........................................
c) 20 CFR 411.200(b) Virtual Job Fair 9,000 1 10 1,500
Registration...................................
d) 20 CFR 411.365; 411.505; 411.515............. 6 1 10 1
e) 20 CFR 411.325(d); 411.415................... 1* 1 480 8
f) 20 CFR 411.575--SSA-1389; SSA-1391; SSA-1393; 2,805 1 40 1,870
SSA-1396; SSA-1398; SSA-1399...................
f) 20 CFR 411.575--Portal....................... 42,075 1 22 15,427
f) 20 CFR 411.575--Automatic Payments........... 11,220 1 0 0
f) 20 CFR 411.560--SSA-1401..................... 100 1 20 33
g) 20 CFR 411.325(f)............................ 1,371 1 45 1,028
h) 20 CFR 411.435; 411.615; 411.625............. 2 1 120 4
i) 20 CFR 411.320--SSA-1394..................... 52 1 10 9
i) 20 CFR 411.320--SSA-1394 Portal.............. 158 1 5 13
---------------------------------------------------------------
Totals...................................... 372,032 .............. .............. 65,428
----------------------------------------------------------------------------------------------------------------
* (None received in 2012, 2013, 2014)

4. Representative Payment Policies and Administrative Procedures
for Imposing Penalties for False or Misleading Statements or
Withholding of Information--0960-0740. This information collection
request comprises several regulation sections that provide additional
safeguards for Social Security beneficiaries' whose representative
payees receive their payment. SSA requires representative payees to
notify them of any event or change in circumstances that would affect
receipt of benefits or performance of payee duties. SSA uses the
information to determine continued eligibility for benefits, the amount
of benefits due and if the payee is suitable to continue servicing as
payee. The respondents are representative payees who receive and use
benefits on behalf of Social Security beneficiaries.
Type of Collection: Extension of an OMB-approved information
collection.

Dated: November 11, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-29269 Filed 11-16-15; 8:45 am]
BILLING CODE 4191-02-P

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