Agency Information Collection Activities: Proposed Request and Comment Request, 23695-23698 [2017-10470]
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Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices
denying a person’s benefits or
payments.
We have taken action to ensure that
all of our computer matching programs
comply with the requirements of the
Privacy Act, as amended.
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Mary Ann Zimmerman,
Acting Executive Director, Office of Privacy
and Disclosure, Office of the General Counsel.
Participating Agencies: SSA and the
States, tribal agencies, and U.S.
territories
Authority for Conducting the
Matching Program: The legal authority
to disclose data and the States’ authority
to collect, maintain, and use data
protected under our systems of records
(SOR) for specified purposes is:
• Sections 453, 1106(b), and 1137 of
the Social Security Act (Act) (42 U.S.C.
653, 1306(b), and 1320b–7) (income and
eligibility verification data);
• 26 U.S.C. 6103(l)(7) and (8) (tax
return data);
• Section 202(x)(3)(B)(iv) of the Act
(42 U.S.C. 402(x)(3)(B)(iv)) and Section
1611(e)(1)(I)(iii) of the Act (42 U.S.C.
1382(e)(1)(I)(iii)) (prisoner data);
• Section 205(r)(3) of the Act (42
U.S.C. 405(r)(3)) and the Intelligence
Reform and Terrorism Prevention Act of
2004, Public Law 108–458, 7213(a)(2)
(death data);
• Sections 402, 412, 421, and 435 of
Public Law 104–193 (8 U.S.C. 1612,
1622, 1631, and 1645) (quarters of
coverage data);
• Children’s Health Insurance
Program Reauthorization Act of 2009
(CHIPRA), Public Law 111–3
(citizenship data); and
• Routine use exception to the
Privacy Act, 5 U.S.C. 552a(b)(3) (data
necessary to administer other programs
compatible with our programs).
This Agreement further carries out
section 1106(a) of the Act (42 U.S.C.
1306), the regulations promulgated
pursuant to that section (20 CFR part
401), the Privacy Act of 1974 (5 U.S.C.
552a), as amended by the Computer
Matching and Privacy Protection Act of
1988 (CMPPA), related Office of
Management and Budget (OMB)
guidelines, the Federal Information
Security Management Act of 2002 (44
U.S.C. 3541, et seq.), as amended by the
Federal Information Security
Modernization Act of 2014 (Pub. L. 113–
283), and related National Institute of
Standards and Technology guidelines,
which provide the requirements that
States must follow with regard to use,
treatment, and safeguarding of data.
Purpose: The purpose of this
matching program is to set forth the
terms and conditions governing
disclosures of records, information, or
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data (collectively referred to herein as
‘‘data’’) made by us to various State
agencies and departments (State
Agencies), tribal agencies, and U.S.
territories that administer federally
funded benefit programs, including
those under various provisions of the
Act, such as section 1137 (42 U.S.C.
1320b–7), as well as the state-funded
state supplementary payment programs
under Title XVI of the Act. SSA
provides electronic data to the States,
tribal agencies, and U.S. territories for
use in determining entitlement and
eligibility for federally funded benefit
programs—such as Medicare and
Medicaid, subsidized housing,
Supplemental Nutrition Assistance
Program, and Temporary Assistance to
Needy Families—as well as other
federally funded, state administered
benefit programs. To receive SSA data
to administer federally funded, stateadministered benefit programs, the State
or State agency, tribal agency, or U.S.
territory must sign a Computer
Matching Agreement and an
Information Exchange Agreement. The
terms and conditions of this Agreement
ensure that we make such disclosures of
data, and the States, tribal agencies, and
U.S. territories use such disclosed data,
in accordance with the requirements of
the Privacy Act of 1974, as amended by
the CMPPA, 5 U.S.C. 552a.
Under section 1137 of the Act, States
are required to use an income and
eligibility verification system to
administer specified federally funded
benefit programs, including the statefunded state supplementary payment
programs under Title XVI of the Act. To
assist the States, tribal agencies, and
U.S. territories in determining
entitlement to and eligibility for benefits
under those programs, as well as other
federally funded benefit programs, we
disclose certain data about applicants
(and in limited circumstances, members
of an applicant’s household), for state
benefits from our Privacy Act SORs and
verify the Social Security numbers
(SSN) of the applicants.
Individual agreements with the States,
tribal agencies, or U.S. territories
describe the information we will
disclose and the conditions under
which we agree to disclose the
information.
Categories of Individuals: Individuals
whose information is involved in the
matching program are those who apply
for federally funded, state-administered
benefits, as well as current beneficiaries,
recipients, and annuitants under the
programs covered by this Agreement.
Categories of Records: The maximum
number of records involved in this
matching activity is the number of
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23695
records maintained in our SORs. Data
elements disclosed in computer
matching governed by this Agreement
are Personally Identifiable Information
from our specified SORs, including
names, SSNs, addresses, amounts, and
other information related to our benefits
and earnings information. Specific
listings of data elements are available at:
https://www.ssa.gov/dataexchange/.
Systems of Records (SOR): Our SORs
used for purposes of the subject data
exchanges include:
• 60–0058—Master Files of SSN
Holders and SSN Applications;
• 60–0059—Earnings Recording and
Self-Employment Income System;
• 60–0090—Master Beneficiary
Record;
• 60–0103—Supplemental Security
Income Record (SSR) and Special
Veterans Benefits (SVB);
• 60–0269—Prisoner Update
Processing System (PUPS); and
• 60–0321—Medicare Part D and Part
D Subsidy File.
States will ensure that the tax return
data contained in SOR 60–0059
(Earnings Recording and SelfEmployment Income System) will only
be used in accordance with 26 U.S.C.
6103.
[FR Doc. 2017–10484 Filed 5–22–17; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2017–0028]
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
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,
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Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices
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–
2017–0028].
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 July 24, 2017. Individuals can
obtain copies of the collection
instrument by writing to the above
email address.
Statement Regarding Date of Birth and
Citizenship—20CFR 404.716—0960–
0016. Section 205(a) of the Social
Security Act (Act) gives the
Commissioner of SSA the authority to
make rules and regulations and to
establish procedures for collecting
evidence from individuals applying for
Social Security benefits. When
individuals apply for Social Security
benefits and cannot provide preferred
methods of proving age or citizenship,
SSA uses Form SSA–702 to establish
these facts. Specifically, SSA uses the
SSA–702 to establish age as a factor of
entitlement to Social Security benefits,
or U.S. citizenship as a payment factor.
Respondents are individuals with
knowledge about the date of birth or
citizenship of applicants filing for one
or more Social Security benefits who
need to establish age or citizenship.
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–702 ..........................................................................................................
1,200
1
10
200
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 June
22, 2017. Individuals can obtain copies
of the OMB clearance package by
writing to OR.Reports.Clearance@
ssa.gov.
1. Authorization for the Social
Security Administration to Obtain Wage
and Employment Information from
Payroll Data Providers—0960–NEW.
Section 824 of the Bipartisan Budget Act
(BBA) of 2015, Public Law 114–74,
authorizes the Social Security
Administration (SSA) to enter into
information exchanges with payroll data
providers for the purposes of improving
program administration and preventing
improper payments in the Social
Security Disability Insurance (SSDI) and
Supplemental Security Income (SSI)
programs. SSA will use Form SSA–
8240, ‘‘Authorization for the Social
Security Administration to Obtain Wage
and Employment Information from
Payroll Data Providers,’’ to secure the
authorization needed from the relevant
members of the public to obtain their
wage and employment information from
payroll data providers. Ultimately, SSA
will use this wage and employment
information to help determine program
eligibility and payment amounts.
The public will be able to complete
form SSA–8240 using the following
modalities: A paper form; the Internet;
and an in-office or telephone interview,
during which an SSA employee will
document the wage and employment
information authorization information
on one of SSA’s internal systems ((the
Modernized Claims System (MCS); the
Modernized Supplemental Security
Income Claims System (MSSICS);
eWork; or iMain)). The individual’s
authorization will remain effective until
one of the following four events occurs:
• SSA makes a final adverse decision
on the application for benefits, and the
Modality of
completion
Number of
respondents
applicant has filed no other claims or
appeals under the Title for which SSA
obtained the authorization;
• the individual’s eligibility for
payments ends, and the individual has
not filed other claims or appeals under
the Title for which SSA obtained the
authorization;
• the individual revokes the
authorization verbally or in writing; or
• the deeming relationship ends (for
SSI purposes only).
SSA will request authorization on an
as-needed basis as part of the following
processes: (a) SSDI and SSI initial
claims; (b) SSI redeterminations; and (c)
SSDI Work Continuing Disability
Reviews. The respondents are
individuals who file for or are currently
receiving SSDI or SSI payments, and
any person whose income and resources
SSA counts when determining an
individual’s SSI eligibility or payment
amount.
Type of Request: Request for a new
information collection.
Average
burden per
response
(minutes)
Frequency of
response
(per annum)
Estimated
total annual
burden
(hours)
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SSA–8240 (paper) ...........................................................................................
Title II & Title XVI Electronic (MCS, MSSICS, and eWork) ............................
Internet .............................................................................................................
Revoking Authorization ....................................................................................
136,150
2,769,800
927,504
191,673
1
1
1
1
6
2
2
10
13,615
92,327
30,917
31,946
Totals ........................................................................................................
4,025,127
........................
........................
168,805
2. Farm Arrangement Questionnaire—
20 CFR 404.1082(c)—0960–0064. When
self-employed workers submit earnings
data to SSA, they cannot count rental
income from a farm unless they
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21:15 May 22, 2017
Jkt 241001
demonstrate ‘‘material participation’’ in
the farm’s operation. A material
participation arrangement means the
farm owners must perform a
combination of physical duties;
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Sfmt 4703
management decisions; and capital
investment in the farm they rent out.
SSA uses Form SSA–7157, the Farm
Arrangement Questionnaire, to
document material participation. The
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Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices
respondents are workers who are
renting farmland to others; are involved
in the operation of the farm; and want
to claim countable income from work
they perform relating to the farm.
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–7157 ........................................................................................................
2,304
1
30
1,152
3. Railroad Employment
Questionnaire—20 CFR 404.1401,
404.1406–404.1408—0960–0078.
Railroad workers, their dependents, or
survivors can concurrently apply for
railroad retirement and Social Security
benefits at SSA if the number holder, or
claimant on the number holder’s Social
Security Number, worked in the railroad
industry. SSA uses Form SSA–671 to
coordinate Social Security claims
processing with the Railroad Retirement
Board, and to determine benefit
entitlement and amount. The
respondents are Social Security benefit
applicants previously employed by a
railroad or dependents of railroad
workers.
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–671 ..........................................................................................................
125,000
1
5
10,417
credit the earnings to the correct
individual and SSN. We send the SSA–
4156 to the employer to: (1) Identify the
employees involved; (2) resolve the
discrepancy; and (3) credit the earnings
to the correct SSN. The respondents are
4. Employee Identification
Statement—20 CFR 404.702—0960–
0473. When two or more individuals
report earnings under the same Social
Security Number (SSN), SSA collects
information on Form SSA–4156 to
employers involved in erroneous wage
reporting for an employee.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden
per response
(minutes)
Estimated
total annual
burden
(hours)
SSA–4156 ........................................................................................................
4,750
1
10
792
5. Appeal of Determination for Help
with Medicare Prescription Drug Plan
Costs—0960–0695. Public Law 108–173,
the MMA of 2003 established the
Medicare Part D program for voluntary
prescription drug coverage for certain
low-income individuals. The MMA
stipulates the provision of subsidies for
individuals who are eligible for the
program and who meet eligibility
criteria for help with premium,
deductible, and co-payment costs. SSA
uses Form SSA–1021, Appeal of
Determination for Help With Medicare
Prescription Drug Plan Costs, to obtain
information from individuals who
appeal SSA’s decisions regarding
eligibility or continuing eligibility for a
Number of
respondents
Modality of completion
Medicare Part D subsidy. The
respondents are Medicare beneficiaries,
or proper applicants acting on behalf of
a Medicare beneficiary, who do not
agree with the outcome of an SSA
subsidy eligibility determination, and
are filing an appeal.
Type of Request: Revision of an OMBapproved information collection.
Average
burden
per response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
3,283
11,037
1
1
10
10
547
1,840
Totals ........................................................................................................
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SSA–1021 (Paper Version) .............................................................................
SSA–1021 (Internet Version; Medicare Application Processing System) .......
14,320
........................
........................
2,387
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Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices
Dated: May 17, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2017–10470 Filed 5–22–17; 8:45 am]
BILLING CODE 4191–02–P
SURFACE TRANSPORTATION BOARD
[Docket No. AB 33 (Sub-No. 282X)]
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Union Pacific Railroad Company—
Discontinuance of Service
Exemption—in Iroquois County, IL
Union Pacific Railroad Company (UP)
has filed a verified notice of exemption
under 49 CFR part 1152 subpart F—
Exempt Abandonments and
Discontinuances of Service to
discontinue service over a 6.03-mile
portion of the Cissna Park Industrial
Lead between milepost 98.20 and
milepost 104.23 at Cissna Park in
Iroquois County, Ill. (the Line). The Line
traverses United States Postal Service
Zip Codes 60924 and 60953.
UP has certified that: (1) no local or
overhead traffic has moved over the
Line for at least two years; (2) there is
no need to reroute any traffic over other
lines; (3) no formal complaint filed by
a user of rail service on the Line (or by
a state or local government entity acting
on behalf of such user) regarding
cessation of service over the Line is
pending either with the Surface
Transportation Board (Board) or with
any U.S. District Court or has been
decided in favor of complainant within
the two-year period; and (4) the
requirements at 49 CFR 1105.12
(newspaper publication) and 49 CFR
1152.50(d)(1) (notice to governmental
agencies) have been met.
As a condition to this exemption, any
employee adversely affected by the
discontinuance of service shall be
protected under Oregon Short Line
Railroad—Abandonment Portion
Goshen Branch Between Firth &
Ammon, in Bingham & Bonneville
Counties, Idaho, 360 I.C.C. 91 (1979). To
address whether this condition
adequately protects affected employees,
a petition for partial revocation under
49 U.S.C. 10502(d) must be filed.
Provided no formal expression of
intent to file an offer of financial
assistance (OFA) to subsidize continued
rail service has been received, this
exemption will be effective on June 21,
2017, unless stayed pending
reconsideration.1 Petitions to stay that
1 Although UP states in its verified notice that the
proposed consummation date of this transaction is
June 19, 2017, this transaction cannot be
consummated until June 21, 2017 (50 days from its
filing date). 49 CFR 1152.50(d)(2).
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21:15 May 22, 2017
Jkt 241001
do not involve environmental issues
and formal expressions of intent to file
an OFA to subsidize continued rail
service under 49 CFR 1152.27(c)(2) 2
must be filed by June 1, 2017.3 Petitions
to reopen must be filed by June 9, 2017,
with the Surface Transportation Board,
395 E Street SW., Washington, DC
20423–0001.
A copy of any petition filed with the
Board should be sent to Mack H.
Shumate, Jr., Union Pacific Railroad
Company, 101 North Wacker Drive,
Room 1920, Chicago, IL 60606.
If the verified notice contains false or
misleading information, the exemption
is void ab initio.
Board decisions and notices are
available on our Web site at
‘‘WWW.STB.GOV.’’
Decided: May 17, 2017.
By the Board, Rachel D. Campbell,
Director, Office of Proceedings.
Jeffrey Herzig,
Clearance Clerk.
[FR Doc. 2017–10611 Filed 5–22–17; 8:45 am]
BILLING CODE 4915–01–P
SURFACE TRANSPORTATION BOARD
30-Day Notice of Intent To Seek
Extension of Approval: Information
Collection Activities (Report of Fuel
Cost, Consumption, and Surcharge
Revenue)
Surface Transportation Board.
Notice and request for
comments.
AGENCY:
ACTION:
As part of its continuing effort
to reduce paperwork burdens, and as
required by the Paperwork Reduction
Act of 1995 (PRA), the Surface
Transportation Board (STB or Board)
gives notice that it is requesting from
the Office of Management and Budget
(OMB) an extension of approval for the
collection of the Report of Fuel Cost,
Consumption, and Surcharge Revenue.
The Board previously published a
notice about this collection in the
Federal Register on March 8, 2017. That
notice allowed for a 60-day public
review and comment period. No
comments were received.
DATES: Comments on this information
collection should be submitted by June
22, 2017.
SUMMARY:
2 Each OFA must be accompanied by the filing
fee, which is currently set at $1,700. See 49 CFR
1002.2(f)(25).
3 Because this is a discontinuance proceeding and
not an abandonment, interim trail use/rail banking
and public use conditions are not appropriate.
Because there will be an environmental review
during abandonment, this discontinuance does not
require an environmental review.
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Fmt 4703
Sfmt 4703
Written comments should
be identified as ‘‘Paperwork Reduction
Act Comments, Surface Transportation
Board: Report of Fuel Cost,
Consumption, and Surcharge Revenue.’’
These comments should be directed to
the Office of Management and Budget,
Office of Information and Regulatory
Affairs, Attention: Chad Lallemand,
Surface Transportation Board Desk
Officer, by email at oira_submission@
omb.eop.gov; by fax at (202) 395–6974;
or by mail to Room 10235, 725 17th
Street NW., Washington, DC 20503.
Please also direct comments to Chris
Oehrle, PRA Officer, Surface
Transportation Board, 395 E Street SW.,
Washington, DC 20423–0001, or to pra@
stb.gov.
FOR FURTHER INFORMATION CONTACT: For
further information regarding this
collection, contact Pedro Ramirez at
(202) 245–0333 or at pedro.ramirez@
stb.gov. Assistance for the hearing
impaired is available through the
Federal Information Relay Service
(FIRS) at 1–800–877–8339.
SUPPLEMENTARY INFORMATION: For each
collection, comments are requested
concerning: (1) The accuracy of the
Board’s burden estimates; (2) ways to
enhance the quality, utility, and clarity
of the information collected; (3) ways to
minimize the burden of the collection of
information on the respondents,
including the use of automated
collection techniques or other forms of
information technology, when
appropriate; and (4) whether the
collection of information is necessary
for the proper performance of the
functions of the Board, including
whether the collection has practical
utility. Submitted comments will be
summarized and included in the
Board’s request for OMB approval.
ADDRESSES:
Description of Collection
Title: Report of Fuel Cost,
Consumption, and Surcharge Revenue
49 CFR 1243.3.
OMB Control Number: 2140–0014.
STB Form Number: None.
Type of Review: Extension without
change.
Respondents: Class I railroads
(carriers having revenues more than 250
million dollars in 1991 dollars).
Number of Respondents: Seven.
Estimated Time per Response: One
hour.
Frequency: Quarterly.
Total Burden Hours (annually
including all respondents): 28.
Total ‘‘Non-hour Burden’’ Cost: None
identified.
Needs and Uses: Under 49 U.S.C.
10702, the Board has the authority to
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]]>Agencies
[Federal Register Volume 82, Number 98 (Tuesday, May 23, 2017)]
[Notices]
[Pages 23695-23698]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-10470]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2017-0028]
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 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,
[[Page 23696]]
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-2017-0028].
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 July
24, 2017. Individuals can obtain copies of the collection instrument by
writing to the above email address.
Statement Regarding Date of Birth and Citizenship--20CFR 404.716--
0960-0016. Section 205(a) of the Social Security Act (Act) gives the
Commissioner of SSA the authority to make rules and regulations and to
establish procedures for collecting evidence from individuals applying
for Social Security benefits. When individuals apply for Social
Security benefits and cannot provide preferred methods of proving age
or citizenship, SSA uses Form SSA-702 to establish these facts.
Specifically, SSA uses the SSA-702 to establish age as a factor of
entitlement to Social Security benefits, or U.S. citizenship as a
payment factor. Respondents are individuals with knowledge about the
date of birth or citizenship of applicants filing for one or more
Social Security benefits who need to establish age or citizenship.
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-702..................................... 1,200 1 10 200
----------------------------------------------------------------------------------------------------------------
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 June 22, 2017. Individuals can obtain copies of the OMB
clearance package by writing to OR.Reports.Clearance@ssa.gov.
1. Authorization for the Social Security Administration to Obtain
Wage and Employment Information from Payroll Data Providers--0960-NEW.
Section 824 of the Bipartisan Budget Act (BBA) of 2015, Public Law 114-
74, authorizes the Social Security Administration (SSA) to enter into
information exchanges with payroll data providers for the purposes of
improving program administration and preventing improper payments in
the Social Security Disability Insurance (SSDI) and Supplemental
Security Income (SSI) programs. SSA will use Form SSA-8240,
``Authorization for the Social Security Administration to Obtain Wage
and Employment Information from Payroll Data Providers,'' to secure the
authorization needed from the relevant members of the public to obtain
their wage and employment information from payroll data providers.
Ultimately, SSA will use this wage and employment information to help
determine program eligibility and payment amounts.
The public will be able to complete form SSA-8240 using the
following modalities: A paper form; the Internet; and an in-office or
telephone interview, during which an SSA employee will document the
wage and employment information authorization information on one of
SSA's internal systems ((the Modernized Claims System (MCS); the
Modernized Supplemental Security Income Claims System (MSSICS); eWork;
or iMain)). The individual's authorization will remain effective until
one of the following four events occurs:
SSA makes a final adverse decision on the application for
benefits, and the applicant has filed no other claims or appeals under
the Title for which SSA obtained the authorization;
the individual's eligibility for payments ends, and the
individual has not filed other claims or appeals under the Title for
which SSA obtained the authorization;
the individual revokes the authorization verbally or in
writing; or
the deeming relationship ends (for SSI purposes only).
SSA will request authorization on an as-needed basis as part of the
following processes: (a) SSDI and SSI initial claims; (b) SSI
redeterminations; and (c) SSDI Work Continuing Disability Reviews. The
respondents are individuals who file for or are currently receiving
SSDI or SSI payments, and any person whose income and resources SSA
counts when determining an individual's SSI eligibility or payment
amount.
Type of Request: Request for a new information collection.
----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response (per response burden
annum) (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8240 (paper)................................ 136,150 1 6 13,615
Title II & Title XVI Electronic (MCS, MSSICS, 2,769,800 1 2 92,327
and eWork).....................................
Internet........................................ 927,504 1 2 30,917
Revoking Authorization.......................... 191,673 1 10 31,946
---------------------------------------------------------------
Totals...................................... 4,025,127 .............. .............. 168,805
----------------------------------------------------------------------------------------------------------------
2. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064.
When self-employed workers submit earnings data to SSA, they cannot
count rental income from a farm unless they demonstrate ``material
participation'' in the farm's operation. A material participation
arrangement means the farm owners must perform a combination of
physical duties; management decisions; and capital investment in the
farm they rent out. SSA uses Form SSA-7157, the Farm Arrangement
Questionnaire, to document material participation. The
[[Page 23697]]
respondents are workers who are renting farmland to others; are
involved in the operation of the farm; and want to claim countable
income from work they perform relating to the farm.
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-7157.................................... 2,304 1 30 1,152
----------------------------------------------------------------------------------------------------------------
3. Railroad Employment Questionnaire--20 CFR 404.1401, 404.1406-
404.1408--0960-0078. Railroad workers, their dependents, or survivors
can concurrently apply for railroad retirement and Social Security
benefits at SSA if the number holder, or claimant on the number
holder's Social Security Number, worked in the railroad industry. SSA
uses Form SSA-671 to coordinate Social Security claims processing with
the Railroad Retirement Board, and to determine benefit entitlement and
amount. The respondents are Social Security benefit applicants
previously employed by a railroad or dependents of railroad workers.
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-671..................................... 125,000 1 5 10,417
----------------------------------------------------------------------------------------------------------------
4. Employee Identification Statement--20 CFR 404.702--0960-0473.
When two or more individuals report earnings under the same Social
Security Number (SSN), SSA collects information on Form SSA-4156 to
credit the earnings to the correct individual and SSN. We send the SSA-
4156 to the employer to: (1) Identify the employees involved; (2)
resolve the discrepancy; and (3) credit the earnings to the correct
SSN. The respondents are employers involved in erroneous wage reporting
for an employee.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4156.................................... 4,750 1 10 792
----------------------------------------------------------------------------------------------------------------
5. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. Public Law 108-173, the MMA of 2003 established
the Medicare Part D program for voluntary prescription drug coverage
for certain low-income individuals. The MMA stipulates the provision of
subsidies for individuals who are eligible for the program and who meet
eligibility criteria for help with premium, deductible, and co-payment
costs. SSA uses Form SSA-1021, Appeal of Determination for Help With
Medicare Prescription Drug Plan Costs, to obtain information from
individuals who appeal SSA's decisions regarding eligibility or
continuing eligibility for a Medicare Part D subsidy. The respondents
are Medicare beneficiaries, or proper applicants acting on behalf of a
Medicare beneficiary, who do not agree with the outcome of an SSA
subsidy eligibility determination, and are filing an appeal.
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-1021 (Paper Version)........................ 3,283 1 10 547
SSA-1021 (Internet Version; Medicare Application 11,037 1 10 1,840
Processing System).............................
---------------------------------------------------------------
Totals...................................... 14,320 .............. .............. 2,387
----------------------------------------------------------------------------------------------------------------
[[Page 23698]]
Dated: May 17, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-10470 Filed 5-22-17; 8:45 am]
BILLING CODE 4191-02-P
