Agency Information Collection Activities: Proposed Request and Comment Request, 23695-23698 [2017-10470]

Download as PDF 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. sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 21:15 May 22, 2017 Jkt 241001 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 PO 00000 Frm 00175 Fmt 4703 Sfmt 4703 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: http://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, E:\FR\FM\23MYN1.SGM 23MYN1 23696 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) sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 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; PO 00000 Frm 00176 Fmt 4703 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 E:\FR\FM\23MYN1.SGM 23MYN1 23697 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 ........................................................................................................ sradovich on DSK3GMQ082PROD with NOTICES SSA–1021 (Paper Version) ............................................................................. SSA–1021 (Internet Version; Medicare Application Processing System) ....... 14,320 ........................ ........................ 2,387 VerDate Sep<11>2014 21:15 May 22, 2017 Jkt 241001 PO 00000 Frm 00177 Fmt 4703 Sfmt 9990 E:\FR\FM\23MYN1.SGM 23MYN1 23698 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)] sradovich on DSK3GMQ082PROD with NOTICES 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). VerDate Sep<11>2014 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. PO 00000 Frm 00178 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 E:\FR\FM\23MYN1.SGM 23MYN1

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