Agency Information Collection Activities: Comment Request, 35022-35025 [2017-15761]

Download as PDF 35022 Federal Register / Vol. 82, No. 143 / Thursday, July 27, 2017 / Notices Total Estimated Annual Hour Burden: 42,841. Curtis B. Rich, Management Analyst. [FR Doc. 2017–15788 Filed 7–26–17; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2017–0039] mstockstill on DSK30JT082PROD with NOTICES Agency Information Collection Activities: 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, and one new information collection. SSA is soliciting comments on the accuracy of the agency’s burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202–395–6974, Email address: OIRA_Submission@omb.eop.gov (SSA), Social Security Administration, OLCA, Attn: Reports Clearance Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235, Fax: 410–966–2830, Email address: OR.Reports.Clearance@ssa.gov Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2017–0039]. SSA submitted the information collections below to OMB for clearance. Your comments regarding these 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 August 28, 2017. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. 1. Promoting Opportunity Demonstration—0960–NEW. Section 823 of the Bipartisan Budget Act of 2015 requires SSA to carry out the Promoting Opportunity Demonstration (POD) to test a new benefit offset formula for Social Security Disability Insurance (SSDI) beneficiaries. Therefore, SSA is undertaking POD, a demonstration to evaluate the affect the new policy will have on SSDI beneficiaries and their families in several critical areas: (1) Employment, (2) benefits, (3) earnings, and (4) income (earnings plus benefits). Under current law, Social Security beneficiaries lose their SSDI benefit if they have earnings or work activity above the threshold of Substantial Gainful Activity (SGA). The POD evaluation will draw on previous lessons from related work incentive experiences, especially SSA’s Benefit Offset National Demonstration (BOND), 0960–0785, which tested a different offset formula. POD tests a different policy than BOND in two important ways: (1) A lower threshold at which point the offset is applied—increasing the likelihood of reducing benefit expenditures relative to current law expenditures; and (2) A more immediate adjustment to the benefits—to increase the salience and clarity of the offset policy for beneficiaries. The POD will test a benefit offset that will reduce benefits by $1 for every $2 in participants’ earnings above the POD threshold, gradually reducing benefits as earnings increase. The POD threshold will equal the greater of (1) an inflationadjusted trial work period level ($840 in 2017); or (2) the amount of the participant’s itemized impairmentrelated work expenses up to SGA. The new rules we will test in POD also simplify work incentives and we intend them to promote employment and reduce dependency on benefits. The design for POD will include implementation and evaluation activities designed to answer seven central research questions: • What are the impacts of the two POD benefit designs on beneficiaries’ earnings, SSDI benefits, and total earnings and benefit income? • Is POD attractive to beneficiaries? Do they remain engaged over time? Number of respondents Modality of completion Informed Consent Form ....................................................... VerDate Sep<11>2014 19:17 Jul 26, 2017 Jkt 241001 PO 00000 Frm 00100 Frequency of response 16,500 Fmt 4703 Sfmt 4703 • How were the POD offset policies implemented, and what operational, systemic, or contextual factors facilitated or posed challenges to administering the offset? • How successful were POD and SSA in making timely benefit adjustments, and what factors affected timeliness positively or negatively? • How do the impacts of the POD offset policies vary with beneficiary characteristics? • What are the costs and benefits of the POD benefit designs relative to current law, and what are the implications for the SSDI trust fund? • What are the implications of the POD findings for national policy proposals that would include a SSDI benefit offset? The public survey data collections have four components—a process analysis, a participation analysis, an impact analysis, and a cost-benefit analysis. The data collections are the primary source for data to measure the effects of the benefit offset on SSDI beneficiaries’ work efforts and earnings. Ultimately, these data will benefit researchers, policy analysts, policy makers, SSA, and the state vocational rehabilitation agencies in a wide range of program areas. There are four targeted outcomes for SSDI beneficiaries under POD: (1) Increased employment and earnings; (2) decreased benefits payments; (3) increased total income; and (4) impacts on other related outcomes (for example, health status and quality of life). Additionally, four outcomes of interest for system changes include: (1) Reduction in overpayments; (2) enhanced program integrity; (3) stronger culture of self-sufficiency; and (4) improved SSDI trust fund balance. Respondents are SSDI beneficiaries, who will provide written consent before agreeing to participate in the study and before we randomly assign them to one of the study treatment groups. Type of Request: Request for a new information collection. Note: The burden in the chart below differs from the burden SSA reported in our last published notice for this collection (April 18, 2017, at 82 FR 18335). The number of burden hours decreased because we removed questions from the information collection, resulting in a lower response time and an accompanying decrease in burden hours. Number of responses 1 E:\FR\FM\27JYN1.SGM 16,500 27JYN1 Average burden per response (minutes) 10 Total annual burden (hours) 2,750 35023 Federal Register / Vol. 82, No. 143 / Thursday, July 27, 2017 / Notices Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Number of responses Total annual burden (hours) Baseline Survey ................................................................... 12-Month Follow Up Survey ................................................ 24-Month Follow Up Survey ................................................ Interviews with Site Staff ..................................................... Onsite Audit of Sample of Case Files ................................. Semi-Structured Interviews with Treatment Group Subjects Monthly Earnings and Impairment-Related Expenses Reporting Form (paper) ........................................................ Monthly Earnings and Impairment-Related Expenses Reporting Form (Internet) ..................................................... End of Year Reporting Form (paper) ................................... End of Year Reporting Form (Internet) ................................ 16,500 6,000 12,000 40 8 144 1 1 1 4 2 1 16,500 6,000 12,000 160 16 144 20 28 23 66 20 60 5,500 2,800 4,600 176 5 144 1,820 12 21,840 10 3,640 780 945 405 12 1 1 9,360 945 405 5 15 10 780 236 68 Totals ............................................................................ 55,142 ........................ 83,870 ........................ 20,699 2. SSI Notice of Interim Assistance Reimbursement (IAR)—0960–0546. Section 1631(g) of the Social Security Act (Act) authorizes SSA to reimburse an IAR agency from an individual’s retroactive Supplemental Security Income (SSI) payment for assistance the IAR agency gave the individual for meeting basic needs while an SSI claim was pending or SSI payments were suspended or terminated. The State or local agency needs an IAR agreement with SSA to participate in the IAR program. The individual receiving the IAR payment signs an authorization form with an IAR agency to allow SSA to repay the IAR agency for funds paid in advance prior to SSA’s determination on the individual’s claim. The authorization represents the individual’s intent to file for SSI, if they did not file an application prior to SSA receiving the authorization. Agencies who wish to enter into an IAR agreement with SSA need to meet the following requirements: • Reporting Requirements—Each IAR agency agrees to: Æ (a) Notify SSA of receipt of an authorization for initial claims or cases they are appealing, and (b) submit a copy of that authorization either through a manual or electronic process; Æ (c) inform SSA of the amount of reimbursement; Æ (d) submit a written request for dispute resolution on a determination; Æ (e) notify SSA of interim assistance paid (using the SSA–8125 or the SSA– L8125–F6); Æ (f) inform SSA of any deceased claimants who participate in the IAR program and; Æ (g) review and sign an agreement with SSA. • Recordkeeping Requirements (h & i)—The IAR agencies agree to retain all notices, agreement, authorizations, and accounting forms for the period defined Number of respondents Modality of completion Frequency of response in the IAR agreement for the purposes of SSA verifying transactions covered under the agreement. • Third Party Disclosure Requirements (j)—Each participating IAR agency agrees to send written notices from the IAR agency to the recipient regarding payment amounts and appeal rights. • Periodic Review of Agency Accounting Process (k–m)—The IAR agency makes the IAR accounting records of paid cases available for SSA review and verification. SSA conducts reviews either onsite or through the mail of the authorization forms, notices to the claimant and accounting forms. Upon completion of the review, SSA provides a written report of findings to the IAR agency director. The respondents are State IAR officers. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Number of responses Estimated total annual burden (hours) mstockstill on DSK30JT082PROD with NOTICES Reporting Requirements (a) State notification of receipt of authorization (Electronic Process). (b) State submission of copy of authorization (Manual Process). (c) State submission of amount of IA paid to recipients (using eIAR). (d) State request for determination— dispute resolution. (e) State computation of reimbursement due form SSA using paper Form SSA–L8125–F6. (f) State notification to SSA of deceased claimant. (g) State reviewing/signing of IAR Agreement. VerDate Sep<11>2014 19:17 Jul 26, 2017 Jkt 241001 11 Once per SSI claimant ..................... 97,330 1 1,622 27 Once per SSI claimant ..................... 68,405 3 3,420 38 Once per SSI claimant ..................... 101,352 8 13,514 (1) As needed ........................................ 2 30 1 38 Once per SSI claimant ..................... 1,524 30 762 20 As needed when SSI claimant dies while claim is pending. Once during life of the IAR agreement. 40 15 10 38 2 12 456 38 PO 00000 Frm 00101 Fmt 4703 Sfmt 4703 E:\FR\FM\27JYN1.SGM 27JYN1 35024 Federal Register / Vol. 82, No. 143 / Thursday, July 27, 2017 / Notices Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Number of responses Estimated total annual burden (hours) Recordkeeping Requirements 38 One form per SSI claimant .............. 3 165,735 3 8,287 38 (h) Maintenance of authorization forms. (i) Maintenance of accounting forms and notices. One form per SSI claimant .............. 101,352 3 5,068 101,352 7 11,824 12 3 36 12 16 192 6 4 24 639,160 ........................ 45,216 Third Party Disclosure Requirements (j) Written notice from State to recipient regarding amount of payment. 38 Once per SSI claimant ..................... Periodic Review of Agency Accounting Process (k) Retrieve and consolidate authorization and accounting forms. 12 (l) Participate in periodic review ....... 12 (m) Correct administrative and accounting discrepancies. 6 One set of forms per SSI claimant for review by SSA once every 2 to 3 years. For review by SSA once every 2 to 3 years. To correct errors discovered by SSA in periodic review. Total Administrative Burden Totals ......................................... 1 Average 38 ........................................................... of about 2 States per year. 2 Hours. 3 Includes both denied and approved SSI claims. 3. A Social Security Benefits Application—20 CFR 404.310–404.311, 404.315–404.322, 404.330–404.333, 404.601–404.603, and 404.1501– 404.1512—0960–0618. Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for each type of benefits. SSA uses the information we gather through the multiple information collection tools in this information collection request to determine applicants’ eligibility for specific Social Security benefits, as well as the amount of the benefits. Individuals filing for disability benefits can, and in some instances SSA may require them to, file applications under both Title II, Social Security disability benefits, and Title XVI, SSI payments. We refer to disability applications filed under both titles as ‘‘concurrent applications.’’ This collection comprises the various application methods for each type of benefits. These methods include the following modalities: Paper forms Number of respondents Modality of completion (Forms SSA–1, SSA–2, and SSA–16); Modernized Claims System (MCS) screens for in-person interview applications; and Internet-based iClaim and iAppointment applications. SSA uses the information we collect through these modalities to determine: (1) The applicants’ eligibility for the abovementioned Social Security benefits and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA Paper version/SSA–1 ...................................................................................... Interview/MCS .................................................................................................. Medicare Only SSA–1 Paper form (abbreviate) .............................................. Medicare Only—Interview/MCS ....................................................................... 1,811 1,438,058 173 204,380 1 1 1 1 11 10 7 7 332 239,676 20 23,844 Totals ........................................................................................................ 1,644,422 ........................ ........................ 263,872 Paper version/SSA–2 ...................................................................................... Interview/MCS .................................................................................................. 972 447,610 1 1 15 14 243 104,442 Totals ........................................................................................................ 448,582 ........................ ........................ 104,685 40,346 1 20 13,449 mstockstill on DSK30JT082PROD with NOTICES SSA–2 SSA–16 Paper version/SSA–16 .................................................................................... VerDate Sep<11>2014 19:17 Jul 26, 2017 Jkt 241001 PO 00000 Frm 00102 Fmt 4703 Sfmt 4703 E:\FR\FM\27JYN1.SGM 27JYN1 35025 Federal Register / Vol. 82, No. 143 / Thursday, July 27, 2017 / Notices Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Interview/MCS .................................................................................................. 1,159,121 1 19 367,055 Totals ........................................................................................................ 1,199,467 ........................ ........................ 380,504 iClaim 3rd Party ............................................................................................... iClaim Applicant after 3rd Party Completion ................................................... First Party iClaim—Domestic Applicant ........................................................... First Party iClaim—Foreign Applicant .............................................................. Medicare-only iClaim ....................................................................................... 350,519 350,519 2,283,301 11,373 797,709 1 1 1 1 1 15 5 15 18 10 87,630 29,210 570,825 3,412 132,952 Totals ........................................................................................................ 3,793,421 ........................ ........................ 824,029 iClaim iAppointment Burden Information iAppointment .................................................................................................... 17,621 1 10 2,937 Grand Total ....................................................................................... 7,103,513 ........................ ........................ 1,576,027 Dated: July 21, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017–15761 Filed 7–26–17; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration [Docket No. FMCSA–2000–8398; FMCSA– 2002–12294; FMCSA–2003–14223; FMCSA– 2004–19477; FMCSA–2005–20027; FMCSA– 2005–20560; FMCSA–2006–24783; FMCSA– 2007–27333; FMCSA–2008–0398; FMCSA– 2009–0054; FMCSA–2010–0082; FMCSA– 2010–0201; FMCSA–2010–0372; FMCSA– 2010–0385; FMCSA–2011–0010; FMCSA– 2011–0024; FMCSA–2011–0057; FMCSA– 2012–0337; FMCSA–2013–0021; FMCSA– 2013–0022; FMCSA–2013–0024; FMCSA– 2014–0005; FMCSA–2014–0297; FMCSA– 2014–0300; FMCSA–2014–0301; FMCSA– 2014–0302; FMCSA–2014–0304; FMCSA– 2014–0305] Qualification of Drivers; Exemption Applications; Vision Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of final disposition. AGENCY: FMCSA announces its decision to renew exemptions for 82 individuals from the vision requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) for interstate commercial motor vehicle (CMV) drivers. The exemptions enable these individuals to continue to operate CMVs in interstate commerce without meeting the vision requirement in one eye. mstockstill on DSK30JT082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 19:17 Jul 26, 2017 Jkt 241001 Each group of renewed exemptions was effective on the dates stated in the discussions below and will expire on the dates stated in the discussions below. FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, Medical Programs Division, 202–366–4001, fmcsamedical@dot.gov, FMCSA, Department of Transportation, 1200 New Jersey Avenue SE., Room W64– 224, Washington, DC 20590–0001. Office hours are from 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366–9826. SUPPLEMENTARY INFORMATION: DATES: I. Electronic Access You may see all the comments online through the Federal Document Management System (FDMS) at: http:// www.regulations.gov. Docket: For access to the docket to read background documents or comments, go to http// www.regulations.gov and/or Room W12–140 on the ground level of the West Building, 1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m., E.T., Monday through Friday, except Federal holidays. Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits comments from the public to better inform its rulemaking process. DOT posts these comments, without edit, including any personal information the commenter provides, to http://www.regulations.gov, as described in the system of records notice (DOT/ALL–14 FDMS), which can PO 00000 Frm 00103 Fmt 4703 Sfmt 4703 be reviewed at http://www.dot.gov/ privacy. II. Background On April 21, 2017, FMCSA published a notice announcing its decision to renew exemptions for 82 individuals from the vision requirement in 49 CFR 391.41(b)(10) to operate a CMV in interstate commerce and requested comments from the public (82 FR 18818). The public comment period ended on May 22, 2017, and no comments were received. As stated in the previous notice, FMCSA has evaluated the eligibility of these applicants and determined that renewing these exemptions would achieve a level of safety equivalent to or greater than the level that would be achieved by complying with the current regulation 49 CFR 391.41(b)(10). The physical qualification standard for drivers regarding vision found in 49 CFR 391.41(b)(10) states that a person is physically qualified to driver a CMV if that person: Has distant visual acuity of at least 20/40 (Snellen) in each eye without corrective lenses or visual acuity separately corrected to 20/40 (Snellen) or better with corrective lenses, distant binocular acuity of a least 20/ 40 (Snellen) in both eyes with or without corrective lenses, field of vision of at least 70° in the horizontal meridian in each eye, and the ability to recognize the colors of traffic signals and devices showing red, green, and amber. III. Discussion of Comments FMCSA received no comments in this preceding. VI. Conclusion As of May 7, 2017, and in accordance with 49 U.S.C. 31136(e) and 31315, the E:\FR\FM\27JYN1.SGM 27JYN1

Agencies

[Federal Register Volume 82, Number 143 (Thursday, July 27, 2017)]
[Notices]
[Pages 35022-35025]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15761]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0039]


Agency Information Collection Activities: 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, and one new 
information collection.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974, Email address: OIRA_Submission@omb.eop.gov
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance 
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 
21235, Fax: 410-966-2830, Email address: OR.Reports.Clearance@ssa.gov

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2017-0039].
    SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these 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 August 28, 2017. Individuals can obtain copies of 
the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Promoting Opportunity Demonstration--0960-NEW. Section 823 of 
the Bipartisan Budget Act of 2015 requires SSA to carry out the 
Promoting Opportunity Demonstration (POD) to test a new benefit offset 
formula for Social Security Disability Insurance (SSDI) beneficiaries. 
Therefore, SSA is undertaking POD, a demonstration to evaluate the 
affect the new policy will have on SSDI beneficiaries and their 
families in several critical areas: (1) Employment, (2) benefits, (3) 
earnings, and (4) income (earnings plus benefits). Under current law, 
Social Security beneficiaries lose their SSDI benefit if they have 
earnings or work activity above the threshold of Substantial Gainful 
Activity (SGA). The POD evaluation will draw on previous lessons from 
related work incentive experiences, especially SSA's Benefit Offset 
National Demonstration (BOND), 0960-0785, which tested a different 
offset formula. POD tests a different policy than BOND in two important 
ways: (1) A lower threshold at which point the offset is applied--
increasing the likelihood of reducing benefit expenditures relative to 
current law expenditures; and (2) A more immediate adjustment to the 
benefits--to increase the salience and clarity of the offset policy for 
beneficiaries. The POD will test a benefit offset that will reduce 
benefits by $1 for every $2 in participants' earnings above the POD 
threshold, gradually reducing benefits as earnings increase. The POD 
threshold will equal the greater of (1) an inflation-adjusted trial 
work period level ($840 in 2017); or (2) the amount of the 
participant's itemized impairment-related work expenses up to SGA. The 
new rules we will test in POD also simplify work incentives and we 
intend them to promote employment and reduce dependency on benefits.
    The design for POD will include implementation and evaluation 
activities designed to answer seven central research questions:
     What are the impacts of the two POD benefit designs on 
beneficiaries' earnings, SSDI benefits, and total earnings and benefit 
income?
     Is POD attractive to beneficiaries? Do they remain engaged 
over time?
     How were the POD offset policies implemented, and what 
operational, systemic, or contextual factors facilitated or posed 
challenges to administering the offset?
     How successful were POD and SSA in making timely benefit 
adjustments, and what factors affected timeliness positively or 
negatively?
     How do the impacts of the POD offset policies vary with 
beneficiary characteristics?
     What are the costs and benefits of the POD benefit designs 
relative to current law, and what are the implications for the SSDI 
trust fund?
     What are the implications of the POD findings for national 
policy proposals that would include a SSDI benefit offset?
    The public survey data collections have four components--a process 
analysis, a participation analysis, an impact analysis, and a cost-
benefit analysis. The data collections are the primary source for data 
to measure the effects of the benefit offset on SSDI beneficiaries' 
work efforts and earnings. Ultimately, these data will benefit 
researchers, policy analysts, policy makers, SSA, and the state 
vocational rehabilitation agencies in a wide range of program areas. 
There are four targeted outcomes for SSDI beneficiaries under POD: (1) 
Increased employment and earnings; (2) decreased benefits payments; (3) 
increased total income; and (4) impacts on other related outcomes (for 
example, health status and quality of life). Additionally, four 
outcomes of interest for system changes include: (1) Reduction in 
overpayments; (2) enhanced program integrity; (3) stronger culture of 
self-sufficiency; and (4) improved SSDI trust fund balance. Respondents 
are SSDI beneficiaries, who will provide written consent before 
agreeing to participate in the study and before we randomly assign them 
to one of the study treatment groups.
    Type of Request: Request for a new information collection.

    Note: The burden in the chart below differs from the burden SSA 
reported in our last published notice for this collection (April 18, 
2017, at 82 FR 18335). The number of burden hours decreased because 
we removed questions from the information collection, resulting in a 
lower response time and an accompanying decrease in burden hours.


----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of     Frequency of      Number of      burden per     Total annual
     Modality of completion         respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Informed Consent Form...........          16,500               1          16,500              10           2,750

[[Page 35023]]

 
Baseline Survey.................          16,500               1          16,500              20           5,500
12-Month Follow Up Survey.......           6,000               1           6,000              28           2,800
24-Month Follow Up Survey.......          12,000               1          12,000              23           4,600
Interviews with Site Staff......              40               4             160              66             176
Onsite Audit of Sample of Case                 8               2              16              20               5
 Files..........................
Semi-Structured Interviews with              144               1             144              60             144
 Treatment Group Subjects.......
Monthly Earnings and Impairment-           1,820              12          21,840              10           3,640
 Related Expenses Reporting Form
 (paper)........................
Monthly Earnings and Impairment-             780              12           9,360               5             780
 Related Expenses Reporting Form
 (Internet).....................
End of Year Reporting Form                   945               1             945              15             236
 (paper)........................
End of Year Reporting Form                   405               1             405              10              68
 (Internet).....................
                                 -------------------------------------------------------------------------------
    Totals......................          55,142  ..............          83,870  ..............          20,699
----------------------------------------------------------------------------------------------------------------

    2. SSI Notice of Interim Assistance Reimbursement (IAR)--0960-0546. 
Section 1631(g) of the Social Security Act (Act) authorizes SSA to 
reimburse an IAR agency from an individual's retroactive Supplemental 
Security Income (SSI) payment for assistance the IAR agency gave the 
individual for meeting basic needs while an SSI claim was pending or 
SSI payments were suspended or terminated. The State or local agency 
needs an IAR agreement with SSA to participate in the IAR program. The 
individual receiving the IAR payment signs an authorization form with 
an IAR agency to allow SSA to repay the IAR agency for funds paid in 
advance prior to SSA's determination on the individual's claim. The 
authorization represents the individual's intent to file for SSI, if 
they did not file an application prior to SSA receiving the 
authorization. Agencies who wish to enter into an IAR agreement with 
SSA need to meet the following requirements:
     Reporting Requirements--Each IAR agency agrees to:
    [cir] (a) Notify SSA of receipt of an authorization for initial 
claims or cases they are appealing, and (b) submit a copy of that 
authorization either through a manual or electronic process;
    [cir] (c) inform SSA of the amount of reimbursement;
    [cir] (d) submit a written request for dispute resolution on a 
determination;
    [cir] (e) notify SSA of interim assistance paid (using the SSA-8125 
or the SSA-L8125-F6);
    [cir] (f) inform SSA of any deceased claimants who participate in 
the IAR program and;
    [cir] (g) review and sign an agreement with SSA.
     Recordkeeping Requirements (h & i)--The IAR agencies agree 
to retain all notices, agreement, authorizations, and accounting forms 
for the period defined in the IAR agreement for the purposes of SSA 
verifying transactions covered under the agreement.
     Third Party Disclosure Requirements (j)--Each 
participating IAR agency agrees to send written notices from the IAR 
agency to the recipient regarding payment amounts and appeal rights.
     Periodic Review of Agency Accounting Process (k-m)--The 
IAR agency makes the IAR accounting records of paid cases available for 
SSA review and verification. SSA conducts reviews either onsite or 
through the mail of the authorization forms, notices to the claimant 
and accounting forms. Upon completion of the review, SSA provides a 
written report of findings to the IAR agency director.
    The respondents are State IAR officers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                   Number of      Frequency of       Number of    Average burden   total annual
    Modality of completion        respondents       response         responses     per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
                                             Reporting Requirements
----------------------------------------------------------------------------------------------------------------
(a) State notification of                   11  Once per SSI              97,330               1           1,622
 receipt of authorization                        claimant.
 (Electronic Process).
(b) State submission of copy                27  Once per SSI              68,405               3           3,420
 of authorization (Manual                        claimant.
 Process).
(c) State submission of amount              38  Once per SSI             101,352               8          13,514
 of IA paid to recipients                        claimant.
 (using eIAR).
(d) State request for                    (\1\)  As needed.......               2              30               1
 determination--dispute
 resolution.
(e) State computation of                    38  Once per SSI               1,524              30             762
 reimbursement due form SSA                      claimant.
 using paper Form SSA-L8125-F6.
(f) State notification to SSA               20  As needed when                40              15              10
 of deceased claimant.                           SSI claimant
                                                 dies while
                                                 claim is
                                                 pending.
(g) State reviewing/signing of              38  Once during life              38          \2\ 12             456
 IAR Agreement.                                  of the IAR
                                                 agreement.
----------------------------------------------------------------------------------------------------------------

[[Page 35024]]

 
                                           Recordkeeping Requirements
----------------------------------------------------------------------------------------------------------------
(h) Maintenance of                          38  One form per SSI     \3\ 165,735               3           8,287
 authorization forms.                            claimant.
(i) Maintenance of accounting               38  One form per SSI         101,352               3           5,068
 forms and notices.                              claimant.
----------------------------------------------------------------------------------------------------------------
                                       Third Party Disclosure Requirements
----------------------------------------------------------------------------------------------------------------
(j) Written notice from State               38  Once per SSI             101,352               7          11,824
 to recipient regarding amount                   claimant.
 of payment.
----------------------------------------------------------------------------------------------------------------
                                  Periodic Review of Agency Accounting Process
----------------------------------------------------------------------------------------------------------------
(k) Retrieve and consolidate                12  One set of forms              12               3              36
 authorization and accounting                    per SSI
 forms.                                          claimant for
                                                 review by SSA
                                                 once every 2 to
                                                 3 years.
(l) Participate in periodic                 12  For review by                 12              16             192
 review.                                         SSA once every
                                                 2 to 3 years.
(m) Correct administrative and               6  To correct                     6               4              24
 accounting discrepancies.                       errors
                                                 discovered by
                                                 SSA in periodic
                                                 review.
----------------------------------------------------------------------------------------------------------------
                                           Total Administrative Burden
----------------------------------------------------------------------------------------------------------------
    Totals....................              38  ................         639,160  ..............          45,216
----------------------------------------------------------------------------------------------------------------
\1\ Average of about 2 States per year.
\2\ Hours.
\3\ Includes both denied and approved SSI claims.

    3. A Social Security Benefits Application--20 CFR 404.310-404.311, 
404.315-404.322, 404.330-404.333, 404.601-404.603, and 404.1501-
404.1512--0960-0618. Title II of the Social Security Act provides 
retirement, survivors, and disability benefits to members of the public 
who meet the required eligibility criteria and file the appropriate 
application. This collection comprises the various application methods 
for each type of benefits. SSA uses the information we gather through 
the multiple information collection tools in this information 
collection request to determine applicants' eligibility for specific 
Social Security benefits, as well as the amount of the benefits. 
Individuals filing for disability benefits can, and in some instances 
SSA may require them to, file applications under both Title II, Social 
Security disability benefits, and Title XVI, SSI payments. We refer to 
disability applications filed under both titles as ``concurrent 
applications.'' This collection comprises the various application 
methods for each type of benefits. These methods include the following 
modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized 
Claims System (MCS) screens for in-person interview applications; and 
Internet-based iClaim and iAppointment applications. SSA uses the 
information we collect through these modalities to determine: (1) The 
applicants' eligibility for the above-mentioned Social Security 
benefits and (2) the amount of the benefits. The respondents are 
applicants for retirement, survivors, and disability benefits under 
Title II of the Act.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
                                                       SSA
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-1.............................           1,811               1              11             332
Interview/MCS...................................       1,438,058               1              10         239,676
Medicare Only SSA-1 Paper form (abbreviate).....             173               1               7              20
Medicare Only--Interview/MCS....................         204,380               1               7          23,844
                                                 ---------------------------------------------------------------
    Totals......................................       1,644,422  ..............  ..............         263,872
----------------------------------------------------------------------------------------------------------------
                                                      SSA-2
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-2.............................             972               1              15             243
Interview/MCS...................................         447,610               1              14         104,442
                                                 ---------------------------------------------------------------
    Totals......................................         448,582  ..............  ..............         104,685
----------------------------------------------------------------------------------------------------------------
                                                     SSA-16
----------------------------------------------------------------------------------------------------------------
Paper version/SSA-16............................          40,346               1              20          13,449

[[Page 35025]]

 
Interview/MCS...................................       1,159,121               1              19         367,055
                                                 ---------------------------------------------------------------
    Totals......................................       1,199,467  ..............  ..............         380,504
----------------------------------------------------------------------------------------------------------------
                                                     iClaim
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................         350,519               1              15          87,630
iClaim Applicant after 3rd Party Completion.....         350,519               1               5          29,210
First Party iClaim--Domestic Applicant..........       2,283,301               1              15         570,825
First Party iClaim--Foreign Applicant...........          11,373               1              18           3,412
Medicare-only iClaim............................         797,709               1              10         132,952
                                                 ---------------------------------------------------------------
    Totals......................................       3,793,421  ..............  ..............         824,029
----------------------------------------------------------------------------------------------------------------
                                         iAppointment Burden Information
----------------------------------------------------------------------------------------------------------------
iAppointment....................................          17,621               1              10           2,937
                                                 ---------------------------------------------------------------
        Grand Total.............................       7,103,513  ..............  ..............       1,576,027
----------------------------------------------------------------------------------------------------------------


    Dated: July 21, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-15761 Filed 7-26-17; 8:45 am]
 BILLING CODE 4191-02-P