Agency Information Collection Activities: Comment Request, 35022-35025 [2017-15761]
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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 .......................................................
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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
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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
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SSA–2
SSA–16
Paper version/SSA–16 ....................................................................................
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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: https://
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 https://www.regulations.gov,
as described in the system of records
notice (DOT/ALL–14 FDMS), which can
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Fmt 4703
Sfmt 4703
be reviewed at https://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
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]]>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]
=======================================================================
-----------------------------------------------------------------------
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
