Agency Information Collection Activities: Proposed Request and Comment Request, 21328-21333 [2018-09802]

Download as PDF 21328 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices June 1, 2018 at veteransbusiness@ sba.gov. Comments for the record should be applicable to the ‘‘six focus areas’’ of the Task Force and will be limited to five minutes in the interest of time and to accommodate as many participants as possible. Written comments should also be sent to the above email no later than June 1, 2018. Special accommodations requests should also be directed to SBA’s Office of Veterans Business Development at (202) 205–6773 or to veteransbusiness@ sba.gov. For more information on veteran owned small business programs, please visit www.sba.gov/veterans. Dated: May 3, 2018. John Woodard, SBA Committee Management Officer. [FR Doc. 2018–09827 Filed 5–8–18; 8:45 am] BILLING CODE P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2018–0020] 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 extensions and 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, 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. Number of respondents Modality of completion SSA–7011–F4 .................................................................................................. 2. Request for Waiver of Overpayment Recovery and Request for Change in Overpayment Recovery Rate—20 CFR 404.502, 20 CFR 404.506–404.512, 20 CFR 416.550–416.558, and 416.570– 416.571—0960–0037. When Social Security beneficiaries and Supplemental Security Income (SSI) recipients receive an overpayment, they must return the amozie on DSK3GDR082PROD with NOTICES 500 Number of respondents Average burden per response (minutes) Frequency of response 1 extra money. These beneficiaries and recipients can use Form SSA–632–BK to request a waiver from repaying their overpayment. Beneficiaries and recipients can also use Form SSA–634 to request a change to the monthly recovery rate of their overpayment. The respondents must provide financial information to help the agency Modality of completion Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2018–0020]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than July 9, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Statement of Employer—20 CFR 404.801–404.803—0960–0030. When workers report they were paid wages but cannot provide proof of those earnings, and the wages do not appear in SSA’s records of earnings, SSA uses Form SSA–7011–F4 to document the alleged wages. Specifically, the agency uses the form to resolve discrepancies in the individual’s Social Security earnings record and to process claims for Social Security benefits. We only send Form SSA–7011–F4 to employers if we are unable able to locate the earnings information within our own records. The respondents are employers who can verify wage allegations made by wage earners. Type of Request: Revision of an OMBapproved information collection. 20 Estimated total annual burden (hours) 167 determine how much the overpaid person can afford to repay each month. Respondents are overpaid Social Security beneficiaries or SSI recipients who are requesting: (1) A waiver of recovery of an overpayment, or (2) a lesser rate of withholding, Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–632—Waiver of Overpayment (If completing entire paper form, including the AFI authorization) ............................................................................. Regional Application (New York Debt Management) ...................................... Internet Instructions ......................................................................................... SSA–634—Requesting change in repayment rate (completing paper form) .. Internet Instructions ......................................................................................... 400,000 30,000 430,000 100,000 100,000 1 1 1 1 1 120 120 5 45 5 800,000 60,000 35,833 75,000 8,333 Totals ........................................................................................................ 1,060,000 ........................ ........................ 979,166 VerDate Sep<11>2014 17:39 May 08, 2018 Jkt 244001 PO 00000 Frm 00072 Fmt 4703 Sfmt 4703 E:\FR\FM\09MYN1.SGM 09MYN1 21329 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices 3. Statement of Claimant or Other Person—20 CFR 404.702 & 416.570— 0960–0045. SSA uses Form SSA–795 in special situations where there is no authorized form or questionnaire, yet we require a signed statement from the applicant, claimant, or other individuals who have knowledge of facts, in connection with claims for Social Security benefits or SSI. The information we request on the SSA–795 is of sufficient importance that we need both a signed statement and a penalty clause. SSA uses this information to process, in addition to claims for benefits, issues about continuing eligibility; ongoing benefit amounts; use of funds by a representative payee; fraud investigation; and a myriad of other program-related matters. The most Number of respondents Modality of completion SSA–795 .......................................................................................................... 4. Application for a Social Security Number Card, the Social Security Number Application Process (SSNAP), and internet SSN Replacement Card (iSSNRC) Application—20 CFR 422.103–422.110—0960–0066. SSA collects information on the SS–5 (used in the United States) and SS–5–FS (used outside the United States) to issue original or replacement Social Security cards. SSA also enters the application data into the SSNAP application when issuing a card via telephone or in person. In addition, hospitals collect the same information on SSA’s behalf for newborn children through the Enumeration-at-Birth Type of Request: Revision of an OMBapproved information collection. 305,500 Number of respondents Average burden per response (minutes) Frequency of response 1 process. In this process, parents of newborns provide hospital birth registration clerks with information required to register these newborns. Hospitals send this information to State Bureaus of Vital Statistics (BVS), and they send the information to SSA’s National Computer Center. SSA then uploads the data to the SSA mainframe along with all other enumeration data, and we assign the newborn a Social Security number (SSN) and issue a Social Security card. Respondents can also use these modalities to request a change in their SSN records. Finally, the iSSNRC internet application collects information similar to the paper SS–5 Application scenario common respondents are applicants for Social Security, SSI, or recipients of these programs. However, respondents also include friends and relatives of the involved parties, coworkers, neighbors, or anyone else in a position to provide information pertinent to the issue(s). Estimated total annual burden (hours) 15 76,375 for no-change replacement SSN cards for adult U.S. citizens. The iSSNRC modality allows certain applicants for an SSN replacement cards to complete the internet application and submit the required evidence online rather than completing a paper Form SS–5. The respondents for this collection are applicants for original and replacement Social Security cards, or individuals who wish to change information in their SSN records, who use any of the modalities described above. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 10,500,000 1 8.5 1,487,500 1,500,000 1 5 125,000 400,000 1 9 60,000 1,500,000 1 9.5 237,500 900 500 500 1 1 1 60 15 15 900 125 125 Totals ........................................................................................................ amozie on DSK3GDR082PROD with NOTICES Respondents who do not have to provide parents’ SSNs .............................. *Adult U.S. Citizens requesting a replacement card with no changes through new iSSNRC modality .................................................................... Respondents whom we ask to provide parents’ SSNs (when applying for original SSN cards for children under age 18) ............................................ Applicants age 12 or older who need to answer additional questions so SSA can determine whether we previously assigned an SSN .................... Applicants asking for a replacement SSN card beyond the new allowable limits (i.e., who must provide additional documentation to accompany the application) ................................................................................................... Authorization to SSA to obtain personal information cover letter ................... Authorization to SSA to obtain personal information follow-up cover letter .... 13,901,900 ........................ ........................ 1,911,150 5. Statement of Care and Responsibility for Beneficiary—20 CFR 404.2020, 404.2025, 408.620, 408.625, 416.620, & 416.625—0960–0109. SSA uses the information from Form SSA– 788 to verify payee applicants’ statements of concern, and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will VerDate Sep<11>2014 18:53 May 08, 2018 Jkt 244001 use Social Security benefits in the beneficiary’s best interest. SSA considers factors such as the payee applicant’s capacity to perform payee duties; awareness of the beneficiary’s situation and needs; demonstration of past, and current concern for the beneficiary’s well-being; etc. in making that determination. If the payee applicant does not have custody of the PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 beneficiary, SSA will obtain information from the custodian for evaluation against the information the applicant provides. Respondents are individuals who have custody of the beneficiary in cases where someone else filed to be the beneficiary’s representative payee. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\09MYN1.SGM 09MYN1 21330 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices Number of respondents Modality of completion SSA–788 .......................................................................................................... 6. Certificate of Election for Reduced Spouse’s Benefits—20 CFR 404.421— 0960–0398. SSA cannot pay reduced Social Security benefits to an already entitled spouse unless the spouse elects to receive reduced benefits and is (1) at least age 62, but under full retirement 130,000 Number of respondents SSA–25 ............................................................................................................ 7. Coverage of Employees of State and Local Governments—20 CFR 404, Subpart M—0960–0425. The Code of Federal Regulations (CFR) at 20 CFR 404, subpart M, prescribes the rules for States submitting reports of deposits and recordkeeping to SSA. SSA requires States (and interstate instrumentalities) 1 age; and (2) no longer is caring for a child. In this situation, spouses who decide to elect reduced benefits must file Form SSA–25, Certificate of Election for Reduced Spouse’s Benefits. SSA uses the information to pay qualified spouses who elect to receive reduced Modality of completion Estimated total annual burden (hours) 10 21,667 benefits. Respondents are entitled spouses seeking reduced Social Security benefits. Type of Request: Revision of an OMB approved information collection. Average burden per response (minutes) Frequency of response 30,000 1 to provide wage and deposit contribution information for pre-1987 periods. Not all states have completely satisfied their pending wage report and contribution liability with SSA for pre1987 tax years. SSA needs these regulations: (1) Until all pending items with all states are closed out, and (2) to Estimated total annual burden (hours) 2 1,000 provide for collection of this information in the future, if necessary. The respondents are State and local governments or interstate instrumentalities. Type of Request: Extension of an OMB approved information collection. Number of respondents CFR citation Average burden per response (minutes) Frequency of response Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 404.1204(a) & (b) ............................................................................................ 404.1215 .......................................................................................................... 404.1216(a) & (b) ............................................................................................ 52 52 52 1 1 1 30 60 60 26 52 52 Total .......................................................................................................... 156 ........................ ........................ 130 8. Continuation of Supplemental Security Income Payments for the Temporarily Institutionalized— Certification of Period and Need to Maintain Home—20 CFR 416.212(b)(1)—0960–0516. When Supplemental Security Income (SSI) recipients (1) enter a public institution, or (2) enter a private medical treatment facility with Medicaid paying more than 50 percent of expenses, SSA reduces recipients’ SSI payments to a nominal sum. However, if this institutionalization is temporary (defined as a maximum of three months), SSA may waive the reduction. Before SSA can waive the SSI payment reduction, the agency must receive the following documentation: (1) A physician’s certification stating the SSI recipient will only be institutionalized for a maximum of three months, and (2) certification from the recipient, the recipient’s family, or friends, confirming the recipient needs SSI payments to maintain the living arrangements to which the individual will return postinstitutionalization. To obtain this Number of respondents amozie on DSK3GDR082PROD with NOTICES Modality of completion Physician’s Certifications and Statements from Other Respondents .............. 9. Request for internet Services and 800# Automated Telephone Services Knowledge-Based Authentication VerDate Sep<11>2014 18:53 May 08, 2018 Jkt 244001 Frm 00074 Fmt 4703 Sfmt 4703 Average burden per response (minutes) Frequency of response 60,000 (RISA–KBA)—20 CFR 401.45—0960– 0596. The Request for internet Services and 800# Automated Telephone PO 00000 information, SSA employees contact the recipient (or a knowledgeable source) to collect the required physician’s certification and the statement of need. SSA does not require any specific format for these items, so long as we obtain the necessary attestations. The respondents are SSI recipients, their family or friends, as well as physicians or hospital staff members who treat the SSI recipient. Type of Request: Extension of an OMB-approved information collection. 1 Estimated total annual burden (hours) 5 5,000 Services (RISA) Knowledge-Based Authentication (KBA) is one of the authentication methods SSA uses to E:\FR\FM\09MYN1.SGM 09MYN1 21331 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices allow individuals access to their personal information through our internet and Automated Telephone Services. SSA asks individuals and third parties who seek personal information from SSA records, or who register to participate in SSA’s online business services, to provide certain identifying information. As an extra measure of protection, SSA asks requestors who use the internet and telephone services to provide additional identifying information unique to those individuals so SSA can authenticate their identities before releasing personal information. The respondents are current beneficiaries who are requesting personal information from SSA, and individuals and third parties who are registering for SSA’s online business services. Type of Request: Revision of an OMBapproved information collection. Frequency of response Number of respondents Modality of completion Average burden per response (minutes) Estimated total annual burden (hours) Internet Requestors ......................................................................................... Telephone Requestors .................................................................................... *Change of Address (on hold) ......................................................................... *Screen Splash (on hold) ................................................................................ 2,903,902 9,795,655 1 1 1 1 ........................ ........................ 2.5 4 ........................ ........................ 120,996 653,044 1 1 Totals ........................................................................................................ 12,699,559 ........................ ........................ 774,042 * One-hour placeholder burdens; Screen Splash and Change of Address applications are on hold. 10. Representative Payment Policies Regulation—20 CFR 404.2011, 404.2025, 416.611, and 416.625—0960– 0679. Per 20 CFR 404.2011 and 20 CFR 416.611, if SSA determines it may cause substantial harm for Title II or Title XVI recipients to receive their payments directly, recipients may dispute that decision. To do so, recipients provide SSA with information the agency uses to reevaluate its determination. In addition, our regulations state that after SSA selects a representative payee to receive benefits on a recipient’s behalf, the payees provide SSA with information on their continuing relationship and responsibility for the recipients, and explain how they use the Number of respondents CFR citation recipients’ payments. Sections 20 CFR 404.2025 and 20 CFR 416.625 provide a process to follow up with the representative payee to verify payee performance. The respondents are Title II and Title XVI recipients, and their representative payees. Type of Request: Extension of an OMB-approved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 404.2011(a)(1); 416.611(a)(1) ......................................................................... 404.2025; 416.625 ........................................................................................... 250 3,000 1 1 15 6 63 300 Totals ........................................................................................................ 3,250 ........................ ........................ 363 11. Function Report Adult—20 CFR 404.1512 & 416.912—0960–0681. Individuals receiving or applying for Social Security disability insurance (SSDI) or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA staff, and, on our behalf, State Disability Determination Services’ (DDS) employees, collect the information via paper Form SSA–3373–BK, or through an in-person or telephone interview for cases where we need information about a claimant’s activities and abilities to evaluate the claimant’s disability. We use the information to document how claimants’ disabilities affect their ability to function, and to determine eligibility, Number of respondents Modality of completion amozie on DSK3GDR082PROD with NOTICES SSA–3373–BK ................................................................................................. 12. Request for Business Entity Taxpayer Information—0960–0731. SSA requires Law firms or other business entities to complete Form SSA–1694, Request for Business Entity Taxpayer Information, if they wish to serve as appointed representatives and receive direct payment of fees from SSA. SSA uses the information we receive to issue VerDate Sep<11>2014 17:39 May 08, 2018 Jkt 244001 Frm 00075 Fmt 4703 Sfmt 4703 Average burden per response (minutes) Frequency of response 1,734,635 a Form 1099–MISC. SSA also uses the information to allow business entities to designate individuals to serve as entity administrators authorized to perform certain administrative duties on their behalf, such as providing bank account information; maintaining entity information; and updating individual affiliations. Respondents are law firms, PO 00000 or continued eligibility, for SSI and SSDI claims. The respondents are Title II and Title XVI applicants (or current recipients undergoing redeterminations) for disability payments. Type of Request: Revision of an OMBapproved information collection. 1 61 Estimated total annual burden (hours) 1,763,546 or other business entities with attorneys or other qualified individuals as partners or employees, who represent claimants before SSA. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\09MYN1.SGM 09MYN1 21332 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–1694—Paper Version ............................................................................. SSA–1694—Business Services Online Submission ....................................... 750 150 1 1 10 10 125 25 Totals ........................................................................................................ 900 ........................ ........................ 150 13. Request to Pay Civil Monetary by Installment Agreement—20 CFR 498— 0960–0776. When SSA imposes a civil monetary penalty (CMP) on individuals for various fraudulent conduct related toSSA-administrated programs, those individuals may request to pay the CMP through benefit withholding, or an installment agreement. To negotiate a monthly payment amount, fair to both the individual and the agency, SSA needs financial information from the individual. SSA uses Form SSA–640, Financial Disclosure for CMP Debt, to obtain the information necessary to determine a monthly installment Number of respondents Modality of completion SSA–640 .......................................................................................................... 14. Authorization for the Social Security Administration to Obtain Personal Information—20 CFR 404.704; 404.820—404.823; 404.1926; 416.203; and 418.3001—0960–0801. SSA uses Form SSA–8510 to contact a public or private custodian of records on behalf of an applicant or recipient of an SSA program to request evidence information, which may support a benefit application or payment continuation. We ask for evidence information such as the following: • Age requirements (e.g. birth certificate, court documents) • Insured status (e.g. earnings, employer verification) • Marriage or divorce information Pension offsets Wages verification Annuities Property information Benefit verification from a State agency or third party • Immigration status (rare instances) • Income verification from public agencies or private individuals • Unemployment benefits • Insurance policies If the custodian requires a signed authorization from the individual(s) whose information SSA requests, SSA may provide the custodian with a copy of the SSA–8510. Once the respondent completes the SSA–8510, either using the paper form, or using the Personal Number of respondents Average burden per response (minutes) Frequency of response 10 • • • • • Modality of completion repayment rate for individuals owing a CMP. The respondents are recipients of Social Security benefits and nonentitled individuals who must repay a CMP to the agency and choose to do so using an installment plan. Type of Request: Revision of an OMBapproved information collection. 1 Estimated total annual burden (hours) 120 20 Information Authorization web page version, SSA uses the form as the authorization to obtain personal information regarding the respondent from third parties until the authorizing person (respondent) revokes the permission of its usage. The collection is voluntary; however, failure to verify the individuals’ eligibility can prevent SSA from making an accurate and timely decision for their benefits. The respondents are individuals who may file for, or currently receive, Social Security benefits, SSI payments, or Medicare Part D subsidies. Type of Request: Revision of an OMBapproved information collection. Estimated total annual burden (hours) Average burden per response (minutes) Frequency of response 19,800 140,145 1 1 5 5 1650 11, 679 Totals ........................................................................................................ amozie on DSK3GDR082PROD with NOTICES Paper SSA-8510 for general evidence purposes ............................................ Personal Information Authorization web page ................................................. 163,445 ........................ ........................ 13,621 II. 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 June 8, 2018. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. VerDate Sep<11>2014 17:39 May 08, 2018 Jkt 244001 1. Request for Reconsideration— Disability Cessation—20 CFR 404.909, 416.1409—0960–0349. When SSA determines that claimants’ disabilities medically improved; ceased; or are no longer sufficiently disabling, these claimants may ask SSA to reconsider that determination. SSA uses Form SSA–789–U4 to arrange for a hearing or to prepare a decision based on the evidence of record. Specifically, claimants or their representatives use PO 00000 Frm 00076 Fmt 4703 Sfmt 4703 Form SSA–789–U4 to: (1) Ask SSA to reconsider a determination; (2) indicate if they wish to appear at a disability hearing; (3) submit any additional information or evidence for use in the reconsidered determination; and (4) indicate if they will need an interpreter for the hearing. The respondents are disability claimants for Social Security benefits or SSI payments, or their representatives who wish to appeal an E:\FR\FM\09MYN1.SGM 09MYN1 21333 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices unfavorable disability cessation determination. Type of Request: Revision of an OMBapproved information collection. Number of respondents Modality of completion SSA–789–U4 ................................................................................................... 2. Waiver of Right to Appear— Disability Hearing—20 CFR 404.913– 404.914, 404.916(b)(5), 416.1413– 416.1414, 416.1416(b)(5)—0960–0534. Claimants for Social Security disability payments or their representatives can use Form SSA–773–U4 to waive their 30,000 right to appear at a disability hearing. The disability hearing officer uses the signed form as a basis for not holding a hearing, and for preparing a written decision on the claimant’s request for disability payments based solely on the evidence of record. The respondents are Number of respondents Modality of completion SSA–773–U4 ................................................................................................... 3. Social Security Number Verification Services—20 CFR 401.45— 0960–0660. Internal Revenue Service regulations require employers to provide wage and tax data to SSA using Form W–2, or its electronic equivalent. As part of this process, the employer must furnish the employee’s name and Social Security number (SSN). In Number of respondents Modality of completion SSNVS ................................................................................. Dated: May 3, 2018. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2018–09802 Filed 5–8–18; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 10406] amozie on DSK3GDR082PROD with NOTICES Imposition of Nonproliferation Measures Against Rosoboronexport, Including a Ban on U.S. Government Procurement Department of State. Notice. AGENCY: ACTION: A determination has been made that a foreign person has engaged in activities that warrant the imposition of measures pursuant to Section 3 of the SUMMARY: VerDate Sep<11>2014 18:53 May 08, 2018 Jkt 244001 Frequency of response 41,387 60 Iran, North Korea, and Syria Nonproliferation Act. The Act provides for penalties on foreign entities and individuals for the transfer to or acquisition from Iran since January 1, 1999; the transfer to or acquisition from Syria since January 1, 2005; or the transfer to or acquisition from North Korea since January 1, 2006, of goods, services, or technology controlled under multilateral control lists (Missile Technology Control Regime, Australia Group, Chemical Weapons Convention, Nuclear Suppliers Group, Wassenaar Arrangement) or otherwise having the potential to make a material contribution to the development of weapons of mass destruction (WMD) or cruise or ballistic missile systems. The latter category includes items of the same kind as those on multilateral lists but falling below the control list parameters when it is determined that PO 00000 Frm 00077 Fmt 4703 1 Sfmt 4703 13 6,500 disability claimants for Social Security benefits or SSI payments, or their representatives, who wish to waive their right to appear at a disability hearing. Type of Request: Revision of an OMBapproved information collection. Estimated total annual burden (hours) Average burden per response (minutes) Frequency of response 200 addition, the employee’s name and SSN must match SSA’s records for SSA to post earnings to the employee’s earnings record, which SSA maintains. SSA offers the Social Security Number Verification Service (SSNVS), which allows employers to verify the reported names and SSNs of their employees match those in SSA’s records. SSNVS is Estimated total annual burden (hours) Average burden per response (minutes) Frequency of response 1 3 10 a cost-free method for employers to verify employee information via the internet. The respondents are employers who need to verify SSN data using SSA’s records. Type of Request: Revision of an OMBapproved information collection. Number of responses Estimated total annual burden (hours) Average burden per response (minutes) 2,483,220 5 206,935 such items have the potential of making a material contribution to WMD or cruise or ballistic missile systems, items on U.S. national control lists for WMD/ missile reasons that are not on multilateral lists, and other items with the potential of making such a material contribution when added through caseby-case decisions. DATES: April 30, 2018. On general issues: Pam Durham, Office of Missile, Biological, and Chemical Nonproliferation, Bureau of International Security and Nonproliferation, Department of State, Telephone (202) 647–4930, durhampk@ state.gov. For U.S. Government procurement ban issues: Eric Moore, Office of the Procurement Executive, Department of State, Telephone: (703) 875–4079, mooren@state.gov. FOR FURTHER INFORMATION CONTACT: E:\FR\FM\09MYN1.SGM 09MYN1

Agencies

[Federal Register Volume 83, Number 90 (Wednesday, May 9, 2018)]
[Notices]
[Pages 21328-21333]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09802]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2018-0020]


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 extensions and 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, Fax: 
202-395-6974, Email address: [email protected].

(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: [email protected].

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2018-0020].
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than July 
9, 2018. Individuals can obtain copies of the collection instruments by 
writing to the above email address.
    1. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When 
workers report they were paid wages but cannot provide proof of those 
earnings, and the wages do not appear in SSA's records of earnings, SSA 
uses Form SSA-7011-F4 to document the alleged wages. Specifically, the 
agency uses the form to resolve discrepancies in the individual's 
Social Security earnings record and to process claims for Social 
Security benefits. We only send Form SSA-7011-F4 to employers if we are 
unable able to locate the earnings information within our own records. 
The respondents are employers who can verify wage allegations made by 
wage earners.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7011-F4.....................................             500               1              20             167
----------------------------------------------------------------------------------------------------------------

    2. Request for Waiver of Overpayment Recovery and Request for 
Change in Overpayment Recovery Rate--20 CFR 404.502, 20 CFR 404.506-
404.512, 20 CFR 416.550-416.558, and 416.570-416.571--0960-0037. When 
Social Security beneficiaries and Supplemental Security Income (SSI) 
recipients receive an overpayment, they must return the extra money. 
These beneficiaries and recipients can use Form SSA-632-BK to request a 
waiver from repaying their overpayment. Beneficiaries and recipients 
can also use Form SSA-634 to request a change to the monthly recovery 
rate of their overpayment. The respondents must provide financial 
information to help the agency determine how much the overpaid person 
can afford to repay each month. Respondents are overpaid Social 
Security beneficiaries or SSI recipients who are requesting: (1) A 
waiver of recovery of an overpayment, or (2) a lesser rate of 
withholding,
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-632--Waiver of Overpayment (If completing            400,000               1             120         800,000
 entire paper form, including the AFI
 authorization).................................
Regional Application (New York Debt Management).          30,000               1             120          60,000
Internet Instructions...........................         430,000               1               5          35,833
SSA-634--Requesting change in repayment rate             100,000               1              45          75,000
 (completing paper form)........................
Internet Instructions...........................         100,000               1               5           8,333
                                                 ---------------------------------------------------------------
    Totals......................................       1,060,000  ..............  ..............         979,166
----------------------------------------------------------------------------------------------------------------


[[Page 21329]]

    3. Statement of Claimant or Other Person--20 CFR 404.702 & 
416.570--0960-0045. SSA uses Form SSA-795 in special situations where 
there is no authorized form or questionnaire, yet we require a signed 
statement from the applicant, claimant, or other individuals who have 
knowledge of facts, in connection with claims for Social Security 
benefits or SSI. The information we request on the SSA-795 is of 
sufficient importance that we need both a signed statement and a 
penalty clause. SSA uses this information to process, in addition to 
claims for benefits, issues about continuing eligibility; ongoing 
benefit amounts; use of funds by a representative payee; fraud 
investigation; and a myriad of other program-related matters. The most 
common respondents are applicants for Social Security, SSI, or 
recipients of these programs. However, respondents also include friends 
and relatives of the involved parties, coworkers, neighbors, or anyone 
else in a position to provide information pertinent to the issue(s).
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-795.........................................         305,500               1              15          76,375
----------------------------------------------------------------------------------------------------------------

    4. Application for a Social Security Number Card, the Social 
Security Number Application Process (SSNAP), and internet SSN 
Replacement Card (iSSNRC) Application--20 CFR 422.103-422.110--0960-
0066. SSA collects information on the SS-5 (used in the United States) 
and
    SS-5-FS (used outside the United States) to issue original or 
replacement Social Security cards. SSA also enters the application data 
into the SSNAP application when issuing a card via telephone or in 
person. In addition, hospitals collect the same information on SSA's 
behalf for newborn children through the Enumeration-at-Birth process. 
In this process, parents of newborns provide hospital birth 
registration clerks with information required to register these 
newborns. Hospitals send this information to State Bureaus of Vital 
Statistics (BVS), and they send the information to SSA's National 
Computer Center. SSA then uploads the data to the SSA mainframe along 
with all other enumeration data, and we assign the newborn a Social 
Security number (SSN) and issue a Social Security card. Respondents can 
also use these modalities to request a change in their SSN records. 
Finally, the iSSNRC internet application collects information similar 
to the paper SS-5 for no-change replacement SSN cards for adult U.S. 
citizens. The iSSNRC modality allows certain applicants for an SSN 
replacement cards to complete the internet application and submit the 
required evidence online rather than completing a paper Form SS-5. The 
respondents for this collection are applicants for original and 
replacement Social Security cards, or individuals who wish to change 
information in their SSN records, who use any of the modalities 
described above.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
              Application scenario                  respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Respondents who do not have to provide parents'       10,500,000               1             8.5       1,487,500
 SSNs...........................................
*Adult U.S. Citizens requesting a replacement          1,500,000               1               5         125,000
 card with no changes through new iSSNRC
 modality.......................................
Respondents whom we ask to provide parents' SSNs         400,000               1               9          60,000
 (when applying for original SSN cards for
 children under age 18).........................
Applicants age 12 or older who need to answer          1,500,000               1             9.5         237,500
 additional questions so SSA can determine
 whether we previously assigned an SSN..........
Applicants asking for a replacement SSN card                 900               1              60             900
 beyond the new allowable limits (i.e., who must
 provide additional documentation to accompany
 the application)...............................
Authorization to SSA to obtain personal                      500               1              15             125
 information cover letter.......................
Authorization to SSA to obtain personal                      500               1              15             125
 information follow-up cover letter.............
                                                 ---------------------------------------------------------------
    Totals......................................      13,901,900  ..............  ..............       1,911,150
----------------------------------------------------------------------------------------------------------------

    5. Statement of Care and Responsibility for Beneficiary--20 CFR 
404.2020, 404.2025, 408.620, 408.625, 416.620, & 416.625--0960-0109. 
SSA uses the information from Form SSA-788 to verify payee applicants' 
statements of concern, and to identify other potential payees. SSA is 
concerned with selecting the most qualified representative payee who 
will use Social Security benefits in the beneficiary's best interest. 
SSA considers factors such as the payee applicant's capacity to perform 
payee duties; awareness of the beneficiary's situation and needs; 
demonstration of past, and current concern for the beneficiary's well-
being; etc. in making that determination. If the payee applicant does 
not have custody of the beneficiary, SSA will obtain information from 
the custodian for evaluation against the information the applicant 
provides. Respondents are individuals who have custody of the 
beneficiary in cases where someone else filed to be the beneficiary's 
representative payee.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 21330]]



----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-788.........................................         130,000               1              10          21,667
----------------------------------------------------------------------------------------------------------------

    6. Certificate of Election for Reduced Spouse's Benefits--20 CFR 
404.421--0960-0398. SSA cannot pay reduced Social Security benefits to 
an already entitled spouse unless the spouse elects to receive reduced 
benefits and is (1) at least age 62, but under full retirement age; and 
(2) no longer is caring for a child. In this situation, spouses who 
decide to elect reduced benefits must file Form SSA-25, Certificate of 
Election for Reduced Spouse's Benefits. SSA uses the information to pay 
qualified spouses who elect to receive reduced benefits. Respondents 
are entitled spouses seeking reduced Social Security benefits.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-25..........................................          30,000               1               2           1,000
----------------------------------------------------------------------------------------------------------------

    7. Coverage of Employees of State and Local Governments--20 CFR 
404, Subpart M--0960-0425. The Code of Federal Regulations (CFR) at 20 
CFR 404, subpart M, prescribes the rules for States submitting reports 
of deposits and recordkeeping to SSA. SSA requires States (and 
interstate instrumentalities) to provide wage and deposit contribution 
information for pre-1987 periods. Not all states have completely 
satisfied their pending wage report and contribution liability with SSA 
for pre-1987 tax years. SSA needs these regulations: (1) Until all 
pending items with all states are closed out, and (2) to provide for 
collection of this information in the future, if necessary. The 
respondents are State and local governments or interstate 
instrumentalities.
    Type of Request: Extension of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
                  CFR citation                      respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
404.1204(a) & (b)...............................              52               1              30              26
404.1215........................................              52               1              60              52
404.1216(a) & (b)...............................              52               1              60              52
                                                 ---------------------------------------------------------------
    Total.......................................             156  ..............  ..............             130
----------------------------------------------------------------------------------------------------------------

    8. Continuation of Supplemental Security Income Payments for the 
Temporarily Institutionalized--Certification of Period and Need to 
Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When Supplemental 
Security Income (SSI) recipients (1) enter a public institution, or (2) 
enter a private medical treatment facility with Medicaid paying more 
than 50 percent of expenses, SSA reduces recipients' SSI payments to a 
nominal sum. However, if this institutionalization is temporary 
(defined as a maximum of three months), SSA may waive the reduction. 
Before SSA can waive the SSI payment reduction, the agency must receive 
the following documentation: (1) A physician's certification stating 
the SSI recipient will only be institutionalized for a maximum of three 
months, and (2) certification from the recipient, the recipient's 
family, or friends, confirming the recipient needs SSI payments to 
maintain the living arrangements to which the individual will return 
post- institutionalization. To obtain this information, SSA employees 
contact the recipient (or a knowledgeable source) to collect the 
required physician's certification and the statement of need. SSA does 
not require any specific format for these items, so long as we obtain 
the necessary attestations. The respondents are SSI recipients, their 
family or friends, as well as physicians or hospital staff members who 
treat the SSI recipient.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Physician's Certifications and Statements from            60,000               1               5           5,000
 Other Respondents..............................
----------------------------------------------------------------------------------------------------------------

    9. Request for internet Services and 800# Automated Telephone 
Services Knowledge-Based Authentication (RISA-KBA)--20 CFR 401.45--
0960-0596. The Request for internet Services and 800# Automated 
Telephone Services (RISA) Knowledge-Based Authentication (KBA) is one 
of the authentication methods SSA uses to

[[Page 21331]]

allow individuals access to their personal information through our 
internet and Automated Telephone Services. SSA asks individuals and 
third parties who seek personal information from SSA records, or who 
register to participate in SSA's online business services, to provide 
certain identifying information. As an extra measure of protection, SSA 
asks requestors who use the internet and telephone services to provide 
additional identifying information unique to those individuals so SSA 
can authenticate their identities before releasing personal 
information. The respondents are current beneficiaries who are 
requesting personal information from SSA, and individuals and third 
parties who are registering for SSA's online business services.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet Requestors.............................       2,903,902               1             2.5         120,996
Telephone Requestors............................       9,795,655               1               4         653,044
*Change of Address (on hold)....................               1  ..............  ..............               1
*Screen Splash (on hold)........................               1  ..............  ..............               1
                                                 ---------------------------------------------------------------
    Totals......................................      12,699,559  ..............  ..............         774,042
----------------------------------------------------------------------------------------------------------------
* One-hour placeholder burdens; Screen Splash and Change of Address applications are on hold.

    10. Representative Payment Policies Regulation--20 CFR 404.2011, 
404.2025, 416.611, and 416.625--0960-0679. Per 20 CFR 404.2011 and 20 
CFR 416.611, if SSA determines it may cause substantial harm for Title 
II or Title XVI recipients to receive their payments directly, 
recipients may dispute that decision. To do so, recipients provide SSA 
with information the agency uses to reevaluate its determination. In 
addition, our regulations state that after SSA selects a representative 
payee to receive benefits on a recipient's behalf, the payees provide 
SSA with information on their continuing relationship and 
responsibility for the recipients, and explain how they use the 
recipients' payments. Sections 20 CFR 404.2025 and 20 CFR 416.625 
provide a process to follow up with the representative payee to verify 
payee performance. The respondents are Title II and Title XVI 
recipients, and their representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
                  CFR citation                      respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
404.2011(a)(1); 416.611(a)(1)...................             250               1              15              63
404.2025; 416.625...............................           3,000               1               6             300
                                                 ---------------------------------------------------------------
    Totals......................................           3,250  ..............  ..............             363
----------------------------------------------------------------------------------------------------------------

    11. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. 
Individuals receiving or applying for Social Security disability 
insurance (SSDI) or SSI must provide medical evidence and other proof 
SSA requires to prove their disability. SSA staff, and, on our behalf, 
State Disability Determination Services' (DDS) employees, collect the 
information via paper Form SSA-3373-BK, or through an in-person or 
telephone interview for cases where we need information about a 
claimant's activities and abilities to evaluate the claimant's 
disability. We use the information to document how claimants' 
disabilities affect their ability to function, and to determine 
eligibility, or continued eligibility, for SSI and SSDI claims. The 
respondents are Title II and Title XVI applicants (or current 
recipients undergoing redeterminations) for disability payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3373-BK.....................................       1,734,635               1              61       1,763,546
----------------------------------------------------------------------------------------------------------------

    12. Request for Business Entity Taxpayer Information--0960-0731. 
SSA requires Law firms or other business entities to complete Form SSA-
1694, Request for Business Entity Taxpayer Information, if they wish to 
serve as appointed representatives and receive direct payment of fees 
from SSA. SSA uses the information we receive to issue a Form 1099-
MISC. SSA also uses the information to allow business entities to 
designate individuals to serve as entity administrators authorized to 
perform certain administrative duties on their behalf, such as 
providing bank account information; maintaining entity information; and 
updating individual affiliations. Respondents are law firms, or other 
business entities with attorneys or other qualified individuals as 
partners or employees, who represent claimants before SSA.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 21332]]



----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1694--Paper Version.........................             750               1              10             125
SSA-1694--Business Services Online Submission...             150               1              10              25
                                                 ---------------------------------------------------------------
    Totals......................................             900  ..............  ..............             150
----------------------------------------------------------------------------------------------------------------

    13. Request to Pay Civil Monetary by Installment Agreement--20 CFR 
498--0960-0776. When SSA imposes a civil monetary penalty (CMP) on 
individuals for various fraudulent conduct related toSSA-administrated 
programs, those individuals may request to pay the CMP through benefit 
withholding, or an installment agreement. To negotiate a monthly 
payment amount, fair to both the individual and the agency, SSA needs 
financial information from the individual. SSA uses Form SSA-640, 
Financial Disclosure for CMP Debt, to obtain the information necessary 
to determine a monthly installment repayment rate for individuals owing 
a CMP. The respondents are recipients of Social Security benefits and 
non-entitled individuals who must repay a CMP to the agency and choose 
to do so using an installment plan.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                 respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640.........................................              10               1             120              20
----------------------------------------------------------------------------------------------------------------

    14. Authorization for the Social Security Administration to Obtain 
Personal Information--20 CFR 404.704; 404.820--404.823; 404.1926; 
416.203; and 418.3001--0960-0801. SSA uses Form SSA-8510 to contact a 
public or private custodian of records on behalf of an applicant or 
recipient of an SSA program to request evidence information, which may 
support a benefit application or payment continuation. We ask for 
evidence information such as the following:

 Age requirements (e.g. birth certificate, court documents)
 Insured status (e.g. earnings, employer verification)
 Marriage or divorce information
 Pension offsets
 Wages verification
 Annuities
 Property information
 Benefit verification from a State agency or third party
 Immigration status (rare instances)
 Income verification from public agencies or private 
individuals
 Unemployment benefits
 Insurance policies

    If the custodian requires a signed authorization from the 
individual(s) whose information SSA requests, SSA may provide the 
custodian with a copy of the SSA-8510. Once the respondent completes 
the SSA-8510, either using the paper form, or using the Personal 
Information Authorization web page version, SSA uses the form as the 
authorization to obtain personal information regarding the respondent 
from third parties until the authorizing person (respondent) revokes 
the permission of its usage. The collection is voluntary; however, 
failure to verify the individuals' eligibility can prevent SSA from 
making an accurate and timely decision for their benefits. The 
respondents are individuals who may file for, or currently receive, 
Social Security benefits, SSI payments, or Medicare Part D subsidies.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total  annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper SSA[dash]8510 for general evidence                  19,800               1               5            1650
 purposes.......................................
Personal Information Authorization web page.....         140,145               1               5         11, 679
                                                 ---------------------------------------------------------------
    Totals......................................         163,445  ..............  ..............          13,621
----------------------------------------------------------------------------------------------------------------

    II. 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 June 8, 2018. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Request for Reconsideration--Disability Cessation--20 CFR 
404.909, 416.1409--0960-0349. When SSA determines that claimants' 
disabilities medically improved; ceased; or are no longer sufficiently 
disabling, these claimants may ask SSA to reconsider that 
determination. SSA uses Form SSA-789-U4 to arrange for a hearing or to 
prepare a decision based on the evidence of record. Specifically, 
claimants or their representatives use Form SSA-789-U4 to: (1) Ask SSA 
to reconsider a determination; (2) indicate if they wish to appear at a 
disability hearing; (3) submit any additional information or evidence 
for use in the reconsidered determination; and (4) indicate if they 
will need an interpreter for the hearing. The respondents are 
disability claimants for Social Security benefits or SSI payments, or 
their representatives who wish to appeal an

[[Page 21333]]

unfavorable disability cessation determination.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total  annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-789-U4......................................          30,000               1              13           6,500
----------------------------------------------------------------------------------------------------------------

    2. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. 
Claimants for Social Security disability payments or their 
representatives can use Form SSA-773-U4 to waive their right to appear 
at a disability hearing. The disability hearing officer uses the signed 
form as a basis for not holding a hearing, and for preparing a written 
decision on the claimant's request for disability payments based solely 
on the evidence of record. The respondents are disability claimants for 
Social Security benefits or SSI payments, or their representatives, who 
wish to waive their right to appear at a disability hearing.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total  annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-773-U4......................................             200               1               3              10
----------------------------------------------------------------------------------------------------------------

    3. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations require employers to 
provide wage and tax data to SSA using Form W-2, or its electronic 
equivalent. As part of this process, the employer must furnish the 
employee's name and Social Security number (SSN). In addition, the 
employee's name and SSN must match SSA's records for SSA to post 
earnings to the employee's earnings record, which SSA maintains. SSA 
offers the Social Security Number Verification Service (SSNVS), which 
allows employers to verify the reported names and SSNs of their 
employees match those in SSA's records. SSNVS is a cost-free method for 
employers to verify employee information via the internet. The 
respondents are employers who need to verify SSN data using SSA's 
records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                     Number of     Frequency  of     Number of      burden per     total  annual
     Modality of completion         respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSNVS...........................          41,387              60       2,483,220               5         206,935
----------------------------------------------------------------------------------------------------------------


    Dated: May 3, 2018.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2018-09802 Filed 5-8-18; 8:45 am]
 BILLING CODE 4191-02-P