Agency Information Collection Activities: Proposed Request and Comment Request, 21328-21333 [2018-09802]
Download as PDF
<![CDATA[
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
