Agency Information Collection Activities: Proposed Request and Comment Request, 26732-26736 [2018-12391]

Download as PDF 26732 Federal Register / Vol. 83, No. 111 / Friday, June 8, 2018 / Notices improvements to the delivery process, consistent with market feedback, recent changes to relevant IFEU rules and other similar futures contracts, such as the ICE Futures US Coffee Futures Contract. The changes thus facilitate prompt and accurate clearance and settlement of the Robusta Coffee Futures Contracts. In addition, Rule 17Ad–22(e)(10) 5 requires that each covered clearing agency establish, implement, maintain and enforce written policies and procedures reasonably designed to establish and maintain written standards that state its obligations with respect to the delivery of physical instruments. As discussed above, ICE Clear Europe is updating its Delivery Procedures to reflect the shortened delivery period, to remove the ‘‘Early Take Up’’ concept which is no longer necessary in light of that shorter period, and to make certain other clarifications and updates, consistent with the delivery terms set out in the IFEU contract specifications. (B) Clearing Agency’s Statement on Burden on Competition ICE Clear Europe does not believe the proposed rule changes would have any impact, or impose any burden, on competition not necessary or appropriate in furtherance of the purposes of the Act. The changes are being proposed in order to update the Delivery Procedures for the IFEU Robusta Coffee Futures Contract specifications, as discussed above. ICE Clear Europe does not believe the amendments would adversely affect Clearing Members, materially affect the cost of clearing, adversely affect access to clearing in Robusta Coffee Futures Contract for Clearing Members or their customers, or otherwise adversely affect competition in clearing services. Accordingly, ICE Clear Europe does not believe that the amendments would impose any impact or burden on competition that is not appropriate in furtherance of the purpose of the Act. amozie on DSK3GDR082PROD with NOTICES1 (C) Clearing Agency’s Statement on Comments on the Proposed Rule Change Received From Members, Participants or Others Written comments relating to the proposed amendments have not been solicited or received by ICE Clear Europe. ICE Clear Europe will notify the Commission of any comments received with respect to the proposed amendments. III. Date of Effectiveness of the Proposed Rule Change, Security-Based Swap Submission and Advance Notice and Timing for Commission Action The foregoing rule change has become effective pursuant to Section 19(b)(3)(A) of the Act 6 and paragraph (f) of Rule 19b–4 7 thereunder. At any time within 60 days of the filing of the proposed rule change, the Commission summarily may temporarily suspend such rule change if it appears to the Commission that such action is necessary or appropriate in the public interest, for the protection of investors, or otherwise in furtherance of the purposes of the Act. IV. Solicitation of Comments Interested persons are invited to submit written data, views, and arguments concerning the foregoing, including whether the proposed rule change, security-based swap submission or advance notice is consistent with the Act. Comments may be submitted by any of the following methods: Electronic Comments • Use the Commission’s internet comment form (http://www.sec.gov/ rules/sro.shtml) or • Send an email to rule-comments@ sec.gov. Please include File Number SR– ICEEU–2018–008 on the subject line. Paper Comments • Send paper comments in triplicate to Secretary, Securities and Exchange Commission, 100 F Street NE, Washington, DC 20549–1090. All submissions should refer to File Number SR–ICEEU–2018–008. This file number should be included on the subject line if email is used. To help the Commission process and review your comments more efficiently, please use only one method. The Commission will post all comments on the Commission’s internet website (http://www.sec.gov/ rules/sro.shtml). Copies of the submission, all subsequent amendments, all written statements with respect to the proposed rule change, security-based swap submission or advance notice that are filed with the Commission, and all written communications relating to the proposed rule change, security-based swap submission or advance notice between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for website viewing and printing in the Commission’s Public Reference Room, 100 F Street NE, 6 15 5 17 CFR 240.17Ad–22(e)(10). VerDate Sep<11>2014 16:53 Jun 07, 2018 7 17 Jkt 241001 PO 00000 U.S.C. 78s(b)(3)(A). CFR 240.19b–4(f). Frm 00092 Fmt 4703 Washington, DC 20549, on official business days between the hours of 10:00 a.m. and 3:00 p.m. Copies of the filing also will be available for inspection and copying at the principal office of ICE Clear Europe and on ICE Clear Europe’s website at https:// www.theice.com/publicdocs/regulatory_ filings/19b-4_2018_008_ICEU.pdf. All comments received will be posted without change. Persons submitting comments are cautioned that we do not redact or edit personal identifying information from comment submissions. You should submit only information that you wish to make available publicly. All submissions should refer to File Number SR–ICEEU–2018–008 and should be submitted on or before June 29, 2018. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.8 Eduardo A. Aleman, Assistant Secretary. [FR Doc. 2018–12323 Filed 6–7–18; 8:45 am] BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No. SSA–2018–0025] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions, and extensions, 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 8 17 Sfmt 4703 E:\FR\FM\08JNN1.SGM CFR 200.30–3(a)(12). 08JNN1 26733 Federal Register / Vol. 83, No. 111 / Friday, June 8, 2018 / Notices (SSA) Social Security Administration, OLCA, Attn: Reports Clearance Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235. Fax: 410–966– 2830 Email address: OR.Reports.Clearance@ssa.gov Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2018–0025]. 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 August 7, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Fee Agreement for Representation before the Social Security Administration—0960—NEW. Under the Social Security Act (Act), SSA requires individuals who represent a claimant before the agency and want to receive a fee for their services to obtain SSA’s authorization of the fee. One way to obtain the authorization is to submit the fee agreement. To facilitate this process, individuals can use Form SSA– 1693. SSA uses the information from the SSA–1693 to review the request and authorize any fee to representatives who seek to charge and collect a fee from a claimant. The respondents are the representatives who help claimants through the application process. Note: SSA originally published this Notice on November 22, 2017, at 82 FR 55707, and received several public comments. In response to those public comments, SSA revised the SSA–1693, and is republishing this Notice. Type of Request: Request for a new information collection. Modality of completion Number of respondents Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) SSA–1693 ........................................................................................................ 600,000 1 12 120,000 2. State Supplementation Provisions: Agreement; Payments—20 CFR 416.2095–416.2098, and 20 CFR 416.2099—0960–0240. Section 1618 of the Act requires those states administering their own supplementary income payment program(s) to demonstrate compliance with the Act by passing Federal cost-of-living increases on to individuals who are eligible for state supplementary payments, and informing SSA of their compliance. In general, states report their supplementary payment information annually by the maintenance-ofpayment levels method. However, SSA may ask them to report up to four times in a year by the total-expenditures method. Regardless of the method, the states confirm their compliance with the requirements, and provide any changes to their optional supplementary payment rates. SSA uses the information to determine each state’s Number of respondents Modality of completion Frequency of Response compliance or noncompliance with the pass-along requirements of the Act to determine eligibility for Medicaid reimbursement. If a state fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under Title XIX of the Act. Respondents are state agencies administering supplemental programs. Type of Request: Extension of an OMB-approved information collection. Number of responses Average burden per response (minutes) Estimated total annual burden (hours) Total Expenditures ............................................................... Maintenance of Payment Levels ......................................... 7 26 4 1 28 26 60 60 28 26 Total .............................................................................. 33 ........................ ........................ ........................ 54 3. Substitution of Party Upon Death of Claimant—20 CFR 404.957(c)(4) and 416.1457(c)(4)—0960–0288. An administrative law judge (ALJ) may dismiss a request for a hearing on a pending claim of a deceased individual for Social Security benefits or Supplemental Security Income (SSI) payments. Individuals who believe the dismissal may adversely affect them may complete Form HA–539, which allows them to request to become a substitute party for the deceased claimant. The ALJs and the hearing office support staff use the information from the HA–539 to: (1) Maintain a written record of request; (2) establish the relationship of the requester to the deceased claimant; (3) determine the substituted individual’s wishes regarding an oral hearing or decision on the record; and (4) admit the data into the claimant’s official record as an exhibit. The respondents are individuals requesting to be substitute parties for a deceased claimant. Type of Request: Revision of an OMBapproved information collection. amozie on DSK3GDR082PROD with NOTICES1 Modality of completion Number of respondents Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) HA–539 ............................................................................................................ 4,000 1 5 333 4. Claimant Statement about Loan of Food or Shelter; Statement about Food VerDate Sep<11>2014 16:53 Jun 07, 2018 Jkt 241001 or Shelter Provided to Another—20 CFR 416.1130–416.1148—0960–0529. SSA PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 bases an SSI claimant or recipient’s eligibility on need, as measured by the E:\FR\FM\08JNN1.SGM 08JNN1 26734 Federal Register / Vol. 83, No. 111 / Friday, June 8, 2018 / Notices amount of income an individual receives. Per our calculations, income includes other people providing in-kind support and maintenance in the form of food and shelter to SSI applicants or recipients. SSA uses Forms SSA–5062 and SSA–L5063 to obtain statements Type of Request: Revision of an OMBapproved information collection. Number of respondents Modality of completion SSA–5062 ........................................................................................................ Paper form ....................................................................................................... SSA–L5063 ...................................................................................................... Paper form ....................................................................................................... SSA–5062 ........................................................................................................ SSI Claim System ............................................................................................ SSA–L5063 ...................................................................................................... SSI Claim System ............................................................................................ Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) 30,632 1 10 5,105 30,632 1 10 5,105 30,632 1 10 5,105 30,632 1 10 5,105 122,528 Total .......................................................................................................... 5. Testimony by Employees and the Production of Records and Information in Legal Proceedings—20 CFR 403.100– 403.155–0960–0619. Regulations at 20 CFR 403.100–403.155 of the Code of Federal Regulations establish SSA’s policies and procedures for an individual; organization; or government entity to request official agency of their SSI payments. The respondents are claimants and recipients for SSI payments, and individuals who provide loans of food or shelter to them. about food or shelter provided to SSI claimants or recipients. SSA uses this information to determine whether food or shelters are bona fide loans or income for SSI purposes. This determination may affect claimants’ or recipients’ eligibility for SSI as well as the amounts ........................ ........................ 20,420 information, records, or testimony of an agency employee in a legal proceeding when the agency is not a party. The request, which respondents submit in writing to SSA, must: (1) Fully set out the nature and relevance of the sought testimony; (2) explain why the information is not available by other means; (3) explain why it is in SSA’s interest to provide the testimony; and (4) provide the date, time, and place for the testimony. Respondents are individuals or entities who request testimony from SSA employees in connection with a legal proceeding. Type of Request: Extension of an OMB-approved information collection. Modality of completion Number of respondents Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) 20 CFR 403.100–403.155 ............................................................................... 100 1 60 100 6. Function Report Adult-Third Party—20 CFR 404.1512 & 416.912– 0960–0635. Individuals receiving or applying for Social Security Disability Insurance (SSDI) or SSI provide SSA with medical evidence and other proof SSA requires to prove their disability. SSA, and Disability Determination Services (DDS) on our behalf, collect this information using Form SSA–3380– BK. We use the information to document how claimant’s disabilities affect their ability to function, and to determine eligibility for SSI and SSDI claims. The respondents are third parties familiar with the functional limitations (or lack thereof) of claimants who apply for SSI and SSDI benefits. Type of Request: Revision of an OMB approved information collection. Number of respondents Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) SSA–3380–BK ................................................................................................. amozie on DSK3GDR082PROD with NOTICES1 Modality of completion 709,700 1 61 721,528 7. Request for Deceased Individual’s Social Security Record—20 CFR 402.130–0960–0665. When a member of the public requests an individual’s Social Security record, SSA needs the name and address of the requestor as well as a description of the requested VerDate Sep<11>2014 16:53 Jun 07, 2018 Jkt 241001 record to process the request. SSA uses the information the respondent provides on Form SSA–711, or via an internet request through SSA’s electronic Freedom of Information Act (eFOIA) website to: (1) Verify the wage earner is deceased; and (2) access the correct PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 Social Security record. Respondents are members of the public requesting deceased individuals’ Social Security records. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\08JNN1.SGM 08JNN1 26735 Federal Register / Vol. 83, No. 111 / Friday, June 8, 2018 / Notices Number of respondents Modality of completion Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) Internet Request through eFOIA ..................................................................... SSA–711 (paper) ............................................................................................. 49,800 200 1 1 7 7 5,810 23 Total .......................................................................................................... 50,000 ........................ ........................ 5,833 8. Certification of Prisoner Identity Information—20 CFR 422.107–0960– 0688. Inmates of Federal, State, or local prisons may need a Social Security card as verification of their Social Security number for school or work programs, or as proof of employment eligibility upon release from incarceration. Before SSA can issue a replacement Social Security card, applicants must show SSA proof of their identity. People who are in prison for an extended period typically do not have current identity documents. Therefore, under formal written agreement with the correctional institution, SSA allows prison officials to verify the identity of certain incarcerated U.S. citizens who need replacement Social Security cards. Information prison officials provide comes from the official prison files, sent on correctional facility letterhead. SSA uses this information to establish the applicant’s identity in the replacement Social Security card process. The respondents are prison officials who certify the identity of prisoners applying for replacement Social Security cards. Type of Request: Extension of an OMB-approved Information Collection. Modality of completion Number of respondents Frequency of response Number of responses Average burden of response (minutes) Estimated total annual burden (hours) Verification of Prisoner Identity Statements ........................ 1,000 200 200,000 3 10,000 9. Notification of a Social Security Number (SSN) To An Employer for Wage Reporting—20 CFR 422.103(a)— 0960–0778. Individuals applying for employment must provide a Social Security Number, or indicate they have applied for one. However, when an individual applies for an initial SSN, there is a delay between the assignment of the number and the delivery of the SSN card. At an individual’s request, SSA uses Form SSA–132 to send the individual’s SSN to an employer. Mailing this information to the employer: (1) Ensures the employer has the correct SSN for the individual; (2) allows SSA to receive correct earnings information for wage reporting purposes; and (3) reduces the delay in the initial SSN assignment and delivery of the SSN information directly to the employer. It also enables SSA to verify the employer as a safeguard for the applicant’s personally identifiable information. The majority of individuals who take advantage of this option are in the United States with exchange visitor and student visas; however, we allow any applicant for an SSN to use the SSA–132. The respondents are individuals applying for an initial SSN who ask SSA to mail confirmation of their application or the SSN to their employers. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) SSA–132 .......................................................................................................... amozie on DSK3GDR082PROD with NOTICES1 Modality of completion 326,000 1 2 10,867 10. Social Security Administration Health IT Partner Program Assessment—Participating Facilities and Available Content Form—20 CFR 404.1614 and 416.1014—0960–0798. The Health Information Technology for Economic and Clinical Health (HITECH) Act promotes the adoption and meaningful use of health information technology (IT), particularly in the context of working with government agencies. Similarly, section 3004 of the Public Health Service Act requires health care providers or health insurance issuers with government contracts to implement, acquire, or VerDate Sep<11>2014 16:53 Jun 07, 2018 Jkt 241001 upgrade their health IT systems and products to meet adopted standards and implementation specifications. To support expansion of SSA’s health IT initiative as defined under HITECH, SSA developed Form SSA–680, the Health IT Partner Program Assessment—participating Facilities and Available Content Form. The SSA– 680 allows healthcare providers to provide the information SSA needs to determine their ability to exchange health information with us electronically. We evaluate potential partners (i.e., healthcare providers and organizations) on: (1) The accessibility PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 of health information they possess; and (2) the content value of their electronic health records’ systems for our disability adjudication processes. SSA reviews the completeness of organizations’ SSA–680 responses as one part of our careful analysis of their readiness to enter into a health IT partnership with us. The respondents are healthcare providers and organizations exchanging information with the agency. Type of Request: Extension of an OMB-approved information collection. E:\FR\FM\08JNN1.SGM 08JNN1 26736 Federal Register / Vol. 83, No. 111 / Friday, June 8, 2018 / Notices Modality of completion Number of respondents Frequency of response Average burden of response (hours) Estimated total annual burden (hours) SSA–680 .......................................................................................................... 30 1 5 150 II. SSA submitted the information collection below to OMB for clearance. Your comments regarding this information collection 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 July 9, 2018. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. Statement of Reclamation Action—31 CFR 210—0960–0734. Regulations governing the Federal Government Participation in the Automated Clearing House: (1) Allow SSA to send Social Security payments to Canada; and (2) mandate the reclamation of funds paid erroneously to a Canadian bank, or financial institution, after the death of a Social Security beneficiary. SSA uses Form SSA–1713, Notice of Reclamation Action, to determine if, how, and when the Canadian bank or financial institution is going to return erroneous payments after the death of a Social Number of respondents Modality of completion Security beneficiary who elected to have payments sent to Canada. Form SSA– 1712 (or SSA–1712 CN), Notice of Reclamation-Canada Payment Made in the United States, is the cover sheet SSA prepares to request return of the payment. The respondents are Canadian banks and financial institutions who erroneously received Social Security payments. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden of response (minutes) Estimated total annual burden (hours) SSA–1712 ........................................................................................................ SSA–1713 ........................................................................................................ 8 7 1 1 5 5 1 1 Totals ........................................................................................................ 15 ........................ ........................ 2 Dated: June 4, 2018. Faye Lipsky, Reports Clearance Director, Social Security Administration. [FR Doc. 2018–12391 Filed 6–7–18; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No. SSA–2018–0024] Agency Information Collection Activities: Proposed Request and Comment Request amozie on DSK3GDR082PROD with NOTICES1 The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions, and one extension, 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. Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2018–0024]. Number of respondents Modality of completion SSA–7160–F4—Individuals ............................................................................. SSA–7160–F4—Businesses ............................................................................ SSA–7160–F4—State/Local Governemnt ....................................................... VerDate Sep<11>2014 16:53 Jun 07, 2018 Jkt 241001 PO 00000 Frm 00096 Fmt 4703 Sfmt 4703 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 August 7, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Employment Relationship Questionnaire—20 CFR 404.1007— 0960–0040. When SSA needs information to determine a worker’s employment status for the purpose of maintaining a worker’s earning records, the agency uses Form SSA–7160–F4 to determine the existence of an employeremployee relationship. We use the information to develop the employment relationship; specifically, to determine whether a beneficiary is self-employed or an employee. The respondents are individuals seeking to establish their status as employees, and their alleged employers. Type of Request: Revision of an OMBapproved information collection. Frequency of response 8,000 7,200 800 E:\FR\FM\08JNN1.SGM 1 1 1 08JNN1 Average burden per response (minutes) 25 25 25 Estimated total annual burden (hours) 3,333 3,000 333

Agencies

[Federal Register Volume 83, Number 111 (Friday, June 8, 2018)]
[Notices]
[Pages 26732-26736]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-12391]


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

SOCIAL SECURITY ADMINISTRATION

[Docket No. SSA-2018-0025]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions, and extensions, 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]

[[Page 26733]]

(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-2018-0025].
    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 
August 7, 2018. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Fee Agreement for Representation before the Social Security 
Administration--0960--NEW. Under the Social Security Act (Act), SSA 
requires individuals who represent a claimant before the agency and 
want to receive a fee for their services to obtain SSA's authorization 
of the fee. One way to obtain the authorization is to submit the fee 
agreement. To facilitate this process, individuals can use Form SSA-
1693. SSA uses the information from the SSA-1693 to review the request 
and authorize any fee to representatives who seek to charge and collect 
a fee from a claimant. The respondents are the representatives who help 
claimants through the application process.
    Note: SSA originally published this Notice on November 22, 2017, at 
82 FR 55707, and received several public comments. In response to those 
public comments, SSA revised the SSA-1693, and is republishing this 
Notice.
    Type of Request: Request for a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1693....................................         600,000                1               12          120,000
----------------------------------------------------------------------------------------------------------------

    2. State Supplementation Provisions: Agreement; Payments--20 CFR 
416.2095-416.2098, and 20 CFR 416.2099--0960-0240. Section 1618 of the 
Act requires those states administering their own supplementary income 
payment program(s) to demonstrate compliance with the Act by passing 
Federal cost-of-living increases on to individuals who are eligible for 
state supplementary payments, and informing SSA of their compliance. In 
general, states report their supplementary payment information annually 
by the maintenance-of-payment levels method. However, SSA may ask them 
to report up to four times in a year by the total-expenditures method. 
Regardless of the method, the states confirm their compliance with the 
requirements, and provide any changes to their optional supplementary 
payment rates. SSA uses the information to determine each state's 
compliance or noncompliance with the pass-along requirements of the Act 
to determine eligibility for Medicaid reimbursement. If a state fails 
to keep payments at the required level, it becomes ineligible for 
Medicaid reimbursement under Title XIX of the Act. Respondents are 
state agencies administering supplemental programs.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                     Number of     Frequency of      Number of      burden per       Estimated
     Modality of completion         respondents      Response        responses       response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Total Expenditures..............               7               4              28              60              28
Maintenance of Payment Levels...              26               1              26              60              26
                                 -------------------------------------------------------------------------------
    Total.......................              33  ..............  ..............  ..............              54
----------------------------------------------------------------------------------------------------------------

    3. Substitution of Party Upon Death of Claimant--20 CFR 
404.957(c)(4) and 416.1457(c)(4)--0960-0288. An administrative law 
judge (ALJ) may dismiss a request for a hearing on a pending claim of a 
deceased individual for Social Security benefits or Supplemental 
Security Income (SSI) payments. Individuals who believe the dismissal 
may adversely affect them may complete Form HA-539, which allows them 
to request to become a substitute party for the deceased claimant. The 
ALJs and the hearing office support staff use the information from the 
HA-539 to: (1) Maintain a written record of request; (2) establish the 
relationship of the requester to the deceased claimant; (3) determine 
the substituted individual's wishes regarding an oral hearing or 
decision on the record; and (4) admit the data into the claimant's 
official record as an exhibit. The respondents are individuals 
requesting to be substitute parties for a deceased claimant.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
HA-539......................................           4,000                1                5              333
----------------------------------------------------------------------------------------------------------------

    4. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. SSA bases an SSI claimant or recipient's eligibility on 
need, as measured by the

[[Page 26734]]

amount of income an individual receives. Per our calculations, income 
includes other people providing in-kind support and maintenance in the 
form of food and shelter to SSI applicants or recipients. SSA uses 
Forms SSA-5062 and SSA-L5063 to obtain statements about food or shelter 
provided to SSI claimants or recipients. SSA uses this information to 
determine whether food or shelters are bona fide loans or income for 
SSI purposes. This determination may affect claimants' or recipients' 
eligibility for SSI as well as the amounts of their SSI payments. The 
respondents are claimants and recipients for SSI payments, and 
individuals who provide loans of food or shelter to them.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of      burden of     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062........................................          30,632               1              10           5,105
Paper form......................................
SSA-L5063.......................................          30,632               1              10           5,105
Paper form......................................
SSA-5062........................................          30,632               1              10           5,105
SSI Claim System................................
SSA-L5063.......................................          30,632               1              10           5,105
SSI Claim System................................
                                                 ---------------------------------------------------------------
    Total.......................................         122,528  ..............  ..............          20,420
----------------------------------------------------------------------------------------------------------------

    5. Testimony by Employees and the Production of Records and 
Information in Legal Proceedings--20 CFR 403.100-403.155-0960-0619. 
Regulations at 20 CFR 403.100-403.155 of the Code of Federal 
Regulations establish SSA's policies and procedures for an individual; 
organization; or government entity to request official agency 
information, records, or testimony of an agency employee in a legal 
proceeding when the agency is not a party. The request, which 
respondents submit in writing to SSA, must: (1) Fully set out the 
nature and relevance of the sought testimony; (2) explain why the 
information is not available by other means; (3) explain why it is in 
SSA's interest to provide the testimony; and (4) provide the date, 
time, and place for the testimony. Respondents are individuals or 
entities who request testimony from SSA employees in connection with a 
legal proceeding.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155......................             100                1               60              100
----------------------------------------------------------------------------------------------------------------

    6. Function Report Adult-Third Party--20 CFR 404.1512 & 416.912-
0960-0635. Individuals receiving or applying for Social Security 
Disability Insurance (SSDI) or SSI provide SSA with medical evidence 
and other proof SSA requires to prove their disability. SSA, and 
Disability Determination Services (DDS) on our behalf, collect this 
information using Form SSA-3380-BK. We use the information to document 
how claimant's disabilities affect their ability to function, and to 
determine eligibility for SSI and SSDI claims. The respondents are 
third parties familiar with the functional limitations (or lack 
thereof) of claimants who apply for SSI and SSDI benefits.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3380-BK.................................         709,700                1               61          721,528
----------------------------------------------------------------------------------------------------------------

    7. Request for Deceased Individual's Social Security Record--20 CFR 
402.130-0960-0665. When a member of the public requests an individual's 
Social Security record, SSA needs the name and address of the requestor 
as well as a description of the requested record to process the 
request. SSA uses the information the respondent provides on Form SSA-
711, or via an internet request through SSA's electronic Freedom of 
Information Act (eFOIA) website to: (1) Verify the wage earner is 
deceased; and (2) access the correct Social Security record. 
Respondents are members of the public requesting deceased individuals' 
Social Security records.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 26735]]



----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of      burden of     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA..................          49,800               1               7           5,810
SSA-711 (paper).................................             200               1               7              23
                                                 ---------------------------------------------------------------
    Total.......................................          50,000  ..............  ..............           5,833
----------------------------------------------------------------------------------------------------------------

    8. Certification of Prisoner Identity Information--20 CFR 422.107-
0960-0688. Inmates of Federal, State, or local prisons may need a 
Social Security card as verification of their Social Security number 
for school or work programs, or as proof of employment eligibility upon 
release from incarceration. Before SSA can issue a replacement Social 
Security card, applicants must show SSA proof of their identity. People 
who are in prison for an extended period typically do not have current 
identity documents. Therefore, under formal written agreement with the 
correctional institution, SSA allows prison officials to verify the 
identity of certain incarcerated U.S. citizens who need replacement 
Social Security cards. Information prison officials provide comes from 
the official prison files, sent on correctional facility letterhead. 
SSA uses this information to establish the applicant's identity in the 
replacement Social Security card process. The respondents are prison 
officials who certify the identity of prisoners applying for 
replacement Social Security cards.
    Type of Request: Extension of an OMB-approved Information 
Collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                        Average  burden     Estimated
                       Modality of completion                           Number of       Frequency of      Number of       of  response     total annual
                                                                       respondents        response        responses        (minutes)     burden  (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements.......................           1,000              200          200,000                3           10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------

    9. Notification of a Social Security Number (SSN) To An Employer 
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying 
for employment must provide a Social Security Number, or indicate they 
have applied for one. However, when an individual applies for an 
initial SSN, there is a delay between the assignment of the number and 
the delivery of the SSN card. At an individual's request, SSA uses Form 
SSA-132 to send the individual's SSN to an employer. Mailing this 
information to the employer: (1) Ensures the employer has the correct 
SSN for the individual; (2) allows SSA to receive correct earnings 
information for wage reporting purposes; and (3) reduces the delay in 
the initial SSN assignment and delivery of the SSN information directly 
to the employer. It also enables SSA to verify the employer as a 
safeguard for the applicant's personally identifiable information. The 
majority of individuals who take advantage of this option are in the 
United States with exchange visitor and student visas; however, we 
allow any applicant for an SSN to use the SSA-132. The respondents are 
individuals applying for an initial SSN who ask SSA to mail 
confirmation of their application or the SSN to their employers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-132.....................................         326,000                1                2           10,867
----------------------------------------------------------------------------------------------------------------

    10. Social Security Administration Health IT Partner Program 
Assessment--Participating Facilities and Available Content Form--20 CFR 
404.1614 and 416.1014--0960-0798. The Health Information Technology for 
Economic and Clinical Health (HITECH) Act promotes the adoption and 
meaningful use of health information technology (IT), particularly in 
the context of working with government agencies. Similarly, section 
3004 of the Public Health Service Act requires health care providers or 
health insurance issuers with government contracts to implement, 
acquire, or upgrade their health IT systems and products to meet 
adopted standards and implementation specifications. To support 
expansion of SSA's health IT initiative as defined under HITECH, SSA 
developed Form SSA-680, the Health IT Partner Program Assessment--
participating Facilities and Available Content Form. The SSA-680 allows 
healthcare providers to provide the information SSA needs to determine 
their ability to exchange health information with us electronically. We 
evaluate potential partners (i.e., healthcare providers and 
organizations) on: (1) The accessibility of health information they 
possess; and (2) the content value of their electronic health records' 
systems for our disability adjudication processes. SSA reviews the 
completeness of organizations' SSA-680 responses as one part of our 
careful analysis of their readiness to enter into a health IT 
partnership with us. The respondents are healthcare providers and 
organizations exchanging information with the agency.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 26736]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of     of  response    annual burden
                                                respondents        response         (hours)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-680.....................................              30                1                5              150
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collection below to OMB for 
clearance. Your comments regarding this information collection 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 July 9, 2018. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    Statement of Reclamation Action--31 CFR 210--0960-0734. Regulations 
governing the Federal Government Participation in the Automated 
Clearing House: (1) Allow SSA to send Social Security payments to 
Canada; and (2) mandate the reclamation of funds paid erroneously to a 
Canadian bank, or financial institution, after the death of a Social 
Security beneficiary. SSA uses Form SSA-1713, Notice of Reclamation 
Action, to determine if, how, and when the Canadian bank or financial 
institution is going to return erroneous payments after the death of a 
Social Security beneficiary who elected to have payments sent to 
Canada. Form SSA-1712 (or SSA-1712 CN), Notice of Reclamation-Canada 
Payment Made in the United States, is the cover sheet SSA prepares to 
request return of the payment. The respondents are Canadian banks and 
financial institutions who erroneously received Social Security 
payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of      burden of     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1712........................................               8               1               5               1
SSA-1713........................................               7               1               5               1
                                                 ---------------------------------------------------------------
    Totals......................................              15  ..............  ..............               2
----------------------------------------------------------------------------------------------------------------


    Dated: June 4, 2018.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2018-12391 Filed 6-7-18; 8:45 am]
BILLING CODE 4191-02-P