Agency Information Collection Activities: Proposed Request and Comment Request, 26732-26736 [2018-12391]
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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 (https://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 (https://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).
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U.S.C. 78s(b)(3)(A).
CFR 240.19b–4(f).
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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
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CFR 200.30–3(a)(12).
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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.
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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
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or Shelter Provided to Another—20 CFR
416.1130–416.1148—0960–0529. SSA
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bases an SSI claimant or recipient’s
eligibility on need, as measured by the
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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 .................................................................................................
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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
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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
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Social Security record. Respondents are
members of the public requesting
deceased individuals’ Social Security
records.
Type of Request: Revision of an OMBapproved information collection.
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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 ..........................................................................................................
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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
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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
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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.
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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 .......................................................
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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
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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
