Agency Information Collection Activities: Proposed Request and Comment Request, 38441-38447 [2018-16727]
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Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices
member or person associated with a
member, and the persons to whom such
quotations may be supplied.
As stated in the Notice, FINRA
believes that making the Pilot tiers
permanent would promote just and
equitable principles of trade and protect
investors and the public interest. FINRA
believes that the 2013 Assessment and
subsequent observations demonstrate
that the Pilot has resulted in an
increased display of customer limit
orders. FINRA notes that the 2013
Assessment found a 13% increase in the
number of customer limit orders that
met the minimum quotation sizes
eligible for display across all Pilot tiers,
and FINRA’s updated data through July
2014 shows an even greater increase of
18.45% than otherwise would have
been eligible for display. The increase in
customer limit orders eligible for
display was significant in tiers that
make up substantial percentages of the
overall volume transacted in OTC equity
securities.
In the Notice, FINRA further states its
belief that any concerns about market
quality raised by public commenters
prior to the Commission’s approval of
the Pilot have not materialized. In fact,
FINRA states that it believes that the
Pilot has had a positive impact on OTC
market quality for the majority of OTC
equity securities and the tiers set forth
in the Pilot. FINRA believes that the
Pilot data shows overall a slight
reduction in spreads for most OTC
equity securities with no negative (and
perhaps a positive) impact on liquidity.
When the Commission approved the
Pilot, it emphasized the potential
benefit of increasing customer limit
order display. For instance, the
Commission noted that increased limit
order display potentially could improve
the prices at which customer limit
orders would be executed, consistent
with the protection of investors and the
public interest.54 The Commission also
stated its belief that greater customer
limit order display could increase quote
competition, narrow spreads, and
increase the likelihood of price
improvement for OTC equity
securities.55 The Commission has
maintained a longstanding view that
there are benefits to promoting customer
limit order display.56
As noted above, the sole commenter
on the proposed rule change is
concerned that when a firm is quoting
on an unsolicited basis in certain
54 See Order Approving Tier Size Pilot, supra
note 10, 77 FR at 37466.
55 See id. at 37469.
56 See id. at 37469 n.168 (citing, among other
things, the Commission’s 1996 Order Handling
Rules Release).
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securities, the Pilot tier sizes work to
restrict customers from being able to
trade their positions if the unsolicited
customer order does not meet FINRA’s
minimum tier size requirements.57 The
Commission notes that FINRA’s 2013
Assessment and its subsequent
assessment for the period covering July
1, 2013 through July 31, 2014 indicate
that there was a meaningful increase in
the number of customer limit orders
eligible for display. The Commission
agrees with FINRA that the minimum
tier size requirements of FINRA Rule
6433, which have been in place on a
Pilot basis, achieve a reasonable balance
between fostering customer limit order
display and facilitating a meaningful
minimum dollar-value commitment to
the market for all displayed quotations.
The Commission believes that the
Pilot has accomplished its intended
objectives and has realized its
anticipated benefits, including greater
customer limit order display. At the
same time, market quality indicators
during the Pilot suggest that the revised
tiers and evidence of greater customer
limit order display did not result in a
harmful reduction in liquidity for OTC
equity securities. The Commission
believes that these results are consistent
with FINRA’s assessment that the Pilot
has had a neutral to positive impact on
liquidity for the majority of OTC equity
securities and price tiers.58 At the same
time, the Commission notes that there is
inconclusive evidence regarding the
effects of the Pilot on liquidity for the
price tier for which the minimum
quotation size requirement was
increased.59 In light of the foregoing, the
Commission believes that it is
consistent with the Act to adopt the
Pilot tiers, which have been in effect for
nearly six years, on a permanent basis.
IV. Conclusion
It is therefore ordered pursuant to
Section 19(b)(2) 60 of the Exchange Act
that the proposal (SR–FINRA–2018–
015) be and hereby is approved.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.61
Robert W. Errett,
Deputy Secretary.
[FR Doc. 2018–16724 Filed 8–3–18; 8:45 am]
BILLING CODE 8011–01–P
57 See
supra note 4.
id. at 2.
59 Id. The minimum quotation size requirement
increased for those securities prices between
$0.0001 and $0.0999. These securities are included
in the lowest tier which requires a minimum
quotation size of 10,000 shares.
60 15 U.S.C. 78s(b)(2).
61 17 CFR 200.30–3(a)(12).
58 See
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38441
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2018–0044]
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 a new
information collection, extensions and
revisions of OMB-approved information
collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB) Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov
(SSA) Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–966–2830, Email address:
OR.Reports.Clearance@ssa.gov
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2018–0044].
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 October 5,
2018. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Certificate of Support—20 CFR
404.370, 404.750, 404.408a—0960–
0001. A parent of a deceased, fully
insured worker may be entitled to Social
Security Old-Age, Survivors, and
Disability Insurance (OASDI) benefits
based on the earnings record of the
deceased worker under certain
conditions. One of the conditions is the
parent receives at least one-half support
from the deceased worker. The one-half
support requirement also applies to a
spousal applicant in determining
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whether OASDI benefits are subject to
Government Pension Offset (GPO). SSA
uses Form SSA–760–F4 to determine if
the parent of a deceased worker or a
spouse applicant meets the one-half
support requirement. Respondents are
parents of deceased workers, and
spouses who may meet the GPO
exception.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–760–F4 ....................................................................................................
18,000
1
15
4,500
2. Application for Supplemental
Security Income—20 CFR 416.207 and
416.305–416.335, Subpart C—0960–
0229. The Supplemental Security
Income (SSI) program provides aged,
blind, and disabled individuals who
have little or no income, with funds for
regulatory eligibility requirements; and
(2) calculate SSI payment amounts. The
respondents are applicants for SSI or
their representative payees.
Type of Request: Revision of an OMBapproved information collection.
food, clothing, and shelter. Individuals
complete Form SSA–8000–BK to apply
for SSI. SSA uses the information from
Form SSA–8000–BK, and its electronic
Intranet counterpart, the SSI Claims
System, to: (1) Determine whether SSI
claimants meet all statutory and
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
SSI Claims System ..........................................................................................
SSA–8000 (Paper Form) .................................................................................
1,212,512
20,941
1
1
35
41
707,299
14,310
Totals ........................................................................................................
1,233,453
........................
........................
721,609
3. Statement of Household Expenses
and Contributions—20 CFR 416.1130–
416.1148—0960–0456. SSA bases
eligibility for SSI on the needs of the
recipient. In part, we assess need by
determining the amount of income a
recipient receives. This income includes
in-kind support and maintenance in the
form of food and shelter owners
provide. SSA uses Form SSA–8011–F3
to determine whether the claimant or
recipient receives in-kind support and
maintenance. This is necessary to
determine: (1) The claimant’s or
recipient’s eligibility for SSI, and (2) the
paper Form SSA–8011–F3, and we do
not need a wet signature, rather we
require verbal attestation. However,
when we use a paper form, we ensure
the appropriate person, i.e., the
householder signs the form, and then
the claims specialist documents the
information in the SSI Claims System;
faxes the form into the appropriate
electronic folder; and shreds form.
Respondents are householders of homes
in which an SSI applicant or recipient
resides.
Type of Request: Revision of an OMBapproved information collection.
SSI payment amount. SSA only uses
this form in cases where SSA needs the
householder’s (head of household)
corroboration of in-kind support and
maintenance. The SSA–8011–F3
provides information, which could
affect SSI eligibility and payment
amount. The claim specialist collects
the information on Form SSA–8011–F3
through telephone contact with the
respondent, or through face-to-face
interviews. The claims specialist
records the information in our
electronic SSI Claims System. When we
use this procedure we do not use a
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
8,233
417,025
1
1
15
15
2,058
104,256
Total ..........................................................................................................
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SSA–8011–F3 (Paper Version) .......................................................................
SSA–8011–F3 (SSI Claims System) ...............................................................
425,258
........................
........................
106,314
4. Integrated Registration Services
(IRES) System—20 CFR 401.45—0960–
0626. The IRES System verifies the
identity of individuals, businesses,
organizations, entities, and government
agencies seeking to use SSA’s secured
internet and telephone applications.
Individuals need this verification to
electronically request and exchange
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business data with SSA. Requestors
provide SSA with the information
needed to establish their identities.
Once SSA verifies identity, the IRES
system issues the requestor a user
identification number and a password to
conduct business with SSA.
Respondents are employers; employees;
third party submitters of wage data
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business entities providing taxpayer
identification information; appointed
representatives; representative payees;
and data exchange partners conducting
business in support of SSA programs.
Type of Request: Revision of an OMBapproved information collection.
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Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
IRES Internet Registrations .............................................................................
IRES Internet Requestors ................................................................................
IRES CS (CSA) Registrations .........................................................................
611,296
15,692,525
20,621
1
1
1
5
2
11
50,941
523,084
3,781
Totals ........................................................................................................
16,324,442
........................
........................
577,806
5. Request for Reinstatement (Title
II)—20 CFR 404.1592b–404.1592f—
0960–0742. SSA allows certain
previously entitled disability
beneficiaries to request expedited
reinstatement (EXR) of benefits under
Title II of the Social Security Act (Act)
when their medical condition no longer
permits them to perform substantial
gainful activity. SSA uses Form SSA–
371 to obtain: (1) A signed statement
from individuals requesting an EXR of
their Title II disability benefits; and (2)
proof the requestors meet the EXR
requirements. SSA maintains the form
in the disability folder of the applicant
to demonstrate the requestors’
awareness of the EXR requirements, and
their choice to request EXR.
Respondents are applicants for EXR of
Title II disability benefits.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–371 ..........................................................................................................
10,000
1
2
333
6. Important Information About Your
Appeal, Waiver Rights, and Repayment
Options—20 CFR 404.502–521—0960–
0779. When SSA accidentally overpays
beneficiaries, the agency informs them
of the following rights: (1) The right to
reconsideration of the overpayment
determination; (2) the right to request a
waiver of recovery and the automatic
scheduling of a personal conference if
rights. The respondents are overpaid
current, or former, beneficiaries
requesting a waiver of recovery for the
overpayment; reconsideration of the fact
of the overpayment; or a lesser rate of
withholding of the overpayment.
Type of Request: Revision of an OMBapproved information collection.
SSA cannot approve a request for
waiver; and (3) the availability of a
different rate of withholding when SSA
proposes the full withholding rate. SSA
uses Form SSA–3105, Important
Information About Your Appeal, Waiver
Rights, and Repayment Options, to
explain these rights to overpaid
individuals and allow them to notify
SSA of their decision(s) regarding these
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
SSA–3105 Paper form .....................................................................................
Debt Management System ..............................................................................
500,000
200,000
1
1
15
15
125,000
50,000
Totals ........................................................................................................
700,000
........................
........................
175,000
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II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
September 5, 2018. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Fee Agreement for Representation
before the Social Security
Administration—0960–NEW. Under the
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.
Type of Request: Request for a new
information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–1693 ........................................................................................................
600,000
1
12
120,000
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2. Request for Waiver of Overpayment
Recovery and Request for Change in
Overpayment Recovery Rate—20 CFR
404.502, 404.506–404.512, 416.550–
416.558, and 416.570–416.571—0960–
0037. When Social Security
beneficiaries and SSI recipients receive
an overpayment, they must return the
extra money. These beneficiaries and
recipients can use Form SSA–632–BK to
request a waiver from repaying their
overpayment. Beneficiaries and
recipients can also use Form SSA–634
to request a change to the monthly
recovery rate of their overpayment. The
respondents must provide financial
information to help the agency
determine how much the overpaid
Number of
respondents
Modality of completion
person can afford to repay each month.
Respondents are overpaid Social
Security beneficiaries or SSI recipients
who are requesting: (1) A waiver of
recovery of an overpayment, or (2) a
lesser rate of withholding.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
SSA–632—Waiver of Overpayment (If completing entire paper form, including the AFI authorization) .............................................................................
Regional Application (New York Debt Management) ......................................
Internet Instructions .........................................................................................
SSA–634—Requesting change in repayment rate (completing paper form) ..
Internet Instructions .........................................................................................
400,000
30,000
430,000
100,000
100,000
1
1
1
1
1
120
120
5
45
5
800,000
60,000
35,833
75,000
8,333
Totals ........................................................................................................
1,060,000
........................
........................
979,166
3. 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
Number of
respondents
Modality of completion
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.
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
Individuals ........................................................................................................
Businesses .......................................................................................................
State/Local Government ..................................................................................
8,000
7,200
800
1
1
1
25
25
25
3,333
3,000
333
Totals ........................................................................................................
16,000
........................
........................
6,666
4. 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
responses
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)
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Total Expenditures ...............................................................
Maintenance of Payment Levels .........................................
7
26
4
1
28
26
60
60
28
26
Total ..............................................................................
33
........................
........................
........................
54
5. 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
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dismiss a request for a hearing on a
pending claim of a deceased individual
for Social Security benefits or SSI
payments. Individuals who believe the
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dismissal may adversely affect them
may complete Form HA–539, which
allows them to request to become a
substitute party for the deceased
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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.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
HA–539 ............................................................................................................
4,000
1
5
333
6. 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
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 OMBapproved information collection.
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
SSA–5062 Paper Form ...................................................................................
SSA–L5063 Paper Form .................................................................................
SSA–5062 SSI Claims System .......................................................................
SSA–L5063 SSI Claims System ......................................................................
30,632
30,632
30,632
30,632
1
1
1
1
10
10
10
10
5,105
5,105
5,105
5,105
Total ..........................................................................................................
122,528
........................
........................
20,420
7. Application for Circuit Court Law—
20 CFR 404.985 & 416.1458—0960–
0581. People claiming an acquiescence
ruling (AR) would change SSA’s prior
determination or decision must submit
a written readjudication request with
specific information. SSA reviews the
information in the requests to determine
if the issues stated in the AR pertain to
the claimant’s case, and if the claimant
is entitled to readjudication. If
readjudication is appropriate, SSA
considers the issues the AR covers. Any
new determination or decision is subject
to administrative or judicial review as
specified in the regulations, and the
claimants must provide information to
request readjudication. Respondents are
claimants for Social Security benefits
and SSI payments who request
readjudication.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
AR-based Readjudication Requests ................................................................
10,000
1
17
2,833
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8. 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.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
20 CFR 403.100–403.155 ...............................................................................
100
1
60
100
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9. 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.
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.
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
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–3380–BK .................................................................................................
709,700
1
61
721,528
10. 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
Number of
respondents
Modality of completion
Social Security record. Respondents are
members of the public requesting
deceased individuals’ Social Security
records.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency
of response
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
11. 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
responses
Frequency
of response
Number of
responses
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Verification of Prisoner Identity Statements ........................
1,000
200
200,000
3
10,000
sradovich on DSK3GMQ082PROD with NOTICES
12. Request to Pay Civil Monetary by
Installment Agreement—20 CFR 498—
0960–0776. When SSA imposes a civil
monetary penalty (CMP) on individuals
for various fraudulent conduct related to
SSA-administrated programs, those
individuals may request to pay the CMP
through benefit withholding, or an
installment agreement. To negotiate a
monthly payment amount, fair to both
the individual and the agency, SSA
needs financial information from the
individual. SSA uses Form SSA–640,
Financial Disclosure for CMP Debt, to
obtain the information necessary to
determine a monthly installment
repayment rate for individuals owing a
CMP. The respondents are recipients of
Social Security benefits and nonentitled individuals who must repay a
CMP to the agency and choose to do so
using an installment plan.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–640 ..........................................................................................................
10
1
120
20
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13. 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.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–132 ..........................................................................................................
326,000
1
2
10,867
14. 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: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–680 ..........................................................................................................
30
1
5
150
Date: August 1, 2018.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2018–16727 Filed 8–3–18; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA–2018–0046]
Privacy Act of 1974; System of
Records
Office of the General Counsel,
Social Security Administration (SSA).
ACTION: Notice of a new system of
records.
sradovich on DSK3GMQ082PROD with NOTICES
AGENCY:
In accordance with the
Privacy Act, we are issuing public
notice of our intent to establish a new
system of records entitled, General Law
Litigation Files (60–0272). This notice
SUMMARY:
VerDate Sep<11>2014
17:36 Aug 03, 2018
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publishes details of the new system as
set forth under the caption,
SUPPLEMENTARY INFORMATION.
DATES: The system of records notice
(SORN) is applicable upon its
publication in today’s Federal Register,
with the exception of the routine uses,
which are effective September 5, 2018.
We invite public comment on the
routine uses or other aspects of this
SORN. In accordance with 5 U.S.C.
552a(e)(4) and (e)(11), the public is
given a 30-day period in which to
submit comments. Therefore, please
submit any comments by September 5,
2018.
ADDRESSES: The public, Office of
Management and Budget (OMB), and
Congress may comment on this
publication by writing to the Executive
Director, Office of Privacy and
Disclosure, Office of the General
Counsel, SSA, Room G–401 West High
PO 00000
Frm 00175
Fmt 4703
Sfmt 4703
Rise, 6401 Security Boulevard,
Baltimore, Maryland 21235–6401, or
through the Federal e-Rulemaking Portal
at https://www.regulations.gov, please
reference docket number SSA–2018–
0046. All comments we receive will be
available for public inspection at the
above address and we will post them to
https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Navdeep Sarai, Government Information
Specialist, Privacy Implementation
Division, Office of Privacy and
Disclosure, Office of the General
Counsel, SSA, Room G–401 West High
Rise, 6401 Security Boulevard,
Baltimore, Maryland 21235–6401,
telephone: (410) 965–2997, email:
Navdeep.Sarai@ssa.gov.
SUPPLEMENTARY INFORMATION: We are
establishing the General Law Litigation
Files to cover information we collect
about individuals (including but not
E:\FR\FM\06AUN1.SGM
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]]>Agencies
[Federal Register Volume 83, Number 151 (Monday, August 6, 2018)]
[Notices]
[Pages 38441-38447]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-16727]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2018-0044]
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 a new information collection, extensions and revisions of OMB-
approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax:
202-395-6974, Email address: [email protected]
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2018-0044].
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
October 5, 2018. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to
Social Security Old-Age, Survivors, and Disability Insurance (OASDI)
benefits based on the earnings record of the deceased worker under
certain conditions. One of the conditions is the parent receives at
least one-half support from the deceased worker. The one-half support
requirement also applies to a spousal applicant in determining
[[Page 38442]]
whether OASDI benefits are subject to Government Pension Offset (GPO).
SSA uses Form SSA-760-F4 to determine if the parent of a deceased
worker or a spouse applicant meets the one-half support requirement.
Respondents are parents of deceased workers, and spouses who may meet
the GPO exception.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-760-F4.................................. 18,000 1 15 4,500
----------------------------------------------------------------------------------------------------------------
2. Application for Supplemental Security Income--20 CFR 416.207 and
416.305-416.335, Subpart C--0960-0229. The Supplemental Security Income
(SSI) program provides aged, blind, and disabled individuals who have
little or no income, with funds for food, clothing, and shelter.
Individuals complete Form SSA-8000-BK to apply for SSI. SSA uses the
information from Form SSA-8000-BK, and its electronic Intranet
counterpart, the SSI Claims System, to: (1) Determine whether SSI
claimants meet all statutory and regulatory eligibility requirements;
and (2) calculate SSI payment amounts. The respondents are applicants
for SSI or their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSI Claims System............................... 1,212,512 1 35 707,299
SSA-8000 (Paper Form)........................... 20,941 1 41 14,310
---------------------------------------------------------------
Totals...................................... 1,233,453 .............. .............. 721,609
----------------------------------------------------------------------------------------------------------------
3. Statement of Household Expenses and Contributions--20 CFR
416.1130-416.1148--0960-0456. SSA bases eligibility for SSI on the
needs of the recipient. In part, we assess need by determining the
amount of income a recipient receives. This income includes in-kind
support and maintenance in the form of food and shelter owners provide.
SSA uses Form SSA-8011-F3 to determine whether the claimant or
recipient receives in-kind support and maintenance. This is necessary
to determine: (1) The claimant's or recipient's eligibility for SSI,
and (2) the SSI payment amount. SSA only uses this form in cases where
SSA needs the householder's (head of household) corroboration of in-
kind support and maintenance. The SSA-8011-F3 provides information,
which could affect SSI eligibility and payment amount. The claim
specialist collects the information on Form SSA-8011-F3 through
telephone contact with the respondent, or through face-to-face
interviews. The claims specialist records the information in our
electronic SSI Claims System. When we use this procedure we do not use
a paper Form SSA-8011-F3, and we do not need a wet signature, rather we
require verbal attestation. However, when we use a paper form, we
ensure the appropriate person, i.e., the householder signs the form,
and then the claims specialist documents the information in the SSI
Claims System; faxes the form into the appropriate electronic folder;
and shreds form. Respondents are householders of homes in which an SSI
applicant or recipient resides.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8011-F3 (Paper Version)..................... 8,233 1 15 2,058
SSA-8011-F3 (SSI Claims System)................. 417,025 1 15 104,256
---------------------------------------------------------------
Total....................................... 425,258 .............. .............. 106,314
----------------------------------------------------------------------------------------------------------------
4. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals,
businesses, organizations, entities, and government agencies seeking to
use SSA's secured internet and telephone applications. Individuals need
this verification to electronically request and exchange business data
with SSA. Requestors provide SSA with the information needed to
establish their identities. Once SSA verifies identity, the IRES system
issues the requestor a user identification number and a password to
conduct business with SSA. Respondents are employers; employees; third
party submitters of wage data business entities providing taxpayer
identification information; appointed representatives; representative
payees; and data exchange partners conducting business in support of
SSA programs.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 38443]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations..................... 611,296 1 5 50,941
IRES Internet Requestors........................ 15,692,525 1 2 523,084
IRES CS (CSA) Registrations..................... 20,621 1 11 3,781
---------------------------------------------------------------
Totals...................................... 16,324,442 .............. .............. 577,806
----------------------------------------------------------------------------------------------------------------
5. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f--0960-0742. SSA allows certain previously entitled disability
beneficiaries to request expedited reinstatement (EXR) of benefits
under Title II of the Social Security Act (Act) when their medical
condition no longer permits them to perform substantial gainful
activity. SSA uses Form SSA-371 to obtain: (1) A signed statement from
individuals requesting an EXR of their Title II disability benefits;
and (2) proof the requestors meet the EXR requirements. SSA maintains
the form in the disability folder of the applicant to demonstrate the
requestors' awareness of the EXR requirements, and their choice to
request EXR. Respondents are applicants for EXR of Title II disability
benefits.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-371..................................... 10,000 1 2 333
----------------------------------------------------------------------------------------------------------------
6. Important Information About Your Appeal, Waiver Rights, and
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally
overpays beneficiaries, the agency informs them of the following
rights: (1) The right to reconsideration of the overpayment
determination; (2) the right to request a waiver of recovery and the
automatic scheduling of a personal conference if SSA cannot approve a
request for waiver; and (3) the availability of a different rate of
withholding when SSA proposes the full withholding rate. SSA uses Form
SSA-3105, Important Information About Your Appeal, Waiver Rights, and
Repayment Options, to explain these rights to overpaid individuals and
allow them to notify SSA of their decision(s) regarding these rights.
The respondents are overpaid current, or former, beneficiaries
requesting a waiver of recovery for the overpayment; reconsideration of
the fact of the overpayment; or a lesser rate of withholding of the
overpayment.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105 Paper form............................. 500,000 1 15 125,000
Debt Management System.......................... 200,000 1 15 50,000
---------------------------------------------------------------
Totals...................................... 700,000 .............. .............. 175,000
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than September 5, 2018. Individuals can obtain copies of
the OMB clearance packages by writing to [email protected].
1. Fee Agreement for Representation before the Social Security
Administration--0960-NEW. Under the 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.
Type of Request: Request for a new information collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1693.................................... 600,000 1 12 120,000
----------------------------------------------------------------------------------------------------------------
[[Page 38444]]
2. Request for Waiver of Overpayment Recovery and Request for
Change in Overpayment Recovery Rate--20 CFR 404.502, 404.506-404.512,
416.550-416.558, and 416.570-416.571--0960-0037. When Social Security
beneficiaries and SSI recipients receive an overpayment, they must
return the extra money. These beneficiaries and recipients can use Form
SSA-632-BK to request a waiver from repaying their overpayment.
Beneficiaries and recipients can also use Form SSA-634 to request a
change to the monthly recovery rate of their overpayment. The
respondents must provide financial information to help the agency
determine how much the overpaid person can afford to repay each month.
Respondents are overpaid Social Security beneficiaries or SSI
recipients who are requesting: (1) A waiver of recovery of an
overpayment, or (2) a lesser rate of withholding.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-632--Waiver of Overpayment (If completing 400,000 1 120 800,000
entire paper form, including the AFI
authorization).................................
Regional Application (New York Debt Management). 30,000 1 120 60,000
Internet Instructions........................... 430,000 1 5 35,833
SSA-634--Requesting change in repayment rate 100,000 1 45 75,000
(completing paper form)........................
Internet Instructions........................... 100,000 1 5 8,333
---------------------------------------------------------------
Totals...................................... 1,060,000 .............. .............. 979,166
----------------------------------------------------------------------------------------------------------------
3. 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 employer-
employee 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 OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Individuals..................................... 8,000 1 25 3,333
Businesses...................................... 7,200 1 25 3,000
State/Local Government.......................... 800 1 25 333
---------------------------------------------------------------
Totals..................................... 16,000 .............. .............. 6,666
----------------------------------------------------------------------------------------------------------------
4. 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 burden Estimated
Modality of completion Number of Frequency of Number of per response total annual
responses response responses (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Total Expenditures.............. 7 4 28 60 28
Maintenance of Payment Levels... 26 1 26 60 26
-------------------------------------------------------------------------------
Total....................... 33 .............. .............. .............. 54
----------------------------------------------------------------------------------------------------------------
5. 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 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
[[Page 38445]]
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 per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-539...................................... 4,000 1 5 333
----------------------------------------------------------------------------------------------------------------
6. 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 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 burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper Form............................. 30,632 1 10 5,105
SSA-L5063 Paper Form............................ 30,632 1 10 5,105
SSA-5062 SSI Claims System...................... 30,632 1 10 5,105
SSA-L5063 SSI Claims System..................... 30,632 1 10 5,105
---------------------------------------------------------------
Total....................................... 122,528 .............. .............. 20,420
----------------------------------------------------------------------------------------------------------------
7. Application for Circuit Court Law--20 CFR 404.985 & 416.1458--
0960-0581. People claiming an acquiescence ruling (AR) would change
SSA's prior determination or decision must submit a written
readjudication request with specific information. SSA reviews the
information in the requests to determine if the issues stated in the AR
pertain to the claimant's case, and if the claimant is entitled to
readjudication. If readjudication is appropriate, SSA considers the
issues the AR covers. Any new determination or decision is subject to
administrative or judicial review as specified in the regulations, and
the claimants must provide information to request readjudication.
Respondents are claimants for Social Security benefits and SSI payments
who request readjudication.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AR-based Readjudication Requests............ 10,000 1 17 2,833
----------------------------------------------------------------------------------------------------------------
8. 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 per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155...................... 100 1 60 100
----------------------------------------------------------------------------------------------------------------
[[Page 38446]]
9. 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 per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3380-BK................................. 709,700 1 61 721,528
----------------------------------------------------------------------------------------------------------------
10. 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.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA.................. 49,800 1 7 5,810
SSA-711 (paper)................................. 200 1 7 23
---------------------------------------------------------------
Total....................................... 50,000 .............. .............. 5,833
----------------------------------------------------------------------------------------------------------------
11. 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 total
Modality of completion Number of Frequency of Number of per response annual burden
responses response responses (minutes) (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements....................... 1,000 200 200,000 3 10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------
12. Request to Pay Civil Monetary by Installment Agreement--20 CFR
498--0960-0776. When SSA imposes a civil monetary penalty (CMP) on
individuals for various fraudulent conduct related to SSA-administrated
programs, those individuals may request to pay the CMP through benefit
withholding, or an installment agreement. To negotiate a monthly
payment amount, fair to both the individual and the agency, SSA needs
financial information from the individual. SSA uses Form SSA-640,
Financial Disclosure for CMP Debt, to obtain the information necessary
to determine a monthly installment repayment rate for individuals owing
a CMP. The respondents are recipients of Social Security benefits and
non-entitled individuals who must repay a CMP to the agency and choose
to do so using an installment plan.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640..................................... 10 1 120 20
----------------------------------------------------------------------------------------------------------------
[[Page 38447]]
13. 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 per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-132..................................... 326,000 1 2 10,867
----------------------------------------------------------------------------------------------------------------
14. 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: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-680..................................... 30 1 5 150
----------------------------------------------------------------------------------------------------------------
Date: August 1, 2018.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2018-16727 Filed 8-3-18; 8:45 am]
BILLING CODE 4191-02-P
