Agency Information Collection Activities: Proposed Request and Comment Request, 38441-38447 [2018-16727]

Download as PDF sradovich on DSK3GMQ082PROD with NOTICES 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). VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 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 PO 00000 Frm 00169 Fmt 4703 Sfmt 4703 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 E:\FR\FM\06AUN1.SGM 06AUN1 38442 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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 .......................................................................................................... sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 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 PO 00000 Frm 00170 Fmt 4703 Sfmt 4703 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. E:\FR\FM\06AUN1.SGM 06AUN1 38443 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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 sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 PO 00000 Frm 00171 Fmt 4703 Sfmt 4703 E:\FR\FM\06AUN1.SGM 06AUN1 38444 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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) sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 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 PO 00000 Frm 00172 Fmt 4703 Sfmt 4703 dismissal may adversely affect them may complete Form HA–539, which allows them to request to become a substitute party for the deceased E:\FR\FM\06AUN1.SGM 06AUN1 38445 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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 sradovich on DSK3GMQ082PROD with NOTICES 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 VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 PO 00000 Frm 00173 Fmt 4703 Sfmt 4703 E:\FR\FM\06AUN1.SGM 06AUN1 38446 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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 VerDate Sep<11>2014 17:36 Aug 03, 2018 Jkt 244001 PO 00000 Frm 00174 Fmt 4703 Sfmt 4703 E:\FR\FM\06AUN1.SGM 06AUN1 38447 Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices 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 Jkt 244001 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 http://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 http://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 06AUN1

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]


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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