Agency Information Collection Activities: Proposed Request and Comment Request, 52042-52046 [2018-22339]
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Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for website viewing and
printing in the Commission’s Public
Reference Room, 100 F Street NE,
Washington, DC 20549 on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of the
filing also will be available for
inspection and copying at the principal
office of the Exchange. All comments
received will be posted without change.
Persons submitting comments are
cautioned that we do not redact or edit
personal identifying information from
comment submissions. You should
submit only information that you wish
to make available publicly. All
submissions should refer to File
Number SR–PEARL–2018–21, and
should be submitted on or before
November 5, 2018.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.15
Eduardo A. Aleman,
Assistant Secretary.
[FR Doc. 2018–22293 Filed 10–12–18; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2018–0055]
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 an
extension and revisions of OMBapproved 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,
Number of
respondents
Modality of completion
SSA–3371 ........................................................................................................
2. Internet Request for Replacement of
Forms SSA–1099/SSA–1042S—20 CFR
401.45—0960–0583. Title II
beneficiaries use Forms SSA–1099 and
SSA–1042S, Social Security Benefit
Statement, to determine if their Social
Security benefits are taxable, and the
amount they need to report to the
Internal Revenue Service. In cases
where the original forms are unavailable
Number of
respondents
khammond on DSK30JT082PROD with NOTICES
Automated Telephone Requestors ..................................................................
N8NN ...............................................................................................................
Calls to local FOs ............................................................................................
Other (program service centers) ......................................................................
15 17
Frequency of
response
250,000
(e.g., lost, stolen, mutilated), an
individual may use SSA’s automated
telephone application to request a
replacement SSA–1099 and SSA–1042S.
SSA uses the information from the
automated telephone requests to verify
the identity of the requestor and to
provide replacement copies of the
forms. SSA accepts information in other
ways, however; The automated
Modality of completion
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–
2018–0055].
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 December 14,
2018. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Pain Report Child—20 CFR
404.1512 and 416.912—0960–0540.
Before SSA can make a disability
determination for a child, we require
evidence from Supplemental Security
Income (SSI) applicants or claimants to
prove their disability. Form SSA–3371–
BK provides disability interviewers, and
SSI applicants or claimants in self-help
situations, with a convenient way to
record information about claimants’
pain or other symptoms. The State
disability determination services
adjudicators and administrative law
judges then use the information from
Form SSA–3371–BK to assess the effects
of symptoms on function for purposes of
determining disability under the Social
Security Act (Act). The respondents are
applicants for, or claimants of, SSI
payments.
Type of Request: Revision of an OMBapproved information collection.
1
21:34 Oct 12, 2018
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Estimated
total annual
burden
(hours)
15
62,500
telephone options reduce requests to the
National 800 Number Network (N8NN)
and visits to local Social Security field
offices (FO). The respondents are Title
II beneficiaries who wish to request a
replacement SSA–1099 or SSA–1042S
via telephone.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
238,286
458,442
870,811
69,207
1
1
1
1
CFR 200.30–3(a)(12).
VerDate Sep<11>2014
Average
burden per
response
(minutes)
E:\FR\FM\15OCN1.SGM
15OCN1
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
2
3
3
3
7,943
22,922
43,541
3,460
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Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices
Number of
respondents
Modality of completion
Totals ........................................................................................................
3. Protecting the Public and Our
Personnel to Ensure Operational
Effectiveness (RIN 0960–AH35),
Regulation 3729I—20 CFR 422.905,
422.906—0960–0796. SSA published
regulations for the process we follow
when we restrict individuals from
receiving in-person services in our field
offices and provide them, instead, with
alternative services. We published these
rules to create a safer environment for
our personnel and members of the
public who use our facilities, while
ensuring we continue to serve the
American people with as little
disruption to our operations as possible.
Under our regulations at 20 CFR
422.905, an individual for whom we
restrict access to our facilities has the
opportunity to appeal our decision
within 60 days of the date of the
restrictive access and alternative service
notice. To appeal, restricted individuals
must submit a written request stating
why they believe SSA should rescind
the restriction and allow them to
conduct business with us on a face-toface basis in one of our offices. There is
no printed form for this request; rather,
restricted individuals create their own
written statement of appeal, and submit
it to a sole decision-maker in the
regional office of the region where the
restriction originated. The individuals
may also provide additional
documentation to support their appeal.
Under 20 CFR 422.906, if the individual
does not appeal the decision within the
60 days; if we restricted the individual
prior to the effective date of this
regulation; or if the appeal results in a
denial, the individual has another
Number of
respondents
Regulation section
Average
burden per
response
(minutes)
........................
........................
Estimated
total annual
burden
(hours)
77,866
opportunity to request review of the
restriction after a three-year period. To
submit this request for review, restricted
individuals may re-submit a written
appeal of the decision. The same criteria
apply as for the original appeal: (1) It
must be in writing; (2) it must go to a
sole decision-maker in the regional
office of the region where the restriction
originated for review; and (3) it may
accompany supporting documentation.
We make this periodic review available
to all restricted individuals once every
three years. Respondents for this
collection are individuals appealing
their restrictions from in-person services
at SSA field offices.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
20 CFR 422.905 ..............................................................................................
20 CFR 422.906 ..............................................................................................
75
75
1
1
15
20
19
25
Totals ........................................................................................................
150
........................
........................
44
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
November 14, 2018. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Application for Supplemental
Security Income—20 CFR 416.207 and
416.305—416.335, Subpart C—0960–
0229. The 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
Number of
respondents
Modality of completion
khammond on DSK30JT082PROD with NOTICES
1,636,746
Frequency of
response
Form SSA–8000–BK, and its electronic
Intranet counterpart, the SSI Claim
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 OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSI Claim System ............................................................................................
SSA–8000 (Paper Form) .................................................................................
1,212,512
20,941
1
1
35
41
707,299
14,310
Totals ........................................................................................................
1,233,453
........................
........................
721,609
2. 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
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21:34 Oct 12, 2018
Jkt 247001
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
PO 00000
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Fmt 4703
Sfmt 4703
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
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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
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–8011–F3 (Paper Version) .......................................................................
SSA–8011–F3 (SSI Claims System) ...............................................................
8,233
417,025
1
1
15
15
2,058
104,256
Totals ........................................................................................................
425,258
........................
........................
106,314
3. 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
Number of
respondents
Modality of completion
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.
Frequency of
response
Average
burden per
response
(minutes)
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
4. Credit Card Payment Form—0960–
0648. SSA uses Form SSA–1414 to
process: (1) Credit card payments from
former employees and vendors with
outstanding debts to the agency; (2)
advance payments for reimbursable
agreements; and (3) credit card
payments for all Freedom of Information
Act (FOIA) requests requiring payment.
The respondents are former employees
and vendors who have outstanding
debts to the agency; entities who have
Number of
respondents
Modality of completion
SSA–1414 ........................................................................................................
khammond on DSK30JT082PROD with NOTICES
information in the SSI Claims System;
faxes the form into the appropriate
electronic folder; and shreds the form.
Respondents are householders of homes
in which an SSI applicant or recipient
resides.
Type of Request: Revision of an OMBapproved information collection.
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
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 Act when their medical
condition no longer permits them to
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21:34 Oct 12, 2018
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Fmt 4703
Sfmt 4703
Frequency of
response
6,000
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
PO 00000
reimbursable agreements with SSA; and
individuals who request information
through FOIA.
Type of Request: Revision of an OMBapproved information collection.
1
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
2
200
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.
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Number of
respondents
Modality of completion
SSA–371 ..........................................................................................................
6. Important Information About Your
Appeal, Waiver Rights, and Repayment
Options—20 CFR 404.502–521—0960–
0779. When SSA 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
Number of
respondents
Average
burden per
response
(minutes)
1
Estimated
total annual
burden
(hours)
2
333
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.
Frequency of
response
Average
burden per
response
(minutes)
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
7. Promoting Readiness of Minors in
SSI (PROMISE) Evaluation—0960–0799.
Background
khammond on DSK30JT082PROD with NOTICES
10,000
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
Modality of completion
Frequency of
response
The Promoting Readiness of Minors in
SSI (PROMISE) demonstration pursues
positive outcomes for children with
disabilities who receive SSI and their
families by reducing dependency on
SSI. The Department of Education (ED)
awarded six cooperative agreements to
states to improve the provision and
coordination of services and support for
children with disabilities who receive
SSI and their families to achieve
improved education and employment
outcomes. ED awarded PROMISE funds
to five single-state projects, and to one
six-state consortium.1 With support
from ED, the Department of Labor
(DOL), and the Department of Health
and Human Services (HHS), SSA is
evaluating the six PROMISE projects.
SSA contracted with Mathematica
Policy Research to conduct the
evaluation. Under PROMISE, targeted
outcomes for youth include an
enhanced sense of self determination;
achievement of secondary and postsecondary educational credentials; an
attainment of early work experiences
culminating with competitive
employment in an integrated setting;
and long-term reduction in reliance on
SSI. Outcomes of interest for families
1 The six-state consortium project goes by the
name Achieving Success by Promoting Readiness
for Education and Employment (ASPIRE) rather
than by PROMISE.
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21:34 Oct 12, 2018
Jkt 247001
include heightened expectations for and
support of the long-term self-sufficiency
of their youth; parent or guardian
attainment of education and training
credentials; and increases in earnings
and total income. To achieve these
outcomes, we expect the PROMISE
projects to make better use of existing
resources by improving service
coordination among multiple state and
local agencies and programs.
ED, SSA, DOL, and HHS intend the
PROMISE projects to address key
limitations in the existing service
system for youth with disabilities. By
intervening early in the lives of these
young people, at ages 14–16, the
projects engage the youth and their
families well before critical decisions
regarding the age 18 redetermination are
upon them. We expect the required
partnerships among the various state
and Federal agencies that serve youth
with disabilities to result in improved
integration of services and fewer
dropped handoffs as youth move from
one agency to another. By requiring the
programs to engage and serve families
and provide youth with paid work
experiences, the initiative is mandating
the adoption of critical best practices in
promoting the independence of youth
with disabilities.
Project Description
SSA is requesting clearance for the
collection of data needed to implement
and evaluate PROMISE. The evaluation
provides empirical evidence on the
impact of the intervention for youth and
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Sfmt 4703
their families in several critical areas,
including: (1) Improved educational
attainment; (2) increased employment
skills, experience, and earnings; and (3)
long-term reduction in use of public
benefits. We base the PROMISE
evaluation on a rigorous design that
entails the random assignment of
approximately 2,000 youth in each of
the six projects to treatment or control
groups (12,000 total). The PROMISE
projects provide enhanced services for
youth in the treatment groups; whereas
youth in the control groups are eligible
only for those services already available
in their communities independent of the
interventions.
The evaluation assesses the effect of
PROMISE services on educational
attainment, employment, earnings, and
reduced receipt of disability payments.
The three components of this evaluation
include:
• The process analysis, which
documents program models, assesses
the relationships among the partner
organizations, documents whether the
grantees implemented the programs as
planned, identifies features of the
programs that may account for their
impacts on youth and families, and
identifies lessons for future programs
with similar objectives.
• The impact analysis, which
determines whether youth and families
in the treatment groups receive more
services than their counterparts in the
control groups. It also determines
whether treatment group members have
better results than control group
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members with respect to the targeted
outcomes noted above.
• The cost-benefit analysis, which
assesses whether the benefits of
PROMISE, including increases in
employment and reductions in benefit
receipt, are large enough to justify its
costs. We conduct this assessment from
a range of perspectives, including those
of the participants, state and Federal
governments, SSA, and society as a
whole.
SSA planned several data collection
efforts for the evaluation. These include:
(1) Follow-up interviews with youth
and their parent or guardian 18 months
and 5 years (60 months) after
enrollment; (2) phone and in-person
interviews with local program
administrators, program supervisors,
and service delivery staff at two points
in time over the course of the
demonstration; (3) two rounds of focus
groups with participating youth in the
treatment group; (4) two rounds of focus
groups with parents or guardians of
participating youth; (5) staff activity logs
which provide data on aspects of service
delivery; and (6) collection of
administrative data.
At this time, SSA requests clearance
for the 5-year (60-month) survey
interviews. The respondents are the
youth and their parents participating in
the PROMISE demonstration.
Type of Request: Revision of an OMBapproved Information Collection.
TIME BURDEN ON RESPONDENTS
Number of
respondents
Modality of completion
Average
burden
per response
(minutes)
Frequency
of response
Estimated
total
annual
burden
(hours)
2019: 60-Month Survey Interviews
Parent Interview—telephone (using electronic assisted capturing) ................
Youth Interview—telephone (using electronic assisted capturing) ..................
Parent Interview—Self-Administered Questionnaire .......................................
Youth Interview—Self-Administered Questionnaire .........................................
1,095
1,110
22
23
1
1
1
1
32
38
18
18
584
703
7
7
Totals ........................................................................................................
2,250
........................
........................
1,301
2020: 60-Month Survey Interviews
Parent Interview—telephone (using electronic assisted capturing) ................
Youth Interview—telephone (using electronic assisted capturing) ..................
Parent Interview—Self-Administered Questionnaire .......................................
Youth Interview—Self-Administered Questionnaire .........................................
5,127
5,169
105
105
1
1
1
1
32
38
18
18
2,734
3,274
32
32
Totals ........................................................................................................
10,506
........................
........................
6,072
2021: 60-Month Survey Interviews
Parent Interview—telephone (using electronic assisted capturing) ................
Youth Interview—telephone (using electronic assisted capturing) ..................
Parent Interview—Self-Administered Questionnaire .......................................
Youth Interview—Self-Administered Questionnaire .........................................
2,656
2,671
54
55
1
1
1
1
32
38
18
18
1,417
1,692
16
17
Totals ........................................................................................................
5,436
........................
........................
3,142
Parent Interview—telephone (using electronic assisted capturing) ................
Youth Interview—telephone (using electronic assisted capturing) ..................
Parent Interview—Self-Administered Questionnaire .......................................
Youth Interview—Self-Administered Questionnaire .........................................
8,878
8,950
181
183
1
1
1
1
32
38
18
18
4,735
5,669
55
56
Totals ........................................................................................................
18,192
........................
........................
10,515
Grand Totals
Dated: October 10, 2018.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
DEPARTMENT OF STATE
[FR Doc. 2018–22339 Filed 10–12–18; 8:45 am]
30-Day Notice of Proposed Information
Collection: Petition To Classify Special
Immigrant Under INA 203(b)(4) as
Employee or Former Employee of the
U.S. Government Abroad
khammond on DSK30JT082PROD with NOTICES
BILLING CODE 4191–02–P
[Public Notice: 10576]
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
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21:34 Oct 12, 2018
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The Department of State has
submitted the information collection
described below to the Office of
Management and Budget (OMB) for
approval. In accordance with the
Paperwork Reduction Act of 1995 we
are requesting comments on this
collection from all interested
individuals and organizations. The
purpose of this Notice is to allow 30
days for public comment.
SUMMARY:
Submit comments directly to the
Office of Management and Budget
(OMB) up to November 14, 2018.
DATES:
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]]>Agencies
[Federal Register Volume 83, Number 199 (Monday, October 15, 2018)]
[Notices]
[Pages 52042-52046]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-22339]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2018-0055]
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 an extension 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-2018-0055].
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
December 14, 2018. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Pain Report Child--20 CFR 404.1512 and 416.912--0960-0540.
Before SSA can make a disability determination for a child, we require
evidence from Supplemental Security Income (SSI) applicants or
claimants to prove their disability. Form SSA-3371-BK provides
disability interviewers, and SSI applicants or claimants in self-help
situations, with a convenient way to record information about
claimants' pain or other symptoms. The State disability determination
services adjudicators and administrative law judges then use the
information from Form SSA-3371-BK to assess the effects of symptoms on
function for purposes of determining disability under the Social
Security Act (Act). The respondents are applicants for, or claimants
of, SSI payments.
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-3371........................................ 250,000 1 15 62,500
----------------------------------------------------------------------------------------------------------------
2. Internet Request for Replacement of Forms SSA-1099/SSA-1042S--20
CFR 401.45--0960-0583. Title II beneficiaries use Forms SSA-1099 and
SSA-1042S, Social Security Benefit Statement, to determine if their
Social Security benefits are taxable, and the amount they need to
report to the Internal Revenue Service. In cases where the original
forms are unavailable (e.g., lost, stolen, mutilated), an individual
may use SSA's automated telephone application to request a replacement
SSA-1099 and SSA-1042S. SSA uses the information from the automated
telephone requests to verify the identity of the requestor and to
provide replacement copies of the forms. SSA accepts information in
other ways, however; The automated telephone options reduce requests to
the National 800 Number Network (N8NN) and visits to local Social
Security field offices (FO). The respondents are Title II beneficiaries
who wish to request a replacement SSA-1099 or SSA-1042S via telephone.
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)
----------------------------------------------------------------------------------------------------------------
Automated Telephone Requestors.................. 238,286 1 2 7,943
N8NN............................................ 458,442 1 3 22,922
Calls to local FOs.............................. 870,811 1 3 43,541
Other (program service centers)................. 69,207 1 3 3,460
---------------------------------------------------------------
[[Page 52043]]
Totals...................................... 1,636,746 .............. .............. 77,866
----------------------------------------------------------------------------------------------------------------
3. Protecting the Public and Our Personnel to Ensure Operational
Effectiveness (RIN 0960-AH35), Regulation 3729I--20 CFR 422.905,
422.906--0960-0796. SSA published regulations for the process we follow
when we restrict individuals from receiving in-person services in our
field offices and provide them, instead, with alternative services. We
published these rules to create a safer environment for our personnel
and members of the public who use our facilities, while ensuring we
continue to serve the American people with as little disruption to our
operations as possible. Under our regulations at 20 CFR 422.905, an
individual for whom we restrict access to our facilities has the
opportunity to appeal our decision within 60 days of the date of the
restrictive access and alternative service notice. To appeal,
restricted individuals must submit a written request stating why they
believe SSA should rescind the restriction and allow them to conduct
business with us on a face-to-face basis in one of our offices. There
is no printed form for this request; rather, restricted individuals
create their own written statement of appeal, and submit it to a sole
decision-maker in the regional office of the region where the
restriction originated. The individuals may also provide additional
documentation to support their appeal. Under 20 CFR 422.906, if the
individual does not appeal the decision within the 60 days; if we
restricted the individual prior to the effective date of this
regulation; or if the appeal results in a denial, the individual has
another opportunity to request review of the restriction after a three-
year period. To submit this request for review, restricted individuals
may re-submit a written appeal of the decision. The same criteria apply
as for the original appeal: (1) It must be in writing; (2) it must go
to a sole decision-maker in the regional office of the region where the
restriction originated for review; and (3) it may accompany supporting
documentation. We make this periodic review available to all restricted
individuals once every three years. Respondents for this collection are
individuals appealing their restrictions from in-person services at SSA
field offices.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Regulation section Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 422.905.................................. 75 1 15 19
20 CFR 422.906.................................. 75 1 20 25
---------------------------------------------------------------
Totals...................................... 150 .............. .............. 44
----------------------------------------------------------------------------------------------------------------
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 November 14, 2018. Individuals can obtain copies of
the OMB clearance packages by writing to [email protected].
1. Application for Supplemental Security Income--20 CFR 416.207 and
416.305--416.335, Subpart C--0960-0229. The 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 Claim 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 burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSI Claim System................................ 1,212,512 1 35 707,299
SSA-8000 (Paper Form)........................... 20,941 1 41 14,310
---------------------------------------------------------------
Totals...................................... 1,233,453 .............. .............. 721,609
----------------------------------------------------------------------------------------------------------------
2. 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
[[Page 52044]]
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 the 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 burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8011-F3 (Paper Version)..................... 8,233 1 15 2,058
SSA-8011-F3 (SSI Claims System)................. 417,025 1 15 104,256
---------------------------------------------------------------
Totals...................................... 425,258 .............. .............. 106,314
----------------------------------------------------------------------------------------------------------------
3. 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.
----------------------------------------------------------------------------------------------------------------
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
----------------------------------------------------------------------------------------------------------------
4. Credit Card Payment Form--0960-0648. SSA uses Form SSA-1414 to
process: (1) Credit card payments from former employees and vendors
with outstanding debts to the agency; (2) advance payments for
reimbursable agreements; and (3) credit card payments for all Freedom
of Information Act (FOIA) requests requiring payment. The respondents
are former employees and vendors who have outstanding debts to the
agency; entities who have reimbursable agreements with SSA; and
individuals who request information through FOIA.
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-1414........................................ 6,000 1 2 200
----------------------------------------------------------------------------------------------------------------
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 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.
[[Page 52045]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) 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 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
----------------------------------------------------------------------------------------------------------------
7. Promoting Readiness of Minors in SSI (PROMISE) Evaluation--0960-
0799.
Background
The Promoting Readiness of Minors in SSI (PROMISE) demonstration
pursues positive outcomes for children with disabilities who receive
SSI and their families by reducing dependency on SSI. The Department of
Education (ED) awarded six cooperative agreements to states to improve
the provision and coordination of services and support for children
with disabilities who receive SSI and their families to achieve
improved education and employment outcomes. ED awarded PROMISE funds to
five single-state projects, and to one six-state consortium.\1\ With
support from ED, the Department of Labor (DOL), and the Department of
Health and Human Services (HHS), SSA is evaluating the six PROMISE
projects. SSA contracted with Mathematica Policy Research to conduct
the evaluation. Under PROMISE, targeted outcomes for youth include an
enhanced sense of self determination; achievement of secondary and
post-secondary educational credentials; an attainment of early work
experiences culminating with competitive employment in an integrated
setting; and long-term reduction in reliance on SSI. Outcomes of
interest for families include heightened expectations for and support
of the long-term self-sufficiency of their youth; parent or guardian
attainment of education and training credentials; and increases in
earnings and total income. To achieve these outcomes, we expect the
PROMISE projects to make better use of existing resources by improving
service coordination among multiple state and local agencies and
programs.
---------------------------------------------------------------------------
\1\ The six-state consortium project goes by the name Achieving
Success by Promoting Readiness for Education and Employment (ASPIRE)
rather than by PROMISE.
---------------------------------------------------------------------------
ED, SSA, DOL, and HHS intend the PROMISE projects to address key
limitations in the existing service system for youth with disabilities.
By intervening early in the lives of these young people, at ages 14-16,
the projects engage the youth and their families well before critical
decisions regarding the age 18 redetermination are upon them. We expect
the required partnerships among the various state and Federal agencies
that serve youth with disabilities to result in improved integration of
services and fewer dropped handoffs as youth move from one agency to
another. By requiring the programs to engage and serve families and
provide youth with paid work experiences, the initiative is mandating
the adoption of critical best practices in promoting the independence
of youth with disabilities.
Project Description
SSA is requesting clearance for the collection of data needed to
implement and evaluate PROMISE. The evaluation provides empirical
evidence on the impact of the intervention for youth and their families
in several critical areas, including: (1) Improved educational
attainment; (2) increased employment skills, experience, and earnings;
and (3) long-term reduction in use of public benefits. We base the
PROMISE evaluation on a rigorous design that entails the random
assignment of approximately 2,000 youth in each of the six projects to
treatment or control groups (12,000 total). The PROMISE projects
provide enhanced services for youth in the treatment groups; whereas
youth in the control groups are eligible only for those services
already available in their communities independent of the
interventions.
The evaluation assesses the effect of PROMISE services on
educational attainment, employment, earnings, and reduced receipt of
disability payments. The three components of this evaluation include:
The process analysis, which documents program models,
assesses the relationships among the partner organizations, documents
whether the grantees implemented the programs as planned, identifies
features of the programs that may account for their impacts on youth
and families, and identifies lessons for future programs with similar
objectives.
The impact analysis, which determines whether youth and
families in the treatment groups receive more services than their
counterparts in the control groups. It also determines whether
treatment group members have better results than control group
[[Page 52046]]
members with respect to the targeted outcomes noted above.
The cost-benefit analysis, which assesses whether the
benefits of PROMISE, including increases in employment and reductions
in benefit receipt, are large enough to justify its costs. We conduct
this assessment from a range of perspectives, including those of the
participants, state and Federal governments, SSA, and society as a
whole.
SSA planned several data collection efforts for the evaluation.
These include: (1) Follow-up interviews with youth and their parent or
guardian 18 months and 5 years (60 months) after enrollment; (2) phone
and in-person interviews with local program administrators, program
supervisors, and service delivery staff at two points in time over the
course of the demonstration; (3) two rounds of focus groups with
participating youth in the treatment group; (4) two rounds of focus
groups with parents or guardians of participating youth; (5) staff
activity logs which provide data on aspects of service delivery; and
(6) collection of administrative data.
At this time, SSA requests clearance for the 5-year (60-month)
survey interviews. The respondents are the youth and their parents
participating in the PROMISE demonstration.
Type of Request: Revision of an OMB-approved Information
Collection.
Time Burden on Respondents
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
2019: 60-Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Parent Interview--telephone (using electronic 1,095 1 32 584
assisted capturing)............................
Youth Interview--telephone (using electronic 1,110 1 38 703
assisted capturing)............................
Parent Interview--Self-Administered 22 1 18 7
Questionnaire..................................
Youth Interview--Self-Administered Questionnaire 23 1 18 7
---------------------------------------------------------------
Totals...................................... 2,250 .............. .............. 1,301
----------------------------------------------------------------------------------------------------------------
2020: 60-Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Parent Interview--telephone (using electronic 5,127 1 32 2,734
assisted capturing)............................
Youth Interview--telephone (using electronic 5,169 1 38 3,274
assisted capturing)............................
Parent Interview--Self-Administered 105 1 18 32
Questionnaire..................................
Youth Interview--Self-Administered Questionnaire 105 1 18 32
---------------------------------------------------------------
Totals...................................... 10,506 .............. .............. 6,072
----------------------------------------------------------------------------------------------------------------
2021: 60-Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Parent Interview--telephone (using electronic 2,656 1 32 1,417
assisted capturing)............................
Youth Interview--telephone (using electronic 2,671 1 38 1,692
assisted capturing)............................
Parent Interview--Self-Administered 54 1 18 16
Questionnaire..................................
Youth Interview--Self-Administered Questionnaire 55 1 18 17
---------------------------------------------------------------
Totals...................................... 5,436 .............. .............. 3,142
----------------------------------------------------------------------------------------------------------------
Grand Totals
----------------------------------------------------------------------------------------------------------------
Parent Interview--telephone (using electronic 8,878 1 32 4,735
assisted capturing)............................
Youth Interview--telephone (using electronic 8,950 1 38 5,669
assisted capturing)............................
Parent Interview--Self-Administered 181 1 18 55
Questionnaire..................................
Youth Interview--Self-Administered Questionnaire 183 1 18 56
---------------------------------------------------------------
Totals...................................... 18,192 .............. .............. 10,515
----------------------------------------------------------------------------------------------------------------
Dated: October 10, 2018.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2018-22339 Filed 10-12-18; 8:45 am]
BILLING CODE 4191-02-P
