Agency Information Collection Activities: Comment Request, 37704-37707 [2019-16355]
Download as PDF
<![CDATA[
37704
Federal Register / Vol. 84, No. 148 / Thursday, August 1, 2019 / Notices
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
Electronic Comments
• Use the Commission’s internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an email to rule-comments@
sec.gov. Please include File Number SR–
NYSE–2019–42 on the subject line.
Paper Comments
• Send paper comments in triplicate
to Secretary, Securities and Exchange
Commission, 100 F Street NE,
Washington, DC 20549–1090.
All submissions should refer to File
Number SR–NYSE–2019–42. This file
number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
internet website (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
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–NYSE–2019–42 and should
be submitted on or before August 22,
2019.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.22
Jill M. Peterson,
Assistant Secretary.
[FR Doc. 2019–16365 Filed 7–31–19; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2019–0031]
Agency Information Collection
Activities: Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
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 .
Social Security Administration, OLCA,
Attn: Reports Clearance Director, 3100
West High Rise, 6401 Security Blvd.,
Baltimore, MD 21235, Fax: 410–966–
Number of
respondents
jspears on DSK3GMQ082PROD with NOTICES
Modality of completion
2830, Email address:
OR.Reports.Clearance@ssa.gov.
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2019–0031].
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 3, 2019. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Representative Payee Evaluation
Report—20 CFR 404.2065 & 416.665—
0960–0069. Sections 205(j) and
1631(a)(2) of the Act state that SSA may
authorize payment of Social Security
benefits or Supplemental Security
Income (SSI) payments to a
representative payee on behalf of
individuals unable to manage, or direct
the management of, those funds
themselves. SSA requires appointed
representative payees to report once
each year on how they used or
conserved those funds. When a
representative payee fails to adequately
report to SSA as required, SSA conducts
a face-to-face interview with the payee
and completes Form SSA–624–F5,
Representative Payee Evaluation Report,
to determine the continued suitability of
the representative payee to serve as a
payee. In addition to interviewing the
representative payee, we also interview
the recipient, and custodian (if other
than the payee), to confirm the
information the payee provides, and to
ensure the payee is meeting the
recipient’s current needs. The
respondents are individuals or
organizations serving as representative
payees for individuals receiving Title II
benefits or Title XVI payments, and who
fail to comply with SSA’s statutory
annual reporting requirement, and the
recipients for whom they act as payee.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–624—Individuals .....................................................................................
SSA–624—State and Local Government ........................................................
SSA–624—Businesses ....................................................................................
6,956
40
280
1
1
1
30
30
30
3,478
20
140
Totals ........................................................................................................
7,276
........................
........................
3,638
22 17
CFR 200.30–3(a)(12).
VerDate Sep<11>2014
19:14 Jul 31, 2019
Jkt 247001
PO 00000
Frm 00092
Fmt 4703
Sfmt 4703
E:\FR\FM\01AUN1.SGM
01AUN1
37705
Federal Register / Vol. 84, No. 148 / Thursday, August 1, 2019 / Notices
2. Application for Benefits Under the
Italy-U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0445. As per the November 1, 1978
agreement between the United States
and Italian Social Security agencies,
residents of Italy filing an application
for U.S. Social Security benefits directly
with one of the Italian Social Security
2528–IT, and then forward the
application to SSA for processing. The
respondents are individuals living in
Italy who wish to file for U.S. Social
Security 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–2528–IT ...................................................................................................
300
1
20
100
3. Agency/Employer Government
Pension Offset Questionnaire —20 CFR
404.408(a)—0960–0470. When an
individual is concurrently receiving
Social Security spousal, or surviving
spousal, benefits, and a government
pension, the individual may have the
amount of Social Security benefits
reduced by the government pension
amount. This is the Government
Pension Offset (GPO). SSA uses Form
SSA–L4163 to collect accurate pension
information from the Federal or State
government agency paying the pension
for purposes of applying the pension
offset provision. SSA uses this form
only when: (1) The claimant does not
have the information; and (2) the
pension-paying agency has not
cooperated with the claimant.
Respondents are State government
agencies, which have information SSA
needs to determine if the GPO applies,
and the amount of offset.
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–L4163 ......................................................................................................
2,911
1
3
146
4. Plan to Achieve Self-Support
(PASS)—20 CFR 416.110(e), 416.1180–
1182, 416.1225–1227—0960–0559. The
SSI program encourages recipients to
return to work. One of the program
objectives is to provide incentives and
opportunities that help recipients
toward employment. The PASS
provision allows individuals to use
available income or resources (such as
jspears on DSK3GMQ082PROD with NOTICES
agencies must complete Form SSA–
2528–IT. SSA uses Form SSA–2528–IT
to establish age, relationship,
citizenship, marriage, death, military
service, or to evaluate a family bible or
other family record when determining
eligibility for U.S. benefits. The Italian
Social Security agencies assist
applicants in completing Form SSA–
business equipment, education, or
specialized training) to enter or re-enter
the workforce and become selfsupporting. In turn, SSA does not count
the income or resources recipients use
to fund a PASS when determining an
individual’s SSI eligibility or payment
amount. An SSI recipient who wants to
use available income and resources to
obtain education or training to become
self-supporting completes Form SSA–
545. SSA uses the information from the
SSA–545 to evaluate the recipient’s
PASS, and to determine eligibility
under the provisions of the SSI program.
The respondents are SSI recipients who
want to develop a return-to-work 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–545 ..........................................................................................................
7,000
1
120
14,000
5. Complaint Form for Allegations of
Discrimination in Programs or Activities
Conducted by the Social Security
Administration—0960–0585. SSA uses
Form SSA–437 to investigate and
formally resolve complaints of
discrimination based on disability; race;
color; national origin (including limited
English language proficiency); sex
(including sexual orientation and
gender identity); age; religion; or
retaliation for having participated in a
VerDate Sep<11>2014
19:14 Jul 31, 2019
Jkt 247001
proceeding under this administrative
complaint process in connection with
an SSA program or activity. Individuals
who believe SSA discriminated against
them on any of the above bases may file
a written complaint of discrimination.
SSA uses the information to: (1) Identify
the complaint; (2) identify the alleged
discriminatory act; (3) establish the date
of the alleged action; (4) establish the
identity of any individual(s) with
information about the alleged
PO 00000
Frm 00093
Fmt 4703
Sfmt 4703
discrimination; and (5) establish other
relevant information that would assist
in the investigation and resolution of
the complaint. Respondents are
individuals who believe an SSA
program or activity, or SSA employees,
contractors or agents, discriminated
against them.
Type of Request: Revision on an
OMB-approved information collection.
E:\FR\FM\01AUN1.SGM
01AUN1
37706
Federal Register / Vol. 84, No. 148 / Thursday, August 1, 2019 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total
annual burden
(hours)
SSA–437 ..........................................................................................................
255
1
60
255
6. Supplemental Security Income
Wage Reporting (Telephone and
Mobile)—20 CFR 416.701–416.732—
0960–0715. SSA requires SSI recipients
to report changes which could affect
their eligibility for, and the amount of,
their SSI payments, such as changes in
income, resources, and living
arrangements. SSA’s SSI Telephone
Wage Reporting (SSITWR) and SSI
Mobile Wage Reporting (SSIMWR)
enable SSI recipients to meet these
requirements via an automated
mechanism to report their monthly
wages by telephone and mobile
application, instead of contacting their
local field offices. The SSITWR allows
callers to report their wages by speaking
their responses through voice
recognition technology, or by keying in
responses using a telephone key pad.
The SSIMWR allows recipients to report
their wages through the mobile wage
reporting application on their
smartphone. SSITWR and SSIMWR
systems collect the same information
Number of
respondents
Modality of completion
Frequency of
response
and send it to SSA over secure
channels. To ensure the security of the
information provided, SSITWR and
SSIMWR ask respondents to provide
information SSA can compare against
our records for authentication purposes.
Once the system authenticates the
identity of the respondents, they can
report their wage data. The respondents
are SSI recipients, deemors, or their
representative payees.
Type of Request: Revision of an OMBapproved information collection.
Number of
responses
Average
burden per
response
(minutes)
Estimated
total
annual burden
(hours)
Training/Instruction * .............................................................
SSITWR ...............................................................................
SSIMWR ..............................................................................
103,000
26,000
77,000
1
12
12
103,000
312,000
924,000
35
5
3
60,083
26,000
46,200
Totals ............................................................................
103,000
........................
1,339,000
........................
132,283
* NOTE: The same 103,000 respondents are completing training and a modality of collection, therefore the actual total number of respondents
is still 103,000.
jspears on DSK3GMQ082PROD with NOTICES
7. Technical Updates to Applicability
of the Supplemental Security Income
(SSI) Reduced Benefit Rate for
Individuals Residing in Medical
Treatment Facilities—20 CFR
416.708(k)—0960–0758. Section
1611(e)(1)(A) of the Act specifies
residents of public institutions are
ineligible for SSI. However, Sections
1611(e)(1)(B) and (G) of the Act list
certain exceptions to this provision,
making it necessary for SSA to collect
information about SSI recipients who
enter or leave a medical treatment
facility or other public or private
institution. SSA’s regulation 20 CFR
416.708(k) establishes the reporting
guidelines that implement this
legislative requirement. SSA uses this
information collection to determine SSI
eligibility or the benefit amount for SSI
recipients who enter or leave
institutions. SSA personnel collect this
information directly from SSI recipients,
or from someone reporting on their
behalf. An SSI recipient who enters an
institution may be unable to report;
therefore, a family member sometimes
makes this report on behalf of the
recipient. When contacting SSA, the
recipient, or family member of the
recipient, provides the name of the
institution, the date of admission, and
the expected date of discharge. The
respondents are SSI recipients who
enter or leave an institution, or
individuals reporting on their behalf.
This is a correction notice. SSA
published this information collection as
an extension on May 22, 2019 at 84 FR
23623. Since we are revising the Privacy
Act Statement for this collection, this is
now a revision of an OMB-approved
information collection.
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)
Technical Updates Statement .........................................................................
34,200
1
7
3,990
8. Waiver of Supplemental Security
Income Payment Continuation—20 CFR
416.1400–416.1422—0960–0783. SSI
recipients who wish to discontinue their
SSI payments while awaiting a
determination on their appeal complete
Form SSA–263–U2, Waiver of
VerDate Sep<11>2014
19:14 Jul 31, 2019
Jkt 247001
Supplemental Security Income Payment
Continuation, to inform SSA of this
decision. SSA collects the information
to determine whether the SSI recipient
meets the provisions of the Act
regarding waiver of payment
continuation and as proof respondents
PO 00000
Frm 00094
Fmt 4703
Sfmt 4703
no longer want their payments to
continue. Respondents are recipients of
SSI payments who wish to discontinue
receipt of payment while awaiting a
determination on their appeal.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\01AUN1.SGM
01AUN1
37707
Federal Register / Vol. 84, No. 148 / Thursday, August 1, 2019 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–263–U2 ...................................................................................................
3,000
1
5
250
Dated: July 26, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
and Delegation of Authority No. 236–3
of August 28, 2000.
[FR Doc. 2019–16355 Filed 7–31–19; 8:45 am]
Marie Therese Porter Royce,
Assistant Secretary, Educational and Cultural
Affairs, Department of State.
BILLING CODE 4191–02–P
[FR Doc. 2019–16357 Filed 7–31–19; 8:45 am]
BILLING CODE 4710–05–P
DEPARTMENT OF STATE
DEPARTMENT OF STATE
[Public Notice: 10822]
[Public Notice: 10835]
Notice of Determinations; Culturally
Significant Object Imported for
Exhibition—Determinations: ‘‘Medieval
Permanent Collection Galleries
Rotation’’ Exhibition
60-Day Notice of Proposed Information
Collection: Application for a U.S.
Passport: Corrections, Name Change
Within 1 Year of Passport Issuance,
and Limited Passport Holders
Notice of request for public
comment.
ACTION:
Notice is hereby given of the
following determinations: I hereby
determine that a certain object to be
exhibited in the exhibition ‘‘Medieval
Permanent Collection Galleries
Rotation,’’ imported from abroad for
temporary exhibition within the United
States, is of cultural significance. The
object is imported pursuant to a loan
agreement with the foreign owner or
custodian. I also determine that the
exhibition or display of the exhibit
object at The Cleveland Museum of Art,
in Cleveland, Ohio, from on or about
August 30, 2019, until on or about
February 20, 2020, and at possible
additional exhibitions or venues yet to
be determined, is in the national
interest. I have ordered that Public
Notice of these determinations be
published in the Federal Register.
SUMMARY:
Julie
Simpson, Attorney-Adviser, Office of
the Legal Adviser, U.S. Department of
State (telephone: 202–632–6471; email:
section2459@state.gov). The mailing
address is U.S. Department of State, L/
PD, SA–5, Suite 5H03, Washington, DC
20522–0505.
FOR FURTHER INFORMATION CONTACT:
The
foregoing determinations were made
pursuant to the authority vested in me
by the Act of October 19, 1965 (79 Stat.
985; 22 U.S.C. 2459), Executive Order
12047 of March 27, 1978, the Foreign
Affairs Reform and Restructuring Act of
1998 (112 Stat. 2681, et seq.; 22 U.S.C.
6501 note, et seq.), Delegation of
Authority No. 234 of October 1, 1999,
jspears on DSK3GMQ082PROD with NOTICES
SUPPLEMENTARY INFORMATION:
VerDate Sep<11>2014
19:14 Jul 31, 2019
Jkt 247001
The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collection described below.
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 60 days for public
comment preceding submission of the
collection to OMB.
DATES: The Department will accept
comments from the public up to
September 30, 2019.
ADDRESSES: You may submit comments
by any of the following methods:
• Web: Persons with access to the
internet may comment on this notice by
going to wwwRegulations.gov. You can
search for the document by entering
‘‘Docket Number: DOS–2019–0026’’ in
the Search field. Then click the
‘‘Comment Now’’ button and complete
the comment form.
• Email: PPTFormsOfficer@state.gov.
• Regular Mail: Send written
comments to: PPT Forms Officer, U.S.
Department of State, CA/PPT/S/PMO,
44132 Mercure Cir, P.O. Box 1199,
Sterling, VA 20166–1199.
You must include the DS form
number (if applicable), information
collection title, and the OMB control
number in any correspondence.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Application for a U.S. Passport:
Corrections, Name Change Within 1
SUMMARY:
PO 00000
Frm 00095
Fmt 4703
Sfmt 4703
Year of Passport Issuance, And Limited
Passport Holders.
• OMB Control Number: 1405–0160.
• Type of Request: Revision of a
Currently Approved Collection.
• Originating Office: Bureau of
Consular Affairs, Passport Services (CA/
PPT).
• Form Number: DS–5504.
• Respondents: Individuals or
Households.
• Estimated Number of Respondents:
138,000.
• Estimated Number of Responses:
138,000.
• Average Time per Response: 40
minutes.
• Total Estimated Burden Time:
92,000 hours per year.
• Frequency: On occasion.
• Obligation to Respond: Required to
Obtain a Benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
• Enhance the quality, utility, and
clarity of the information to be
collected.
• Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
Please note that comments submitted
in response to this Notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
Abstract of Proposed Collection
The Application for a U.S. Passport:
Corrections, Name Change Within 1
Year of Passport Issuance, And Limited
Passport Holders (DS–5504) is the form
used by current passport holders who
need to re-apply for a passport, at no
charge. The following categories are
permitted to re-apply for a new passport
using the DS–5504: (a) The passport
holder’s name has changed within the
first year of the issuance of the passport;
(b) the passport holder needs correction
E:\FR\FM\01AUN1.SGM
01AUN1
]]>Agencies
[Federal Register Volume 84, Number 148 (Thursday, August 1, 2019)]
[Notices]
[Pages 37704-37707]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-16355]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2019-0031]
Agency Information Collection Activities: Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions 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] .
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-2019-0031].
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 3, 2019. Individuals can obtain copies of
the OMB clearance packages by writing to [email protected].
1. Representative Payee Evaluation Report--20 CFR 404.2065 &
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Act state
that SSA may authorize payment of Social Security benefits or
Supplemental Security Income (SSI) payments to a representative payee
on behalf of individuals unable to manage, or direct the management of,
those funds themselves. SSA requires appointed representative payees to
report once each year on how they used or conserved those funds. When a
representative payee fails to adequately report to SSA as required, SSA
conducts a face-to-face interview with the payee and completes Form
SSA-624-F5, Representative Payee Evaluation Report, to determine the
continued suitability of the representative payee to serve as a payee.
In addition to interviewing the representative payee, we also interview
the recipient, and custodian (if other than the payee), to confirm the
information the payee provides, and to ensure the payee is meeting the
recipient's current needs. The respondents are individuals or
organizations serving as representative payees for individuals
receiving Title II benefits or Title XVI payments, and who fail to
comply with SSA's statutory annual reporting requirement, and the
recipients for whom they act as payee.
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-624--Individuals............................ 6,956 1 30 3,478
SSA-624--State and Local Government............. 40 1 30 20
SSA-624--Businesses............................. 280 1 30 140
---------------------------------------------------------------
Totals...................................... 7,276 .............. .............. 3,638
----------------------------------------------------------------------------------------------------------------
[[Page 37705]]
2. Application for Benefits Under the Italy-U.S. International
Social Security Agreement--20 CFR 404.1925--0960-0445. As per the
November 1, 1978 agreement between the United States and Italian Social
Security agencies, residents of Italy filing an application for U.S.
Social Security benefits directly with one of the Italian Social
Security agencies must complete Form SSA-2528-IT. SSA uses Form SSA-
2528-IT to establish age, relationship, citizenship, marriage, death,
military service, or to evaluate a family bible or other family record
when determining eligibility for U.S. benefits. The Italian Social
Security agencies assist applicants in completing Form SSA-2528-IT, and
then forward the application to SSA for processing. The respondents are
individuals living in Italy who wish to file for U.S. Social Security
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-2528-IT................................. 300 1 20 100
----------------------------------------------------------------------------------------------------------------
3. Agency/Employer Government Pension Offset Questionnaire --20 CFR
404.408(a)--0960-0470. When an individual is concurrently receiving
Social Security spousal, or surviving spousal, benefits, and a
government pension, the individual may have the amount of Social
Security benefits reduced by the government pension amount. This is the
Government Pension Offset (GPO). SSA uses Form SSA-L4163 to collect
accurate pension information from the Federal or State government
agency paying the pension for purposes of applying the pension offset
provision. SSA uses this form only when: (1) The claimant does not have
the information; and (2) the pension-paying agency has not cooperated
with the claimant. Respondents are State government agencies, which
have information SSA needs to determine if the GPO applies, and the
amount of offset.
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-L4163................................... 2,911 1 3 146
----------------------------------------------------------------------------------------------------------------
4. Plan to Achieve Self-Support (PASS)--20 CFR 416.110(e),
416.1180-1182, 416.1225-1227--0960-0559. The SSI program encourages
recipients to return to work. One of the program objectives is to
provide incentives and opportunities that help recipients toward
employment. The PASS provision allows individuals to use available
income or resources (such as business equipment, education, or
specialized training) to enter or re-enter the workforce and become
self-supporting. In turn, SSA does not count the income or resources
recipients use to fund a PASS when determining an individual's SSI
eligibility or payment amount. An SSI recipient who wants to use
available income and resources to obtain education or training to
become self-supporting completes Form SSA-545. SSA uses the information
from the SSA-545 to evaluate the recipient's PASS, and to determine
eligibility under the provisions of the SSI program. The respondents
are SSI recipients who want to develop a return-to-work 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-545..................................... 7,000 1 120 14,000
----------------------------------------------------------------------------------------------------------------
5. Complaint Form for Allegations of Discrimination in Programs or
Activities Conducted by the Social Security Administration--0960-0585.
SSA uses Form SSA-437 to investigate and formally resolve complaints of
discrimination based on disability; race; color; national origin
(including limited English language proficiency); sex (including sexual
orientation and gender identity); age; religion; or retaliation for
having participated in a proceeding under this administrative complaint
process in connection with an SSA program or activity. Individuals who
believe SSA discriminated against them on any of the above bases may
file a written complaint of discrimination. SSA uses the information
to: (1) Identify the complaint; (2) identify the alleged discriminatory
act; (3) establish the date of the alleged action; (4) establish the
identity of any individual(s) with information about the alleged
discrimination; and (5) establish other relevant information that would
assist in the investigation and resolution of the complaint.
Respondents are individuals who believe an SSA program or activity, or
SSA employees, contractors or agents, discriminated against them.
Type of Request: Revision on an OMB-approved information
collection.
[[Page 37706]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-437..................................... 255 1 60 255
----------------------------------------------------------------------------------------------------------------
6. Supplemental Security Income Wage Reporting (Telephone and
Mobile)--20 CFR 416.701-416.732--0960-0715. SSA requires SSI recipients
to report changes which could affect their eligibility for, and the
amount of, their SSI payments, such as changes in income, resources,
and living arrangements. SSA's SSI Telephone Wage Reporting (SSITWR)
and SSI Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet
these requirements via an automated mechanism to report their monthly
wages by telephone and mobile application, instead of contacting their
local field offices. The SSITWR allows callers to report their wages by
speaking their responses through voice recognition technology, or by
keying in responses using a telephone key pad. The SSIMWR allows
recipients to report their wages through the mobile wage reporting
application on their smartphone. SSITWR and SSIMWR systems collect the
same information and send it to SSA over secure channels. To ensure the
security of the information provided, SSITWR and SSIMWR ask respondents
to provide information SSA can compare against our records for
authentication purposes. Once the system authenticates the identity of
the respondents, they can report their wage data. The respondents are
SSI recipients, deemors, or their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of Number of per response total annual
respondents response responses (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Training/Instruction *.......... 103,000 1 103,000 35 60,083
SSITWR.......................... 26,000 12 312,000 5 26,000
SSIMWR.......................... 77,000 12 924,000 3 46,200
-------------------------------------------------------------------------------
Totals...................... 103,000 .............. 1,339,000 .............. 132,283
----------------------------------------------------------------------------------------------------------------
* Note: The same 103,000 respondents are completing training and a modality of collection, therefore the actual
total number of respondents is still 103,000.
7. Technical Updates to Applicability of the Supplemental Security
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section
1611(e)(1)(A) of the Act specifies residents of public institutions are
ineligible for SSI. However, Sections 1611(e)(1)(B) and (G) of the Act
list certain exceptions to this provision, making it necessary for SSA
to collect information about SSI recipients who enter or leave a
medical treatment facility or other public or private institution.
SSA's regulation 20 CFR 416.708(k) establishes the reporting guidelines
that implement this legislative requirement. SSA uses this information
collection to determine SSI eligibility or the benefit amount for SSI
recipients who enter or leave institutions. SSA personnel collect this
information directly from SSI recipients, or from someone reporting on
their behalf. An SSI recipient who enters an institution may be unable
to report; therefore, a family member sometimes makes this report on
behalf of the recipient. When contacting SSA, the recipient, or family
member of the recipient, provides the name of the institution, the date
of admission, and the expected date of discharge. The respondents are
SSI recipients who enter or leave an institution, or individuals
reporting on their behalf.
This is a correction notice. SSA published this information
collection as an extension on May 22, 2019 at 84 FR 23623. Since we are
revising the Privacy Act Statement for this collection, this is now a
revision of an OMB-approved information collection.
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)
----------------------------------------------------------------------------------------------------------------
Technical Updates Statement................. 34,200 1 7 3,990
----------------------------------------------------------------------------------------------------------------
8. Waiver of Supplemental Security Income Payment Continuation--20
CFR 416.1400-416.1422--0960-0783. SSI recipients who wish to
discontinue their SSI payments while awaiting a determination on their
appeal complete Form SSA-263-U2, Waiver of Supplemental Security Income
Payment Continuation, to inform SSA of this decision. SSA collects the
information to determine whether the SSI recipient meets the provisions
of the Act regarding waiver of payment continuation and as proof
respondents no longer want their payments to continue. Respondents are
recipients of SSI payments who wish to discontinue receipt of payment
while awaiting a determination on their appeal.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 37707]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-263-U2.................................. 3,000 1 5 250
----------------------------------------------------------------------------------------------------------------
Dated: July 26, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-16355 Filed 7-31-19; 8:45 am]
BILLING CODE 4191-02-P
