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[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16847-16849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7123]

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SOCIAL SECURITY ADMINISTRATION

Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions to OMB-approved information collections and a 
collection in use without an OMB number.
    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, e-mail, 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, E-mail address: [email protected].

(SSA)

    Social Security Administration, DCBFM, Attn: Reports Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400, E-mail address: [email protected].
    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 May 
24, 2011. Individuals can obtain copies of the collection instruments 
by calling the SSA Reports Clearance Officer at 410-965-8783 or by 
writing to the above e-mail address.
    1. Supplemental Security Income (SSI)--Quality Review Case 
Analysis--0960-0133. To assess the SSI program and ensure the accuracy 
of its payments, SSA conducts legally mandated periodic SSI case 
analysis quality reviews. SSA uses Form SSA-8508 to conduct these 
reviews, collecting information on operating efficiency, the quality of 
underlying policies, and the effect of incorrect payments. SSA also 
uses the data to determine SSI program payment accuracy rates, which is 
a performance measure for the agency's service delivery goals. The 
respondents are recipients of SSI payments selected for the quality 
reviews.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                      Form                           Number of     Frequency of    Response time   annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8508-BK (paper interview)...................             225               1              60             225
SSA-8508-BK (electronic)........................           4,275               1              60           4,275
                                                 ---------------------------------------------------------------
    Totals......................................           4,500  ..............  ..............           4,500
----------------------------------------------------------------------------------------------------------------

    2. Information Collections Conducted by State Disability 
Determination Services (DDS) on Behalf of SSA--20 CFR, subpart P, 
404.1503a, 404.1512, 404.1513, 404.1514 404.1517, 404.1519; 20 CFR 
subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 
416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 
416.1013, 416.1024, 416.1014--0960-0555. State DDSs collect the 
information necessary to administer the Social Security Disability 
Insurance (SSDI) and SSI programs. They collect medical evidence from 
consultative exam (CE) sources, credential information from CE source 
applicants, and Medical Evidence of Record (MER) from claimants' 
medical sources. The DDSs collect information from claimants regarding 
medical treatment and pain/symptoms. The respondents are medical 
providers, other sources of MER, and disability claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

CE Collections

    There are two collections from CE providers: (a) Medical evidence 
about claimants' medical condition(s) that DDSs use to make disability 
determinations when the claimant's own medical sources cannot or will 
not provide the required information; and (b) proof of credentials from 
CE providers.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Collection instrument                 respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
(a) Medical Evidence from CE Providers:
    Paper Submissions...........................         100,000               1              30          50,000
    Electronic Records Express (ERE) Submissions       3,500,000               1              10         583,333
                                                 ---------------------------------------------------------------
        Totals..................................       4,600,000  ..............  ..............         633,333
(b) CE Credentials:
    Paper Submission............................           3,000               1              15             750
----------------------------------------------------------------------------------------------------------------

[[Page 16848]]

    There are two CE claimant collections: (a) Claimant completion of a 
response form indicating whether they intend to keep their CE 
appointment:, and (b) claimant completion of a form indicating whether 
they want a copy of the CE report sent to their doctor.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
         Type of CE claimant collection              Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Appointment Letter..............................       2,500,000               1               5         208,333
                                                 ---------------------------------------------------------------
Claimants re: Report to Medical Provider........       1,500,000               1               5         125,000
                                                 ---------------------------------------------------------------
    Totals......................................       4,000,000  ..............  ..............         333,333
----------------------------------------------------------------------------------------------------------------

MER Collections

    The DDSs collect MER from the claimant's medical sources to 
determine the claimant's physical or mental status prior to making a 
disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
              Collection instrument                  Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions...............................         500,000               1              15         125,000
                                                 ---------------------------------------------------------------
Electronic and ERE Submissions..................       5,500,000               1               7         641,666
                                                 ---------------------------------------------------------------
    Total.......................................       6,000,000  ..............  ..............         766,666
----------------------------------------------------------------------------------------------------------------

Pain/Other Symptoms Information from Claimants

    The DDSs use information about pain/symptoms to determine how pain/
symptoms affect the claimant's ability to do work-related activities 
prior to making a disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden     Estimated
                                                 Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submission............................       2,500,000                1               15          625,000
----------------------------------------------------------------------------------------------------------------

    The total combined burden is 2,359,082 hours.
    II. SSA submitted the information collections listed below to OMB 
for clearance. Your comments on the information collections would be 
most useful if OMB and SSA receive them within 30 days from the date of 
this publication. To be sure we consider your comments, we must receive 
them no later than April 25, 2011. You can obtain a copy of the OMB 
clearance packages by calling the SSA Reports Clearance Officer at 410-
965-8783 or by writing to the above e-mail address.
    1. Request for Waiver of Overpayment Recovery or Change in 
Repayment Notice--20 CFR 404.502-404.513, 404.515 and 20 CFR 416.550-
416.570, 416.572--0960-0037. When Social Security beneficiaries and SSI 
recipients receive an overpayment, they must return the amount of the 
overpayment. These beneficiaries and recipients can use Form SSA-632-BK 
to take one of three actions: (1) Request an exemption from repaying, 
as recovery of the overpayment would cause financial hardship; (2) 
inform SSA they want to repay the overpayment at a monthly rate over a 
period longer than 36 months; or (3) request a different rate of 
recovery. In the latter two cases, the respondents must also provide 
financial information to help the agency determine how much the 
overpaid person can afford to repay each month. Respondents are 
overpaid Social Security beneficiaries or SSI recipients who are 
requesting a waiver of recovery of an overpayment or a lesser rate of 
withholding.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                     Number of     Frequency of    Response time   Total burden
                 Type of request                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Waiver of Overpayment (Completes Whole Paper             400,000               1             120         800,000
 Form)..........................................
Change in Repayment (Completes Partial Paper             100,000               1              45          75,000
 Form)..........................................
Regional Application (NY Debt Management-NYDM)..          44,000               1             120          88,000
Internet Instructions...........................         500,000               1               5          41,667
                                                 ---------------------------------------------------------------
    Totals......................................       1,044,000  ..............  ..............       1,004,667
----------------------------------------------------------------------------------------------------------------

[[Page 16849]]

    2. Sheltered Workshop Wage Reporting--0960-0771. Sheltered 
workshops are nonprofit organizations or institutions that implement a 
recognized program of rehabilitation for workers who have handicaps, or 
provide such workers with remunerative employment or other occupational 
rehabilitating activity of an educational or therapeutic nature. 
Sheltered workshops perform a service for their clients by reporting 
monthly wages directly to SSA. SSA uses the information these workshops 
provide to verify and post monthly wages to the SSI recipient's record. 
Most workshops report monthly wage totals to their local SSA office so 
we can adjust the client's SSI payment amount in a timely manner and 
prevent overpayments. Sheltered workshops are motivated to report wages 
voluntarily as a service to their clients. Respondents are sheltered 
workshops that report monthly wages for services performed in the 
workshop.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 900.
    Frequency of Response: 12.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 3,000 hours.
    3. Request for Medical Treatment in an SSA Employee Health 
Facility: Patient Self-Administered or Staff-Administered Care--0960-
0772. SSA's Employee Health Clinic (EHC) provides emergency care, 
treatment of on-the-job illnesses and injuries, and health care for 
employees with chronic medical conditions and allergies who require 
allergy antigens. SSA also permits employees to use the EHC for self-
administration of medical treatments for a chronic health condition. 
SSA collects information on Form SSA-5072 to approve or deny requests 
for medical treatment in an SSA EHC. The respondents are the private 
physicians of the SSA employees seeking medical treatment in an SSA 
EHC.
    Type of Request: Information Collection in Use without an OMB 
Number.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden
            Medication dosage changes                Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Annually........................................              25               1               5               2
Bi-Annually.....................................              75               2               5              13
                                                 ---------------------------------------------------------------
    Totals......................................             100  ..............  ..............              15
----------------------------------------------------------------------------------------------------------------

    Dated: March 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-7123 Filed 3-24-11; 8:45 am]
BILLING CODE 4191-02-P
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