[Federal Register Volume 83, Number 151 (Monday, August 6, 2018)]
[Notices]
[Pages 38441-38447]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-16727]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2018-0044]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes a new information collection, extensions and revisions of OMB-
approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 
202-395-6974, Email address: <a href="/cdn-cgi/l/email-protection#3e71776c7f616d4b5c53574d4d5751507e51535c105b514e10595148"><span class="__cf_email__" data-cfemail="26696f7467797553444b4f55554f494866494b440843495608414950">[email protected]</span></a>
(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: <a href="/cdn-cgi/l/email-protection#642b364a3601140b1610174a2708010516050a0701241717054a030b12"><span class="__cf_email__" data-cfemail="f9b6abd7ab9c89968b8d8ad7ba959c988b98979a9cb98a8a98d79e968f">[email protected]</span></a>

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2018-0044].
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than 
October 5, 2018. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits based on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the parent receives at 
least one-half support from the deceased worker. The one-half support 
requirement also applies to a spousal applicant in determining

[[Page 38442]]

whether OASDI benefits are subject to Government Pension Offset (GPO). 
SSA uses Form SSA-760-F4 to determine if the parent of a deceased 
worker or a spouse applicant meets the one-half support requirement. 
Respondents are parents of deceased workers, and spouses who may meet 
the GPO exception.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-760-F4..................................          18,000                1               15            4,500
----------------------------------------------------------------------------------------------------------------

    2. Application for Supplemental Security Income--20 CFR 416.207 and 
416.305-416.335, Subpart C--0960-0229. The Supplemental Security Income 
(SSI) program provides aged, blind, and disabled individuals who have 
little or no income, with funds for food, clothing, and shelter. 
Individuals complete Form SSA-8000-BK to apply for SSI. SSA uses the 
information from Form SSA-8000-BK, and its electronic Intranet 
counterpart, the SSI Claims System, to: (1) Determine whether SSI 
claimants meet all statutory and regulatory eligibility requirements; 
and (2) calculate SSI payment amounts. The respondents are applicants 
for SSI or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSI Claims System...............................       1,212,512               1              35         707,299
SSA-8000 (Paper Form)...........................          20,941               1              41          14,310
                                                 ---------------------------------------------------------------
    Totals......................................       1,233,453  ..............  ..............         721,609
----------------------------------------------------------------------------------------------------------------

    3. Statement of Household Expenses and Contributions--20 CFR 
416.1130-416.1148--0960-0456. SSA bases eligibility for SSI on the 
needs of the recipient. In part, we assess need by determining the 
amount of income a recipient receives. This income includes in-kind 
support and maintenance in the form of food and shelter owners provide. 
SSA uses Form SSA-8011-F3 to determine whether the claimant or 
recipient receives in-kind support and maintenance. This is necessary 
to determine: (1) The claimant's or recipient's eligibility for SSI, 
and (2) the SSI payment amount. SSA only uses this form in cases where 
SSA needs the householder's (head of household) corroboration of in-
kind support and maintenance. The SSA-8011-F3 provides information, 
which could affect SSI eligibility and payment amount. The claim 
specialist collects the information on Form SSA-8011-F3 through 
telephone contact with the respondent, or through face-to-face 
interviews. The claims specialist records the information in our 
electronic SSI Claims System. When we use this procedure we do not use 
a paper Form SSA-8011-F3, and we do not need a wet signature, rather we 
require verbal attestation. However, when we use a paper form, we 
ensure the appropriate person, i.e., the householder signs the form, 
and then the claims specialist documents the information in the SSI 
Claims System; faxes the form into the appropriate electronic folder; 
and shreds form. Respondents are householders of homes in which an SSI 
applicant or recipient resides.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8011-F3 (Paper Version).....................           8,233               1              15           2,058
SSA-8011-F3 (SSI Claims System).................         417,025               1              15         104,256
                                                 ---------------------------------------------------------------
    Total.......................................         425,258  ..............  ..............         106,314
----------------------------------------------------------------------------------------------------------------

    4. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals, 
businesses, organizations, entities, and government agencies seeking to 
use SSA's secured internet and telephone applications. Individuals need 
this verification to electronically request and exchange business data 
with SSA. Requestors provide SSA with the information needed to 
establish their identities. Once SSA verifies identity, the IRES system 
issues the requestor a user identification number and a password to 
conduct business with SSA. Respondents are employers; employees; third 
party submitters of wage data business entities providing taxpayer 
identification information; appointed representatives; representative 
payees; and data exchange partners conducting business in support of 
SSA programs.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 38443]]



----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations.....................         611,296               1               5          50,941
IRES Internet Requestors........................      15,692,525               1               2         523,084
IRES CS (CSA) Registrations.....................          20,621               1              11           3,781
                                                 ---------------------------------------------------------------
    Totals......................................      16,324,442  ..............  ..............         577,806
----------------------------------------------------------------------------------------------------------------

    5. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f--0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under Title II of the Social Security Act (Act) when their medical 
condition no longer permits them to perform substantial gainful 
activity. SSA uses Form SSA-371 to obtain: (1) A signed statement from 
individuals requesting an EXR of their Title II disability benefits; 
and (2) proof the requestors meet the EXR requirements. SSA maintains 
the form in the disability folder of the applicant to demonstrate the 
requestors' awareness of the EXR requirements, and their choice to 
request EXR. Respondents are applicants for EXR of Title II disability 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-371.....................................          10,000                1                2              333
----------------------------------------------------------------------------------------------------------------

    6. Important Information About Your Appeal, Waiver Rights, and 
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally 
overpays beneficiaries, the agency informs them of the following 
rights: (1) The right to reconsideration of the overpayment 
determination; (2) the right to request a waiver of recovery and the 
automatic scheduling of a personal conference if SSA cannot approve a 
request for waiver; and (3) the availability of a different rate of 
withholding when SSA proposes the full withholding rate. SSA uses Form 
SSA-3105, Important Information About Your Appeal, Waiver Rights, and 
Repayment Options, to explain these rights to overpaid individuals and 
allow them to notify SSA of their decision(s) regarding these rights. 
The respondents are overpaid current, or former, beneficiaries 
requesting a waiver of recovery for the overpayment; reconsideration of 
the fact of the overpayment; or a lesser rate of withholding of the 
overpayment.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105 Paper form.............................         500,000               1              15         125,000
Debt Management System..........................         200,000               1              15          50,000
                                                 ---------------------------------------------------------------
    Totals......................................         700,000  ..............  ..............         175,000
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these information collections would 
be most useful if OMB and SSA receive them 30 days from the date of 
this publication. To be sure we consider your comments, we must receive 
them no later than September 5, 2018. Individuals can obtain copies of 
the OMB clearance packages by writing to <a href="/cdn-cgi/l/email-protection#307f621e6255405f4244431e735c555142515e5355704343511e575f46"><span class="__cf_email__" data-cfemail="470815691522372835333469042b222635262924220734342669202831">[email protected]</span></a>.
    1. Fee Agreement for Representation before the Social Security 
Administration--0960-NEW. Under the Act, SSA requires individuals who 
represent a claimant before the agency and want to receive a fee for 
their services to obtain SSA's authorization of the fee. One way to 
obtain the authorization is to submit the fee agreement. To facilitate 
this process, individuals can use Form SSA-1693. SSA uses the 
information from the SSA-1693 to review the request and authorize any 
fee to representatives who seek to charge and collect a fee from a 
claimant. The respondents are the representatives who help claimants 
through the application process.
    Type of Request: Request for a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1693....................................         600,000                1               12          120,000
----------------------------------------------------------------------------------------------------------------


[[Page 38444]]

    2. Request for Waiver of Overpayment Recovery and Request for 
Change in Overpayment Recovery Rate--20 CFR 404.502, 404.506-404.512, 
416.550-416.558, and 416.570-416.571--0960-0037. When Social Security 
beneficiaries and SSI recipients receive an overpayment, they must 
return the extra money. These beneficiaries and recipients can use Form 
SSA-632-BK to request a waiver from repaying their overpayment. 
Beneficiaries and recipients can also use Form SSA-634 to request a 
change to the monthly recovery rate of their overpayment. The 
respondents must provide financial information to help the agency 
determine how much the overpaid person can afford to repay each month. 
Respondents are overpaid Social Security beneficiaries or SSI 
recipients who are requesting: (1) A waiver of recovery of an 
overpayment, or (2) a lesser rate of withholding.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-632--Waiver of Overpayment (If completing            400,000               1             120         800,000
 entire paper form, including the AFI
 authorization).................................
Regional Application (New York Debt Management).          30,000               1             120          60,000
Internet Instructions...........................         430,000               1               5          35,833
SSA-634--Requesting change in repayment rate             100,000               1              45          75,000
 (completing paper form)........................
Internet Instructions...........................         100,000               1               5           8,333
                                                 ---------------------------------------------------------------
    Totals......................................       1,060,000  ..............  ..............         979,166
----------------------------------------------------------------------------------------------------------------

    3. Employment Relationship Questionnaire--20 CFR 404.1007--0960-
0040. When SSA needs information to determine a worker's employment 
status for the purpose of maintaining a worker's earning records, the 
agency uses Form SSA-7160-F4 to determine the existence of an employer-
employee relationship. We use the information to develop the employment 
relationship; specifically, to determine whether a beneficiary is self-
employed or an employee. The respondents are individuals seeking to 
establish their status as employees, and their alleged employers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Individuals.....................................           8,000               1              25           3,333
Businesses......................................           7,200               1              25           3,000
State/Local Government..........................             800               1              25             333
                                                 ---------------------------------------------------------------
     Totals.....................................          16,000  ..............  ..............           6,666
----------------------------------------------------------------------------------------------------------------

    4. State Supplementation Provisions: Agreement; Payments--20 CFR 
416.2095-416.2098, and 20 CFR 416.2099--0960-0240. Section 1618 of the 
Act requires those states administering their own supplementary income 
payment program(s) to demonstrate compliance with the Act by passing 
Federal cost-of-living increases on to individuals who are eligible for 
state supplementary payments, and informing SSA of their compliance. In 
general, states report their supplementary payment information annually 
by the maintenance-of-payment levels method. However, SSA may ask them 
to report up to four times in a year by the total-expenditures method. 
Regardless of the method, the states confirm their compliance with the 
requirements, and provide any changes to their optional supplementary 
payment rates. SSA uses the information to determine each state's 
compliance or noncompliance with the pass-along requirements of the Act 
to determine eligibility for Medicaid reimbursement. If a state fails 
to keep payments at the required level, it becomes ineligible for 
Medicaid reimbursement under Title XIX of the Act. Respondents are 
state agencies administering supplemental programs.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
     Modality of completion          Number of     Frequency of      Number of     per response    total annual
                                     responses       response        responses       (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Total Expenditures..............               7               4              28              60              28
Maintenance of Payment Levels...              26               1              26              60              26
                                 -------------------------------------------------------------------------------
    Total.......................              33  ..............  ..............  ..............              54
----------------------------------------------------------------------------------------------------------------

    5. Substitution of Party Upon Death of Claimant--20 CFR 
404.957(c)(4) and 416.1457(c)(4)--0960-0288. An administrative law 
judge (ALJ) may dismiss a request for a hearing on a pending claim of a 
deceased individual for Social Security benefits or SSI payments. 
Individuals who believe the dismissal may adversely affect them may 
complete Form HA-539, which allows them to request to become a 
substitute party for the deceased

[[Page 38445]]

claimant. The ALJs and the hearing office support staff use the 
information from the HA-539 to: (1) Maintain a written record of 
request; (2) establish the relationship of the requester to the 
deceased claimant; (3) determine the substituted individual's wishes 
regarding an oral hearing or decision on the record; and (4) admit the 
data into the claimant's official record as an exhibit. The respondents 
are individuals requesting to be substitute parties for a deceased 
claimant.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
HA-539......................................           4,000                1                5              333
----------------------------------------------------------------------------------------------------------------

    6. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. SSA bases an SSI claimant or recipient's eligibility on 
need, as measured by the amount of income an individual receives. Per 
our calculations, income includes other people providing in-kind 
support and maintenance in the form of food and shelter to SSI 
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to 
obtain statements about food or shelter provided to SSI claimants or 
recipients. SSA uses this information to determine whether food or 
shelters are bona fide loans or income for SSI purposes. This 
determination may affect claimants' or recipients' eligibility for SSI 
as well as the amounts of their SSI payments. The respondents are 
claimants and recipients for SSI payments, and individuals who provide 
loans of food or shelter to them.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper Form.............................          30,632               1              10           5,105
SSA-L5063 Paper Form............................          30,632               1              10           5,105
SSA-5062 SSI Claims System......................          30,632               1              10           5,105
SSA-L5063 SSI Claims System.....................          30,632               1              10           5,105
                                                 ---------------------------------------------------------------
    Total.......................................         122,528  ..............  ..............          20,420
----------------------------------------------------------------------------------------------------------------

    7. Application for Circuit Court Law--20 CFR 404.985 & 416.1458--
0960-0581. People claiming an acquiescence ruling (AR) would change 
SSA's prior determination or decision must submit a written 
readjudication request with specific information. SSA reviews the 
information in the requests to determine if the issues stated in the AR 
pertain to the claimant's case, and if the claimant is entitled to 
readjudication. If readjudication is appropriate, SSA considers the 
issues the AR covers. Any new determination or decision is subject to 
administrative or judicial review as specified in the regulations, and 
the claimants must provide information to request readjudication. 
Respondents are claimants for Social Security benefits and SSI payments 
who request readjudication.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
AR-based Readjudication Requests............          10,000                1               17            2,833
----------------------------------------------------------------------------------------------------------------

    8. Testimony by Employees and the Production of Records and 
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619. 
Regulations at 20 CFR 403.100-403.155 of the Code of Federal 
Regulations establish SSA's policies and procedures for an individual; 
organization; or government entity to request official agency 
information, records, or testimony of an agency employee in a legal 
proceeding when the agency is not a party. The request, which 
respondents submit in writing to SSA, must: (1) Fully set out the 
nature and relevance of the sought testimony; (2) explain why the 
information is not available by other means; (3) explain why it is in 
SSA's interest to provide the testimony; and (4) provide the date, 
time, and place for the testimony. Respondents are individuals or 
entities who request testimony from SSA employees in connection with a 
legal proceeding.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155......................             100                1               60              100
----------------------------------------------------------------------------------------------------------------


[[Page 38446]]

    9. Function Report Adult-Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security 
Disability Insurance (SSDI) or SSI provide SSA with medical evidence 
and other proof SSA requires to prove their disability. SSA, and 
Disability Determination Services (DDS) on our behalf, collect this 
information using Form SSA-3380-BK. We use the information to document 
how claimant's disabilities affect their ability to function, and to 
determine eligibility for SSI and SSDI claims. The respondents are 
third parties familiar with the functional limitations (or lack 
thereof) of claimants who apply for SSI and SSDI benefits.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3380-BK.................................         709,700                1               61          721,528
----------------------------------------------------------------------------------------------------------------

    10. Request for Deceased Individual's Social Security Record--20 
CFR 402.130--0960-0665. When a member of the public requests an 
individual's Social Security record, SSA needs the name and address of 
the requestor as well as a description of the requested record to 
process the request. SSA uses the information the respondent provides 
on Form SSA-711, or via an internet request through SSA's electronic 
Freedom of Information Act (eFOIA) website, to (1) verify the wage 
earner is deceased and (2) access the correct Social Security record. 
Respondents are members of the public requesting deceased individuals' 
Social Security records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA..................          49,800               1               7           5,810
SSA-711 (paper).................................             200               1               7              23
                                                 ---------------------------------------------------------------
    Total.......................................          50,000  ..............  ..............           5,833
----------------------------------------------------------------------------------------------------------------

    11. Certification of Prisoner Identity Information--20 CFR 
422.107--0960-0688. Inmates of Federal, State, or local prisons may 
need a Social Security card as verification of their Social Security 
number for school or work programs, or as proof of employment 
eligibility upon release from incarceration. Before SSA can issue a 
replacement Social Security card, applicants must show SSA proof of 
their identity. People who are in prison for an extended period 
typically do not have current identity documents. Therefore, under 
formal written agreement with the correctional institution, SSA allows 
prison officials to verify the identity of certain incarcerated U.S. 
citizens who need replacement Social Security cards. Information prison 
officials provide comes from the official prison files, sent on 
correctional facility letterhead. SSA uses this information to 
establish the applicant's identity in the replacement Social Security 
card process. The respondents are prison officials who certify the 
identity of prisoners applying for replacement Social Security cards.
    Type of Request: Extension of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average burden  Estimated total
                       Modality of completion                           Number of       Frequency of      Number of       per response    annual burden
                                                                        responses         response        responses        (minutes)         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements.......................           1,000              200          200,000                3           10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------

    12. Request to Pay Civil Monetary by Installment Agreement--20 CFR 
498--0960-0776. When SSA imposes a civil monetary penalty (CMP) on 
individuals for various fraudulent conduct related to SSA-administrated 
programs, those individuals may request to pay the CMP through benefit 
withholding, or an installment agreement. To negotiate a monthly 
payment amount, fair to both the individual and the agency, SSA needs 
financial information from the individual. SSA uses Form SSA-640, 
Financial Disclosure for CMP Debt, to obtain the information necessary 
to determine a monthly installment repayment rate for individuals owing 
a CMP. The respondents are recipients of Social Security benefits and 
non-entitled individuals who must repay a CMP to the agency and choose 
to do so using an installment plan.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640.....................................              10                1              120               20
----------------------------------------------------------------------------------------------------------------


[[Page 38447]]

    13. Notification of a Social Security Number (SSN) To An Employer 
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying 
for employment must provide a Social Security Number, or indicate they 
have applied for one. However, when an individual applies for an 
initial SSN, there is a delay between the assignment of the number and 
the delivery of the SSN card. At an individual's request, SSA uses Form 
SSA-132 to send the individual's SSN to an employer. Mailing this 
information to the employer: (1) Ensures the employer has the correct 
SSN for the individual; (2) allows SSA to receive correct earnings 
information for wage reporting purposes; and (3) reduces the delay in 
the initial SSN assignment and delivery of the SSN information directly 
to the employer. It also enables SSA to verify the employer as a 
safeguard for the applicant's personally identifiable information. The 
majority of individuals who take advantage of this option are in the 
United States with exchange visitor and student visas; however, we 
allow any applicant for an SSN to use the SSA-132. The respondents are 
individuals applying for an initial SSN who ask SSA to mail 
confirmation of their application or the SSN to their employers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-132.....................................         326,000                1                2           10,867
----------------------------------------------------------------------------------------------------------------

    14. Social Security Administration Health IT Partner Program 
Assessment--Participating Facilities and Available Content Form--20 CFR 
404.1614 and 416.1014--0960-0798. The Health Information Technology for 
Economic and Clinical Health (HITECH) Act promotes the adoption and 
meaningful use of health information technology (IT), particularly in 
the context of working with government agencies. Similarly, section 
3004 of the Public Health Service Act requires health care providers or 
health insurance issuers with government contracts to implement, 
acquire, or upgrade their health IT systems and products to meet 
adopted standards and implementation specifications. To support 
expansion of SSA's health IT initiative as defined under HITECH, SSA 
developed Form SSA-680, the Health IT Partner Program Assessment--
participating Facilities and Available Content Form. The SSA-680 allows 
healthcare providers to provide the information SSA needs to determine 
their ability to exchange health information with us electronically. We 
evaluate potential partners (i.e., healthcare providers and 
organizations) on: (1) The accessibility of health information they 
possess; and (2) the content value of their electronic health records' 
systems for our disability adjudication processes. SSA reviews the 
completeness of organizations' SSA-680 responses as one part of our 
careful analysis of their readiness to enter into a health IT 
partnership with us. The respondents are healthcare providers and 
organizations exchanging information with the agency.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-680.....................................              30                1                5              150
----------------------------------------------------------------------------------------------------------------


    Date: August 1, 2018.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2018-16727 Filed 8-3-18; 8:45 am]
 BILLING CODE 4191-02-P


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