[Federal Register Volume 77, Number 62 (Friday, March 30, 2012)]
[Notices]
[Pages 19406-19408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-7712]


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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 and one extension 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#89c6c0dbc8d6dafcebe4e0fafae0e6e7c9e6e4eba7ece6f9a7eee6ff"><span class="__cf_email__" data-cfemail="4807011a09171b3d2a25213b3b2127260827252a662d2738662f273e">[email protected]</span></a>.

(SSA)

Social Security Administration, DCRDP, Attn: Reports Clearance Officer, 
107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: 
410-966-2830, Email address: <a href="/cdn-cgi/l/email-protection#d29d829e9ffc80919d92a1a1b3fcb5bda4"><span class="__cf_email__" data-cfemail="2867786465067a6b67685b5b49064f475e">[email protected]</span></a>.
    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 
29, 2012. 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 email address.
    1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. 
Claimants for Social Security disability payments or their 
representatives can use form SSA-773 to officially waive their right to 
appear at a disability hearing. The disability hearing officer uses the 
signed form as a basis for not holding a hearing, and for preparing a 
written decision on the claimant's request for disability payments 
based solely on the evidence of record. The respondents are claimants 
for disability payments under title II and title XVI of the Social 
Security Act (Act), or their representatives, who wish to waive their 
right to appear at a disability hearing.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Averge burden   Estimated total
            Collection instrument                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-773-U4..................................             200                1                3               10
----------------------------------------------------------------------------------------------------------------

    2. Request to Pay Civil Monetary Penalty by Installment Agreement--
20 CFR 498--0960-0776. When SSA imposes a civil monetary penalty (CMP) 
for various fraudulent conduct related to SSA-administrated programs on 
individuals, those individuals may ask to pay the CMP through an 
installment agreement. For SSA to negotiate a monthly payment amount 
fair to both the individual and the agency, SSA needs financial 
information from the individual. The agency uses Form SSA-640 to obtain 
the information necessary to determine a 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 
want to do so using an installment plan.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 19407]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
            Collection instrument                Number of       Frequency of    per  response    annual burden
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640.....................................             400                1              120              800
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding 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 30, 2012. Individuals can obtain copies of the 
OMB clearance packages by calling the SSA Reports Clearance Officer at 
410-965-8783 or by writing to the above email address.
    1. Application for Parent's Insurance Benefits--20 CFR 404.370-
404.374, 20 CFR 404.601-404.603--0960-0012. Section 202(h) of the Act 
establishes the conditions of eligibility a claimant must meet to 
receive monthly benefits as a parent of a deceased worker. SSA uses 
information from Form SSA-7-F6 to determine if the claimant meets the 
eligibility and application criteria. The respondents are applicants 
for, and recipients of, Social Security Old Age, Survivors, and 
Disability Insurance benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
                Collection method                    Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized Claims Systems (MCS).................             153               1              15              38
MCS/Signature Proxy.............................             158               1              14              37
Paper SSA-7-F6..................................               4               1              15               1
                                                 ---------------------------------------------------------------
    Total.......................................             315  ..............  ..............              76
----------------------------------------------------------------------------------------------------------------

    2. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA collects information on Form SSA-
8001-BK to determine an applicant's eligibility for Supplemental 
Security Income (SSI) and the SSI payment amounts. SSA employees also 
collect this information during interviews with members of the public 
who wish to file for SSI. SSA uses the information for two purposes: 
(1) to deny SSI for non-medical reasons when information the applicant 
provides results in ineligibility; or (2) to establish a disability 
claim, but defer the complete development of non-medical issues until 
SSA confirms the disability. The respondents are applicants for SSI.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
                Collection method                    Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized SSI Claims System (MSSICS)...........       1,006,400               1              15         251,600
MSSICS/Signature Proxy..........................         326,400               1              14          76,160
Paper...........................................          27,200               1              18           8,160
                                                 ---------------------------------------------------------------
    Totals......................................       1,360,000  ..............  ..............         335,920
----------------------------------------------------------------------------------------------------------------

    3. Permanent Residence in the United States Under Color of Law 
(PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. As per 20 CFR 
416.1415 and 416.1618 of the Code of Federal Regulations, PRUCOL aliens 
must present evidence of their alien status when they apply for SSI 
payments, and periodically thereafter as part of the eligibility 
determination process for SSI. SSA verifies the validity of the PRUCOL 
evidence for grandfathered nonqualified aliens with the Department of 
Homeland Security (DHS), and determines if the individual qualifies for 
PRUCOL status based on the DHS response. Without this information, SSA 
is unable to determine whether the individual is eligible for SSI 
payments. Respondents are qualified and unqualified aliens who apply 
for SSI payments under PRUCOL.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
              Collection method                  Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Personal or Telephone Interview.............           1,300                1                5              108
----------------------------------------------------------------------------------------------------------------



[[Page 19408]]

    Dated: March 27, 2012.
Faye Lipsky,
Reports Clearance Officer, Office of Regulations and Reports Clearance, 
Social Security Administration.
[FR Doc. 2012-7712 Filed 3-29-12; 8:45 am]
BILLING CODE 4191-02-P


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