[Federal Register Volume 80, Number 66 (Tuesday, April 7, 2015)]
[Notices]
[Pages 18669-18673]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-07881]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0015]


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 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#f0bfb9a2b1afa385929d998383999f9eb09f9d92de959f80de979f86"><span class="__cf_email__" data-cfemail="0e41475c4f515d7b6c63677d7d6761604e61636c206b617e20696178">[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#1a554834487f6a75686e693459767f7b687b74797f5a69697b347d756c"><span class="__cf_email__" data-cfemail="92ddc0bcc0f7e2fde0e6e1bcd1fef7f3e0f3fcf1f7d2e1e1f3bcf5fde4">[email protected]</span></a>.

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2015-0015].

[[Page 18670]]

    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 June 
8, 2015. Individuals can obtain copies of the collection instruments by 
writing to the above email address.
    1. Statement of Claimant or Other Person--20 CFR 404.702 & 
416.570--0960-0045. SSA uses Form SSA-795 in special situations where 
there is no authorized form or questionnaire, yet we require a signed 
statement from the applicant, claimant, or other persons who have 
knowledge of facts, in connection with claims for Social Security 
benefits or Supplemental Security Income (SSI). The information we 
request on the SSA-795 is of sufficient importance that we need both a 
signed statement and a penalty clause. SSA uses this information to 
process, in addition to claims for benefits, issues about continuing 
eligibility; ongoing benefit amounts; use of funds by a representative 
payee; fraud investigation; and a myriad of other program-related 
matters. The most typical respondents are applicants for Social 
Security, SSI, or recipients of these programs. However, respondents 
also include friends and relatives of the involved parties, coworkers, 
neighbors, or anyone else in a position to provide information 
pertinent to the issue(s).
    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-795.....................................         305,500                1               15           76,375
----------------------------------------------------------------------------------------------------------------

    2. Statement of Care and Responsibility for Beneficiary--20 CFR 
404.2020, 404.2025, 408.620, 408.625, 416.620, 416.625--0960-0109. SSA 
uses the information from Form SSA-788 to verify payee applicants' 
statements of concern and to identify other potential payees. SSA is 
concerned with selecting the most qualified representative payee who 
will use Social Security benefits in the beneficiary's best interest. 
SSA considers factors such as the payee applicant's capacity to perform 
payee duties; awareness of the beneficiary's situation and needs; 
demonstration of past; and current concern for the beneficiary's well-
being, etc. If the payee applicant does not have custody of the 
beneficiary, SSA will obtain information from the custodian for 
evaluation against information provided by the applicant. Respondents 
are individuals who have custody of the beneficiary in cases where 
someone else has filed to be the beneficiary's representative payee.
    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-788.....................................         130,000                1               10           21,667
----------------------------------------------------------------------------------------------------------------

    3. Request for Internet Services--Authentication; Automated 
Telephone Speech Technology--Knowledge-Based Authentication (RISA-
KBA)--20 CFR 401.45--0960-0596. The Request for Internet Services and 
800# Automated Telephone Services Knowledge-Based Authentication is one 
of the authentication methods SSA uses to allow individuals access to 
their personal information through our Internet and Automated Telephone 
Services. SSA asks individuals and third parties who seek personal 
information from SSA records, or who register to participate in SSA's 
online business services, to provide certain identifying information. 
As an extra measure of protection, SSA asks requestors who use the 
Internet and telephone services to provide additional identifying 
information unique to those services so SSA can authenticate their 
identities before releasing personal information. The respondents are 
current beneficiaries who are requesting personal information from SSA, 
as well as individuals and third parties who register for SSA's online 
business services.
    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)
----------------------------------------------------------------------------------------------------------------
Internet Requestors.........................      10,373,917                1                3          518,695
Telephone Requestors........................       1,703,367                1                4          113,558
*Change of Address (on hold)................               1   ...............  ...............               1
*Screen Splash (on hold)....................               1   ...............  ...............               1
                                             -------------------------------------------------------------------
    Totals:.................................      12,077,286   ...............  ...............         632,255
----------------------------------------------------------------------------------------------------------------
* Reducing the burden to a one-hour placeholder burden; Screen Splash and Change of Address applications are on
  hold.

    4. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations require employers to 
provide wage and tax data to SSA using Form W-2 or its electronic 
equivalent. As part of this process, the employer must furnish the 
employee's name and Social Security number (SSN). In addition, the 
employee's name and SSN must match SSA's records for SSA to post 
earnings to the employee's earnings

[[Page 18671]]

record. SSA offers the Social Security Number Verification Service 
(SSNVS), which allows employers to verify the reported names and SSNs 
of their employees match those in SSA's records. SSNVS is a cost-free 
method for employers to verify employee information either through the 
Internet or via telephone. The respondents are employers who need to 
verify SSN data using SSA's records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSNVS...........................................          44,975              60               5         224,875
SSNVS Telephone.................................           1,750               2              10             583
                                                 ---------------------------------------------------------------
    Totals......................................          46,725  ..............  ..............         225,458
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collection below to OMB for 
clearance. Your comments regarding the information collection 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 May 7, 2015. Individuals can obtain copies of the OMB 
clearance package by writing to <a href="/cdn-cgi/l/email-protection#044b562a5661746b7670772a4768616576656a6761447777652a636b72"><span class="__cf_email__" data-cfemail="125d403c4077627d6066613c517e777360737c7177526161733c757d64">[email protected]</span></a>.

Promoting Readiness of Minors in SSI (PROMISE) Evaluation--0960-0799. 
Background

    The Promoting Readiness of Minors in SSI (PROMISE) demonstration 
pursues positive outcomes for children with disabilities who receive 
SSI and their families by reducing dependency on SSI. The Department of 
Education (ED) awarded six cooperative agreements to states to improve 
the provision and coordination of services and support for children 
with disabilities who receive SSI and their families to achieve 
improved education and employment outcomes. ED awarded PROMISE funds to 
five single-state projects, and to one six-state consortium.\1\ With 
support from ED, the Department of Labor (DOL), and the Department of 
Health and Human Services (HHS), SSA is evaluating the six PROMISE 
projects. SSA contracted with Mathematica Policy Research to conduct 
the evaluation.
---------------------------------------------------------------------------

    \1\ The six-state consortium project goes by the name Achieving 
Success by Promoting Readiness for Education and Employment (ASPIRE) 
rather than by PROMISE.
---------------------------------------------------------------------------

    Under PROMISE, targeted outcomes for youth include an enhanced 
sense of self-determination; achievement of secondary and post-
secondary educational credentials; an attainment of early work 
experiences culminating with competitive employment in an integrated 
setting; and long-term reduction in reliance on SSI. Outcomes of 
interest for families include heightened expectations for and support 
of the long-term self-sufficiency of their youth; parent or guardian 
attainment of education and training credentials; and increases in 
earnings and total income. To achieve these outcomes, we expect the 
PROMISE projects to make better use of existing resources by improving 
service coordination among multiple state and local agencies and 
programs.
    ED, SSA, DOL, and HHS intend the PROMISE projects to address key 
limitations in the existing service system for youth with disabilities. 
By intervening early in the lives of these young people, at ages 14-16, 
the projects engage the youth and their families well before critical 
decisions regarding the age 18 redetermination are upon them. We expect 
the required partnerships among the various state and Federal agencies 
that serve youth with disabilities to result in improved integration of 
services and fewer dropped handoffs as youth move from one agency to 
another. By requiring the programs to engage and serve families and 
provide youth with paid work experiences, the initiative is mandating 
the adoption of critical best practices in promoting the independence 
of youth with disabilities.

Project Description

    SSA is requesting clearance for the collection of data needed to 
implement and evaluate PROMISE. The evaluation provides empirical 
evidence on the impact of the intervention for youth and their families 
in several critical areas, including: (1) Improved educational 
attainment; (2) increased employment skills, experience, and earnings; 
and (3) long-term reduction in use of public benefits. We base the 
PROMISE evaluation on a rigorous design that entails the random 
assignment of approximately 2,000 youth in each of the six projects to 
treatment or control groups (12,000 total). The PROMISE projects 
provide enhanced services for youth in the treatment groups; whereas 
youth in the control groups are eligible only for those services 
already available in their communities independent of the 
interventions.
    The evaluation assesses the effect of PROMISE services on 
educational attainment, employment, earnings, and reduced receipt of 
disability payments. The three components of this evaluation include:
    <bullet> The process analysis, which documents program models, 
assesses the relationships among the partner organizations, documents 
whether the grantees implemented the programs as planned, identifies 
features of the programs that may account for their impacts on youth 
and families, and identifies lessons for future programs with similar 
objectives.
    <bullet> The impact analysis, which determines whether youth and 
families in the treatment groups receive more services than their 
counterparts in the control groups. It also determines whether 
treatment group members have better results than control group members 
with respect to the targeted outcomes noted above.
    <bullet> The cost-benefit analysis, which assesses whether the 
benefits of PROMISE, including increases in employment and reductions 
in benefit receipt, are large enough to justify its costs. We conduct 
this assessment from a range of perspectives, including those of the 
participants, state and Federal governments, SSA, and society as a 
whole.
    SSA planned several data collection efforts for the evaluation. 
These include: (1) Follow-up interviews with youth and their parent or 
guardian 18 months and 5 years after enrollment; (2) phone and in-
person interviews with local program administrators, program 
supervisors, and service delivery staff at two points in time over the 
course of the demonstration; (3) two rounds of focus groups with 
participating youth in the treatment group; (4) two rounds of focus 
groups with parents or guardians of participating youth; and (5) 
collection of administrative data. At this time, SSA requests clearance 
for the 18-month

[[Page 18672]]

survey interviews. SSA will request clearance for the 5-year survey 
interviews in a future submission. The respondents are the youth 
participants in the PROMISE program, and the parents or guardians of 
the youth participants.
    Type of Request: Revision to an OMB-approved information 
collection.

    Note: This is a correction notice. SSA inadvertently published 
the incorrect burden information for this collection at 80 FR 3713, 
on 1/23/15. We are correcting this error here.

Time Burden on Respondents

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                  responses       response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
                                  2014: Interviews and Focus Group Discussions
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or                       24               1              66              26
 Directors......................................
Staff Interviews with PROMISE Project Staff.....              48               1              66              53
Youth Focus Groups--Non-participants............             100               1               5               8
Youth Focus Groups--Participants................              20               1             100              33
Parents or Guardian Focus Groups--Non-                       100               1               5               8
 participants...................................
Parents or Guardian Focus Groups--Participants..              20               1             100              33
                                                 ---------------------------------------------------------------
    Totals......................................             312  ..............  ..............             161
----------------------------------------------------------------------------------------------------------------
                  2015: Interviews and Focus Group Discussions, and 18-Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or                       51               1              66              56
 Directors......................................
Staff Interviews with PROMISE Project Staff.....              97               1              66             107
Youth Focus Groups--Non-participants............             220               1               5              18
Youth Focus Groups--Participants................              60               1             100             100
Parents or Guardian Focus Groups--Non-                       220               1               5              18
 participants...................................
Parents or Guardian Focus Groups--Participants..              60               1             100             100
18 Month Survey Interviews--Parent..............             850               1              41             595
18 Month Survey Interviews--Youth...............             850               1              30             425
                                                 ---------------------------------------------------------------
    Totals......................................           2,408  ..............  ..............           1,405
----------------------------------------------------------------------------------------------------------------
                   2016: Interviews and Focus Group Discussions and 18 Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or                       75               1              66              83
 Directors......................................
Staff Interviews with PROMISE Project Staff.....             145               1              66             160
Youth Focus Groups--Non-participants............             320               1               5              27
Youth Focus Groups--Participants................              80               1             100             133
Parents or Guardian Focus Groups--Non-                       320               1               5              27
 participants...................................
Parents or Guardian Focus Groups--Participants..              80               1             100             133
18 Month Survey Interviews--Parent..............           5,100               1              41           3,485
18 Month Survey Interviews--Youth...............           5,100               1              30           2,550
                                                 ---------------------------------------------------------------
    Totals......................................          11,220  ..............  ..............           6,598
----------------------------------------------------------------------------------------------------------------
                                        2017: 18 Month Survey Interviews
----------------------------------------------------------------------------------------------------------------
18 Month Survey Interviews--Parent..............           4,250               1              41           2,904
18 Month Survey Interviews--Youth...............           4,250               1              30           2,125
                                                 ---------------------------------------------------------------
    Totals......................................           8,500  ..............  ..............           5,029
----------------------------------------------------------------------------------------------------------------
        Grand Total.............................          22,440  ..............  ..............          13,193
----------------------------------------------------------------------------------------------------------------

Cost Burden for Respondents

----------------------------------------------------------------------------------------------------------------
                                                                      Average                          Total
                                     Number of     Frequency of     burden per     Median hourly    respondent
         Respondent type            respondents      response        response        wage rate         cost
                                                                     (minutes)       (dollars)       (dollars)
----------------------------------------------------------------------------------------------------------------
                                        2014: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group--             100               1               5           $7.38          $61.00
 Non-Participants...............
Parent or Guardian Focus Group--              20               1             100            7.38          246.00
 Participants...................
                                 -------------------------------------------------------------------------------
    Total.......................             120  ..............  ..............  ..............          307.00
----------------------------------------------------------------------------------------------------------------
                                        2015: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group--             220               1               5            7.38          135.00
 Non-Participants...............

[[Page 18673]]

 
Parent or Guardian Focus Group--              60               1             100            7.38          738.00
 Participants...................
                                 -------------------------------------------------------------------------------
    Total.......................             280  ..............  ..............  ..............          873.00
----------------------------------------------------------------------------------------------------------------
                                        2016: Annual Cost to Respondents:
----------------------------------------------------------------------------------------------------------------
Parent or Guardian Focus Group--             320               1               5            7.38          196.00
 Non-Participants...............
Parent or Guardian Focus Group--              80               1             100            7.38          984.00
 Participants...................
                                 -------------------------------------------------------------------------------
    Total.......................             400  ..............  ..............  ..............        1,180.00
----------------------------------------------------------------------------------------------------------------
    Grand Total:................             800  ..............  ..............  ..............        2,360.00
----------------------------------------------------------------------------------------------------------------


    Date: April 2, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-07881 Filed 4-6-15; 8:45 am]
BILLING CODE CODE 4191-02-P


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