[Federal Register Volume 80, Number 68 (Thursday, April 9, 2015)]
[Notices]
[Pages 19102-19105]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-08165]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0019]


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 extensions 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#5817110a19070b2d3a35312b2b3137361837353a763d3728763f372e"><span class="__cf_email__" data-cfemail="3e71776c7f616d4b5c53574d4d5751507e51535c105b514e10595148">[email protected]</span></a>.
(SSA); Social Security Administration, OLCA, Attn: Reports Clearance 
Director, 3100 West High Rise, 6401

[[Page 19103]]

Security Blvd., Baltimore, MD 21235, Fax: 410-966-2830, Email address: 
<a href="/cdn-cgi/l/email-protection#8ec1dca0dcebfee1fcfafda0cde2ebeffcefe0edebcefdfdefa0e9e1f8"><span class="__cf_email__" data-cfemail="307f621e6255405f4244431e735c555142515e5355704343511e575f46">[email protected]</span></a>.

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2015-0015].
    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. Disability Report-Adult--20 CFR 404.1512 and 416.912--0960-0579. 
State Disability Determination Services (DDS) use the SSA-3368 and its 
electronic versions to determine if adult disability applicants' 
impairments are severe, and, if so, how the impairments affect the 
applicants' ability to work. This determination dictates whether the 
DDSs and SSA will find the applicant disabled and entitled to 
Supplement Security Income (SSI) payments. The respondents are 
applicants for Title II disability benefits or Title XVI SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
             Modality of completion                 respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper form)...........................           7,571               1              90          11,357
Electronic Disability Collection System (EDCS)..       2,484,231               1              90       3,726,346
i3368 (Internet)................................       1,060,360               1              90       1,590,540
                                                 ---------------------------------------------------------------
    Totals......................................       3,552,162  ..............  ..............       5,328,243
----------------------------------------------------------------------------------------------------------------

    2. Representative Payment Policies Regulation--20 CFR 
404.2011(a)(1), 404.2025, 416.611(a)(1), 416.625--0960-0679. Per 20 CFR 
404.2011 and 20 CFR 416.611 of the Code of Federal Regulations, if SSA 
determines it may cause substantial harm for Title II or Title XVI 
recipients to receive their payments directly, recipients may dispute 
that decision. To do so, recipients provide SSA with information the 
agency uses to re-evaluate its determination. In addition, our 
regulations state that after SSA selects a representative payee to 
receive benefits on a recipient's behalf, the payees provide SSA with 
information on their continuing relationship and responsibility for the 
recipients, and explain how they use the recipients' payments. Sections 
20 CFR 404.2025 and 20 CFR 416.625 of the Code of Federal Regulations 
provide a process to follow up with the representative payee to verify 
payee performance. The respondents are Title II and Title XVI 
recipients, and their representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
                  CFR citation                      respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
404.2011(a)(1);.................................             250               1              15              63
416.611(a)(1)...................................
404.2025;.......................................           3,000               1               6             300
416.625.........................................
                                                 ---------------------------------------------------------------
    Totals......................................           3,250  ..............  ..............             363
----------------------------------------------------------------------------------------------------------------

    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 30 days from the date of this 
publication. To be sure we consider your comments, we must receive them 
no later than May 11, 2015. Individuals can obtain copies of the OMB 
clearance packages by writing to <a href="/cdn-cgi/l/email-protection#eca3bec2be899c839e989fc2af80898d9e8d828f89ac9f9f8dc28b839a"><span class="__cf_email__" data-cfemail="3b746915695e4b54494f481578575e5a495a55585e7b48485a155c544d">[email protected]</span></a>.
    1. Certification by Religious Group--20 CFR 404.1075--0960-0093. 
SSA is responsible for determining whether religious groups meet the 
qualifications exempting certain members and sects from payment of 
Self-Employment Contribution Act taxes under the Internal Revenue Code, 
Section 1402(g). SSA sends Form SSA-1458, Certification by Religious 
Group, to a group's authorized spokesperson to complete and verify 
organizational members meet or continue to meet the criteria for 
exemption. The respondents are spokespersons for religious groups or 
sects.
    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-1458....................................             180                1               15               45
----------------------------------------------------------------------------------------------------------------

    2. Request for Reconsideration--Disability Cessation--20 CFR 
404.909, 416.1409--0960-0349. When SSA determines that claimants' 
disabilities ceased or are no longer sufficiently disabling, these 
claimants may ask SSA to reconsider that determination. SSA uses Form 
SSA-789-U4 to arrange for a hearing or to prepare a decision based on 
the evidence of record. Specifically, claimants or their 
representatives use Form SSA-789-U4 to: (1) ask SSA to

[[Page 19104]]

reconsider a determination; (2) indicate if they wish to appear at a 
disability hearing; (3) submit any additional information or evidence 
for use in the reconsidered determination; and (4) indicate if they 
will need an interpreter for the hearing. The respondents are 
applicants or claimants for Social Security benefits or SSI payments.
    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-789-U4..................................          30,000                1               13            6,500
----------------------------------------------------------------------------------------------------------------

    3. Prohibition of Payment of SSI Benefits to Fugitive Felons and 
Parole/Probation Violators--20 CFR 416.708(o)--0960-0617. Section 
1611(e)(4) of the Social Security Act precludes eligibility for SSI 
payments for certain fugitives and probation/parole violators. 
Regulations at 20 CFR 416.708(o) require individuals applying for or 
receiving SSI to report to SSA that: (1) They are fleeing to avoid 
prosecution for a crime; (2) they are fleeing to avoid custody or 
confinement after conviction of a crime; or (3) they are violating a 
condition of probation or parole. SSA uses the information we receive 
to deny eligibility, or suspend recipients' SSI payments. The 
respondents are SSI applicants and recipients, or representative payees 
of SSI applicants and recipients, who are reporting their status as a 
fugitive felon or probation/parole violator.
    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)
----------------------------------------------------------------------------------------------------------------
Modernized SSI Claims System................           1,000                1                1               17
----------------------------------------------------------------------------------------------------------------

    4. Identifying Information for Possible Direct Payment of 
Authorized Fees--0960-0730. SSA collects information from claimants' 
appointed representatives on Form SSA-1695 to: (1) Process and 
facilitate direct payment of authorized fees; (2) issue a Form 1099-
MISC, if applicable; and (3) establish a link between each claim for 
benefits and the data we collect on the SSA-1699 for our appointed 
representative database. The respondents are attorneys and other 
individuals who represent claimants for benefits before SSA.
    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-1695....................................          10,000               40               10           66,667
----------------------------------------------------------------------------------------------------------------

    5. Request for Business Entity Taxpayer Information--0960-0731. Law 
firms or other business entities must complete Form SSA-1694, Request 
for Business Entity Taxpayer Information, if they wish to serve as 
appointed representatives and receive direct payment of fees from SSA. 
SSA uses the information to issue a Form 1099-MISC. SSA also uses the 
information to allow business entities to designate individuals to 
serve as entity administrators authorized to perform certain 
administrative duties on their behalf, such as providing bank account 
information, maintaining entity information, and updating individual 
affiliations. Respondents are law firms or other business entities with 
attorneys or other qualified individuals as partners or employees who 
represent claimants before SSA.
    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-1694--Paper Version.........................           1,000               1              10             167
SSA-1694--Business Services Online Submission...           1,000               1              10             167
                                                 ---------------------------------------------------------------
    Totals......................................           2,000  ..............  ..............             334
----------------------------------------------------------------------------------------------------------------

    6. 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. The agency uses Form SSA-640 
to obtain the information necessary to determine a monthly installment

[[Page 19105]]

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.....................................             400                1              120              800
----------------------------------------------------------------------------------------------------------------


    Dated: April 6, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-08165 Filed 4-8-15; 8:45 am]
 BILLING CODE 4191-02-P


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