[Federal Register Volume 74, Number 52 (Thursday, March 19, 2009)]
[Notices]
[Pages 11804-11807]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-5994]


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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 (Pub. L.) 
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 the 
burden on respondents, including the use of automated collection 
techniques or other forms of information technology. Mail, e-mail, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Reports Clearance Officer to the 
addresses or fax numbers listed below.

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 
202-395-6974. E-mail address: <a href="/cdn-cgi/l/email-protection#db9492899a8488aeb9b6b2a8a8b2b4b59bb4b6b9f5beb4abf5bcb4ad"><span class="__cf_email__" data-cfemail="8ec1c7dccfd1ddfbece3e7fdfde7e1e0cee1e3eca0ebe1fea0e9e1f8">[email protected]</span></a>.

(SSA) Social Security Administration, DCBFM, Attn: Reports Clearance 
Officer, 1332 Annex Building, 6401 Security Blvd., Baltimore, MD 21235. 
Fax: 410-965-6400, E-mail address: <a href="/cdn-cgi/l/email-protection#2a657a6667047869656a59594b044d455c"><span class="__cf_email__" data-cfemail="3976697574176b7a76794a4a58175e564f">[email protected]</span></a>.
    I. The information collection below is pending at SSA. SSA will 
submit it to OMB within 60 days from the date of this notice. To be 
sure that we consider your comments, we must receive them no later than 
May 18, 2009. Individuals

[[Page 11805]]

can obtain copies of the collection instrument by calling the SSA 
Reports Clearance Officer at 410-965-3758 or by writing to the e-mail 
address listed above.
    1. Representative Payee Report--Special Veterans Benefits--20 CFR 
408.665--0960-0621. Title VIII allows the payment of monthly benefits 
by the Commissioner of Social Security to qualified World War II 
veterans who reside outside the United States. An SSA-appointed 
representative payee may receive and manage the monthly payment for the 
beneficiary's use and benefit. SSA uses information from the SSA-2001-
F6 to determine if the payee has used the benefits properly and 
continues to demonstrate strong concern for the beneficiary. 
Respondents are persons or organizations who act on behalf of 
beneficiaries receiving Special Veterans Benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 100.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 17 hours.
    2. Request for Business Entity Taxpayer Information--0960-0731. SSA 
uses Form SSA-1694 to collect information from law firms or other 
business entities that have partners or employees to whom SSA pays fees 
SSA has authorized as compensation for the representation of claimants 
before SSA. SSA uses the information to meet Form 1099-MISC 
requirements for issuance. The respondent law firms or other business 
entities have partners or employees who are attorneys or other 
qualified individuals representing claimants before SSA.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 2,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 333 hours.
    II. SSA has submitted the information collections listed below to 
OMB for clearance. To be sure that we consider your comments, we must 
receive them no later than April 20, 2009.
    You can obtain a copy of the OMB clearance packages by calling the 
SSA Reports Clearance Officer at 410-965-3758, or by writing to the 
above listed address.
    1. Physician's/Medical Officer's Statement of Patient's Capability 
to Manage Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA uses 
the information collected on Form SSA-787 to determine an individual's 
capability to handle his or her own benefits. This information assists 
SSA in determining the need for a representative payee. The respondents 
are physicians of the beneficiaries' or medical officers of the 
institution in which the beneficiaries reside.
    Number of Respondents: 24,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 6,000 hours.

    Note: This is a correction notice. SSA published this 
information collection as an extension on January 15, 2009 at 74 FR 
2642. Since we are revising the Privacy Act Statement, this is now a 
revision of an OMB-approved information collection.

    2. Partnership Questionnaire--20 CFR 404.1080-404.1082--0960-0025. 
SSA uses the information reported on Form SSA-7104 to establish several 
aspects of eligibility for Social Security benefits, including the 
accuracy of reported partnership earnings, the veracity of a 
retirement, and lag earnings. 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.
    Number of Respondents: 12,350.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 6,175 hours.

    Note: This is a correction notice: SSA published this 
information collection as an extension on December 11, 2008 at 73 FR 
75489. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    3. Letter to Employer Requesting Wage Information--20 CFR 404.726--
0960-0138. SSA uses Form SSA-L4201 to collect information from 
employers to establish and/or verify wage information for Supplemental 
Security Income (SSI) claimants and recipients. SSA also uses the 
information to determine eligibility and proper payment for SSI. The 
respondents are the applicant's employers and recipients of SSI 
payments.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 133,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 66,500 hours.

     Note: This is a correction notice. SSA published this 
information collection as an extension on January 15, 2009 at 74 FR 
2642. Since we are revising the Privacy Act Statement, this is now a 
revision of an OMB-approved information collection.

    4. Statement of Living Arrangements, In-Kind Support and 
Maintenance--20 CFR 416.1130-416.1148--0960-0174. SSA uses Form SSA-
8006-F4 to establish in-kind support and maintenance for SSI applicants 
and recipients. A recipient's need is the basis for determining SSI 
payments. Need is measured, in part, by the amount of income an 
individual receives. Income includes in-kind support and maintenance in 
the form of food and shelter provided by other persons. Form SSA-8006-
F4 collects information to ensure recipients are eligible to receive 
SSI payments and to determine the correct amount of payments due. The 
information permits SSA Administrative Law Judges to determine the 
income value of in-kind support and maintenance SSI applicants and 
recipients receive. The respondents are individuals who apply for SSI 
payments or complete an SSI eligibility redetermination.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 173,380.
    Frequency of Response: 1.
    Average Burden per Response: 7 minutes.
    Estimated Annual Burden: 20,228 hours.

    Note: This is a correction notice. SSA published this 
information collection as an extension on January 15, 2009 at 74 FR 
2642. Since we are revising the Privacy Act Statement, this is now a 
revision of an OMB-approved information collection.

    5. Supplemental Security Income (SSI) Claim Information Notice--20 
CFR 416-210-0960-0324. SSA uses Form SSA-L8050-U3 to collect 
information on whether an SSI recipient is using all sources of 
potential income for his or her own support. SSI supplements other 
income the SSI recipient receives. Respondents are SSI applicants or 
recipients who may be eligible for benefits from public or private 
programs.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 7,500
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 1,250 hours.

    Note: This is a correction notice. SSA published this 
information collection as an extension on January 15, 2009 at 74 FR 
2642. Since we are revising the Privacy Act Statement, this is now a 
revision.

    6. Permanent Residence under Color of the Law (PRUCOL)--20 CFR

[[Page 11806]]

416.1618-0960-0451. As discussed in SSA regulations at 20 CFR 416.1415 
and 416.1618, a PRUCOL alien must present evidence of his/her alien 
status at application and periodically thereafter as part of the 
eligibility determination process for SSI. SSA verifies the validity of 
the evidence of PRUCOL for grandfathered nonqualified aliens with the 
Department of Homeland Security (DHS). SSA determines whether the 
individual is PRUCOL, based on the DHS response. Without this 
information, SSA is unable to determine whether the individual is 
eligible for SSI payments. The respondents are individuals who have 
alien status and live in the United States.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 1,300.
    Frequency of Response: 1
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 108 hours.
    7. Filing Claims Under the Federal Tort Claims Act--20 CFR 429.101-
429.110-0960-0667. SSA uses the information claimants provide to 
investigate and determine whether to make an award, compromise, or 
settlement under the Federal Tort Claims Act. The Federal Tort Claims 
Act is the legal mechanism for compensating persons injured by 
negligent or wrongful acts that occur during the performance of 
official duties by Federal employees. In accordance with the law, SSA 
accepts monetary claims filed under the Federal Tort Claims Act for 
damages against the United States, for loss of property, personal 
injury, or death that results from an SSA employee's negligent or 
wrongful act or omission. The respondents are individuals/entities 
making a claim under the Federal Tort Claims Act.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
                   CFR Section                     Annual number   Frequency of    per response    annual burden
                                                   of responses      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
429.102; 429.103 \1\............................  ..............  ..............  ..............  ..............
429.104(a)......................................              30               1               5               3
429.104(b)......................................              25               1               5               2
429.104(c)......................................               2               1               5             .17
429.106(b)......................................              10               1              10               2
                                                 ---------------------------------------------------------------
    Totals......................................              68  ..............  ..............               8
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\1\ We are not reporting a burden for this collection because respondents complete OMB-approved form SF-95.

    8. Administrative Review Process for Adjudicating Initial 
Disability Claims--20 CFR 404.961, 405.330, 405.366, 404.950, 405.332, 
404.949, 405.334, 404.957(a), 405.380(a), 405.381, 405.382, 405.425(b), 
404.982, 405.505, 404.987, 405.601(b), 404.988 and 405.601(b)-0960-
0710. SSA collects information to establish: (1) The claimant's right 
to administrative review; (2) the severity of the claimant's alleged 
impairments; and (3) the State Disability Determination Services (DDS) 
performance level. SSA uses the information these regulations collect 
to determine eligibility and/or entitlement to disability insurance 
benefits and/or SSI, and to permit appeals of these determinations. The 
respondents are applicants for Title II disability insurance benefits 
and/or SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
              Section No.                  Number of     Frequency of      Average burden per      annual burden
                                          respondents      response             response              (hours)
----------------------------------------------------------------------------------------------------------------
404.961...............................          11,725               1  20 minutes..............         3,908 *
405.330...............................             396               1  20 minutes..............             132
405.366...............................              99               1  20 minutes..............              33
404.950(d)............................           1,040               1  20 minutes..............             347
404.949...............................           2,868               1  1 hour..................           2,868
405.334...............................              20               1  1 hour..................              20
404.957(a)............................          20,395               1  10 minutes..............           3,399
405.380(a)............................             646               1  10 minutes..............             108
405.381 & 405.382.....................              37               1  30 minutes..............              19
405.425(b)............................             200               1  1 hour..................             200
404.982...............................           1,317               1  30 minutes..............             659
404.987 & 404.988.....................          10,610               1  30 minutes..............           5,305
405.601(b)............................              52               1  30 minutes..............              26
                                       --------------------------------                          ---------------
    Total.............................          49,405  ..............  ........................          17,024
----------------------------------------------------------------------------------------------------------------

    9. Certification of Low Birth Weight for SSI Eligibility of Funds 
You Provided to Another and Statement of Funds You Received--20 CFR 
416.931, 416.926a(m), (7) & (8) and 416.924-0960-0720. Form SSA-3830 
assists hospitals and claimants who file on behalf of children by 
providing local field offices (FO) and DDSs with medical information 
for determining disability of low birth weight infants. FOs use the 
forms as protective filing statements, and the medical information for 
making presumptive disability findings, which allow expedited payment 
to eligible claimants. DDSs use the medical information to determine a 
disability and a continuing disability. The respondents are hospitals 
that have information identifying low birth weight babies and the 
medical conditions those babies may have.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 11807]]

    Number of Respondents: 24,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 6,000 hours.

    Note: This is a correction notice. SSA published this 
information collection as an extension on January 15, 2009 at 74 FR 
2642. Since we are revising the Privacy Act Statement, this is now a 
revision of an OMB-approved information collection.


    Dated: March 13, 2009.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. E9-5994 Filed 3-18-09; 8:45 am]
BILLING CODE 4191-02-P


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