[Federal Register Volume 79, Number 197 (Friday, October 10, 2014)]
[Notices]
[Pages 61366-61368]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-24231]


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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 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,

[[Page 61367]]

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#e3acaab1a2bcb096818e8a90908a8c8da38c8e81cd868c93cd848c95"><span class="__cf_email__" data-cfemail="a0efe9f2e1fff3d5c2cdc9d3d3c9cfcee0cfcdc28ec5cfd08ec7cfd6">[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#2e617c007c4b5e415c5a5d006d424b4f5c4f404d4b6e5d5d4f00494158"><span class="__cf_email__" data-cfemail="0b445925596e7b64797f782548676e6a796a65686e4b78786a256c647d">[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 we consider your comments, we must receive them no later than 
December 9, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    Statement of Funds You Provided to Another and Statement of Funds 
You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA-2854 
(Statement of Funds You Provided to Another) and SSA-2855 (Statement of 
Funds You Received) to gather information to verify if a loan is bona 
fide for Supplemental Security Income (SSI) recipients. Form SSA-2854 
asks the lender for details on the transaction, and Form SSA-2855 asks 
the borrower the same basic questions independently. Agency personnel 
then compare the two statements, gather evidence if needed, and make a 
decision on the validity of the bona fide status of the loan. For SSI 
purposes, we consider a loan bona fide if it meets these requirements:
    <bullet> Must be between a borrower and lender with the 
understanding that the borrower has an obligation to repay the money;
    <bullet> Must be in effect at the time the cash goes to the 
borrower, that is, the agreement cannot come after the cash is paid; 
and
    <bullet> Must be enforceable under State law, often there are 
additional requirements from the State.
    SSA collects this information at the time of initial application 
for SSI or at any point when an individual alleges being party to an 
informal loan while receiving SSI. SSA collects information on the 
informal loan through both interviews and mailed forms. The agency's 
field personnel conduct the interviews and mail the form(s) for 
completion, as needed. The respondents are SSI recipients and 
applicants, and individuals who lend money 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-2854........................................          20,000               1              10           3,333
SSA-2855........................................          20,000               1              10           3,333
                                                 ---------------------------------------------------------------
    Totals......................................          40,000  ..............  ..............           6,666
----------------------------------------------------------------------------------------------------------------

    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 November 10, 2014. Individuals can obtain copies of the 
OMB clearance packages by writing to <a href="/cdn-cgi/l/email-protection#de918cf08cbbaeb1acaaadf09db2bbbfacbfb0bdbb9eadadbff0b9b1a8"><span class="__cf_email__" data-cfemail="fdb2afd3af988d928f898ed3be91989c8f9c939e98bd8e8e9cd39a928b">[email protected]</span></a>.
    1. Application for Supplemental Security Income--20 CFR 416.207 and 
416.305-416.335, Subpart C--0960-0229. The 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 to apply for SSI. SSA uses the information from paper Form SSA-
8000 and its electronic intranet counterpart, the Modernized SSI Claims 
Systems (MSSICS), to determine: (1) Whether SSI claimants meet all 
statutory and regulatory eligibility requirements; and (2) SSI payment 
amounts. The respondents are applicants for SSI or their representative 
payees.
    Note: This is a correction notice. SSA published this information 
collection as an extension on August 8, 2014, at 79 FR 46293. Since we 
are revising the Paperwork Reduction Act Statement, this is now a 
revision of an OMB-approved information collection.
    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-8000, Paper Version.........................          39,295               1              41          26,852
MSSICS Version..................................         211,802               1              36         127,081
MSSICS with Signature Proxy (attestation).......       1,713,671               1              35         999,641
                                                 ---------------------------------------------------------------
    Totals......................................       1,964,768  ..............  ..............       1,153,574
----------------------------------------------------------------------------------------------------------------

    2. General Request for Social Security Records--eFOIA--20 CFR 
402.130--0960-0716. Interested members of the public use this 
electronic request to ask SSA for information under the Freedom of 
Information Act (FOIA). SSA also uses this information to track the 
number and type of requests; fees charged; payment amounts; and SSA 
responds to public requests within the required 20 days. Respondents 
are members of the public including individuals, institutions, or 
agencies requesting information or documents under FOIA.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 61368]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
eFOIA.......................................           2,500                1                3              125
----------------------------------------------------------------------------------------------------------------

    3. Incoming and Outgoing Intergovernmental Personnel Act Assignment 
Agreement--5 CFR 334--0960-0792. The Intergovernmental Personnel Act 
(IPA) mobility program provides for the temporary assignment of 
civilian personnel between the Federal Government and State and local 
governments; colleges and universities; Indian tribal governments; 
federally-funded research and development centers; and other eligible 
organizations. The Office of Personnel Management (OPM) created a 
generic form, the OF-69, for agencies to use as a template when 
collecting information for the IPA assignment. The OF-69 collects 
specific information about the agreement including: (1) The enrolled 
employee's name, Social Security number, job title, salary, 
classification, and address; (2) the type of assignment; (3) the 
reimbursement arrangement; and (4) an explanation as to how the 
assignment benefits both SSA and the non-federal organization involved 
in the exchange. OPM directs agencies to use their own forms for 
recording these agreements. Accordingly, SSA modified the OF-69 to meet 
our needs, creating the SSA-187 for incoming employees and the SSA-188 
for outgoing employees. Respondents are the individuals we describe 
above who participate in the IPA exchange with 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)
----------------------------------------------------------------------------------------------------------------
Non-Federal employee............................              10               1              30               5
Non-Federal employer signers....................              20               1               5               2
                                                 ---------------------------------------------------------------
    Totals......................................              30  ..............  ..............               7
----------------------------------------------------------------------------------------------------------------


    Dated: October 6, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-24231 Filed 10-9-14; 8:45 am]
BILLING CODE 4191-02-P


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