[Federal Register Volume 74, Number 131 (Friday, July 10, 2009)]
[Notices]
[Pages 33313-33315]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-16303]


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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 extensions of OMB-approved information 
collections and a new collection.
    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 shown 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#92dddbc0d3cdc1e7f0fffbe1e1fbfdfcd2fdfff0bcf7fde2bcf5fde4"><span class="__cf_email__" data-cfemail="6f20263d2e303c1a0d02061c1c0600012f00020d410a001f41080019">[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#f4bba4b8b9daa6b7bbb4878795da939b82"><span class="__cf_email__" data-cfemail="2c637c6061027e6f636c5f5f4d024b435a">[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 
September 8, 2009. Individuals 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 we list above.
    1. Statement of Reclamation Action--31 CFR 210--0960-0734. SSA uses 
Form SSA-1713 to collect information to determine if a Canadian bank is 
able to return erroneous payments, and to determine how and when it can 
return the payments made after the death of a beneficiary who elected 
to have payments sent to Canada. Form SSA-1712 (or SSA-1712 CN) is the 
cover sheet SSA prepares to request return of a payment erroneously 
made after the death of the recipient. SSA sends Form SSA-1712 with 
Form SSA-1713. The respondents are Canadian financial institutions that 
received Social Security payments.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 15.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 1 hour.
    II. SSA has submitted the information collections we list below to 
OMB for clearance. Your comments on 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

[[Page 33314]]

no later than August 10, 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 e-mail address.
    1. Statement of Claimant or Other Person--20 CFR 404.702 & 
416.570--0960-0045. SSA uses the SSA-795 to obtain information from 
claimants or other persons having knowledge of facts in connection with 
claims for Supplemental Security Income (SSI) or Social Security 
benefits when there is no standard form to collect the needed 
information. SSA then uses the information to process claims for 
benefits or for ongoing issues related to the above programs. The 
respondents are applicants/recipients of SSI or Social Security 
benefits, or others who are in a position to provide information 
pertinent to the claim(s).
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 305,500.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 76,375 hours.
    2. Claim for Amounts Due in the Case of a Deceased Beneficiary--20 
CFR 404.503(b)--0960-0101. A completed SSA-1724 ensures proper payment 
of an underpayment due a deceased beneficiary. It is required when 
there is insufficient information in the file to identify the person(s) 
entitled to the underpayment, or the person's address. Generally, SSA 
collects the information when a surviving widow(er) is not already 
entitled to a monthly benefit on the same earnings record, or is not 
filing for a lump-sum death payment as a living-with spouse. The 
respondents are applicants for underpayments owed to deceased 
beneficiaries.

    Note:  This is a correction notice. SSA published this 
information collection with the incorrect burden information on 
April 07, 2009 at 74 FR 15808. We are revising the burden 
information.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 250,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 41,667 hours.
    3. State Agency Report of Obligations for SSA Disability Programs 
(SSA-4513); Time Report of Personnel Services for Disability 
Determination Services (SSA-4514); State Agency Schedule of Equipment 
Purchased for SSA Disability Programs (SSA-871)--20 CFR 404.1626--0960-
0421. SSA uses Forms SSA-4513, SSA-4514, and SSA-871 to collect data 
necessary for detailed analysis and evaluation of costs State 
Disability Determination Services (DDS) incur in making disability 
determinations for SSA. The data are also utilized in determining 
funding levels for each DDS. Respondents are State DDSs.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 54.
    Estimated Annual Burden: 756 hours.

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                                                                                  Average burden     Estimated
                                    Respondents    Frequency of    Total annual    per  response   annual burden
                                                     response        responses         (min)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4513 &Addendum..............              54               4             216              90             324
SSA-4514........................              54               4             216              90             324
SSA-871.........................              54               4             216              30             108
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    Totals......................              54  ..............  ..............  ..............             756
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    4. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations obligate employers to 
provide SSA with wage and tax data 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). The employee's name 
and SSN must match SSA's records for SSA to post earnings to the 
employee's earnings record, which SSA maintains. SSA offers several 
cost-free methods for employers to verify employee information. The 
cost-free methods include:
    1. Internet-based service, known as the Social Security Number 
Verification Service (SSNVS)--employers can verify if the reported 
names and SSNs of their employees match SSA's records;
    2. The Employee Verification Service (EVS)--employers verify, via 
paper and telephone, whether the reported names and SSNs of their 
employees match SSA's records;
    3. SSA's National 800 Number--an automated telephone employee 
verification service (TNEV) allows callers with an SSA-authorized PIN 
and password to verify employees' names and SSNs through TNEV.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                     Number of     Frequency of      Number of      burden per     Total annual
       Verification system          respondents      response        responses       response     burden (hours)
                                                                                     (minutes)
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EVS.............................          15,000               2          30,000              10           5,000
EVS One-Time Registration.......              50               1              50               2               2
SSNVS...........................         200,000              60      12,000,000               5       1,000,000
TNEV............................          35,000              16         560,000               9          84,000
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    Totals......................         250,050              79      12,590,050              26       1,089,002
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[[Page 33315]]

    Dated: July 6, 2009.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. E9-16303 Filed 7-9-09; 8:45 am]
BILLING CODE 4191-02-P


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