[Federal Register Volume 74, Number 142 (Monday, July 27, 2009)]
[Notices]
[Pages 37081-37083]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-17805]


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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 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, email, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Director for Reports Clearance 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#f1beb8a3b0aea284939c988282989e9fb19e9c93df949e81df969e87"><span class="__cf_email__" data-cfemail="c58a8c97849a96b0a7a8acb6b6acaaab85aaa8a7eba0aab5eba2aab3">[email protected]</span></a>.
(SSA), Social Security Administration, DCBFM, Attn: Director, Center 
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd., 
Baltimore, MD 21235, Fax: 410-965-0454. E-mail address: 
<a href="/cdn-cgi/l/email-protection#6c233c2021423e2f232c1f1f0d420b031a"><span class="__cf_email__" data-cfemail="dd928d9190f38f9e929daeaebcf3bab2ab">[email protected]</span></a>

    I. The information collection below is pending at SSA. SSA will 
submit it to

[[Page 37082]]

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 25, 2009. 
Individuals can obtain copies of the collection instrument by calling 
the SSA Director for Reports Clearance at 410-965-0454 or by writing to 
the e-mail address we list above.
    1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. 
SSA uses Form SSA-773-U4 for claimants, or their representatives, to 
officially waive their right to appear at a disability hearing. The 
disability hearing officer uses the signed form as a basis for not 
holding a hearing and for preparing a written decision on the 
claimant's request for disability based solely on the evidence of 
record. The respondents are claimants for disability, or their 
representatives, under Titles II and XVI of the Social Security Act, 
who wish to waive their right to appear at a disability hearing.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 200.
    Frequency of Response: 1.
    Average Burden per Response: 3 minutes.
    Estimated Annual Burden: 10 hours.
    2. Medical Consultant's Review of Physical Residual Functional 
Capacity Assessment--20 CFR 404.1545-.1546, 404.1640, 404.1643, 
404.1645, 416.945-.946--0960-0680. SSA uses Form SSA-392 to facilitate 
the medical/psychological consultant's review of the Physical Residual 
Functional Capacity Form, SSA-4734. The SSA-392 records the reviewing 
medical/psychological consultant's assessment of the SSA-4734. It also 
documents whether the reviewer agrees or disagrees with how the 
adjudicator completed the SSA-4734. Medical/psychological consultants 
prepare the SSA-392 for each SSA-4734 an adjudicator completes. The 
respondents are medical/psychological consultants who conduct a quality 
review of adjudicating components' completion of SSA's medical 
assessment forms.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 256.
    Frequency of Response: 359.
    Number of Responses: 91,904
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 18,381 hours.
    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 no later than August 26, 2009. You can obtain a copy of 
the OMB clearance packages by calling the SSA Director for Reports 
Clearance at 410-965-0454 or by writing to the above email address.
    1. Request for Reconsideration--Disability Cessation--20 CFR 
404.909, 416.1409--0960-0349. Claimants or their representatives use 
Form SSA-789-U4 to request that SSA reconsider a determination and to 
indicate whether they wish to appear at a disability hearing. The 
claimants can also use this form to submit any additional information/
evidence for use in the reconsidered determination and to indicate if 
they will need an interpreter for the hearing. SSA uses the information 
either to arrange for a hearing or to prepare a decision based on the 
evidence of record. The respondents are applicants or claimants for 
Social Security benefits or Supplemental Security Income (SSI) 
payments.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 13 minutes.
    Estimated Annual Burden: 6,500 hours.
    2. Disability Report--Adult--20 CFR 404.1512, 416.912--0960-0579. 
State Disability Determination Services (DDS) use the information SSA 
collects on the SSA-3368 and its electronic versions to determine if an 
adult disability applicant's impairment(s) is (are) severe and, if so, 
how the impairment(s) affects (affect) the applicant's ability to work. 
The information the DDSs collect on this form is crucial in making 
disability determinations for all adult claimants filing for SSA 
disability benefits and/or SSI payments. The respondents are applicants 
for Title II benefits and/or Title XVI payments. Type of Request: 
Revision of an OMB-approved information collection.

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                                                                                Average  burden     Estimated
              Collection method                  Number of      Frequency  of    per  response    annual burden
                                                respondents        response         (hours)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper Form).......................           22,950                1                1           22,950
Electronic Disability Collection System             2,238,826                1                1        2,238,826
 (EDCS).....................................
i3368 (Internet)............................          319,994                1           1\1/2\          479,991
i3368PRO (Internet professional users--                10,264                1           1\1/2\           15,396
 rollout only)..............................
                                             -------------------------------------------------------------------
    Total...................................        2,592,034  ...............  ...............        2,757,163
----------------------------------------------------------------------------------------------------------------

    3. Request for Internet Services--Password Authentication--20 CFR 
401.45--0960-0632. SSA has a password infrastructure and process to 
verify the identity of individuals who choose to use the Internet and 
the automated telephone response system to conduct personal business 
with SSA in an electronic environment. To obtain a password from SSA's 
individual password services, we prescribe information an individual 
must provide. SSA uses the information to authenticate an individual 
prior to issuing a temporary password. Once the individual creates a 
permanent password, he or she may use SSA password protected services, 
e.g., account status, change of address, direct deposit elections, or 
changes. The respondents are individuals electing to do personal 
business with SSA through an electronic medium.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 37083]]



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                                                                                Average  burden
              Automated systems                  Number of      Frequency  of    per  response    Annual burden
                                                respondents        response        (minutes)          hours
----------------------------------------------------------------------------------------------------------------
Internet Requestors.........................        3,092,069                1               10          515,345
Telephone Requestors........................          122,266                1               10           20,378
                                             -------------------------------------------------------------------
    Total...................................        3,214,335                1  ...............          535,723
----------------------------------------------------------------------------------------------------------------

    4. Function Report Adult--Third Party--20 CFR 404.1512 & 416.912--
0960-0635. DDSs use the SSA-3380 to collect information about a 
disability applicant's or recipient's impairment-related limitations 
and ability to function. The information is an evidentiary source DDS 
evaluators use to determine eligibility for SSI and SSDI claims. The 
respondents are third parties familiar with the functional limitations 
(or lack thereof) of claimants who apply for SSI and SSDI benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
              Respondent types                   Number of      Frequency  of    per  response    annual burden
                                                respondents        response        (minutes)          hours
----------------------------------------------------------------------------------------------------------------
Individuals.................................          500,000                1               61          508,333
Private Sector..............................          500,000                1               61          508,333
                                             -------------------------------------------------------------------
    Total...................................        1,000,000  ...............  ...............        1,016,666
----------------------------------------------------------------------------------------------------------------

    5. Medical Consultant's Review of Mental Residual Functional 
Capacity Assessment--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 
416.920a--0960-0678. SSA uses Form SSA-392-SUP to facilitate the 
medical/psychological consultant's review of the Mental Residual 
Functional Capacity Form, SSA-4734-SUP. The SSA-392-SUP records the 
reviewing medical/psychological consultant's assessment of the SSA-
4734-SUP. It also documents whether the reviewer agrees or disagrees 
with how the adjudicator completed the SSA-4734-SUP. Medical/
psychological consultants prepare the SSA-392-SUP for each SSA-4734-SUP 
an adjudicator completes. The respondents are medical/psychological 
consultants who conduct a quality review of adjudicating components' 
completion of SSA's medical assessment forms.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Responses: 45,000.
    Frequency of Response: 1.
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 9,000 hours.
    6. Representative Payment Policies Regulation--20 CFR 404.2011, 
404.2025, 416.611, 416.625--0960-0679. When SSA determines it is not in 
a beneficiary's best interest to receive payments directly, as it may 
cause substantial harm, the beneficiary may dispute SSA's decision. If 
the beneficiary disputes the decision, he or she provides SSA with 
information the agency will use to re-evaluate the decision. In 
addition, after SSA selects a representative payee, the payee must 
provide SSA with information on his or her continuing relationship and 
responsibility for the beneficiary and explain how he or she used the 
beneficiary's payments. Respondents are beneficiaries and 
representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

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

    7. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. 
State DDSs use Form SSA-3373-BK to collect information about a 
disability applicant's or recipient's impairment-related limitations 
and ability to function. The information is an evidentiary source DDS 
evaluators use to determine eligibility for SSI and SSDI claims. The 
respondents are Title II and Title XVI applicants (or current 
recipients undergoing redeterminations) for disability benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 4,005,367.
    Frequency of Response: 1.
    Average Burden per Response: 61 minutes.
    Estimated Annual Burden: 4,072,123 hours.

    Dated: July 21, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-17805 Filed 7-24-09; 8:45 am]
BILLING CODE 4191-02-P


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