[Federal Register Volume 82, Number 176 (Wednesday, September 13, 2017)]
[Notices]
[Pages 43066-43068]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-19389]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0050]


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, including the use of automated

[[Page 43067]]

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#d39c9a81928c80a6b1bebaa0a0babcbd93bcbeb1fdb6bca3fdb4bca5"><span class="__cf_email__" data-cfemail="135c5a41524c4066717e7a60607a7c7d537c7e713d767c633d747c65">[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#95dac7bbc7f0e5fae7e1e6bbd6f9f0f4e7f4fbf6f0d5e6e6f4bbf2fae3"><span class="__cf_email__" data-cfemail="eaa5b8c4b88f9a85989e99c4a9868f8b988b84898faa99998bc48d859c">[email protected]</span></a>
    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2017-0050].
    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 
November 13, 2017. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    Supplemental Security Income (SSI) Claim Information Notice--20 
CFR, Subpart B, 416.210--0960-0324. Section 1611(e)(2) of the Social 
Security Act requires individuals to file for and obtain all payments 
(annuities, pensions, disability benefits, veteran's compensation, 
etc.) for which they are eligible before qualifying for SSI payments. 
Individuals do not qualify for SSI if they do not first apply for all 
other benefits. SSA uses the information on Form SSA-L8050-U3 to verify 
and establish a claimant's or recipient's eligibility under the SSI 
program. Respondents are SSI applicants or recipients who may be 
eligible for other payments from public or private programs.
    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-L-8050-U3...............................          17,044                1               10            2,841
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these 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 October 13, 2017. Individuals can obtain copies of 
the OMB clearance packages by writing to <a href="/cdn-cgi/l/email-protection#4e011c601c2b3e213c3a3d600d222b2f3c2f202d2b0e3d3d2f60292138"><span class="__cf_email__" data-cfemail="723d205c2017021d0006015c311e171300131c1117320101135c151d04">[email protected]</span></a>.
    1. Medical Permit Parking Application--41 CFR 101-20--104.2--0960-
0624. SSA employees and contractors with a qualifying medical condition 
who park at SSA-owned and leased facilities may apply to receive a 
medical parking permit. SSA uses three forms for this program: (1) SSA-
3192, the Application and Statement. which an individual completes when 
first applying for the medical parking space; (2) SSA-3193, the 
Physician's Report, which the applicant's physician completes to verify 
the medical condition; and (3) SSA-3194, Renewal Certification, which 
medical parking permit holders complete to verify their continued need 
for the permit. The respondents are SSA employees and contractors 
seeking medical parking permits and their physicians.
    Note: Because SSA employees are Federal workers exempt from the 
requirements of the Paperwork Reduction Act, the burden below is only 
for SSA contractors and physicians (of both SSA employees and 
contractors).
    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-3192........................................             390               1              30             195
SSA-3193........................................             465               1              90             698
SSA-3194........................................              82               1               5               7
                                                 ---------------------------------------------------------------
    Totals......................................             937  ..............  ..............             900
----------------------------------------------------------------------------------------------------------------

    2. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the ACT 
requires SSA to verify the identity of individuals who request a record 
or information pertaining to themselves, and to establish procedures 
for disclosing personal information. SSA established Screen Pop, an 
automated telephone process, to speed up verification for such 
individuals. Accessing Screen Pop, callers enter their Social Security 
number (SSN) using their telephone keypad or speech technology prior to 
speaking with a National 800 Number Network (N8NN) agent. The automated 
Screen Pop application collects the SSN and routes it to the ``Start 
New Call'' Customer Help and Information (CHIP) screen. Functionality 
for the Screen Pop application ends once the SSN connects to the CHIP 
screen and the SSN routes to the agent's screen. When the call connects 
to the N8NN agent, the agent can use the SSN to access the caller's 
record as needed. The respondents for this collection are individuals 
who contact SSA's N8NN to speak with an agent.
    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
                                                 responses         response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop..................................      53,394,811                1                1          889,914
----------------------------------------------------------------------------------------------------------------


[[Page 43068]]

    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. SSA collects information on the SSA-187 and 
SSA-188 to document the IPA assignment and to act as an agreement 
between the agencies. Respondents are personnel from State and local 
governments; colleges and universities; Indian tribal governments; 
federally funded research and development centers; and other eligible 
organizations who participate in the IPA exchange with SSA.
    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
                                                                                                      (hours)
----------------------------------------------------------------------------------------------------------------
Non-Federal employee............................              10               1              30               5
Non-Federal employer signers....................              20               1               5               2
                                                 ---------------------------------------------------------------
    Totals......................................              30  ..............  ..............               7
----------------------------------------------------------------------------------------------------------------


    Dated: September 7, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-19389 Filed 9-12-17; 8:45 am]
 BILLING CODE 4191-02-P


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