[Federal Register Volume 82, Number 216 (Thursday, November 9, 2017)]
[Notices]
[Pages 52088-52089]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-24387]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0061]


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 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#c887819a89979bbdaaa5a1bbbba1a7a688a7a5aae6ada7b8e6afa7be"><span class="__cf_email__" data-cfemail="d49b9d86958b87a1b6b9bda7a7bdbbba94bbb9b6fab1bba4fab3bba2">[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#125d403c4077627d6066613c517e777360737c7177526161733c757d64"><span class="__cf_email__" data-cfemail="307f621e6255405f4244431e735c555142515e5355704343511e575f46">[email protected]</span></a>.

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2017-0061].
    I. The information collections below are pending at SSA. SSA will 
submit them 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 
January 8, 2018. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Application for Mother's or Father's Insurance Benefits--20 CFR 
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. Section 202(g) of 
the Social Security Act (Act) provides for the payment of monthly 
benefits to the widow or widower of an insured individual if the 
surviving spouse is caring for the deceased worker's child (who is 
entitled to Social Security benefits). SSA uses the information on Form 
SSA-5-BK to determine an individual's eligibility for mother's or 
father's insurance benefits. The respondents are individuals caring for 
a child of the deceased worker who is applying for mother's or father's 
insurance benefits under the Old Age, Survivors, and Disability 
Insurance program.
    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-5-F6 (paper)................................           6,542               1              15           1,636
Modernized Claims System........................          42,175               1              15          10,544
                                                 ---------------------------------------------------------------
    Totals......................................          48,717  ..............  ..............          12,180
----------------------------------------------------------------------------------------------------------------

    2. Letter to Employer Requesting Wage Information--0960-0138. SSA 
must establish and verify wage information for Supplemental Security 
Income (SSI) applicants and recipients when determining SSI eligibility 
and payment amounts. SSA collects wage data from employers on Form SSA-
L4201 to determine eligibility and proper payment amounts for SSI 
applicants and recipients. The respondents are employers of SSI 
applicants and recipients.
    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
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L4201...................................         133,000                1               30           66,500
----------------------------------------------------------------------------------------------------------------

    3. Modified Benefit Formula Questionnaire--Foreign Pension--0960-
0561. SSA uses Form SSA-308 to determine exactly how much (if any) of a 
foreign pension we can use to reduce the amount of Title II Social 
Security retirement or disability benefits under the modified benefit 
formula. In addition, SSA has agreed to pay the full amount of all 
reductions or refund the full amount of all sums that SSA made to, or 
collected from, the Class member's of Social Security old age, 
survivors, and disability insurance benefits payments (OASDI Benefits), 
due to the application of the Windfall Elimination Provision to those 
OASDI Benefits based on the receipt of Old Age Benefits from the 
National Institute of Israel, per the Greenberg, et al. v. Colvin case 
settlement. The respondents are applicants for Title II Social Security 
retirement or disability benefits who have foreign pensions.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 52089]]



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                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-308.........................................           4,430               1              10             738
Greenberg Cases.................................             363               1              60             363
                                                 ---------------------------------------------------------------
    Totals......................................           4,793  ..............  ..............           1,101
----------------------------------------------------------------------------------------------------------------

    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 December 11, 2017. Individuals can obtain copies of 
the OMB clearance packages by writing to <a href="/cdn-cgi/l/email-protection#0a455824586f7a65787e792449666f6b786b64696f4a79796b246d657c"><span class="__cf_email__" data-cfemail="a2edf08cf0c7d2cdd0d6d18ce1cec7c3d0c3ccc1c7e2d1d1c38cc5cdd4">[email protected]</span></a>.
    1. Application to Collect a Fee for Payee Service--20 CFR 404.2040a 
& 20 CFR 416.640a--0960-0719. Sections 205(j)(4)(A) and (B) and 
1631(a)(2) of the Act allow SSA to authorize certain organizational 
representative payees to collect a fee for providing payee services. 
Before an organization may collect this fee, they complete and submit 
Form SSA-445. SSA uses the information to determine whether to 
authorize or deny permission to collect fees for payee services. The 
respondents are private sector businesses or State and local government 
offices applying to become fee-for-service organizational 
representative payees.
    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)
----------------------------------------------------------------------------------------------------------------
Private sector business.........................              90               1              10              15
State/local government offices..................              10               1              10               2
                                                 ---------------------------------------------------------------
    Totals......................................             100  ..............  ..............              17
----------------------------------------------------------------------------------------------------------------

    2. Redetermination of Eligibility for Help with Medicare 
Prescription Drug Plan Costs--20 CFR 418.3125--0960-0723. As per the 
requirements of the Medicare Modernization Act of 2003, SSA conducts 
low-income subsidy eligibility redeterminations for Medicare 
beneficiaries who currently receive the Medicare Part D subsidy and who 
meet certain criteria. Respondents complete Form SSA-1026-REDE under 
the following circumstances: (1) When individuals became entitled to 
the Medicare Part D subsidy during the past 12 months; (2) if they were 
eligible for the Part D subsidy for more than 12 months; or (3) if they 
reported a change in income, resources, or household size. Part D 
beneficiaries complete the SSA-1026-SCE when they need to report a 
potentially subsidy-changing event, including the following: (1) 
Marriage; (2) spousal separation; (3) divorce; (4) annulment of a 
marriage; (5) spousal death; or (6) moving back in with one's spouse 
following a separation. The respondents are current recipients of the 
Medicare Part D low-income subsidy who will undergo an eligibility 
redetermination for one of the reasons mentioned above.
    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-1026-REDE...................................          98,990               1              18          29,697
SSA-1026-SCE....................................           4,267               1              18           1,280
REDE Field Office Interview.....................          50,529               1              18          15,159
SCE Field Office Interview......................           3,468               1              18           1,040
                                                 ---------------------------------------------------------------
    Total.......................................         157,254  ..............  ..............          47,176
----------------------------------------------------------------------------------------------------------------


    Dated: November 6, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-24387 Filed 11-8-17; 8:45 am]
 BILLING CODE 4191-02-P


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