80 FR 37708 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 126 (July 1, 2015)
Federal Register Volume 80, Issue 126 (July 1, 2015)
| Page Range | 37708-37709 | |
| FR Document | 2015-16132 |
[Federal Register Volume 80, Number 126 (Wednesday, July 1, 2015)] [Notices] [Pages 37708-37709] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-16132] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0041] 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 one extension of OMB-approved information collections, as well as one collection in use without an OMB number. 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: OIRA_Submission@omb.eop.gov, (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: OR.Reports.Clearance@ssa.gov. Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA-2015-0041]. 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 August 31, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Representative Payee Report of Benefits and Dedicated Account-- 20 CFR 416.546, 416.635, 416.640, and 416.665--0960-0576. SSA requires representative payees (RPs) to submit a written report accounting for the use of money paid to Social Security or Supplemental Security Income (SSI) recipients, and to establish and maintain a dedicated account for these payments. SSA uses Form SSA-6233 to: (1) Ensure the RPs use the payments for the recipient's current maintenance and personal needs; and (2) confirm the expenditures of funds from the dedicated account remain in compliance with the law. Respondents are RPs for SSI and Social Security 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-6233.................................... 30,000 1 20 10,000 ---------------------------------------------------------------------------------------------------------------- 2. Certification of Prisoner Identity Information--20 CFR 422.107-- 0960-0688. Inmates of Federal, State, or local prisons may need a Social Security card as verification of their Social Security number for school or work programs, or as proof of employment eligibility upon release from incarceration. Before SSA can issue a replacement Social Security card, applicants must show SSA proof of their identity. People who are in prison for an extended period typically do not have current identity documents. Therefore, under formal written agreement with the correctional institution, SSA allows prison officials to verify the identity of certain incarcerated U.S. citizens who need replacement Social Security cards. Information prison officials provide comes from the official prison files, sent on correctional facility letterhead. SSA uses this information to establish the applicant's identity in the replacement [[Page 37709]] Social Security card process. The respondents are prison officials who certify the identity of prisoners applying for replacement Social Security cards. Type of Request: Extension of an OMB-approved Information Collection. -------------------------------------------------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of (Number of per response annual burden respondents response responses) (minutes) (hours) -------------------------------------------------------------------------------------------------------------------------------------------------------- Verification of Prisoner Identity Statements....................... 1,000 200 (200,000) 3 10,000 -------------------------------------------------------------------------------------------------------------------------------------------------------- II. SSA submitted the information collection below to OMB for clearance. Your comments regarding the information collection 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 July 31, 2015. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ssa.gov. Third Party Liability Information Statement--42 CFR 433.136 through 433.139 --0960-0323. To reduce Medicaid costs, Medicaid state agencies must identify third party insurers liable for medical care or services for Medicaid beneficiaries. Regulations at 42 CFR 433.136 through 433.139 require Medicaid state agencies to obtain this information on Medicaid applications and redeterminations as a condition of Medicaid eligibility. States may enter into agreements with the Commissioner of Social Security to make Medicaid eligibility determinations for aged, blind, and disabled beneficiaries in those states. Applications for and redeterminations of SSI eligibility in jurisdictions with such agreements are applications and redeterminations of Medicaid eligibility. Under these agreements, SSA obtains third party liability information using Form SSA-8019-U2, and provides that information to the Medicaid state agencies. The Medicaid state agencies use the information to bill third parties liable for medical care, support, or services for a beneficiary to guarantee that Medicaid remains the payer of last resort. The respondents are SSI claimants and recipients. Type of Request: Revision of an OMB-approved information collection. This is a correction notice: SSA published the incorrect form number in the burden chart for this collection at 80 FR 24307, on April 30, 2015. We are correcting this error here. ---------------------------------------------------------------------------------------------------------------- Estimated Number of Frequency of Average burden total annual Modality of completion respondents response per response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-8019-U2 Paper Form.......................... 200 1 5 17 MSSICS Version.................................. 51,381 1 5 4,282 --------------------------------------------------------------- Totals...................................... 51,581 .............. .............. 4,299 ---------------------------------------------------------------------------------------------------------------- Dated: June 26, 2015. Faye I. Lipsky, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-16132 Filed 6-30-15; 8:45 am] BILLING CODE 4191-02-P
![37708 Federal Register / Vol. 80, No. 126 / Wednesday, July 1, 2015 / Notices
for which they are responsible for SBDC (b) open all service centers during collection techniques or other forms of
performance management. OSBDC also normal business hours of the information technology. Mail, email, or
has three Grants Managers along with a community or during the normal fax your comments and
finance staff who oversee the issuance business hours of its state or academic recommendations on the information
and budget aspects of the Cooperative Host Organization, throughout the year; collection(s) to the OMB Desk Officer
Agreement. SBDCs operate on the basis (c) develop working relationships and SSA Reports Clearance Officer at
of an annual proposed plan to provide with financial institutions, the the following addresses or fax numbers.
assistance within a state or geographic investment communities, professional (OMB), Office of Management and
area. The initial plan must have the associations, private consultants and Budget, Attn: Desk Officer for SSA,
written approval of the Governor. Non- local small business groups; Fax: 202–395–6974, Email address:
Federal funds must match Federal funds (d) establish a lead center which OIRA_Submission@omb.eop.gov,
by 1:1. operates and oversees a statewide or (SSA), Social Security Administration,
regional network of SBDC service OLCA, Attn: Reports Clearance
SBDC Services
centers; Director, 3100 West High Rise, 6401
An SBDC must have a full range of (e) have a full-time Director; and Security Blvd., Baltimore, MD 21235,
business development and technical (f) expend at least 80 percent of the Fax: 410–966–2830, Email address:
assistance services in its area of Federal funds to provide direct client OR.Reports.Clearance@ssa.gov.
operations, supporting local small services to small businesses.
business needs, SBA priorities and Or you may submit your comments
established SBDC program objectives. Scott Henry, online through www.regulations.gov,
Services include training and Acting Associate Administrator, Office of referencing Docket ID Number [SSA–
professional business advising to Small Business Development Centers. 2015–0041].
existing and prospective small business [FR Doc. 2015–16149 Filed 6–30–15; 8:45 am] I. The information collections below
owners in all areas of small firm BILLING CODE 8025–01–P are pending at SSA. SSA will submit
establishment and growth, including: them to OMB within 60 days from the
Management; online and social media date of this notice. To be sure we
and marketing; finance and access to SOCIAL SECURITY ADMINISTRATION consider your comments, we must
capital; exporting and international receive them no later than August 31,
[Docket No: SSA–2015–0041] 2015. Individuals can obtain copies of
trade; manufacturing; and business
operations, including disaster the collection instruments by writing to
Agency Information Collection
mitigation. the above email address.
Activities: Proposed Request and
The SBA district office and the SBDC 1. Representative Payee Report of
Comment Request
negotiate annually through this funding Benefits and Dedicated Account—20
announcement the specific mix of The Social Security Administration CFR 416.546, 416.635, 416.640, and
services and best use of program funds (SSA) publishes a list of information 416.665—0960–0576. SSA requires
to meet mutually agreed upon annual collection packages requiring clearance representative payees (RPs) to submit a
milestones, giving particular attention to by the Office of Management and written report accounting for the use of
SBA’s annual priorities and special Budget (OMB) in compliance with money paid to Social Security or
emphasis groups, including veterans, Public Law 104–13, the Paperwork Supplemental Security Income (SSI)
women, the disabled, and other Reduction Act of 1995, effective October recipients, and to establish and
minorities. 1, 1995. This notice includes revisions maintain a dedicated account for these
and one extension of OMB-approved payments. SSA uses Form SSA–6233 to:
SBDC Program Requirements information collections, as well as one (1) Ensure the RPs use the payments for
An SBDC must meet required collection in use without an OMB the recipient’s current maintenance and
programmatic and financial number. personal needs; and (2) confirm the
requirements established by statute, SSA is soliciting comments on the expenditures of funds from the
regulations, other program directive and accuracy of the agency’s burden dedicated account remain in
its Cooperative Agreement. Following estimate; the need for the information; compliance with the law. Respondents
these guidelines an SBDC must: its practical utility; ways to enhance its are RPs for SSI and Social Security
(a) Provide services that are as quality, utility, and clarity; and ways to recipients.
accessible to all persons, especially minimize burden on respondents, Type of Request: Revision of an OMB-
those who identify as disabled; including the use of automated approved information collection.
Average bur- Estimated total
Number of re- Frequency of den per re-
Modality of completion annual burden
spondents response sponse (hours)
(minutes)
SSA–6233 ........................................................................................................ 30,000 1 20 10,000
2. Certification of Prisoner Identity can issue a replacement Social Security to verify the identity of certain
tkelley on DSK3SPTVN1PROD with NOTICES
Information—20 CFR 422.107—0960– card, applicants must show SSA proof incarcerated U.S. citizens who need
0688. Inmates of Federal, State, or local of their identity. People who are in replacement Social Security cards.
prisons may need a Social Security card prison for an extended period typically Information prison officials provide
as verification of their Social Security do not have current identity documents. comes from the official prison files, sent
number for school or work programs, or Therefore, under formal written on correctional facility letterhead. SSA
as proof of employment eligibility upon agreement with the correctional uses this information to establish the
release from incarceration. Before SSA institution, SSA allows prison officials applicant’s identity in the replacement
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![Federal Register / Vol. 80, No. 126 / Wednesday, July 1, 2015 / Notices 37709
Social Security card process. The certify the identity of prisoners applying Type of Request: Extension of an
respondents are prison officials who for replacement Social Security cards. OMB-approved Information Collection.
Average bur- Estimated total
Number of re- Frequency of (Number of re- den per re-
Modality of completion annual burden
spondents response sponses) sponse (hours)
(minutes)
Verification of Prisoner Identity Statements ........................ 1,000 200 (200,000) 3 10,000
II. SSA submitted the information for medical care or services for liability information using Form SSA–
collection below to OMB for clearance. Medicaid beneficiaries. Regulations at 8019–U2, and provides that information
Your comments regarding the 42 CFR 433.136 through 433.139 require to the Medicaid state agencies. The
information collection would be most Medicaid state agencies to obtain this Medicaid state agencies use the
useful if OMB and SSA receive them 30 information on Medicaid applications information to bill third parties liable
days from the date of this publication. and redeterminations as a condition of for medical care, support, or services for
To be sure we consider your comments, Medicaid eligibility. States may enter a beneficiary to guarantee that Medicaid
we must receive them no later than July into agreements with the Commissioner remains the payer of last resort. The
31, 2015. Individuals can obtain copies of Social Security to make Medicaid respondents are SSI claimants and
of the OMB clearance package by eligibility determinations for aged, recipients.
writing to OR.Reports.Clearance@ blind, and disabled beneficiaries in Type of Request: Revision of an OMB-
ssa.gov. those states. Applications for and approved information collection.
Third Party Liability Information redeterminations of SSI eligibility in This is a correction notice: SSA
Statement—42 CFR 433.136 through jurisdictions with such agreements are published the incorrect form number in
433.139 —0960–0323. To reduce applications and redeterminations of the burden chart for this collection at 80
Medicaid costs, Medicaid state agencies Medicaid eligibility. Under these FR 24307, on April 30, 2015. We are
must identify third party insurers liable agreements, SSA obtains third party correcting this error here.
Average bur- Estimated total
Number of re- Frequency of den per re-
Modality of completion annual burden
spondents response sponse (hours)
(minutes)
SSA–8019–U2 Paper Form ............................................................................. 200 1 5 17
MSSICS Version .............................................................................................. 51,381 1 5 4,282
Totals ........................................................................................................ 51,581 ........................ ........................ 4,299
Dated: June 26, 2015. DATES: Comments should be received no (B) The organizational component of
Faye I. Lipsky, later than August 31, 2015. the executive agency administering the
Reports Clearance Officer, Social Security contract, and the organizational
FOR FURTHER INFORMATION CONTACT: Karl
Administration. component of the agency whose
Kammann, Director of Finance, at 1730 requirements are being met through
[FR Doc. 2015–16132 Filed 6–30–15; 8:45 am]
M St. NW., Suite 300, Washington, DC contractor performance of the service;
BILLING CODE 4191–02–P
20036, or by facsimile at (202) 254– (C) The total dollar amount obligated
3711. for services under the contract and the
SUPPLEMENTARY INFORMATION: On funding source for the contract;
OFFICE OF SPECIAL COUNSEL December 16, 2009, the Consolidated (D) The total dollar amount invoiced
Appropriations Act, 2010 (Consolidated for services under the contract;
Agency Information on Public (E) The contract type and date of
Appropriations Act), Public Law 111–
Availability of FY 2014 Service award;
117, became law. Section 743(a) of the
Contract Inventory (F) The name of the contractor and
Consolidated Appropriations Act, titled,
place of performance;
AGENCY: Office of Special Counsel ‘‘Service Contract Inventory
(G) The number and work location of
(OSC). Requirement,’’ requires agencies to
contractor and subcontractor employees,
submit to the Office of Management and
ACTION: First notice. expressed as full-time equivalents for
Budget (OMB), an annual inventory of direct labor, compensated under the
SUMMARY: The U.S. Office of Special service contracts awarded or extended contract;
Counsel, in accordance with section through the exercise of an option on or (H) Whether the contract is a personal
743(c) of Division C of the Consolidated after April 1, 2010, and describes the services contract; and
Appropriations Act, 2010 (Pub. L. 111– contents of the inventory. The contents (I) Whether the contract was awarded
of the inventory must include:
tkelley on DSK3SPTVN1PROD with NOTICES
117, 123 Stat. 3034, 3216), is on a noncompetitive basis, regardless of
announcing the availability of OSC’s (A) A description of the services date of award.
service contract inventory for fiscal year purchased by the executive agency and Section 743(a)(3)(A) through (I) of the
(FY) 2014. This inventory provides the role the services played in achieving Consolidated Appropriations Act.
information on service contract actions agency objectives, regardless of whether Section 743(c) of the Consolidated
that exceeded $25,000 that OSC made in such a purchase was made through a Appropriations Act requires agencies to
FY 2014. contract or task order; ‘‘publish in the Federal Register a
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Document Created: 2015-12-15 13:18:59
Document Modified: 2015-12-15 13:18:59
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 37708 |
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