80 FR 51647 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 164 (August 25, 2015)
Federal Register Volume 80, Issue 164 (August 25, 2015)
| Page Range | 51647-51649 | |
| FR Document | 2015-21045 |
[Federal Register Volume 80, Number 164 (Tuesday, August 25, 2015)] [Notices] [Pages 51647-51649] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-21045] [[Page 51647]] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0050] 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 and extensions 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: 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-2015-0050]. 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 October 26, 2015. Individuals can obtain copies of the collection instrument by writing to the above email address. Response to Notice of Revised Determination--20 CFR 404.913- 404.914, 404.992(b), 416.1413-416.1414, and 416.1492(d)--0960-0347. When SSA determines: (1) Claimants for initial disability benefits do not actually have a disability, or (2) current disability recipients' records show their disability ceased, SSA notifies the disability claimants or recipients of this decision. In response to this notice, the affected claimants and disability recipients have the following recourse: (1) They may request a disability hearing to contest SSA's decision and (2) they may submit additional information or evidence for SSA to consider. Disability claimants, recipients, and their representatives use Form SSA-765 to accomplish these two actions. If respondents request the first option, SSA's Disability Hearings Unit uses the form to schedule a hearing; ensure an interpreter is present, if required; and ensure the disability recipients or claimants and their representatives receive a notice about the place and time of the hearing. If respondents choose the second option, SSA uses the form and other evidence to reevaluate the claimant's case and determine if the new information or evidence will change SSA's decision. The respondents are disability claimants, current disability recipients, or their representatives. Type of Request: Extension 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-765..................................... 1,925 1 30 963 ---------------------------------------------------------------------------------------------------------------- II. SSA submitted the information collections below to OMB for clearance. Your comments regarding the 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 September 24, 2015. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Physician's/Medical Officer's Statement of Patient's Capability to Manage Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA appoints a representative payee in cases where we determine beneficiaries are not capable of managing their own benefits. In those instances, we require medical evidence to determine the beneficiaries' capability of managing or directing their benefit payments. SSA collects medical evidence on Form SSA-787 to (1) determine beneficiaries' capability or inability to handle their own benefits, and (2) assist in determining the beneficiaries' need for a representative payee. The respondents are the beneficiary's physicians, or medical officers of the institution in which the beneficiary resides. 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-787..................................... 120,000 1 10 20,000 ---------------------------------------------------------------------------------------------------------------- 2. State Supplementation Provisions: Agreement; Payments--20 CFR 416.2095-416.2098, 20 CFR 416.2099--0960-0240. Section 1618 of the Social Security Act (Act) requires those states administering their own supplementary income payment program(s) to demonstrate compliance with the Act by passing Federal cost-of-living increases on to individuals who are eligible for state supplementary payments, and informing SSA of their compliance. In general, states report their supplementary payment information annually by the maintenance-of-payment levels method. However, SSA may ask them to report up to four times in a year by the total-expenditures method. Regardless of the method, the states confirm their compliance with the requirements, and provide any changes to their optional supplementary payment rates. SSA uses the information to determine each state's [[Page 51648]] compliance or noncompliance with the pass-along requirements of the Act to determine eligibility for Medicaid reimbursement. If a state fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under Title XIX of the Act. Respondents are state agencies administering supplemental programs. Type of Request: Extension 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) ---------------------------------------------------------------------------------------------------------------- Total Expenditures.............................. 7 4 60 28 Maintenance of Payment Levels................... 26 1 60 26 --------------------------------------------------------------- Total....................................... 33 .............. .............. 54 ---------------------------------------------------------------------------------------------------------------- 3. Continuation of Supplemental Security Income Payments for the Temporarily Institutionalized--Certification of Period and Need to Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When SSI recipients (1) enter a public institution or (2) enter a private medical treatment facility with Medicaid paying more than 50 percent of expenses, SSA must reduce recipients' SSI payments to a nominal sum. However, if this institutionalization is temporary (defined as a maximum of three months), SSA may waive the reduction. Before SSA can waive the SSI payment reduction, the agency must receive the following documentation: (1) A physician's certification stating the SSI recipient will only be institutionalized for a maximum of three months, and (2) certification from the recipient, the recipient's family, or friends, confirming the recipient needs SSI payments to maintain the living arrangements to which the individual will return post-institutionalization. To obtain this information, SSA employees contact the recipient (or a knowledgeable source) to obtain the required physician's certification and the statement of need. SSA does not require any specific format for these items, so long as we obtain the necessary attestations. The respondents are SSI recipients, their family or friends, as well as physicians or hospital staff members who treat the SSI recipient. Type of Request: Extension 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) ---------------------------------------------------------------------------------------------------------------- Physician's Certifications and Statements 60,000 1 5 5,000 from Other Respondents..................... ---------------------------------------------------------------------------------------------------------------- 4. Request for Deceased Individual's Social Security Record--20 CFR 402.130--0960-0665. When a member of the public requests an individual's Social Security record, SSA needs the name and address of the requestor as well as a description of the requested record to process the request. SSA uses the information the respondent provides on Form SSA-711, or via an Internet request through SSA's electronic Freedom of Information Act (eFOIA) Web site, to (1) verify the wage earner is deceased and (2) access the correct Social Security record. Respondents are members of the public requesting deceased individuals' Social Security records. 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) ---------------------------------------------------------------------------------------------------------------- Internet Request through eFOIA.................. 49,800 1 7 5,810 SSA-711 (paper)................................. 200 1 7 23 --------------------------------------------------------------- Total....................................... 50,000 .............. .............. 5,833 ---------------------------------------------------------------------------------------------------------------- Cost Burden *: In addition, SSA charges fees to the respondent for this information. The following charts shows the fees per transaction based on the information the respondent provides on the SSA-711 (or in eFOIA): ---------------------------------------------------------------------------------------------------------------- Cost per Modality of completion Information provided (or not provided) transaction ---------------------------------------------------------------------------------------------------------------- SSA-711 (paper)............................... SSN of decedent is not provided................. $29 SSA-711 (paper)............................... SSN of decedent is provided..................... 27 eFOIA (Internet).............................. SSN of decedent is not provided................. 18 eFOIA (Internet).............................. SSN of decedent is provided..................... 18 ---------------------------------------------------------------------------------------------------------------- [[Page 51649]] * As these costs are dependent on the respondent's provided information, we charge them on an as needed basis, and cannot provide a total annual estimate of the cost burden. We do not know whether the respondent provided the decedent's SSN until we manually review and process each SSA-711. 5. Electronic Health Records Partnering Program Evaluation Form--20 CFR 404.1614, 416.1014, 24 CFR 495.300-495.370--0960-0798. The Health Information Technology for Economic and Clinical Health (HITECH) Act promotes the adoption and meaningful use of health information technology (IT), particularly in the context of working with government agencies. Similarly, section 3004 of the Public Health Service Act requires health care providers or health insurance issuers with government contracts to implement, acquire, or upgrade their health IT systems and products to meet adopted standards and implementation specifications. To support expansion of SSA's health IT initiative as defined under HITECH, SSA developed Form SSA-680, the Health IT Partner Program Assessment--participating Facilities and Available Content Form. The SSA-680 allows healthcare providers to provide the information SSA needs to determine their ability to exchange health information with us electronically. We evaluate potential partners (i.e., healthcare providers and organizations) on (1) the accessibility of health information they possess, and (2) the content value of their electronic health records' systems for our disability adjudication processes. SSA reviews the completeness of organizations' SSA-680 responses as one part of our careful analysis of their readiness to enter into a health IT partnership with us. The respondents are healthcare providers and organizations exchanging information with the agency. 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-680..................................... 30 1 5 150 ---------------------------------------------------------------------------------------------------------------- Dated: August 20, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-21045 Filed 8-24-15; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 80, No. 164 / Tuesday, August 25, 2015 / Notices 51647
SOCIAL SECURITY ADMINISTRATION (OMB), Office of Management and disability ceased, SSA notifies the
Budget, Attn: Desk Officer for SSA, Fax: disability claimants or recipients of this
[Docket No: SSA–2015–0050]
202–395–6974, Email address: OIRA_ decision. In response to this notice, the
Agency Information Collection Submission@omb.eop.gov. (SSA), Social affected claimants and disability
Activities: Proposed Request and Security Administration, OLCA, Attn: recipients have the following recourse:
Comment Request Reports Clearance Director, 3100 West (1) They may request a disability
High Rise, 6401 Security Blvd., hearing to contest SSA’s decision and
The Social Security Administration Baltimore, MD 21235, Fax: 410–966– (2) they may submit additional
(SSA) publishes a list of information 2830, Email address: information or evidence for SSA to
collection packages requiring clearance OR.Reports.Clearance@ssa.gov. consider. Disability claimants,
by the Office of Management and Or you may submit your comments recipients, and their representatives use
Budget (OMB) in compliance with online through www.regulations.gov, Form SSA–765 to accomplish these two
Public Law 104–13, the Paperwork referencing Docket ID Number [SSA– actions. If respondents request the first
Reduction Act of 1995, effective October 2015–0050]. option, SSA’s Disability Hearings Unit
1, 1995. This notice includes revisions I. The information collection below is
uses the form to schedule a hearing;
and extensions of OMB-approved pending at SSA. SSA will submit it to
ensure an interpreter is present, if
information collections. OMB within 60 days from the date of
SSA is soliciting comments on the required; and ensure the disability
this notice. To be sure we consider your
accuracy of the agency’s burden recipients or claimants and their
comments, we must receive them no
estimate; the need for the information; representatives receive a notice about
later than October 26, 2015. Individuals
its practical utility; ways to enhance its the place and time of the hearing. If
can obtain copies of the collection
quality, utility, and clarity; and ways to respondents choose the second option,
instrument by writing to the above
minimize burden on respondents, SSA uses the form and other evidence
email address.
including the use of automated Response to Notice of Revised to reevaluate the claimant’s case and
collection techniques or other forms of Determination—20 CFR 404.913– determine if the new information or
information technology. Mail, email, or 404.914, 404.992(b), 416.1413– evidence will change SSA’s decision.
fax your comments and 416.1414, and 416.1492(d)—0960–0347. The respondents are disability
recommendations on the information When SSA determines: (1) Claimants for claimants, current disability recipients,
collection(s) to the OMB Desk Officer initial disability benefits do not actually or their representatives.
and SSA Reports Clearance Officer at have a disability, or (2) current Type of Request: Extension of an
the following addresses or fax numbers. disability recipients’ records show their OMB-approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–765 .......................................................................................................... 1,925 1 30 963
II. SSA submitted the information 1. Physician’s/Medical Officer’s determine beneficiaries’ capability or
collections below to OMB for clearance. Statement of Patient’s Capability to inability to handle their own benefits,
Your comments regarding the Manage Benefits—20 CFR 404.2015 and and (2) assist in determining the
information collections would be most 416.615—0960–0024. SSA appoints a beneficiaries’ need for a representative
useful if OMB and SSA receive them 30 representative payee in cases where we payee. The respondents are the
days from the date of this publication. determine beneficiaries are not capable beneficiary’s physicians, or medical
To be sure we consider your comments, of managing their own benefits. In those officers of the institution in which the
we must receive them no later than instances, we require medical evidence beneficiary resides.
September 24, 2015. Individuals can to determine the beneficiaries’
obtain copies of the OMB clearance capability of managing or directing their Type of Request: Revision of an OMB-
packages by writing to benefit payments. SSA collects medical approved information collection.
OR.Reports.Clearance@ssa.gov. evidence on Form SSA–787 to (1)
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–787 .......................................................................................................... 120,000 1 10 20,000
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2. State Supplementation Provisions: passing Federal cost-of-living increases may ask them to report up to four times
Agreement; Payments—20 CFR on to individuals who are eligible for in a year by the total-expenditures
416.2095–416.2098, 20 CFR 416.2099— state supplementary payments, and method. Regardless of the method, the
0960–0240. Section 1618 of the Social informing SSA of their compliance. In states confirm their compliance with the
Security Act (Act) requires those states general, states report their requirements, and provide any changes
administering their own supplementary supplementary payment information to their optional supplementary
income payment program(s) to annually by the maintenance-of- payment rates. SSA uses the
demonstrate compliance with the Act by payment levels method. However, SSA information to determine each state’s
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![Federal Register / Vol. 80, No. 164 / Tuesday, August 25, 2015 / Notices 51649
* As these costs are dependent on the agencies. Similarly, section 3004 of the electronically. We evaluate potential
respondent’s provided information, we Public Health Service Act requires partners (i.e., healthcare providers and
charge them on an as needed basis, and health care providers or health organizations) on (1) the accessibility of
cannot provide a total annual estimate insurance issuers with government health information they possess, and (2)
of the cost burden. We do not know contracts to implement, acquire, or the content value of their electronic
whether the respondent provided the upgrade their health IT systems and health records’ systems for our
decedent’s SSN until we manually products to meet adopted standards and disability adjudication processes. SSA
review and process each SSA–711. implementation specifications. To reviews the completeness of
5. Electronic Health Records support expansion of SSA’s health IT organizations’ SSA–680 responses as
Partnering Program Evaluation Form— initiative as defined under HITECH, one part of our careful analysis of their
20 CFR 404.1614, 416.1014, 24 CFR SSA developed Form SSA–680, the
readiness to enter into a health IT
495.300–495.370—0960–0798. The Health IT Partner Program
Health Information Technology for partnership with us. The respondents
Assessment—participating Facilities
Economic and Clinical Health (HITECH) are healthcare providers and
and Available Content Form. The SSA–
Act promotes the adoption and 680 allows healthcare providers to organizations exchanging information
meaningful use of health information provide the information SSA needs to with the agency.
technology (IT), particularly in the determine their ability to exchange Type of Request: Revision of an OMB-
context of working with government health information with us approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–680 .......................................................................................................... 30 1 5 150
Dated: August 20, 2015. telephone number is (202) 395–2974, 2007, except as modified in Generalized
Naomi R. Sipple, the fax number is (202) 395–9674, and System of Preferences (GSP): Notice of
Reports Clearance Officer, Social Security the email address is gsp@ustr.eop.gov. a GSP Product Review, Including
Administration. SUPPLEMENTARY INFORMATION: On July 6, Possible Actions Related to Competitive
[FR Doc. 2015–21045 Filed 8–24–15; 8:45 am] 2015, USTR announced in the Federal Need Limitations (80 FR 38501)
BILLING CODE 4191–02–P Register (80 FR 38501) the launch of a published on July 6, 2015. These
review of products under the regulations are available on the Office of
Generalized System of Preferences the United States Trade Representative
OFFICE OF THE UNITED STATES (GSP) program that, based on full-year Web site at https://ustr.gov/issue-areas/
TRADE REPRESENTATIVE 2014 import data, are subject to certain trade-development/preference-
actions related to competitive need programs/generalized-system-
Generalized System of Preferences limitations (CNLs). That notice preference-gsp/gsp-program-inf.
(GSP): Deadline for Comments on U.S. indicated that two products from
Thailand—HTS 2008.19.15 and HTS All submissions in response to this
International Trade Commission
7408.29.10—will be removed from notice must be in English and must be
Report
eligibility for GSP for Thailand on submitted electronically via http://
AGENCY: Office of the United States October 1, 2015, unless the President www.regulations.gov, using docket
Trade Representative. grants a waiver for the product for number USTR–2015–0007. Instructions
ACTION: Notice of deadline for Thailand in response to a petition filed on how to file documents on http://
comments. by an interested party. The government www.regulations.gov can be found in
of Thailand subsequently filed petitions the referenced July 6, 2015 Federal
Summary and Dates: In late August, seeking CNL waivers for both products. Register notice (80 FR 38501), available
the U.S. International Trade Pursuant to U.S. law and regulations at http://www.regulations.gov/
Commission (USITC) is expected to pertaining to GSP, USTR requested the #!documentDetail;D=USTR-2015-0007-
release the public version of its USITC provide advice regarding the 0001. Hand-delivered submissions will
statutorily-mandated report, requested probable economic effect of granting the not be accepted.
by the Office of the United States Trade subject waivers.
Representative (USTR), providing The USITC is expected to release the Public Viewing of Review Submissions
advice on the probable economic effect public version of its report on these two
of granting a waiver of the application Submissions in response to this
waiver requests in late August 2015. notice, except for information granted
of competitive need limitations (CNLs) Comments on the USITC report should
to two products from Thailand. ‘‘business confidential’’ status under 15
be submitted to USTR via
Comments on the USITC report on these CFR part 2003.6, will be available for
www.regulations.gov in Docket Number
products should be submitted via public viewing pursuant to 15 CFR part
asabaliauskas on DSK5VPTVN1PROD with NOTICES
USTR–2015–0007, per the guidelines
www.regulations.gov in docket number described below, within seven calendar 2007.6 at http://www.regulations.gov
USTR–2015–0007, per the guidelines days after the date of the release of the upon completion of processing. Such
described below, within seven calendar report. submissions may be viewed by entering
days of the public release of the USITC the docket number USTR–2015–0007 in
report. Requirements for Submissions
FOR FURTHER INFORMATION CONTACT: The All submissions in response to this
GSP Program at the Office of the United notice must conform to the GSP
States Trade Representative. The regulations set forth at 15 CFR part
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Document Created: 2018-02-23 11:03:12
Document Modified: 2018-02-23 11:03:12
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| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 80 FR 51647 |
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