80_FR_72129 80 FR 71908 - Agency Information Collection Activities: Proposed Request and Comment Request

80 FR 71908 - Agency Information Collection Activities: Proposed Request and Comment Request

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 80, Issue 221 (November 17, 2015)

Page Range71908-71911
FR Document2015-29269

Federal Register, Volume 80 Issue 221 (Tuesday, November 17, 2015)
[Federal Register Volume 80, Number 221 (Tuesday, November 17, 2015)]
[Notices]
[Pages 71908-71911]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-29269]


-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0067]


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-

[[Page 71909]]

395-6974, Email address: [email protected].
(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: [email protected].
    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2015-0067].
    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 19, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Certificate of Responsibility for Welfare and Care of Child Not 
in Applicant's Custody--20 CFR 404.330, 404.339-404.341 and 404.348-
404.349--0960-0019. Under the provisions of the Social Security Act 
(Act), non-custodial parents who are filing for spouse, mother, or 
father Social Security benefits based on having the child of a number 
holder or worker in their care, must meet the in-care requirements the 
Act discusses. The in-care provision requires claimants to have an 
entitled child under age 16 or disabled in their care. SSA uses Form 
SSA-781, Certificate of Responsibility for Welfare and Care of Child in 
Applicant's Custody, to determine if claimants meet the requirement. 
The respondents are applicants for spouse, mother's or father's Social 
Security benefits.
    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-781.....................................          14,000                1               10            2,333
----------------------------------------------------------------------------------------------------------------

    2. Request for Change in Time/Place of Disability Hearing--20 CFR 
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the 
claimants or their representative, SSA schedules evidentiary hearings 
at the reconsideration level for claimants of Title II benefits or 
Title XVI payments when we deny their claims for disability. When 
claimants or their representatives find they are unable to attend the 
scheduled hearing, they complete Form SSA-769 to request a change in 
time or place of the hearing. SSA uses the information as a basis for 
granting or denying requests for changes and for rescheduling 
disability hearings. Respondents are claimants or their representatives 
who wish to request a change in the time or place of their hearing.
    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-769-U4..................................           7,483                1                8              998
----------------------------------------------------------------------------------------------------------------

    3. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR 404.907-404.921 and 
416.1407-416.1421--0960-0351. When a claimant dies before we make a 
determination on that person's request for reconsideration of a 
disability cessation, SSA seeks a qualified substitute party to pursue 
the appeal. If SSA locates a qualified substitute party, the agency 
uses Form SSA-770 to collect information about whether to pursue or 
withdraw the reconsideration request. We use this information as the 
basis for the decision to continue or discontinue with the appeals 
process. Respondents are substitute applicants who are pursuing a 
reconsideration request for a deceased claimant.
    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-770.....................................           1,200                1                5              100
----------------------------------------------------------------------------------------------------------------

    4. Beneficiary Interview and Auditor's Observations Form--0960-
0630. SSA's Office of the Inspector General collects information from 
Form SSA-322, the Beneficiary Interview and Auditor's Observation form, 
to interview beneficiaries or their payees to determine whether they 
are complying with their duties and responsibilities. The respondents 
are randomly selected Supplemental Security Income (SSI) recipients and 
Social Security beneficiaries who have representative payees.
    Type of Request: Revision of previously approved collection.

[[Page 71910]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
           Modality of  completion               Number of      Frequency  of    per  response     total annual
                                                respondents        response        (minutes)     burden  (hours)
----------------------------------------------------------------------------------------------------------------
SSA-322.....................................           1,000                1               15              250
----------------------------------------------------------------------------------------------------------------

    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 December 17, 2015. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Authorization for the Social Security Administration to Obtain 
Account Records from a Financial Institution--20 CFR 416.200 and 
416.203--0960-0293. SSA collects and verifies financial information 
from individuals applying for SSI payments to determine if the 
applicant meets the SSI resource eligibility requirements. If the SSI 
claimants provide incomplete, unavailable, or seemingly altered 
records, SSA contacts their financial institutions to verify the 
existence, ownership, and value of accounts owned. Financial 
institutions require individuals to sign Form SSA-4641-F4, or complete 
one of SSA's electronic applications, e4641 or the Access to Financial 
Institutions (AFI) screens, to authorize them to disclose records to 
SSA. The respondents are SSI applicants, recipients, and their deemors.
    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-4641 (paper)................................         252,500               1               6          25,250
e4641 and AFI (electronic)......................      15,747,500               1               2         524,917
                                                 ---------------------------------------------------------------
    Totals......................................      16,000,000  ..............  ..............         550,167
----------------------------------------------------------------------------------------------------------------

    2. Surveys in Accordance with E.O. 12862 for the Social Security 
Administration--0960-0526. Under the auspices of Executive Order 12862, 
Setting Customer Service Standards, SSA conducts multiple customer 
satisfaction surveys each year. These voluntary customer satisfaction 
assessments include paper, Internet, and telephone surveys; mailed 
questionnaires; and customer comment cards. The purpose of these 
questionnaires is to assess customer satisfaction with the timeliness, 
appropriateness, access, and overall quality of existing SSA services 
and proposed modifications or new versions of services. The respondents 
are recipients of SSA services (including most members of the public), 
professionals, and individuals who work on behalf of SSA beneficiaries.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
                                                    respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Year 1..........................................       9,164,640               1            3-30       1,346,904
Year 2..........................................       9,170,140               1            3-30       1,347,404
Year 3..........................................       9,175,640               1            3-30       1,348,504
                                                 ---------------------------------------------------------------
    Totals......................................      27,510,420  ..............  ..............       4,042,812
----------------------------------------------------------------------------------------------------------------

    3. The Ticket to Work and Self-Sufficiency Program--20 CFR 411--
0960-0644. SSA's Ticket to Work (TTW) Program transitions Social 
Security Disability Insurance (SSDI) and SSI recipients toward 
independence by allowing them to receive Social Security payments while 
maintaining employment under the auspices of the program. SSA uses 
service providers, called Employment Networks (ENs), to supervise 
participant progress through the stages of TTW Program participation, 
such as job searches and interviews, progress reviews, and changes in 
ticket status. ENs can be private for-profit and nonprofit 
organizations, as well as state vocational rehabilitation agencies 
(VRs). SSA and the ENs utilize the TTW program manager to operate the 
TTW Program and exchange information about participants. For example, 
the ENs use the program manager to provide updates on tasks such as 
selecting a payment system or requesting payments for helping the 
beneficiary achieve certain work goals. Since the ENs are not PRA-
exempt, the multiple information collections within the TTW program 
manager require OMB approval, and we clear them under this information 
collection request (ICR). Most of the categories of information in this 
ICR are necessary for SSA to: (1) Comply with the Ticket to Work 
legislation; and (2) provide proper oversight of the program. SSA 
collects this information through several modalities, including forms, 
electronic exchanges, and written documentation. The respondents are 
the ENs or state VRs, as well as SSDI beneficiaries and blind or 
disabled SSI recipients working under the auspices of the TTW Program.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 71911]]



----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of  completion                respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
a) 20 CFR 411.140(d)(2)--Interactive Voice                 6,428               1             2.5             268
 Recognition Telephone..........................
a) 20 CFR 411.140(d)(2)--Portal.................          25,713               1            1.25             536
a) 20 CFR 411.140(d)(3)--Virtual Job Fair                    500               1              10              83
 Registration-Employment Networks...............
a) 20 CFR 411.140(d)(3); 411.325(a);                         948               1              15             237
 411.150(b)(3)--SSA-1365........................
a) 20 CFR 411.140(d)(3); 411.325(a);                       3,792               1              11             695
 411.150(b)(3)--SSA-1365 Portal.................
a) 20 CFR 411.140(d)(3); 411.325(a);                       1,956               1              60           1,956
 411.150(b)(3)--SSA-1370........................
a) 20 CFR 411.140(d)(3); 411.325(a);                       5,868               1              10             978
 411.150(b)(3)--SSA-1370 Portal.................
a) 20 CFR 411.166; 411.170(b)--Electronic File            40,324               1               5           3,360
 Submission.....................................
b) 20 CFR 411.145; 411.325......................           2,494               1              15             624
b) 20 CFR 411.145; 411.325--Portal..............           7,481               1              11           1,372
b) 20 CFR 411.535(a)(1)(iii)--Data Sharing/                8,505               1               5             709
 Portal.........................................
c) 20 CFR 411.192(b)&(c)........................               6               1              30               3
c) 20 CFR 411.200(b)--SSA-1375..................         112,362               1              15          28,091
c) 20 CFR 411.200(b)--Portal....................          64,824               1               5           5,402
c) 20 CFR 411.210(b)............................              41               1              30              21
c) 20 CFR 411.200(b) Wise Webinar Registration            24,000               1               3           1,200
 Page...........................................
c) 20 CFR 411.200(b) Virtual Job Fair                      9,000               1              10           1,500
 Registration...................................
d) 20 CFR 411.365; 411.505; 411.515.............               6               1              10               1
e) 20 CFR 411.325(d); 411.415...................              1*               1             480               8
f) 20 CFR 411.575--SSA-1389; SSA-1391; SSA-1393;           2,805               1              40           1,870
 SSA-1396; SSA-1398; SSA-1399...................
f) 20 CFR 411.575--Portal.......................          42,075               1              22          15,427
f) 20 CFR 411.575--Automatic Payments...........          11,220               1               0               0
f) 20 CFR 411.560--SSA-1401.....................             100               1              20              33
g) 20 CFR 411.325(f)............................           1,371               1              45           1,028
h) 20 CFR 411.435; 411.615; 411.625.............               2               1             120               4
i) 20 CFR 411.320--SSA-1394.....................              52               1              10               9
i) 20 CFR 411.320--SSA-1394 Portal..............             158               1               5              13
                                                 ---------------------------------------------------------------
    Totals......................................         372,032  ..............  ..............          65,428
----------------------------------------------------------------------------------------------------------------
* (None received in 2012, 2013, 2014)

    4. Representative Payment Policies and Administrative Procedures 
for Imposing Penalties for False or Misleading Statements or 
Withholding of Information--0960-0740. This information collection 
request comprises several regulation sections that provide additional 
safeguards for Social Security beneficiaries' whose representative 
payees receive their payment. SSA requires representative payees to 
notify them of any event or change in circumstances that would affect 
receipt of benefits or performance of payee duties. SSA uses the 
information to determine continued eligibility for benefits, the amount 
of benefits due and if the payee is suitable to continue servicing as 
payee. The respondents are representative payees who receive and use 
benefits on behalf of Social Security beneficiaries.
    Type of Collection: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
               Regulation  section                  respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
404.2035(d)--Paper/Mail.........................          28,600               1               5           2,383
404.2035(d)--Office interview/Intranet..........         543,400               1               5          45,283
404.2035(f)--Paper/Mail.........................             286               1               5              24
404.2035(f)--Office interview/Intranet..........           5,434               1               5             453
416.635(d)--Paper/Mail..........................          15,600               1               5           1,300
416.635(d)--Office interview/Intranet...........         286,400               1               5          23,867
416.635(f)--Paper/Mail..........................             156               1               5              13
416.635(f)--Office interview/Intranet...........           2,964               1               5             247
                                                 ---------------------------------------------------------------
    Total.......................................         882,840  ..............               -          73,570
----------------------------------------------------------------------------------------------------------------


    Dated: November 11, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-29269 Filed 11-16-15; 8:45 am]
 BILLING CODE 4191-02-P



                                                  71908                      Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices

                                                  adding certain protections for persons                  eligibility, continuing entitlement, or               the NDNH: (1) Name, (2) Employer
                                                  applying for, and receiving, Federal                    payment amounts, or all of the above, of              identification number, and (3)
                                                  benefits. Section 7201 of the Omnibus                   individuals under the DI program.                     Address(es); Transmitter agency code,
                                                  Budget Reconciliation Act of 1990 (Pub.                                                                       Transmitter state code, and State or
                                                                                                          C. AUTHORITY FOR CONDUCTING THE MATCHING
                                                  L. 101–508) further amended the                                                                               agency name. OCSE will provide
                                                                                                          PROGRAM
                                                  Privacy Act regarding protections for                                                                         electronically to us the following data
                                                  such persons.                                              The legal authority for disclosures                elements from the NDNH in the
                                                    The Privacy Act, as amended,                          under this agreement are: (1) 453(j)(4) of            unemployment insurance file:
                                                  regulates the use of computer matching                  the Social Security Act (Act) which                   Unemployment insurance record
                                                  by Federal agencies when records in a                   provides that OCSE shall provide our                  identifier, Processed date, SSN,
                                                  system of records are matched with                      Commissioner with all information in                  Verification request code, Name (first,
                                                  other Federal, State, or local government               the National Directory of New Hires                   middle, last), Address, Unemployment
                                                  records. It requires Federal agencies                   (NDNH). 42 U.S.C. 653(j)(4); and (2)                  insurance benefit amount, Reporting
                                                  involved in computer matching                           224(h)(1) of the Act provides that the                period, Transmitter agency code,
                                                  programs to:                                            head of any Federal agency shall                      Transmitter state code, and State or
                                                    (1) Negotiate written agreements with                 provide information within its                        agency name.
                                                  the other agency or agencies                            possession as our Commissioner may
                                                  participating in the matching programs;                 require for purposes of making a timely               E. INCLUSIVE DATES OF THE MATCHING PROGRAM

                                                    (2) Obtain approval of the matching                   determination of the amount of the                       The effective date of this matching
                                                  agreement by the Data Integrity Boards                  reduction, if any, required by section                program is November 1, 2015; provided
                                                  of the participating Federal agencies;                  224 in benefits payable under Title II of             that the following notice periods have
                                                    (3) Publish notice of the computer                    the Act. 42 U.S.C. 424a(h). Disclosures               lapsed: 30 days after publication of this
                                                  matching program in the Federal                         under this agreement shall be made in                 notice in the Federal Register and 40
                                                  Register;                                               accordance with 5 U.S.C. 552a(b)(3),                  days after notice of the matching
                                                    (4) Furnish detailed reports about                    and in compliance with the matching                   program is sent to Congress and OMB.
                                                  matching programs to Congress and                       procedures in 5 U.S.C. 552a(o), (p), and              The matching program will continue for
                                                  OMB;                                                    (r).                                                  18 months from the effective date and,
                                                    (5) Notify applicants and beneficiaries                                                                     if both agencies meet certain conditions,
                                                                                                          D. CATEGORIES OF RECORDS AND PERSONS
                                                  that their records are subject to                       COVERED BY THE MATCHING PROGRAM
                                                                                                                                                                it may extend for an additional 12
                                                  matching; and                                                                                                 months thereafter.
                                                                                                             Systems of Records (SOR): We                       [FR Doc. 2015–29283 Filed 11–16–15; 8:45 am]
                                                    (6) Verify match findings before                      published notice of the relevant SORs in
                                                  reducing, suspending, terminating, or                   the Federal Register. Our SORs are the
                                                                                                                                                                BILLING CODE 4191–02–P
                                                  denying a person’s benefits or                          Master Beneficiary Record (MBR), SSA/
                                                  payments.                                               ORSIS 60–0090 last published January                  SOCIAL SECURITY ADMINISTRATION
                                                  B. SSA Computer Matches Subject to                      11, 2006 at 72 FR 1826; and the
                                                  the Privacy Act                                         Completed Determination Record-                       [Docket No: SSA–2015–0067]
                                                                                                          Continuing Disability Determination file
                                                     We have taken action to ensure that                                                                        Agency Information Collection
                                                                                                          (CDR–CDD), SSA/OD 60–0050 last
                                                  all of our computer matching programs                                                                         Activities: Proposed Request and
                                                                                                          published January 11, 2006 at 72 FR
                                                  comply with the requirements of the                                                                           Comment Request
                                                                                                          1813.
                                                  Privacy Act, as amended.
                                                                                                             OCSE will match our information in                    The Social Security Administration
                                                  Mary Ann Zimmerman,                                     the MBR and CDR–CDD against the                       (SSA) publishes a list of information
                                                  Acting Executive Director, Office of Privacy            quarterly wage and unemployment                       collection packages requiring clearance
                                                  and Disclosure, Office of the General Counsel.          insurance information furnished by                    by the Office of Management and
                                                                                                          state and federal agencies maintained in              Budget (OMB) in compliance with
                                                  Notice of Computer Matching Program,                    its SOR ‘‘OCSE National Directory of
                                                  SSA With the Office of Child Support                                                                          Public Law 104–13, the Paperwork
                                                  Enforcement (OCSE)
                                                                                                          New Hires’’ (NDNH), No. 09–80–0381,                   Reduction Act of 1995, effective October
                                                                                                          established by publication in the                     1, 1995. This notice includes revisions
                                                  A. PARTICIPATING AGENCIES                               Federal Register on January 5, 2011 at                and extensions of OMB-approved
                                                     SSA and OCSE.                                        76 FR 560. Routine use (9) of the system              information collections.
                                                                                                          of records authorizes disclosure of                      SSA is soliciting comments on the
                                                  B. PURPOSE OF THE MATCHING PROGRAM                      NDNH information to SSA, 76 FR 560,                   accuracy of the agency’s burden
                                                     The purpose of this matching program                 562 (January 5, 2011).                                estimate; the need for the information;
                                                  is to govern a matching program                            Data Elements Used in the Matching                 its practical utility; ways to enhance its
                                                  between the OCSE and us. The                            Program: We will provide electronically               quality, utility, and clarity; and ways to
                                                  agreement covers the Quarterly Wage                     to OCSE the following data elements in                minimize burden on respondents,
                                                  and Unemployment Insurance batch                        the finder file of DI beneficiaries:                  including the use of automated
                                                  match for Title II Disability Insurance                 Individual’s SSN and Name. OCSE will                  collection techniques or other forms of
                                                  (DI). This agreement also governs the                   provide electronically to us the                      information technology. Mail, email, or
                                                  use, treatment, and safeguarding of the                 following data elements from the NDNH                 fax your comments and
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  information exchanged. OCSE is the                      in the quarterly wage file: Quarterly                 recommendations on the information
                                                  ‘‘source agency’’ and we are the                        wage record identifier, For employees:                collection(s) to the OMB Desk Officer
                                                  ‘‘recipient agency,’’ as defined by the                 (1) Name (first, middle, last), (2) SSN,              and SSA Reports Clearance Officer at
                                                  Privacy Act. 5 U.S.C. 552a(a)(9) and                    (3) Verification request code, (4)                    the following addresses or fax numbers.
                                                  (11).                                                   Processed date, (5) Non-verifiable
                                                     We will use the quarterly wage and                   indicator, (6) Wage amount, and (7)                   (OMB)
                                                  unemployment insurance information                      Reporting period; For employers of                      Office of Management and Budget,
                                                  from OCSE to establish or verify                        individuals in the quarterly wage file of             Attn: Desk Officer for SSA, Fax: 202–


                                             VerDate Sep<11>2014   18:14 Nov 16, 2015   Jkt 238001   PO 00000   Frm 00139   Fmt 4703   Sfmt 4703   E:\FR\FM\17NON1.SGM   17NON1


                                                                                      Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices                                                              71909

                                                  395–6974, Email address: OIRA_                                           them to OMB within 60 days from the                             the child of a number holder or worker
                                                  Submission@omb.eop.gov.                                                  date of this notice. To be sure we                              in their care, must meet the in-care
                                                                                                                           consider your comments, we must                                 requirements the Act discusses. The in-
                                                  (SSA)
                                                                                                                           receive them no later than January 19,                          care provision requires claimants to
                                                    Social Security Administration,                                        2016. Individuals can obtain copies of                          have an entitled child under age 16 or
                                                  OLCA, Attn: Reports Clearance Director,                                  the collection instruments by writing to                        disabled in their care. SSA uses Form
                                                  3100 West High Rise, 6401 Security                                       the above email address.                                        SSA–781, Certificate of Responsibility
                                                  Blvd., Baltimore, MD 21235. Fax: 410–                                       1. Certificate of Responsibility for                         for Welfare and Care of Child in
                                                  966–2830. Email address:                                                 Welfare and Care of Child Not in
                                                                                                                                                                                           Applicant’s Custody, to determine if
                                                  OR.Reports.Clearance@ssa.gov.                                            Applicant’s Custody—20 CFR 404.330,
                                                                                                                                                                                           claimants meet the requirement. The
                                                    Or you may submit your comments                                        404.339–404.341 and 404.348–
                                                  online through www.regulations.gov,                                      404.349—0960–0019. Under the                                    respondents are applicants for spouse,
                                                  referencing Docket ID Number [SSA–                                       provisions of the Social Security Act                           mother’s or father’s Social Security
                                                  2015–0067].                                                              (Act), non-custodial parents who are                            benefits.
                                                    I. The information collections below                                   filing for spouse, mother, or father                              Type of Request: Revision of an OMB-
                                                  are pending at SSA. SSA will submit                                      Social Security benefits based on having                        approved information collection.

                                                                                                                                                                                                               Average     Estimated
                                                                                                  Modality of                                                           Number of          Frequency         burden per   total annual
                                                                                                  completion                                                           respondents        of response         response       burden
                                                                                                                                                                                                              (minutes)      (hours)

                                                  SSA–781 ..........................................................................................................     14,000                1                10           2,333



                                                    2. Request for Change in Time/Place                                    when we deny their claims for                                   and for rescheduling disability hearings.
                                                  of Disability Hearing—20 CFR                                             disability. When claimants or their                             Respondents are claimants or their
                                                  404.914(c)(2) and 416.1414(c)(2)—0960–                                   representatives find they are unable to                         representatives who wish to request a
                                                  0348. At the request of the claimants or                                 attend the scheduled hearing, they                              change in the time or place of their
                                                  their representative, SSA schedules                                      complete Form SSA–769 to request a                              hearing.
                                                  evidentiary hearings at the                                              change in time or place of the hearing.
                                                                                                                                                                                             Type of Request: Revision of an OMB-
                                                  reconsideration level for claimants of                                   SSA uses the information as a basis for
                                                  Title II benefits or Title XVI payments                                  granting or denying requests for changes                        approved information collection.

                                                                                                                                                                                                               Average     Estimated
                                                                                                  Modality of                                                           Number of          Frequency         burden per   total annual
                                                                                                  completion                                                           respondents        of response         response       burden
                                                                                                                                                                                                              (minutes)      (hours)

                                                  SSA–769–U4 ...................................................................................................             7,483             1                 8            998



                                                    3. Notice Regarding Substitution of                                    cessation, SSA seeks a qualified                                discontinue with the appeals process.
                                                  Party Upon Death of Claimant—                                            substitute party to pursue the appeal. If                       Respondents are substitute applicants
                                                  Reconsideration of Disability                                            SSA locates a qualified substitute party,                       who are pursuing a reconsideration
                                                  Cessation—20 CFR 404.907–404.921                                         the agency uses Form SSA–770 to                                 request for a deceased claimant.
                                                  and 416.1407–416.1421—0960–0351.                                         collect information about whether to                              Type of Request: Revision of an OMB-
                                                  When a claimant dies before we make                                      pursue or withdraw the reconsideration
                                                                                                                                                                                           approved information collection.
                                                  a determination on that person’s request                                 request. We use this information as the
                                                  for reconsideration of a disability                                      basis for the decision to continue or

                                                                                                                                                                                                               Average     Estimated
                                                                                                  Modality of                                                           Number of          Frequency         burden per   total annual
                                                                                                  completion                                                           respondents        of response         response       burden
                                                                                                                                                                                                              (minutes)      (hours)

                                                  SSA–770 ..........................................................................................................         1,200             1                 5            100



                                                    4. Beneficiary Interview and Auditor’s                                 beneficiaries or their payees to                                beneficiaries who have representative
                                                  Observations Form—0960–0630. SSA’s                                       determine whether they are complying                            payees.
                                                  Office of the Inspector General collects                                 with their duties and responsibilities.                           Type of Request: Revision of
                                                  information from Form SSA–322, the                                       The respondents are randomly selected                           previously approved collection.
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                                                  Beneficiary Interview and Auditor’s                                      Supplemental Security Income (SSI)
                                                  Observation form, to interview                                           recipients and Social Security




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                                                  71910                                Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices

                                                                                                                                                                                                                            Average                Estimated
                                                                                                    Modality of                                                            Number of           Frequency                  burden per              total annual
                                                                                                    completion                                                            respondents         of response                  response                  burden
                                                                                                                                                                                                                           (minutes)                 (hours)

                                                  SSA–322 ..........................................................................................................            1,000                 1                         15                    250



                                                    II. SSA submitted the information                                          1. Authorization for the Social                                  ownership, and value of accounts
                                                  collections below to OMB for clearance.                                    Security Administration to Obtain                                  owned. Financial institutions require
                                                  Your comments regarding the                                                Account Records from a Financial                                   individuals to sign Form SSA–4641–F4,
                                                  information collections would be most                                      Institution—20 CFR 416.200 and                                     or complete one of SSA’s electronic
                                                  useful if OMB and SSA receive them 30                                      416.203—0960–0293. SSA collects and                                applications, e4641 or the Access to
                                                  days from the date of this publication.                                    verifies financial information from                                Financial Institutions (AFI) screens, to
                                                  To be sure we consider your comments,                                      individuals applying for SSI payments                              authorize them to disclose records to
                                                  we must receive them no later than                                         to determine if the applicant meets the                            SSA. The respondents are SSI
                                                  December 17, 2015. Individuals can                                         SSI resource eligibility requirements. If                          applicants, recipients, and their
                                                                                                                             the SSI claimants provide incomplete,                              deemors.
                                                  obtain copies of the OMB clearance
                                                                                                                             unavailable, or seemingly altered
                                                  packages by writing to                                                                                                                          Type of Request: Revision of an OMB-
                                                                                                                             records, SSA contacts their financial
                                                  OR.Reports.Clearance@ssa.gov.                                                                                                                 approved information collection.
                                                                                                                             institutions to verify the existence,

                                                                                                                                                                                                                            Average                Estimated
                                                                                                    Modality of                                                            Number of           Frequency                  burden per              total annual
                                                                                                    completion                                                            respondents         of response                  response                  burden
                                                                                                                                                                                                                           (minutes)                 (hours)

                                                  SSA–4641 (paper) ...........................................................................................                 252,500                           1                          6           25,250
                                                  e4641 and AFI (electronic) ..............................................................................                 15,747,500                           1                          2          524,917

                                                        Totals ........................................................................................................     16,000,000      ........................   ........................        550,167



                                                    2. Surveys in Accordance with E.O.                                       assessments include paper, Internet, and                           proposed modifications or new versions
                                                  12862 for the Social Security                                              telephone surveys; mailed                                          of services. The respondents are
                                                  Administration—0960–0526. Under the                                        questionnaires; and customer comment                               recipients of SSA services (including
                                                  auspices of Executive Order 12862,                                         cards. The purpose of these                                        most members of the public),
                                                  Setting Customer Service Standards,                                        questionnaires is to assess customer                               professionals, and individuals who
                                                  SSA conducts multiple customer                                             satisfaction with the timeliness,                                  work on behalf of SSA beneficiaries.
                                                  satisfaction surveys each year. These                                      appropriateness, access, and overall                                 Type of Request: Extension of an
                                                  voluntary customer satisfaction                                            quality of existing SSA services and                               OMB-approved information collection.

                                                                                                                                                                                                                            Average                Estimated
                                                                                                                                                                           Number of           Frequency                  burden per              total annual
                                                                                                                                                                          respondents         of response                  response                  burden
                                                                                                                                                                                                                           (minutes)                 (hours)

                                                  Year 1 ..............................................................................................................         9,164,640                        1                     3–30          1,346,904
                                                  Year 2 ..............................................................................................................         9,170,140                        1                     3–30          1,347,404
                                                  Year 3 ..............................................................................................................         9,175,640                        1                     3–30          1,348,504

                                                        Totals ........................................................................................................     27,510,420      ........................   ........................      4,042,812



                                                     3. The Ticket to Work and Self-                                         private for-profit and nonprofit                                   collection request (ICR). Most of the
                                                  Sufficiency Program—20 CFR 411—                                            organizations, as well as state vocational                         categories of information in this ICR are
                                                  0960–0644. SSA’s Ticket to Work (TTW)                                      rehabilitation agencies (VRs). SSA and                             necessary for SSA to: (1) Comply with
                                                  Program transitions Social Security                                        the ENs utilize the TTW program                                    the Ticket to Work legislation; and (2)
                                                  Disability Insurance (SSDI) and SSI                                        manager to operate the TTW Program                                 provide proper oversight of the program.
                                                  recipients toward independence by                                          and exchange information about                                     SSA collects this information through
                                                  allowing them to receive Social Security                                   participants. For example, the ENs use                             several modalities, including forms,
                                                  payments while maintaining                                                 the program manager to provide updates                             electronic exchanges, and written
                                                  employment under the auspices of the                                       on tasks such as selecting a payment                               documentation. The respondents are the
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                                                  program. SSA uses service providers,                                       system or requesting payments for
                                                                                                                                                                                                ENs or state VRs, as well as SSDI
                                                  called Employment Networks (ENs), to                                       helping the beneficiary achieve certain
                                                                                                                                                                                                beneficiaries and blind or disabled SSI
                                                  supervise participant progress through                                     work goals. Since the ENs are not PRA-
                                                  the stages of TTW Program                                                  exempt, the multiple information                                   recipients working under the auspices
                                                  participation, such as job searches and                                    collections within the TTW program                                 of the TTW Program.
                                                  interviews, progress reviews, and                                          manager require OMB approval, and we                                 Type of Request: Revision of an OMB-
                                                  changes in ticket status. ENs can be                                       clear them under this information                                  approved information collection.



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                                                                                       Federal Register / Vol. 80, No. 221 / Tuesday, November 17, 2015 / Notices                                                                                    71911

                                                                                                                                                                                                                           Average                Estimated
                                                                                                    Modality of                                                             Number of         Frequency                  burden per              total annual
                                                                                                    completion                                                             respondents       of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                  a) 20 CFR 411.140(d)(2)—Interactive Voice Recognition Telephone ............                                                     6,428                         1                     2.5                268
                                                  a) 20 CFR 411.140(d)(2)—Portal ....................................................................                             25,713                         1                    1.25                536
                                                  a) 20 CFR 411.140(d)(3)—Virtual Job Fair Registration-Employment Net-
                                                     works ............................................................................................................              500                        1                       10                 83
                                                  a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 .................                                                      948                        1                       15                237
                                                  a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 Portal ......                                                        3,792                        1                       11                695
                                                  a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 .................                                                    1,956                        1                       60              1,956
                                                  a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 Portal ......                                                        5,868                        1                       10                978
                                                  a) 20 CFR 411.166; 411.170(b)—Electronic File Submission ........................                                               40,324                        1                        5              3,360
                                                  b) 20 CFR 411.145; 411.325 ...........................................................................                           2,494                        1                       15                624
                                                  b) 20 CFR 411.145; 411.325—Portal ..............................................................                                 7,481                        1                       11              1,372
                                                  b) 20 CFR 411.535(a)(1)(iii)—Data Sharing/Portal .........................................                                       8,505                        1                        5                709
                                                  c) 20 CFR 411.192(b)&(c) ...............................................................................                             6                        1                       30                  3
                                                  c) 20 CFR 411.200(b)—SSA–1375 .................................................................                                112,362                        1                       15             28,091
                                                  c) 20 CFR 411.200(b)—Portal .........................................................................                           64,824                        1                        5              5,402
                                                  c) 20 CFR 411.210(b) ......................................................................................                         41                        1                       30                 21
                                                  c) 20 CFR 411.200(b) Wise Webinar Registration Page ................................                                            24,000                        1                        3              1,200
                                                  c) 20 CFR 411.200(b) Virtual Job Fair Registration ........................................                                      9,000                        1                       10              1,500
                                                  d) 20 CFR 411.365; 411.505; 411.515 ...........................................................                                      6                        1                       10                  1
                                                  e) 20 CFR 411.325(d); 411.415 ......................................................................                                1*                        1                      480                  8
                                                  f) 20 CFR 411.575—SSA–1389; SSA–1391; SSA–1393; SSA–1396; SSA–
                                                     1398; SSA–1399 ..........................................................................................                     2,805                        1                        40             1,870
                                                  f) 20 CFR 411.575—Portal ..............................................................................                         42,075                        1                        22            15,427
                                                  f) 20 CFR 411.575—Automatic Payments ......................................................                                     11,220                        1                         0                 0
                                                  f) 20 CFR 411.560—SSA–1401 ......................................................................                                  100                        1                        20                33
                                                  g) 20 CFR 411.325(f) ......................................................................................                      1,371                        1                        45             1,028
                                                  h) 20 CFR 411.435; 411.615; 411.625 ...........................................................                                      2                        1                       120                 4
                                                  i) 20 CFR 411.320—SSA–1394 ......................................................................                                   52                        1                        10                 9
                                                  i) 20 CFR 411.320—SSA–1394 Portal ............................................................                                     158                        1                         5                13

                                                        Totals ........................................................................................................          372,032   ........................   ........................         65,428
                                                     * (None received in 2012, 2013, 2014)


                                                    4. Representative Payment Policies                                        Social Security beneficiaries’ whose                             eligibility for benefits, the amount of
                                                  and Administrative Procedures for                                           representative payees receive their                              benefits due and if the payee is suitable
                                                  Imposing Penalties for False or                                             payment. SSA requires representative                             to continue servicing as payee. The
                                                  Misleading Statements or Withholding                                        payees to notify them of any event or                            respondents are representative payees
                                                  of Information—0960–0740. This                                              change in circumstances that would                               who receive and use benefits on behalf
                                                  information collection request                                              affect receipt of benefits or performance                        of Social Security beneficiaries.
                                                  comprises several regulation sections                                       of payee duties. SSA uses the                                       Type of Collection: Extension of an
                                                  that provide additional safeguards for                                      information to determine continued                               OMB-approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                    Regulation                                                              Number of         Frequency                  burden per              total annual
                                                                                                     section                                                               respondents       of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                  404.2035(d)—Paper/Mail .................................................................................                        28,600                        1                          5            2,383
                                                  404.2035(d)—Office interview/Intranet ............................................................                             543,400                        1                          5           45,283
                                                  404.2035(f)—Paper/Mail ..................................................................................                          286                        1                          5               24
                                                  404.2035(f)—Office interview/Intranet .............................................................                              5,434                        1                          5              453
                                                  416.635(d)—Paper/Mail ...................................................................................                       15,600                        1                          5            1,300
                                                  416.635(d)—Office interview/Intranet ..............................................................                            286,400                        1                          5           23,867
                                                  416.635(f)—Paper/Mail ....................................................................................                         156                        1                          5               13
                                                  416.635(f)—Office interview/Intranet ...............................................................                             2,964                        1                          5              247

                                                        Total ..........................................................................................................         882,840   ........................                         -          73,570



                                                    Dated: November 11, 2015.
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                                                  Naomi R. Sipple,
                                                  Reports Clearance Officer, Social Security
                                                  Administration.
                                                  [FR Doc. 2015–29269 Filed 11–16–15; 8:45 am]
                                                  BILLING CODE 4191–02–P




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Document Created: 2015-12-14 14:00:50
Document Modified: 2015-12-14 14:00:50
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation80 FR 71908 

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