81 FR 2938 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 81, Issue 11 (January 19, 2016)
Federal Register Volume 81, Issue 11 (January 19, 2016)
| Page Range | 2938-2939 | |
| FR Document | 2016-00855 |
[Federal Register Volume 81, Number 11 (Tuesday, January 19, 2016)] [Notices] [Pages 2938-2939] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-00855] [[Page 2938]] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2016-0001] 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 an extension 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: [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-2016-0001]. 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 March 21, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Supplemental Statement Regarding Farming Activities of Person Living Outside the U.S.A.--0960-0103. When a beneficiary or claimant reports farm work from outside the United States, SSA documents this work on Form SSA-7163A-F4. Specifically, SSA uses the form to determine if we should apply foreign work deductions to the recipient's Title II benefits. We collect the information either annually or every other year, depending on the respondent's country of residence. Respondents are Social Security recipients engaged in farming activities outside the United States. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden responses response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-7163A-F4................................ 1,000 1 60 1,000 ---------------------------------------------------------------------------------------------------------------- 2. Employer Verification of Earnings After Death--20 CFR 404.821 and 404.822--0960-0472. When SSA records show a wage earner is deceased and we receive wage reports from an employer for the wage earner for a year subsequent to the year of death, SSA mails the employer Form SSA- L4112 (Employer Verification of Earnings After Death). SSA uses the information Form SSA-L4112 provides to verify wage information previously received from the employer is correct for the employee and the year in question. The respondents are employers who report wages for employees who have died. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden responses response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-L4112................................... 50,000 1 10 8,333 ---------------------------------------------------------------------------------------------------------------- 3. Certificate of Incapacity--5 CFR 890.302(d)--0960-0739. Rules governing the Federal Employee Health Benefits (FEHB) plan require a physician to verify the disability of Federal employees' children ages 26 and over for these children to retain health benefits under their employed parents' plans. The physician must verify the adult child's disability: (1) Pre-dates the child's 26th birthday; (2) is very serious; and (3) will continue for at least one year. Physicians use Form SSA-604, the Certificate of Incapacity, to document and certify this information, and the Social Security Administration uses the information provided to determine the eligibility for these children, ages 26 and over, for coverage under a parent's FEHB plan. The respondents are physicians of SSA employees' children ages 26 or over who are seeking to retain health benefits under their parent's FEHB coverage. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden responses response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-604..................................... 50 1 45 38 ---------------------------------------------------------------------------------------------------------------- 4. Certificate of Election for Reduced Widow(er)s and Surviving Divorced Spouse's Benefits--20 CFR 404.335--0960-0759. Section 202(q) of the Act provides SSA the authority to reduce benefits under certain conditions when elected by a Title II beneficiary. However, reduced benefits are not payable to an already entitled spouse (or divorced spouse) who: [[Page 2939]]Is at least age 62 and under full retirement age in the month of the number holder's death; and Is receiving both reduced spouse's (or divorced spouse's) benefits and either retirement or disability benefits in the month before the month of the number holder's death. To elect reduced widow(er) benefits, a recipient completes Form SSA-4111. SSA uses the information collected to pay a qualified dually entitled widow(er) (or surviving divorced spouse) who elects to receive a reduced widow(er) benefit. The respondents are qualified dually entitled widow(er)s (or surviving divorced spouse) who elect to receive a reduced widow(er) benefit. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden responses response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-4111.................................... 30,000 1 2 1,000 ---------------------------------------------------------------------------------------------------------------- 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 February 18, 2016. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Child Relationship Statement--20 CFR 404.355 & 404.731--0960- 0116. To help determine a child's entitlement to Social Security benefits, SSA uses criteria under section 216(h)(3) of the Social Security Act, deemed child provision. SSA may deem a child to an insured individual if: (1) The insured individual presents SSA with satisfactory evidence of parenthood, and was living with or contributing to the child's support at certain specified times; or (2) the insured individual (a) acknowledged the child in writing; (b) was court decreed as the child's parent; or (c) was court ordered to support the child. To obtain this information, SSA uses Form SSA-2519, Child Relationship Statement. The respondents are people with knowledge of the relationship between certain individuals filing for Social Security benefits and their alleged biological children. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden responses response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-2519.................................... 50,000 1 15 12,500 ---------------------------------------------------------------------------------------------------------------- 2. Request for Reinstatement (Title XVI)--20 CFR 416.999-416.999d-- 0960-0744. SSA uses Form SSA-372 to (1) inform previously entitled beneficiaries of the expedited reinstatement (EXR) requirements of Supplemental Security Income (SSI) payments under Title XVI of the Social Security Act (Act), and (2) document their requests for EXR. We require this application for reinstatement of benefits for respondents to obtain SSI disability payments for EXR. When an SSA claims representative learns of individuals whose medical conditions no longer permit them to perform substantial gainful activity as defined in the Act, the claims representative gives or mails the form to the previously entitled individuals if they request EXR over the phone. SSA employees collect this information whenever an individual files for EXR benefits. The respondents are applicants for EXR of SSI disability payments. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Regulation section Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-372..................................... 2,000 1 2 67 ---------------------------------------------------------------------------------------------------------------- Dated: January 13, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016-00855 Filed 1-15-16; 8:45 am] BILLING CODE 4191-02-P
![2938 Federal Register / Vol. 81, No. 11 / Tuesday, January 19, 2016 / Notices
SOCIAL SECURITY ADMINISTRATION collection techniques or other forms of date of this notice. To be sure we
information technology. Mail, email, or consider your comments, we must
[Docket No: SSA–2016–0001] fax your comments and receive them no later than March 21,
recommendations on the information 2016. Individuals can obtain copies of
Agency Information Collection
collection(s) to the OMB Desk Officer the collection instruments by writing to
Activities: Proposed Request and
and SSA Reports Clearance Officer at the above email address.
Comment Request
the following addresses or fax numbers. 1. Supplemental Statement Regarding
The Social Security Administration (OMB), Office of Management and Farming Activities of Person Living
(SSA) publishes a list of information Budget, Attn: Desk Officer for SSA, Outside the U.S.A.—0960–0103. When a
collection packages requiring clearance Fax: 202–395–6974, Email address: beneficiary or claimant reports farm
by the Office of Management and OIRA_Submission@omb.eop.gov. work from outside the United States,
Budget (OMB) in compliance with (SSA), Social Security Administration, SSA documents this work on Form
Public Law 104–13, the Paperwork OLCA, Attn: Reports Clearance SSA–7163A–F4. Specifically, SSA uses
Reduction Act of 1995, effective October Director, 3100 West High Rise, 6401 the form to determine if we should
1, 1995. This notice includes revisions Security Blvd., Baltimore, MD 21235, apply foreign work deductions to the
and an extension of OMB-approved Fax: 410–966–2830, Email address: recipient’s Title II benefits. We collect
information collections. OR.Reports.Clearance@ssa.gov. the information either annually or every
SSA is soliciting comments on the Or you may submit your comments other year, depending on the
accuracy of the agency’s burden online through www.regulations.gov, respondent’s country of residence.
estimate; the need for the information; referencing Docket ID Number [SSA– Respondents are Social Security
its practical utility; ways to enhance its 2016–0001]. recipients engaged in farming activities
quality, utility, and clarity; and ways to I. The information collections below outside the United States.
minimize burden on respondents, are pending at SSA. SSA will submit Type of Request: Revision of an OMB-
including the use of automated them to OMB within 60 days from the approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
responses response response (hours)
(minutes)
SSA–7163A–F4 ............................................................................................... 1,000 1 60 1,000
2. Employer Verification of Earnings subsequent to the year of death, SSA the employer is correct for the employee
After Death—20 CFR 404.821 and mails the employer Form SSA–L4112 and the year in question. The
404.822—0960–0472. When SSA (Employer Verification of Earnings After respondents are employers who report
records show a wage earner is deceased Death). SSA uses the information Form wages for employees who have died.
and we receive wage reports from an SSA–L4112 provides to verify wage Type of Request: Revision of an OMB-
employer for the wage earner for a year information previously received from approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
responses response response (hours)
(minutes)
SSA–L4112 ...................................................................................................... 50,000 1 10 8,333
3. Certificate of Incapacity—5 CFR adult child’s disability: (1) Pre-dates the and over, for coverage under a parent’s
890.302(d)—0960–0739. Rules child’s 26th birthday; (2) is very serious; FEHB plan. The respondents are
governing the Federal Employee Health and (3) will continue for at least one physicians of SSA employees’ children
Benefits (FEHB) plan require a year. Physicians use Form SSA–604, the ages 26 or over who are seeking to retain
physician to verify the disability of Certificate of Incapacity, to document health benefits under their parent’s
Federal employees’ children ages 26 and and certify this information, and the FEHB coverage.
over for these children to retain health Social Security Administration uses the
Type of Request: Revision of an OMB-
benefits under their employed parents’ information provided to determine the
plans. The physician must verify the eligibility for these children, ages 26 approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
responses response response (hours)
(minutes)
asabaliauskas on DSK5VPTVN1PROD with NOTICES
SSA–604 .......................................................................................................... 50 1 45 38
4. Certificate of Election for Reduced provides SSA the authority to reduce payable to an already entitled spouse (or
Widow(er)s and Surviving Divorced benefits under certain conditions when divorced spouse) who:
Spouse’s Benefits—20 CFR 404.335— elected by a Title II beneficiary.
0960–0759. Section 202(q) of the Act However, reduced benefits are not
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![Federal Register / Vol. 81, No. 11 / Tuesday, January 19, 2016 / Notices 2939
• Is at least age 62 and under full the month before the month of the spouse) who elects to receive a reduced
retirement age in the month of the number holder’s death. widow(er) benefit. The respondents are
number holder’s death; and To elect reduced widow(er) benefits, qualified dually entitled widow(er)s (or
• Is receiving both reduced spouse’s a recipient completes Form SSA–4111. surviving divorced spouse) who elect to
(or divorced spouse’s) benefits and SSA uses the information collected to receive a reduced widow(er) benefit.
pay a qualified dually entitled Type of Request: Revision of an OMB-
either retirement or disability benefits in
widow(er) (or surviving divorced approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
responses response response (hours)
(minutes)
SSA–4111 ........................................................................................................ 30,000 1 2 1,000
II. SSA submitted the information 1. Child Relationship Statement—20 acknowledged the child in writing; (b)
collections below to OMB for clearance. CFR 404.355 & 404.731—0960–0116. To was court decreed as the child’s parent;
Your comments regarding the help determine a child’s entitlement to or (c) was court ordered to support the
information collections would be most Social Security benefits, SSA uses child. To obtain this information, SSA
useful if OMB and SSA receive them 30 criteria under section 216(h)(3) of the uses Form SSA–2519, Child
days from the date of this publication. Social Security Act, deemed child Relationship Statement. The
To be sure we consider your comments, provision. SSA may deem a child to an respondents are people with knowledge
we must receive them no later than insured individual if: (1) The insured of the relationship between certain
February 18, 2016. Individuals can individual presents SSA with individuals filing for Social Security
obtain copies of the OMB clearance satisfactory evidence of parenthood, and benefits and their alleged biological
packages by writing to was living with or contributing to the children.
OR.Reports.Clearance@ssa.gov. child’s support at certain specified Type of Request: Revision of an OMB-
times; or (2) the insured individual (a) approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
responses response response (hours)
(minutes)
SSA–2519 ........................................................................................................ 50,000 1 15 12,500
2. Request for Reinstatement (Title their requests for EXR. We require this the form to the previously entitled
XVI)—20 CFR 416.999–416.999d— application for reinstatement of benefits individuals if they request EXR over the
0960–0744. SSA uses Form SSA–372 to for respondents to obtain SSI disability phone. SSA employees collect this
(1) inform previously entitled payments for EXR. When an SSA claims information whenever an individual
beneficiaries of the expedited representative learns of individuals files for EXR benefits. The respondents
reinstatement (EXR) requirements of whose medical conditions no longer are applicants for EXR of SSI disability
Supplemental Security Income (SSI) permit them to perform substantial payments.
payments under Title XVI of the Social gainful activity as defined in the Act, Type of Request: Revision of an OMB-
Security Act (Act), and (2) document the claims representative gives or mails approved information collection.
Average Estimated total
Number of Frequency of burden per
Regulation section annual burden
respondents response response (hours)
(minutes)
SSA–372 .......................................................................................................... 2,000 1 2 67
Dated: January 13, 2016. OFFICE OF THE UNITED STATES electronic images of an appropriate
Naomi R. Sipple, TRADE REPRESENTATIVE export visa from a beneficiary sub-
Reports Clearance Officer, Social Security Saharan African country when claiming
Administration. International Trade Data System Visa preferential treatment for entries of
[FR Doc. 2016–00855 Filed 1–15–16; 8:45 am]
Requirements Under the African textile and apparel products under the
Growth and Opportunity Act African Growth and Opportunity Act.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
BILLING CODE 4191–02–P
AGENCY: Office of the United States DATES: Effective Date: February 8, 2016.
Trade Representative.
FOR FURTHER INFORMATION CONTACT:
ACTION: Notice.
Constance Hamilton, Deputy Assistant
SUMMARY: The United States Trade United States Trade Representative for
Representative is directing the Africa, Office of African Affairs, 202 395
Commissioner of Customs and Border 9576,
Protection to permit importers to submit Constance_Hamilton@ustr.eop.gov.
VerDate Sep<11>2014 18:44 Jan 15, 2016 Jkt 238001 PO 00000 Frm 00103 Fmt 4703 Sfmt 4703 E:\FR\FM\19JAN1.SGM 19JAN1](https://thefederalregister.org/doc/81_FR_2949/page/2.svg)
Document Created: 2016-01-16 01:12:11
Document Modified: 2016-01-16 01:12:11
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 81 FR 2938 |
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