81 FR 68091 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 81, Issue 191 (October 3, 2016)
Federal Register Volume 81, Issue 191 (October 3, 2016)
| Page Range | 68091-68093 | |
| FR Document | 2016-23774 |
[Federal Register Volume 81, Number 191 (Monday, October 3, 2016)] [Notices] [Pages 68091-68093] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-23774] ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2016-0049] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and extensions of OMB-approved information collections. SSA is soliciting comments on the accuracy of the agency's burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202-395-6974, Email address: [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-2016-0049]. 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 December 2, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Missing and Discrepant Wage Reports Letter and Questionnaire--26 CFR 31.6051-2--0960-0432. Each year employers report the wage amounts they paid their employees to the Internal Revenue Service (IRS) for tax purposes, and separately to SSA for retirement and disability coverage purposes. Employers should report the same figures to both SSA and the IRS; however, each year some of the employer wage reports SSA receives show wage amounts lower than those [[Page 68092]] employers report to the IRS. SSA uses Forms SSA-L93-SM, SSA-L94-SM, SSA-95-SM, and SSA-97-SM to ensure employees receive full credit for their wages. Respondents are employers who reported lower wage amounts to SSA than they reported to the IRS. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Total estimated Modality of completion Number of Frequency of per response total annual responses response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-95-SM and SSA-97-SM (and accompanying 360,000 1 30 180,000 cover letters SSA-L93, L94)................ ---------------------------------------------------------------------------------------------------------------- 2. Incorporation by Reference of Oral Findings of Fact and Rationale in Wholly Favorable Written Decisions (Bench Decision Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an administrative law judge (ALJ) makes a wholly favorable oral decision, including all the findings and rationale for the decision for a claimant of Title II or Title XVI payments, at an administrative appeals hearing, the ALJ sends a Notice of Decision (Form HA-82), as the records from the oral hearing preclude the need for a written decision. We call this the incorporation-by-reference process. In addition, the regulations for this process state that if the involved parties want a record of the oral decision, they may submit a written request for these records. SSA collects identifying information under the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of Federal Regulations to determine how to send interested individuals written records of a favorable incorporation-by-reference oral decision made at an administrative review hearing. Since there is no prescribed form to request a written record of the decision, the involved parties send SSA their contact information and reference the hearing for which they would like a record. The respondents are applicants for Disability Insurance Benefits and SSI payments, or their representatives, to whom SSA gave a wholly favorable oral decision under the regulations cited above. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Total estimated Modality of completion Number of Frequency of per response total annual responses response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- HA-82....................................... 2,500 1 5 208 ---------------------------------------------------------------------------------------------------------------- 3. Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900- 408.950--0960-0698. Title VIII of the Social Security Act (Act) requires SSA to pay a monthly benefit to qualified World War II veterans who reside outside the United States. When an overpayment in this SVB occurs, the beneficiary can request a waiver of recovery of the overpayment or a change in the repayment rate. SSA uses the SSA- 2032-BK to obtain the information necessary to establish whether the claimant meets the waiver of recovery provisions of the overpayment, and to determine the repayment rate if we do not waive repayment. Respondents are SVB beneficiaries who have overpayments on their Title VIII record and wish to file a claim for waiver of recovery or change in repayment rate. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Total estimated Modality of completion Number of Frequency of per response total annual responses response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-2032-BK................................. 450 1 120 900 ---------------------------------------------------------------------------------------------------------------- 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 November 2, 2016. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Travel Expense Reimbursement--20 CFR 404.999(d) and 416.1499-- 0960-0434. The Act provides for travel expense reimbursement from Federal and State agencies for claimant travel incidental to medical examinations, and to parties, their representatives, and all reasonably necessary witnesses for travel exceeding 75 miles to attend medical examinations; reconsideration interviews; and proceedings before an administrative law judge. Reimbursement procedures require the claimant to provide: (1) A list of expenses incurred, and (2) receipts of such expenses. Federal and state personnel review the listings and receipts to verify the reimbursable amount to the requestor. The respondents are claimants for Title II benefits and Title XVI payments, their representatives, and witnesses. Type of Request: Extension of an OMB-approved information collection. [[Page 68093]] ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of per response annual burden respondents response (minute) (hours) ---------------------------------------------------------------------------------------------------------------- 404.99(d) & 416.1499........................ 60,000 1 10 10,000 ---------------------------------------------------------------------------------------------------------------- 2. Disability Report--Child--20 CFR 416.912--0960-0577. Sections 223 (d)(5)(A) and 1631(e)(1) of the Act require Supplemental Security Income (SSI) claimants to furnish medical and other evidence to prove they are disabled. SSA uses Form SSA-3820 to collect various types of information about a child's condition from treating sources or other medical sources of evidence. The State Disability Determination Services evaluators use this information from Form SSA-3820 to develop medical and school evidence, and to assess the alleged disability. This information, together with medical evidence, forms the evidentiary basis upon which SSA makes its initial disability evaluation. The respondents are claimants seeking SSI childhood disability payments. 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-3820 (Paper Form)........................... 279,002 1 90 418,503 Electronic Disability Collection System......... 1,000 1 120 2,000 i3820 (Internet)................................ 119,464 1 120 238,928 --------------------------------------------------------------- Totals...................................... 399,466 .............. .............. 659,431 ---------------------------------------------------------------------------------------------------------------- Dated: September 28, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016-23774 Filed 9-30-16; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices 68091
initiate a request for reconsideration of (Title VIII); Medicare (Title XVIII); and This is a correction notice: SSA
a denied claim. SSA uses the for initial determinations regarding published the incorrect burden
information to document the request Medicare Part B income-related information for this collection at 81 FR
and to determine an individual’s premium subsidy reductions. The 47845, on 7/22/49. We are correcting
eligibility or entitlement to Social respondents are individuals filing for this error here.
Security benefits (Title II); SSI payments reconsideration of a denied claim. Type of Request: Revision of an OMB-
(Title XVI); Special Veterans Benefits approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–561 and Modernized Claims System (MCS) .......................................... 330,370 1 8 40,049
I561 (Internet iAppeals) ................................................................................... 1,161,300 1 5 96,775
Totals ........................................................................................................ 1,491,670 ........................ ........................ 136,824
3. Request for Accommodation in respondents who want to receive accommodation based on their
Communication Method—0960–0777. notices from SSA through a impairment or disability. SSA collects
SSA allows disabled or impaired Social communication method other than the this information electronically through
Security applicants, beneficiaries, seven methods listed above must either an in-person interview or a
recipients, and representative payees to explain their request to us. Those telephone interview during which the
choose one of seven alternative methods respondents use Form SSA–9000 to: (1) SSA employee keys in the information
of communication they want SSA to use Describe the type of accommodation on our iAccommodate Intranet screens.
when we send them benefit notices and they want; (2) disclose their condition The respondents are disabled or
other related communications. The necessitating the need for a different impaired Social Security applicants,
seven alternative methods we offer are: type of accommodation; and (3) explain beneficiaries, recipients, and
(1) Standard print notice by first-class why none of the seven methods representative payees who ask SSA to
mail; (2) standard print mail with a described above are sufficient for their send notices and other communications
follow-up telephone call; (3) certified needs. SSA uses Form SSA–9000 to in an alternative method besides the
mail; (4) Braille; (5) Microsoft Word file determine, based on applicable law and seven modalities we currently offer.
on data CD; (6) large print (18-point regulation, whether to grant the Type of Request: Revision of an OMB-
font); or (7) audio CD. However, respondents’ requests for an approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–9000/iAccommodate ............................................................................... 5,000 1 20 1,667
Dated: September 28, 2016. SSA is soliciting comments on the Or you may submit your comments
Naomi R. Sipple, accuracy of the agency’s burden online through www.regulations.gov,
Reports Clearance Officer, Social Security estimate; the need for the information; referencing Docket ID Number [SSA–
Administration. its practical utility; ways to enhance its 2016–0049].
[FR Doc. 2016–23773 Filed 9–30–16; 8:45 am] quality, utility, and clarity; and ways to I. The information collections below
BILLING CODE 4191–02–P minimize burden on respondents, are pending at SSA. SSA will submit
including the use of automated them to OMB within 60 days from the
collection techniques or other forms of date of this notice. To be sure we
SOCIAL SECURITY ADMINISTRATION information technology. Mail, email, or consider your comments, we must
fax your comments and receive them no later than December 2,
[Docket No: SSA–2016–0049] recommendations on the information 2016. Individuals can obtain copies of
the collection instruments by writing to
collection(s) to the OMB Desk Officer
Agency Information Collection the above email address.
and SSA Reports Clearance Officer at 1. Missing and Discrepant Wage
Activities: Proposed Request and
the following addresses or fax numbers. Reports Letter and Questionnaire—26
Comment Request
(OMB), Office of Management and CFR 31.6051–2—0960–0432. Each year
The Social Security Administration Budget, Attn: Desk Officer for SSA, employers report the wage amounts they
(SSA) publishes a list of information Fax: 202–395–6974, Email address: paid their employees to the Internal
collection packages requiring clearance Revenue Service (IRS) for tax purposes,
sradovich on DSK3GMQ082PROD with NOTICES
OIRA_Submission@omb.eop.gov
by the Office of Management and and separately to SSA for retirement
Budget (OMB) in compliance with (SSA), Social Security Administration, and disability coverage purposes.
Public Law 104–13, the Paperwork OLCA, Attn: Reports Clearance Employers should report the same
Reduction Act of 1995, effective October Director, 3100 West High Rise, 6401 figures to both SSA and the IRS;
1, 1995. This notice includes revisions Security Blvd., Baltimore, MD 21235, however, each year some of the
and extensions of OMB-approved Fax: 410–966–2830, Email address: employer wage reports SSA receives
information collections. OR.Reports.Clearance@ssa.gov show wage amounts lower than those
VerDate Sep<11>2014 21:32 Sep 30, 2016 Jkt 241001 PO 00000 Frm 00136 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1](https://thefederalregister.org/doc/81_FR_68282/page/1.svg)
![Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices 68093
Average Estimated
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minute)
404.99(d) & 416.1499 ...................................................................................... 60,000 1 10 10,000
2. Disability Report—Child—20 CFR about a child’s condition from treating with medical evidence, forms the
416.912—0960–0577. Sections 223 sources or other medical sources of evidentiary basis upon which SSA
(d)(5)(A) and 1631(e)(1) of the Act evidence. The State Disability makes its initial disability evaluation.
require Supplemental Security Income Determination Services evaluators use The respondents are claimants seeking
(SSI) claimants to furnish medical and this information from Form SSA–3820 SSI childhood disability payments.
other evidence to prove they are to develop medical and school
Type of Request: Revision of an OMB-
disabled. SSA uses Form SSA–3820 to evidence, and to assess the alleged
collect various types of information disability. This information, together approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–3820 (Paper Form) ................................................................................. 279,002 1 90 418,503
Electronic Disability Collection System ............................................................ 1,000 1 120 2,000
i3820 (Internet) ................................................................................................ 119,464 1 120 238,928
Totals ........................................................................................................ 399,466 ........................ ........................ 659,431
Dated: September 28, 2016. Museum of Modern Art, San Francisco, verified notice of exemption under 49
Naomi R. Sipple, California, from on or about March 11, CFR pt. 1152 subpart F—Exempt
Reports Clearance Officer, Social Security 2017, until on or about May 29, 2017, Abandonments and Discontinuances of
Administration. and at possible additional exhibitions or Service to discontinue service over an
[FR Doc. 2016–23774 Filed 9–30–16; 8:45 am] venues yet to be determined, is in the approximately 5.3-mile rail line from
BILLING CODE 4191–02–P national interest. I have ordered that milepost 756.8 in Lowell, to milepost
Public Notice of these Determinations 762.1 in Zuber, in Marion County, Fla.
be published in the Federal Register. (the Line).2 The Line traverses U.S.
DEPARTMENT OF STATE FOR FURTHER INFORMATION CONTACT: For Postal Service Zip Codes 34482, 32686,
further information, including a list of and 34475.
[Public Notice: 9744] Florida Northern has certified that: (1)
the imported objects, contact the Office
of Public Diplomacy and Public Affairs No local traffic has moved over the Line
Culturally Significant Objects Imported for at least two years; (2) there is no
for Exhibition Determinations: in the Office of the Legal Adviser, U.S.
Department of State (telephone: 202– overhead traffic to be rerouted over
‘‘Matisse/Diebenkorn’’ Exhibition other lines; (3) no formal complaint
632–6471; email: section2459@
SUMMARY: Notice is hereby given of the state.gov). The mailing address is U.S. filed by a user of rail service on the Line
following determinations: Pursuant to Department of State, L/PD, SA–5, Suite (or by a state or local government entity
the authority vested in me by the Act of 5H03, Washington, DC 20522–0505. acting on behalf of such user) regarding
October 19, 1965 (79 Stat. 985; 22 U.S.C. cessation of service over the Line is
Dated: September 27, 2016. pending either with the Surface
2459), E.O. 12047 of March 27, 1978, the
Foreign Affairs Reform and Mark Taplin, Transportation Board (Board) or with
Restructuring Act of 1998 (112 Stat. Principal Deputy Assistant Secretary, Bureau any U.S. District Court or has been
2681, et seq.; 22 U.S.C. 6501 note, et of Educational and Cultural Affairs, decided in favor of the complainant
Department of State. within the two-year period; and (4) the
seq.), Delegation of Authority No. 234 of
October 1, 1999, Delegation of Authority [FR Doc. 2016–23976 Filed 9–30–16; 8:45 am] requirements at 49 CFR 1105.12
No. 236–3 of August 28, 2000 (and, as BILLING CODE 4710–05–P (newspaper publication) and 49 CFR
appropriate, Delegation of Authority No. 1152.50(d)(1) (notice to governmental
257 of April 15, 2003), I hereby agencies) have been met.
determine that the objects to be SURFACE TRANSPORTATION BOARD As a condition to this exemption, any
included in the exhibition ‘‘Matisse/ employee adversely affected by the
[Docket No. AB 507 (Sub-No. 2X)] discontinuance of service shall be
Diebenkorn,’’ imported from abroad for
temporary exhibition within the United Florida Northern Railroad Company, protected under Oregon Short Line
States, are of cultural significance. The Inc.—Discontinuance of Service
objects are imported pursuant to loan Pinsly R.R.—Continuance in Control Exemption—
sradovich on DSK3GMQ082PROD with NOTICES
Exemption—in Marion County, Fla. Fla. N. R.R., FD 31369 (ICC served Dec. 21, 1988).
agreements with the foreign owners or 2 According to Florida Northern, it operates
custodians. I also determine that the Florida Northern Railroad Company,
‘‘approximately 88 miles of rail line’’ and
exhibition or display of the exhibit Inc. (Florida Northern) 1 has filed a ‘‘commenced operations in 1988 after acquiring two
objects at The Baltimore Museum of Art, lines (including a portion of the line over which
1 Florida Northern is a wholly owned subsidiary service is to be discontinued).’’ (Notice of
Baltimore, Maryland, from on or about of Pinsly Railroad Company, a noncarrier holding Exemption 2); see also Fla. N. R.R.—Acquis. &
October 23, 2016, until on or about company, which also controls three other Class III Operation Exemption—Certain Rail Lines of CSX
January 29, 2017, at the San Francisco rail carriers in Florida and Massachusetts. See Transp., Inc., FD 31368 (ICC served Dec. 21, 1988).
VerDate Sep<11>2014 17:56 Sep 30, 2016 Jkt 241001 PO 00000 Frm 00138 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1](https://thefederalregister.org/doc/81_FR_68282/page/3.svg)
Document Created: 2018-02-13 14:11:13
Document Modified: 2018-02-13 14:11:13
| 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 68091 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR