82 FR 21291 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 82, Issue 86 (May 5, 2017)
Federal Register Volume 82, Issue 86 (May 5, 2017)
| Page Range | 21291-21294 | |
| FR Document | 2017-09084 |
[Federal Register Volume 82, Number 86 (Friday, May 5, 2017)] [Notices] [Pages 21291-21294] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-09084] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2017-0023] 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 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-2017-0023]. I. The information collection below is pending at SSA. SSA will submit it to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than July 5, 2017. Individuals can obtain copies of the collection instruments by writing to the above email address. [[Page 21292]] SSI Notice of Interim Assistance Reimbursement (IAR)--0960-0546. Section 1631(g) of the Social Security Act (Act) authorizes SSA to reimburse an IAR agency from an individual's retroactive Supplemental Security Income (SSI) payment for assistance the IAR agency gave the individual for meeting basic needs while an SSI claim was pending or SSI payments were suspended or terminated. The State or local agency needs an IAR agreement with SSA to participate in the IAR program. The individual receiving the IAR payment signs an authorization form with an IAR agency to allow SSA to repay the IAR agency for funds paid in advance prior to SSA's determination on the individual's claim. The authorization represents the individual's intent to file for SSI, if they did not file an application prior to SSA receiving the authorization. Agencies who wish to enter into an IAR agreement with SSA need to meet the following requirements:Reporting Requirements--Each IAR agency agrees to: [cir] (a) Notify SSA of receipt of an authorization for initial claims or cases they are appealing, and (b) submit a copy of that authorization either through a manual or electronic process; [cir] (c) inform SSA of the amount of reimbursement; [cir] (d) submit a written request for dispute resolution on a determination; [cir] (e) notify SSA of interim assistance paid (using the SSA-8125 or the SSA-L8125-F6); [cir] (f) inform SSA of any deceased claimants who participate in the IAR program and; [cir] (g) review and sign an agreement with SSA. Recordkeeping Requirements (h & i)--The IAR agencies agree to retain all notices, agreement, authorizations, and accounting forms for the period defined in the IAR agreement for the purposes of SSA verifying transactions covered under the agreement. Third Party Disclosure Requirements (j)--Each participating IAR agency agrees to send written notices from the IAR agency to the recipient regarding payment amounts and appeal rights. Periodic Review of Agency Accounting Process (k-m)--The IAR agency makes the IAR accounting records of paid cases available for SSA review and verification. SSA conducts reviews either onsite or through the mail of the authorization forms, notices to the claimant and accounting forms. Upon completion of the review, SSA provides a written report of findings to the IAR agency director. The respondents are State IAR officers. Type of Request: Revision of an OMB-approved information collection. Reporting Requirements ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of Number of per response total annual respondents response responses (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- (a) State notification of 11 Once per SSI 97,330 1 1,622 receipt of authorization claimant. (Electronic Process). (b) State submission of copy 27 Once per SSI 68,405 3 3,420 of authorization (Manual claimant. Process). (c) State submission of amount 38 Once per SSI 101,352 8 13,514 of IA paid to recipients claimant. (using eIAR). (d) State request for (\1\) As needed....... 2 30 1 determination--dispute resolution. (e) State computation of 38 Once per SSI 1,524 30 762 reimbursement due form SSA claimant. using paper Form SSA-L8125-F6. (f) State notification to SSA 20 As needed when 40 15 10 of deceased claimant. SSI claimant dies while claim is pending. (g) State reviewing/signing of 38 Once during life 38 \2\ 12 456 IAR Agreement. of the IAR agreement. ---------------------------------------------------------------------------------------------------------------- Recordkeeping Requirements ---------------------------------------------------------------------------------------------------------------- (h) Maintenance of 38 One form per SSI \3\ 165,735 3 8,287 authorization forms. claimant. (i) Maintenance of accounting 38 One form per SSI 101,352 3 5,068 forms and notices. claimant. ---------------------------------------------------------------------------------------------------------------- Third Party Disclosure Requirements ---------------------------------------------------------------------------------------------------------------- (j) Written notice from State 38 Once per SSI 101,352 7 11,824 to recipient regarding amount claimant. of payment. ---------------------------------------------------------------------------------------------------------------- Periodic Review of Agency Accounting Process ---------------------------------------------------------------------------------------------------------------- (k) Retrieve and consolidate 12 One set of forms 12 3 36 authorization and accounting per SSI forms. claimant for review by SSA once every 2 to 3 years. (l) Participate in periodic 12 For review by 12 16 192 review. SSA once every 2 to 3 years. (m) Correct administrative and 6 To correct 6 4 24 accounting discrepancies. errors discovered by SSA in periodic review. ---------------------------------------------------------------------------------------------------------------- [[Page 21293]] Total Administrative Burden ---------------------------------------------------------------------------------------------------------------- Totals.................... 38 ................ 639,160 .............. 45,216 ---------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------- \1\ Average of about 2 States per year. \2\ Hours. \3\ Includes both denied and approved SSI claims. --------------------------------------------------------------------------- II. SSA submitted the information collections below to OMB for clearance. Your comments regarding these 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 June 5, 2017. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Statement Regarding Marriage--20 CFR 404.726--0960-0017. According to Section 216(h)(1)(A) of the Act, SSA must apply state law when determining an individual's marital status. Some state laws recognize marriages without a ceremony (i.e., common-law marriages). In such cases, SSA provides the same spouse or widow(er) benefits to the common-law spouses as it does to ceremonially married spouses. To determine common-law spouses, SSA must elicit information from blood relatives or other persons who are knowledgeable about the alleged common-law relationship. SSA uses Form SSA-753, Statement Regarding Marriage, to collect information from third parties to verify the applicant's statements about intent, cohabitation, and holding out to the public as married, which are the basic tenets of a common-law marriage. SSA uses the information to determine if a valid marital relationship exists, and if the common-law spouse is entitled to Social Security spouse or widow(er) benefits. The respondents are third parties who can confirm or deny the alleged common-law marriage. 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-753......................................... 40,000 1 9 6,000 ---------------------------------------------------------------------------------------------------------------- 2. Statement of Income and Resources--20 CFR 416.207, 146.301- 416.310, 416.704, and 416.708--0960-0124. SSA collects information about income and resources for SSI claims and redeterminations on the SSA-8010-BK. SSA uses the information to make initial or continuing eligibility determinations for SSI claimants or recipients who are subject to deeming. The respondents are people whose income and resources SSA may deem (consider to be available) to SSI applicants or recipients. 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-8010-BK..................................... 341,000 1 26 147,767 ---------------------------------------------------------------------------------------------------------------- 3. Claimant's Work Background--20 CFR 404.1512(a); 404.1520(a)(4); 404.1565(b); 416.912(a); 416.920(a)(4); 416.965(b)--0960-0300. Sections 205(a) and 1631(e) of the Act provide the Commissioner of Social Security with the authority to establish procedures for determining if a claimant is entitled to disability benefits. The administrative law judge (ALJ) may ask individuals to provide background information on Form HA-4633 about work they performed in the past 15 years. When a claimant requests a hearing before an ALJ to establish an entitlement to disability benefits, the ALJ may request that the claimant provide a work history to assist the ALJ in fully inquiring into statutory issues related to the disability. The ALJ uses the information collected from the claimants on Form HA-4633 to: (1) Identify the claimant's relevant work history; (2) decide if SSA requires expert vocational testimony and, if so, have a vocational expert available to testify during the hearing; and (3) provide a reference for the ALJ to discuss the claimant's work history. The ALJ makes the completed HA-4633 part of the documentary evidence of record. The respondents are claimants for disability benefits under Title II or Title XVI who requested a hearing before an ALJ after SSA denied their application for disability payment. Type of Request: Revision of an OMB-approved information collection. [[Page 21294]] ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of per response total annual respondents response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- HA-4633--PDF/paper version...................... 20,000 1 15 5,000 Electronic Records Express...................... 180,000 1 15 45,000 --------------------------------------------------------------- Total....................................... 200,000 .............. .............. 50,000 ---------------------------------------------------------------------------------------------------------------- 4. Social Security Administration Eligible Non-Attorney Representative--20 CFR 404.1717, 404.1745-404.1799, 416.1517, and 416.1545-416.1599--0960-0699. Section 3 of the Social Security Disability Applicants Access to Professional Representation Act (PRA) of 2010, Public Law 111-142, permanently extends the direct payment provision of Section 303 of the Social Security Protection Act (SSPA) of 2004, Public Law 108-203. The PRA permits SSA to extend direct payment of approved fees from claimants' past-due benefits to certain non-attorney representatives. Prior to the enactment of the SSPA and PRA, only attorneys could receive direct payment of SSA-approved fees. Under the PRA, non-attorneys must meet certain prerequisites to be eligible for direct payment of fees. These prerequisites include: (1) A bachelor's degree from an accredited institution of higher education, or four years of relevant professional experience and a high school diploma or General Education Development certificate; (2) passing a written examination administered by SSA testing the knowledge of relevant provisions of the Act under Titles II and XVI; (3) securing and maintaining continuous professional liability insurance, or equivalent, to protect claimants from malpractice; (4) passing a criminal background check; (5) demonstrating ongoing completion of continuing education courses. The PRA requires SSA to collect the information needed to determine if applicants have satisfied these prerequisites. SSA uses the information we collect on Form SSA-1691 to determine whether an applicant has fulfilled the statutory prerequisites and regulatory requirements as listed above. To verify this information, we also request the five required items listed above from each new applicant, and we request items #3 and #5 from all non- attorney representatives (new and existing) on a yearly basis. Every year, SSA evaluates the applications, conducts verification investigations, and issues recommendations regarding applicants' eligibility to sit for the examination and eligibility to receive direct payment. The respondents are non-attorneys who want to receive direct payment of their fees for representational services before SSA 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) ---------------------------------------------------------------------------------------------------------------- New Respondents--Paper Application (complete and 200 1 45 150 submit)--404.1717(b)&(c); 416.1517(b)&(c)...... New Respondents Examination--404.1717(a)(5); 200 1 120 400 416.1517(a)(5)................................. New Respondents--Submission of proof of 200 1 10 33 Bachelor's Degree or Equivalent Qualifications-- 404.1717(a)(3); 416.1517(a)(3)................. New and Existing Respondents--CE Submission via 710 1 20 237 email/mail/or FAX of training courses taken as prescribed by SSA--404.1717(a)(7); 416.1517(a)(7)................................. New and Existing Respondents--Proof of 672 1 10 112 Continuous Professional or Business Liability Insurance Coverage (Scan and Email)-- 404.1717(a)(6); 416.1517(a)(6)................. New and Existing Respondents--Proof of 38 1 15 10 Continuous Professional or Business Liability Insurance Coverage (Copy and Mail)-- 404.1717(a)(6); 416.1517(a)(6)................. New and Existing Respondents--Written Protests-- 45 1 45 34 404.1717(d); 416.1517(d)....................... --------------------------------------------------------------- Totals...................................... 2,065 .............. .............. 976 ---------------------------------------------------------------------------------------------------------------- Dated: May 2, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017-09084 Filed 5-4-17; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices 21291
those that may be withheld from the address listed above or other locally beginning 08/19/2016 and continuing
public in accordance with the announced locations. through 09/22/2016.
provisions of 5 U.S.C. 552, will be The following areas have been All other information in the original
available for Web site viewing and determined to be adversely affected by declaration remains unchanged.
printing in the Commission’s Public the disaster: (Catalog of Federal Domestic Assistance
Reference Room, 100 F Street NE., Primary Counties: Payette, Washington Number 59008)
Washington, DC 20549, on official Contiguous Counties: Dated: April 28, 2017.
business days between the hours of Idaho: Adams, Canyon, Gem
Linda E. McMahon,
10:00 a.m. and 3:00 p.m. Copies of the Oregon: Baker, Malheur
filing also will be available for Administrator.
The Interest Rates are:
inspection and copying at the principal [FR Doc. 2017–09064 Filed 5–4–17; 8:45 am]
office of the Exchange. All comments Percent BILLING CODE 8025–01–P
received will be posted without change;
the Commission does not edit personal Businesses and Small Agricultural
identifying information from Cooperatives without Credit SOCIAL SECURITY ADMINISTRATION
submissions. You should submit only Available Elsewhere .................. 3.125
Non Profit Organizations without [Docket No: SSA–2017–0023]
information that you wish to make Credit Available Elsewhere ....... 2.500
available publicly. All submissions Agency Information Collection
should refer to File Number SR–MIAX– The number assigned to this disaster Activities: Proposed Request and
2017–16 and should be submitted on or for economic injury is 151230. Comment Request
before May 26, 2017. The States which received an EIDL
The Social Security Administration
For the Commission, by the Division of Declaration # are IDAHO, OREGON.
Trading and Markets, pursuant to delegated (SSA) publishes a list of information
(Catalog of Federal Domestic Assistance collection packages requiring clearance
authority.16
Number 59008) by the Office of Management and
Eduardo A. Aleman,
Dated: April 27, 2017. Budget (OMB) in compliance with
Assistant Secretary.
Linda E. McMahon, Public Law 104–13, the Paperwork
[FR Doc. 2017–09062 Filed 5–4–17; 8:45 am]
Administrator. Reduction Act of 1995, effective October
BILLING CODE 8011–01–P
[FR Doc. 2017–09066 Filed 5–4–17; 8:45 am] 1, 1995. This notice includes revisions
BILLING CODE 8025–01–P
of OMB-approved information
collections.
SMALL BUSINESS ADMINISTRATION SSA is soliciting comments on the
[Disaster Declaration #15123] SMALL BUSINESS ADMINISTRATION accuracy of the agency’s burden
estimate; the need for the information;
[Disaster Declaration #14856] its practical utility; ways to enhance its
Idaho Disaster #ID–00064 Declaration
of Economic Injury quality, utility, and clarity; and ways to
Montana Disaster #MT–00099
minimize burden on respondents,
AGENCY: Small Business Administration. Declaration of Economic Injury
including the use of automated
ACTION: Notice. AGENCY: U.S. Small Business collection techniques or other forms of
Administration. information technology. Mail, email, or
SUMMARY: This is a notice of an fax your comments and
ACTION: Amendment 1.
Economic Injury Disaster Loan (EIDL) recommendations on the information
declaration for the State of IDAHO, SUMMARY: This is an amendment of the collection(s) to the OMB Desk Officer
dated 04/27/2017. Economic Injury Disaster Loan (EIDL) and SSA Reports Clearance Officer at
Incident: Severe Winter Storms. declaration for the State of Montana, the following addresses or fax numbers.
Incident Period: 12/22/2016 through dated 09/20/2016. (OMB), Office of Management and
01/19/2017. Incident: River Conditions Resulting Budget, Attn: Desk Officer for SSA,
DATES: Effective 04/27/2017. in the Closure of the Yellowstone River. Fax: 202–395–6974, Email address:
EIDL Loan Application Deadline Date: Incident Period: 08/19/2016 through OIRA_Submission@omb.eop.gov
01/29/2018. 09/22/2016. (SSA), Social Security Administration,
ADDRESSES: Submit completed loan Effective Date: 04/28/2017. OLCA, Attn: Reports Clearance
applications to: U.S. Small Business EIDL Loan Application Deadline Date: Director, 3100 West High Rise, 6401
Administration, Processing and 06/20/2017. Security Blvd., Baltimore, MD 21235,
Disbursement Center, 14925 Kingsport ADDRESSES: Submit completed loan Fax: 410–966–2830, Email address:
Road, Fort Worth, TX 76155. applications to: U.S. Small Business OR.Reports.Clearance@ssa.gov
FOR FURTHER INFORMATION CONTACT: Administration, Processing and Or you may submit your comments
Alan Escobar, Office of Disaster Disbursement Center, 14925 Kingsport online through www.regulations.gov,
Assistance, U.S. Small Business Road, Fort Worth, TX 76155. referencing Docket ID Number [SSA–
Administration, 409 3rd Street SW., FOR FURTHER INFORMATION CONTACT: A. 2017–0023].
Suite 6050, Washington, DC 20416, Escobar, Office of Disaster Assistance, I. The information collection below is
SRADOVICH on DSK3GMQ082PROD with NOTICES
(202) 205–6734. U.S. Small Business Administration, pending at SSA. SSA will submit it to
SUPPLEMENTARY INFORMATION: Notice is 409 3rd Street SW., Suite 6050, OMB within 60 days from the date of
hereby given that as a result of the Washington, DC 20416, (202) 205–6734. this notice. To be sure we consider your
Administrator’s EIDL declaration, SUPPLEMENTARY INFORMATION: The notice comments, we must receive them no
applications for economic injury of an Economic Injury declaration for later than July 5, 2017. Individuals can
disaster loans may be filed at the the State of MONTANA dated 09/20/ obtain copies of the collection
2016 is hereby amended to establish the instruments by writing to the above
16 17 CFR 200.30–3(a)(12). incident period for this disaster as email address.
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![21294 Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
HA–4633—PDF/paper version ........................................................................ 20,000 1 15 5,000
Electronic Records Express ............................................................................ 180,000 1 15 45,000
Total .......................................................................................................... 200,000 ........................ ........................ 50,000
4. Social Security Administration payment of fees. These prerequisites SSA–1691 to determine whether an
Eligible Non-Attorney Representative— include: (1) A bachelor’s degree from an applicant has fulfilled the statutory
20 CFR 404.1717, 404.1745–404.1799, accredited institution of higher prerequisites and regulatory
416.1517, and 416.1545–416.1599— education, or four years of relevant requirements as listed above. To verify
0960–0699. Section 3 of the Social professional experience and a high this information, we also request the
Security Disability Applicants Access to school diploma or General Education five required items listed above from
Professional Representation Act (PRA) Development certificate; (2) passing a each new applicant, and we request
of 2010, Public Law 111–142, written examination administered by items #3 and #5 from all non-attorney
permanently extends the direct payment SSA testing the knowledge of relevant representatives (new and existing) on a
provision of Section 303 of the Social provisions of the Act under Titles II and yearly basis. Every year, SSA evaluates
Security Protection Act (SSPA) of 2004, XVI; (3) securing and maintaining the applications, conducts verification
Public Law 108–203. The PRA permits continuous professional liability investigations, and issues
SSA to extend direct payment of insurance, or equivalent, to protect recommendations regarding applicants’
approved fees from claimants’ past-due claimants from malpractice; (4) passing eligibility to sit for the examination and
benefits to certain non-attorney a criminal background check; (5) eligibility to receive direct payment.
representatives. Prior to the enactment demonstrating ongoing completion of The respondents are non-attorneys who
of the SSPA and PRA, only attorneys continuing education courses. The PRA want to receive direct payment of their
could receive direct payment of SSA- requires SSA to collect the information fees for representational services before
approved fees. Under the PRA, non- needed to determine if applicants have SSA
attorneys must meet certain satisfied these prerequisites. SSA uses Type of Request: Revision of an OMB-
prerequisites to be eligible for direct the information we collect on Form approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
New Respondents—Paper Application (complete and submit)—
404.1717(b)&(c); 416.1517(b)&(c) ............................................................... 200 1 45 150
New Respondents Examination—404.1717(a)(5); 416.1517(a)(5) ................. 200 1 120 400
New Respondents—Submission of proof of Bachelor’s Degree or Equiva-
lent Qualifications—404.1717(a)(3); 416.1517(a)(3) .................................... 200 1 10 33
New and Existing Respondents—CE Submission via email/mail/or FAX of
training courses taken as prescribed by SSA—404.1717(a)(7);
416.1517(a)(7) .............................................................................................. 710 1 20 237
New and Existing Respondents—Proof of Continuous Professional or Busi-
ness Liability Insurance Coverage (Scan and Email)—404.1717(a)(6);
416.1517(a)(6) .............................................................................................. 672 1 10 112
New and Existing Respondents—Proof of Continuous Professional or Busi-
ness Liability Insurance Coverage (Copy and Mail)—404.1717(a)(6);
416.1517(a)(6) .............................................................................................. 38 1 15 10
New and Existing Respondents—Written Protests—404.1717(d);
416.1517(d) .................................................................................................. 45 1 45 34
Totals ........................................................................................................ 2,065 ........................ ........................ 976
Dated: May 2, 2017. DEPARTMENT OF STATE described below to the Office of
Naomi R. Sipple, Management and Budget (OMB) for
Reports Clearance Officer, Social Security [Public Notice: 9974] approval. In accordance with the
Administration. Paperwork Reduction Act of 1995 we
30-Day Notice of Proposed Information are requesting comments on this
[FR Doc. 2017–09084 Filed 5–4–17; 8:45 am]
SRADOVICH on DSK3GMQ082PROD with NOTICES
Collection: Evacuee Manifest and collection from all interested
BILLING CODE 4191–02–P
Promissory Note individuals and organizations. The
purpose of this Notice is to allow 30
ACTION:Notice of request for public days for public comment.
comment and submission to OMB of
DATES: Submit comments directly to the
proposed collection of information.
Office of Management and Budget
SUMMARY: The Department of State has (OMB) up to June 5, 2017.
submitted the information collection ADDRESSES:
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Document Created: 2018-11-08 08:39:48
Document Modified: 2018-11-08 08:39:48
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