82 FR 41085 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 82, Issue 166 (August 29, 2017)
Federal Register Volume 82, Issue 166 (August 29, 2017)
| Page Range | 41085-41086 | |
| FR Document | 2017-18248 |
[Federal Register Volume 82, Number 166 (Tuesday, August 29, 2017)] [Notices] [Pages 41085-41086] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-18248] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2017-0045] 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-2017-0045]. 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 October 30, 2017. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Partnership Questionnaire--20 CFR 404.1080-404.1082(e)--0960- 0025. SSA considers partnership income in determining entitlement to Social Security benefits. SSA uses information from Form SSA-7104 to determine several aspects of eligibility for benefits, including the accuracy of reported partnership earnings; the veracity of a retirement; and lag earnings where SSA needs this information to determine the status of the insured. The respondents are applicants for, and recipients of, Title II Social Security benefits who are reporting partnership earnings. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of Number of respondents Frequency of response Average burden per annual burden completion response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-7104 12,350 1 30 6,175 ---------------------------------------------------------------------------------------------------------------- 2. Supplement to Claim of Person Outside the United States--20 CFR 422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)--0960-0051. Claimants or beneficiaries (both United States (U.S.) citizens and aliens entitled to benefits) living outside the U.S. complete Form SSA- 21 as a supplement to an application for benefits. SSA collects the information to determine eligibility for U.S. Social Security benefits for those months an alien beneficiary or claimant is outside the U.S., and to determine if tax withholding applies. In addition, SSA uses the information to: (1) Allow beneficiaries or claimants to request a special payment exception in an SSA restricted country; (2) terminate supplemental medical insurance coverage for recipients who request it, because they are, or will be, out of the United States; and (3) allow claimants to collect a lump sum death benefit if the number holder died outside the U.S. and we do not have information to determine whether the lump sum death benefit is payable under the Social Security Act (Act). The respondents are Social Security claimants, or individuals entitled to Social Security benefits, who are, were, or will be residing outside the U.S. three months or longer. 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) ---------------------------------------------------------------------------------------------------------------- Paper SSA-21--U.S. Residents.................... 510 1 14 119 Paper SSA-21--Residents of a Tax Treaty Country. 2,751 1 9 413 Paper SSA-21--Nonresident aliens................ 1,835 1 8 245 Modernized Claims System (MCS) Macros SSA-21-- 1,325 1 11 243 U.S. Residents................................. MCS Macros SSA 21--Residents of a Tax Treaty 7,153 1 6 715 Country........................................ MCS Macros SSA 21--Nonresident aliens........... 4,769 1 5 397 --------------------------------------------------------------- Totals...................................... 18,343 .............. .............. 2,132 ---------------------------------------------------------------------------------------------------------------- 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 September 28, 2017. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Application for Search of Census Records for Proof of Age--20 CFR 404.716--0960-0097. When preferred evidence of age is not available, or the available evidence is not convincing, SSA may ask the U.S. Department of Commerce, Bureau of the Census, to search its records to establish a claimant's date of birth. SSA collects information from claimants using Form SSA-1535-U3 to provide the Census Bureau with sufficient identification [[Page 41086]] information to allow an accurate search of census records. Additionally, the Census Bureau uses a completed, signed SSA-1535-U3 to bill SSA for the search. The respondents are applicants for Social Security benefits who need to establish their date of birth as a factor of entitlement. 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-1535-U3..................................... 18,030 1 12 3,606 ---------------------------------------------------------------------------------------------------------------- 2. State Death Match Collections--20 CFR 404.301, 404.310-404.311, 404.316, 404.330-404.341, 404.350-404.352, 404.371, and 416.912--0960- 0700. SSA uses the State Death Match Collections to ensure the accuracy of payment files by detecting unreported or inaccurate deaths of beneficiaries. Under the Act, entitlement to retirement, disability, wife's, husband's, or parent's benefits terminate when the beneficiary dies. The states furnish death certificate information to SSA via the manual registration process, or the Electronic Death Registration process (EDR). Both death match processes are automated electronic transfers between the states and SSA. The respondents are the states' bureaus of vital statistics. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated Number of Frequency of Number of Average cost total annual Modality of completion respondents response responses per record burden request (hours) ---------------------------------------------------------------------------------------------------------------- State Death Match--CyberFusion/ 45 3,700 166,500 $.88 $146,520 GSO: Non-EDR Records from EDR sites.......................... State Death Match--CyberFusion/ 12 48,000 576,000 .88 506,880 GSO: Non-EDR sites............. Total: Non[dash]EDR......... 57 .............. .............. .............. 653,400 State Death Match-EDR........... 45 48,500 2,182,500 3.17 6,918,525 States Expected to Become--State 7 62,600 438,200 3.17 1,389,094 Death Match-EDR Within the Next 3 Years........................ ---------------------------------------------------------------------------------------------------------------- Total: EDR and Expected EDR. 52 .............. .............. .............. 8,307,619 ---------------------------------------------------------------------------------------------------------------- Grand Totals............ 109 .............. .............. .............. *8,961,019 ---------------------------------------------------------------------------------------------------------------- * Please note that both of these data matching processes are electronic and there is only a cost burden, and no hourly burden for the respondent to provide this information. 3. Application for Access to SSA Systems--20 CFR 401.45--0960-0791. SSA uses Form SSA-120, Application for Access to SSA Systems, to allow limited access to SSA's information resources for SSA employees and non-Federal employees (contractors). SSA requires supervisory approval, and local or component Security Officer review, prior to granting this access. The respondents are SSA employees and non-Federal Employees (contractors) who require access to SSA systems to perform their jobs. Note: Because SSA employees are Federal workers exempt from the requirements of the Paperwork Reduction Act, the burden below is only for SSA contractors. 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-120 (paper version)......................... 685 1 2 23 SSA-120 (Internet version)...................... 1,482 1 1.5 37 --------------------------------------------------------------- Totals...................................... 2,167 .............. .............. 60 ---------------------------------------------------------------------------------------------------------------- Dated: August 24, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017-18248 Filed 8-28-17; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices 41085
[FR Doc. 2017–18308 Filed 8–28–17; 8:45 am] minimize burden on respondents, them to OMB within 60 days from the
BILLING CODE 8011–01–P including the use of automated date of this notice. To be sure we
collection techniques or other forms of consider your comments, we must
information technology. Mail, email, or receive them no later than October 30,
SOCIAL SECURITY ADMINISTRATION fax your comments and 2017. Individuals can obtain copies of
recommendations on the information the collection instruments by writing to
[Docket No: SSA–2017–0045]
collection(s) to the OMB Desk Officer the above email address.
Agency Information Collection and SSA Reports Clearance Officer at
the following addresses or fax numbers. 1. Partnership Questionnaire—20 CFR
Activities: Proposed Request and 404.1080–404.1082(e)—0960–0025. SSA
Comment Request (OMB), Office of Management and considers partnership income in
Budget, Attn: Desk Officer for SSA, determining entitlement to Social
The Social Security Administration Fax: 202–395–6974,Email address:
(SSA) publishes a list of information Security benefits. SSA uses information
OIRA_Submission@omb.eop.gov.
collection packages requiring clearance from Form SSA–7104 to determine
(SSA), Social Security Administration,
by the Office of Management and several aspects of eligibility for benefits,
OLCA, Attn: Reports Clearance
Budget (OMB) in compliance with including the accuracy of reported
Director, 3100 West High Rise, 6401
Public Law 104–13, the Paperwork partnership earnings; the veracity of a
Security Blvd., Baltimore, MD 21235,
Reduction Act of 1995, effective October retirement; and lag earnings where SSA
Fax: 410–966–2830, Email address:
1, 1995. This notice includes revisions needs this information to determine the
OR.Reports.Clearance@ssa.gov.
of OMB-approved information status of the insured. The respondents
collections. Or you may submit your comments are applicants for, and recipients of,
SSA is soliciting comments on the online through www.regulations.gov,
Title II Social Security benefits who are
accuracy of the agency’s burden referencing Docket ID Number [SSA–
reporting partnership earnings.
estimate; the need for the information; 2017–0045].
its practical utility; ways to enhance its I. The information collections below Type of Request: Revision of an OMB-
quality, utility, and clarity; and ways to are pending at SSA. SSA will submit approved information collection.
Average burden Estimated total
Modality of Number of Frequency of per response annual burden
completion respondents response (minutes) (hours)
SSA–7104 12,350 1 30 6,175
2. Supplement to Claim of Person beneficiary or claimant is outside the number holder died outside the U.S.
Outside the United States—20 CFR U.S., and to determine if tax and we do not have information to
422.505(b), 404.460, 404.463, and 42 withholding applies. In addition, SSA determine whether the lump sum death
CFR 407.27(c)—0960–0051. Claimants uses the information to: (1) Allow benefit is payable under the Social
or beneficiaries (both United States beneficiaries or claimants to request a Security Act (Act). The respondents are
(U.S.) citizens and aliens entitled to special payment exception in an SSA Social Security claimants, or
benefits) living outside the U.S. restricted country; (2) terminate individuals entitled to Social Security
complete Form SSA–21 as a supplement supplemental medical insurance benefits, who are, were, or will be
to an application for benefits. SSA coverage for recipients who request it, residing outside the U.S. three months
collects the information to determine because they are, or will be, out of the or longer.
eligibility for U.S. Social Security United States; and (3) allow claimants to Type of Request: Revision of an OMB-
benefits for those months an alien collect a lump sum death benefit if the approved information collection.
Average bur- Estimated
Modality of Number of Frequency of den total annual
completion respondents response per response burden
(minutes) (hours)
Paper SSA–21—U.S. Residents ..................................................................... 510 1 14 119
Paper SSA–21—Residents of a Tax Treaty Country ...................................... 2,751 1 9 413
Paper SSA–21—Nonresident aliens ............................................................... 1,835 1 8 245
Modernized Claims System (MCS) Macros SSA–21—U.S. Residents .......... 1,325 1 11 243
MCS Macros SSA 21—Residents of a Tax Treaty Country ........................... 7,153 1 6 715
MCS Macros SSA 21—Nonresident aliens ..................................................... 4,769 1 5 397
Totals ........................................................................................................ 18,343 ........................ ........................ 2,132
II. SSA submitted the information September 28, 2017. Individuals can available evidence is not convincing,
sradovich on DSK3GMQ082PROD with NOTICES
collections below to OMB for clearance. obtain copies of the OMB clearance SSA may ask the U.S. Department of
Your comments regarding these packages by writing to Commerce, Bureau of the Census, to
information collections would be most OR.Reports.Clearance@ssa.gov. search its records to establish a
useful if OMB and SSA receive them 30 1. Application for Search of Census claimant’s date of birth. SSA collects
days from the date of this publication. Records for Proof of Age—20 CFR information from claimants using Form
To be sure we consider your comments, 404.716—0960–0097. When preferred SSA–1535–U3 to provide the Census
we must receive them no later than evidence of age is not available, or the Bureau with sufficient identification
VerDate Sep<11>2014 18:45 Aug 28, 2017 Jkt 241001 PO 00000 Frm 00104 Fmt 4703 Sfmt 4703 E:\FR\FM\29AUN1.SGM 29AUN1](https://thefederalregister.org/doc/82_FR_41251/page/1.svg)
![41086 Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices
information to allow an accurate search search. The respondents are applicants Type of Request: Revision of an OMB-
of census records. Additionally, the for Social Security benefits who need to approved information collection.
Census Bureau uses a completed, signed establish their date of birth as a factor
SSA–1535–U3 to bill SSA for the of entitlement.
Average Estimated
Modality of Number of Frequency of burden total annual
completion respondents response per response burden
(minutes) (hours)
SSA–1535–U3 ................................................................................................. 18,030 1 12 3,606
2. State Death Match Collections—20 deaths of beneficiaries. Under the Act, Death Registration process (EDR). Both
CFR 404.301, 404.310–404.311, 404.316, entitlement to retirement, disability, death match processes are automated
404.330–404.341, 404.350–404.352, wife’s, husband’s, or parent’s benefits electronic transfers between the states
404.371, and 416.912—0960–0700. SSA terminate when the beneficiary dies. and SSA. The respondents are the
uses the State Death Match Collections The states furnish death certificate states’ bureaus of vital statistics.
to ensure the accuracy of payment files information to SSA via the manual Type of Request: Revision of an OMB-
by detecting unreported or inaccurate registration process, or the Electronic approved information collection.
Estimated
Average cost
Modality of Number of Frequency of Number of total annual
per record
completion respondents response responses burden
request (hours)
State Death Match—CyberFusion/GSO: Non-EDR
Records from EDR sites .................................................. 45 3,700 166,500 $.88 $146,520
State Death Match—CyberFusion/GSO: Non-EDR sites .... 12 48,000 576,000 .88 506,880
Total: Non-EDR ............................................................ 57 ........................ ........................ ........................ 653,400
State Death Match-EDR ...................................................... 45 48,500 2,182,500 3.17 6,918,525
States Expected to Become—State Death Match-EDR
Within the Next 3 Years ................................................... 7 62,600 438,200 3.17 1,389,094
Total: EDR and Expected EDR .................................... 52 ........................ ........................ ........................ 8,307,619
Grand Totals .......................................................... 109 ........................ ........................ ........................ *8,961,019
* Please note that both of these data matching processes are electronic and there is only a cost burden, and no hourly burden for the respond-
ent to provide this information.
3. Application for Access to SSA requires supervisory approval, and local Note: Because SSA employees are Federal
Systems—20 CFR 401.45—0960–0791. or component Security Officer review, workers exempt from the requirements of the
SSA uses Form SSA–120, Application prior to granting this access. The Paperwork Reduction Act, the burden below
for Access to SSA Systems, to allow respondents are SSA employees and is only for SSA contractors.
limited access to SSA’s information non-Federal Employees (contractors)
resources for SSA employees and non- who require access to SSA systems to Type of Request: Revision of an OMB-
Federal employees (contractors). SSA perform their jobs. approved information collection.
Average Estimated total
Modality of Number of Frequency burden annual burden
completion respondents of response per response (hours)
(minutes)
SSA–120 (paper version) ................................................................................ 685 1 2 23
SSA–120 (Internet version) ............................................................................. 1,482 1 1.5 37
Totals ........................................................................................................ 2,167 ........................ ........................ 60
Dated: August 24, 2017. DEPARTMENT OF STATE Operations, and Related Programs
Naomi R. Sipple, Appropriations Act, 2017 (Div. J, Pub. L.
[Public Notice: 10102]
Reports Clearance Officer, Social Security 115–31), I hereby certify that the central
Administration. Certification Pursuant to Section government of Guatemala is taking
sradovich on DSK3GMQ082PROD with NOTICES
[FR Doc. 2017–18248 Filed 8–28–17; 8:45 am] 7045(A)(4)(A) of the Department of effective steps, which are in addition to
BILLING CODE 4191–02–P State, Foreign Operations, and Related those steps taken since the certification
Programs Appropriations Act, 2017 and report submitted during the prior
year, to:
By virtue of the authority vested in
me as the Secretary of State, including • Inform its citizens of the dangers of
pursuant to section 7045(a)(4)(A) of the the journey to the southwest border of
Department of State, Foreign the United States;
VerDate Sep<11>2014 18:45 Aug 28, 2017 Jkt 241001 PO 00000 Frm 00105 Fmt 4703 Sfmt 4703 E:\FR\FM\29AUN1.SGM 29AUN1](https://thefederalregister.org/doc/82_FR_41251/page/2.svg)
Document Created: 2017-08-29 01:58:01
Document Modified: 2017-08-29 01:58:01
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| Section | Notices | |
| FR Citation | 82 FR 41085 |
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