82 FR 52088 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 82, Issue 216 (November 9, 2017)
Federal Register Volume 82, Issue 216 (November 9, 2017)
| Page Range | 52088-52089 | |
| FR Document | 2017-24387 |
[Federal Register Volume 82, Number 216 (Thursday, November 9, 2017)] [Notices] [Pages 52088-52089] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-24387] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2017-0061] 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-2017-0061]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than January 8, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Mother's or Father's Insurance Benefits--20 CFR 404.339-404.342, 20 CFR 404.601-404.603--0960-0003. Section 202(g) of the Social Security Act (Act) provides for the payment of monthly benefits to the widow or widower of an insured individual if the surviving spouse is caring for the deceased worker's child (who is entitled to Social Security benefits). SSA uses the information on Form SSA-5-BK to determine an individual's eligibility for mother's or father's insurance benefits. The respondents are individuals caring for a child of the deceased worker who is applying for mother's or father's insurance benefits under the Old Age, Survivors, and Disability Insurance program. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-5-F6 (paper)................................ 6,542 1 15 1,636 Modernized Claims System........................ 42,175 1 15 10,544 --------------------------------------------------------------- Totals...................................... 48,717 .............. .............. 12,180 ---------------------------------------------------------------------------------------------------------------- 2. Letter to Employer Requesting Wage Information--0960-0138. SSA must establish and verify wage information for Supplemental Security Income (SSI) applicants and recipients when determining SSI eligibility and payment amounts. SSA collects wage data from employers on Form SSA- L4201 to determine eligibility and proper payment amounts for SSI applicants and recipients. The respondents are employers of SSI applicants and recipients. 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 respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-L4201................................... 133,000 1 30 66,500 ---------------------------------------------------------------------------------------------------------------- 3. Modified Benefit Formula Questionnaire--Foreign Pension--0960- 0561. SSA uses Form SSA-308 to determine exactly how much (if any) of a foreign pension we can use to reduce the amount of Title II Social Security retirement or disability benefits under the modified benefit formula. In addition, SSA has agreed to pay the full amount of all reductions or refund the full amount of all sums that SSA made to, or collected from, the Class member's of Social Security old age, survivors, and disability insurance benefits payments (OASDI Benefits), due to the application of the Windfall Elimination Provision to those OASDI Benefits based on the receipt of Old Age Benefits from the National Institute of Israel, per the Greenberg, et al. v. Colvin case settlement. The respondents are applicants for Title II Social Security retirement or disability benefits who have foreign pensions. Type of Request: Revision of an OMB-approved information collection. [[Page 52089]] ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-308......................................... 4,430 1 10 738 Greenberg Cases................................. 363 1 60 363 --------------------------------------------------------------- Totals...................................... 4,793 .............. .............. 1,101 ---------------------------------------------------------------------------------------------------------------- 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 December 11, 2017. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Application to Collect a Fee for Payee Service--20 CFR 404.2040a & 20 CFR 416.640a--0960-0719. Sections 205(j)(4)(A) and (B) and 1631(a)(2) of the Act allow SSA to authorize certain organizational representative payees to collect a fee for providing payee services. Before an organization may collect this fee, they complete and submit Form SSA-445. SSA uses the information to determine whether to authorize or deny permission to collect fees for payee services. The respondents are private sector businesses or State and local government offices applying to become fee-for-service organizational representative payees. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- Private sector business......................... 90 1 10 15 State/local government offices.................. 10 1 10 2 --------------------------------------------------------------- Totals...................................... 100 .............. .............. 17 ---------------------------------------------------------------------------------------------------------------- 2. Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs--20 CFR 418.3125--0960-0723. As per the requirements of the Medicare Modernization Act of 2003, SSA conducts low-income subsidy eligibility redeterminations for Medicare beneficiaries who currently receive the Medicare Part D subsidy and who meet certain criteria. Respondents complete Form SSA-1026-REDE under the following circumstances: (1) When individuals became entitled to the Medicare Part D subsidy during the past 12 months; (2) if they were eligible for the Part D subsidy for more than 12 months; or (3) if they reported a change in income, resources, or household size. Part D beneficiaries complete the SSA-1026-SCE when they need to report a potentially subsidy-changing event, including the following: (1) Marriage; (2) spousal separation; (3) divorce; (4) annulment of a marriage; (5) spousal death; or (6) moving back in with one's spouse following a separation. The respondents are current recipients of the Medicare Part D low-income subsidy who will undergo an eligibility redetermination for one of the reasons mentioned above. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1026-REDE................................... 98,990 1 18 29,697 SSA-1026-SCE.................................... 4,267 1 18 1,280 REDE Field Office Interview..................... 50,529 1 18 15,159 SCE Field Office Interview...................... 3,468 1 18 1,040 --------------------------------------------------------------- Total....................................... 157,254 .............. .............. 47,176 ---------------------------------------------------------------------------------------------------------------- Dated: November 6, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017-24387 Filed 11-8-17; 8:45 am] BILLING CODE 4191-02-P
![52088 Federal Register / Vol. 82, No. 216 / Thursday, November 9, 2017 / Notices
409 3rd Street SW., Suite 6050, by the Office of Management and referencing Docket ID Number [SSA–
Washington, DC 20416, (202) 205–6734. Budget (OMB) in compliance with 2017–0061].
SUPPLEMENTARY INFORMATION: The notice Public Law 104–13, the Paperwork I. The information collections below
of the President’s major disaster Reduction Act of 1995, effective October are pending at SSA. SSA will submit
declaration for Private Non-Profit 1, 1995. This notice includes revisions them to OMB within 60 days from the
organizations in the State of South of OMB-approved information date of this notice. To be sure we
Carolina, dated 10/16/2017, is hereby collections. consider your comments, we must
amended to include the following areas SSA is soliciting comments on the receive them no later than January 8,
as adversely affected by the disaster. accuracy of the agency’s burden 2018. Individuals can obtain copies of
Primary Counties: Abbeville, Newberry, estimate; the need for the information; the collection instruments by writing to
Saluda its practical utility; ways to enhance its the above email address.
quality, utility, and clarity; and ways to 1. Application for Mother’s or Father’s
All other information in the original minimize burden on respondents,
declaration remains unchanged. Insurance Benefits—20 CFR 404.339–
including the use of automated 404.342, 20 CFR 404.601–404.603—
(Catalog of Federal Domestic Assistance collection techniques or other forms of 0960–0003. Section 202(g) of the Social
Number 59008) information technology. Mail, email, or Security Act (Act) provides for the
James E. Rivera, fax your comments and payment of monthly benefits to the
Associate Administrator for Disaster recommendations on the information widow or widower of an insured
Assistance. collection(s) to the OMB Desk Officer individual if the surviving spouse is
[FR Doc. 2017–24360 Filed 11–8–17; 8:45 am]
and SSA Reports Clearance Officer at caring for the deceased worker’s child
the following addresses or fax numbers. (who is entitled to Social Security
BILLING CODE 8025–01–P
(OMB), Office of Management and benefits). SSA uses the information on
Budget, Attn: Desk Officer for SSA, Form SSA–5–BK to determine an
SOCIAL SECURITY ADMINISTRATION Fax: 202–395–6974, Email address: individual’s eligibility for mother’s or
OIRA_Submission@omb.eop.gov. father’s insurance benefits. The
[Docket No: SSA–2017–0061] (SSA), Social Security Administration, respondents are individuals caring for a
OLCA, Attn: Reports Clearance child of the deceased worker who is
Agency Information Collection Director, 3100 West High Rise, 6401 applying for mother’s or father’s
Activities: Proposed Request and Security Blvd., Baltimore, MD 21235, insurance benefits under the Old Age,
Comment Request Fax: 410–966–2830, Email address: Survivors, and Disability Insurance
The Social Security Administration OR.Reports.Clearance@ssa.gov. program.
(SSA) publishes a list of information Or you may submit your comments Type of Request: Revision of an OMB-
collection packages requiring clearance online through www.regulations.gov, approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–5–F6 (paper) ........................................................................................... 6,542 1 15 1,636
Modernized Claims System ............................................................................. 42,175 1 15 10,544
Totals ........................................................................................................ 48,717 ........................ ........................ 12,180
2. Letter to Employer Requesting Wage determining SSI eligibility and payment recipients. The respondents are
Information—0960–0138. SSA must amounts. SSA collects wage data from employers of SSI applicants and
establish and verify wage information employers on Form SSA–L4201 to recipients.
for Supplemental Security Income (SSI) determine eligibility and proper Type of Request: Revision of an OMB-
applicants and recipients when payment amounts for SSI applicants and approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–L4201 ...................................................................................................... 133,000 1 30 66,500
3. Modified Benefit Formula amount of all reductions or refund the the National Institute of Israel, per the
Questionnaire—Foreign Pension—0960– full amount of all sums that SSA made Greenberg, et al. v. Colvin case
0561. SSA uses Form SSA–308 to to, or collected from, the Class member’s settlement. The respondents are
sradovich on DSK3GMQ082PROD with NOTICES
determine exactly how much (if any) of of Social Security old age, survivors, applicants for Title II Social Security
a foreign pension we can use to reduce and disability insurance benefits retirement or disability benefits who
the amount of Title II Social Security payments (OASDI Benefits), due to the have foreign pensions.
retirement or disability benefits under application of the Windfall Elimination
the modified benefit formula. In Provision to those OASDI Benefits based Type of Request: Revision of an OMB-
addition, SSA has agreed to pay the full on the receipt of Old Age Benefits from approved information collection.
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![Federal Register / Vol. 82, No. 216 / Thursday, November 9, 2017 / Notices 52089
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–308 .......................................................................................................... 4,430 1 10 738
Greenberg Cases ............................................................................................ 363 1 60 363
Totals ........................................................................................................ 4,793 ........................ ........................ 1,101
II. SSA submitted the information packages by writing to submit Form SSA–445. SSA uses the
collections below to OMB for clearance. OR.Reports.Clearance@ssa.gov. information to determine whether to
Your comments regarding these 1. Application to Collect a Fee for authorize or deny permission to collect
information collections would be most Payee Service—20 CFR 404.2040a & 20 fees for payee services. The respondents
useful if OMB and SSA receive them 30 CFR 416.640a—0960–0719. Sections are private sector businesses or State
days from the date of this publication. 205(j)(4)(A) and (B) and 1631(a)(2) of the and local government offices applying
To be sure we consider your comments, Act allow SSA to authorize certain to become fee-for-service organizational
we must receive them no later than organizational representative payees to representative payees.
December 11, 2017. Individuals can collect a fee for providing payee
services. Before an organization may Type of Request: Revision of an OMB-
obtain copies of the OMB clearance approved information collection.
collect this fee, they complete and
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
Private sector business ................................................................................... 90 1 10 15
State/local government offices ........................................................................ 10 1 10 2
Totals ........................................................................................................ 100 ........................ ........................ 17
2. Redetermination of Eligibility for following circumstances: (1) When (2) spousal separation; (3) divorce; (4)
Help with Medicare Prescription Drug individuals became entitled to the annulment of a marriage; (5) spousal
Plan Costs—20 CFR 418.3125—0960– Medicare Part D subsidy during the past death; or (6) moving back in with one’s
0723. As per the requirements of the 12 months; (2) if they were eligible for spouse following a separation. The
Medicare Modernization Act of 2003, the Part D subsidy for more than 12 respondents are current recipients of the
SSA conducts low-income subsidy months; or (3) if they reported a change Medicare Part D low-income subsidy
eligibility redeterminations for Medicare in income, resources, or household size. who will undergo an eligibility
beneficiaries who currently receive the Part D beneficiaries complete the SSA– redetermination for one of the reasons
Medicare Part D subsidy and who meet 1026–SCE when they need to report a mentioned above.
certain criteria. Respondents complete potentially subsidy-changing event, Type of Request: Revision of an OMB-
Form SSA–1026–REDE under the including the following: (1) Marriage; approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–1026–REDE ............................................................................................ 98,990 1 18 29,697
SSA–1026–SCE .............................................................................................. 4,267 1 18 1,280
REDE Field Office Interview ............................................................................ 50,529 1 18 15,159
SCE Field Office Interview .............................................................................. 3,468 1 18 1,040
Total .......................................................................................................... 157,254 ........................ ........................ 47,176
Dated: November 6, 2017. DEPARTMENT OF STATE SUMMARY: The Department of State is
Naomi R. Sipple, publishing a List of Restricted Entities
Reports Clearance Officer, Social Security [Public Notice: 10195] and Subentities Associated with Cuba
Administration. (Cuba Restricted List) with which direct
The State Department’s List of Entities financial transactions will be generally
sradovich on DSK3GMQ082PROD with NOTICES
[FR Doc. 2017–24387 Filed 11–8–17; 8:45 am]
BILLING CODE 4191–02–P and Subentities Associated With Cuba prohibited under the Cuban Assets
(Cuba Restricted List) Control Regulations (CACR). This list
will also be considered during review of
AGENCY: Department of State. license applications submitted to the
ACTION: Initial publication of list of Department of Commerce’s Bureau of
entities; notice. Industry and Security (BIS) pursuant to
VerDate Sep<11>2014 17:32 Nov 08, 2017 Jkt 244001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\09NON1.SGM 09NON1](https://thefederalregister.org/doc/82_FR_52304/page/2.svg)
Document Created: 2018-10-25 10:28:45
Document Modified: 2018-10-25 10:28:45
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| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 82 FR 52088 |
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