82 FR 55707 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 82, Issue 224 (November 22, 2017)
Federal Register Volume 82, Issue 224 (November 22, 2017)
| Page Range | 55707-55710 | |
| FR Document | 2017-25282 |
[Federal Register Volume 82, Number 224 (Wednesday, November 22, 2017)] [Notices] [Pages 55707-55710] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-25282] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2017-0064] 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 an extension of an OMB-approved information collection, new information collections, and 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-2017-0064]. 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 22, 2018 Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Fee Agreement for Representation Before the Social Security Administration--0960-NEW. SSA requires individuals who represent a claimant before the Social Security Administration and want to receive a fee for their services to obtain SSA's authorization of the fee under the Social Security Act (Act). We currently have two different, but mutually exclusive, methods to authorize a fee for a representative's services before SSA. SSA authorizes the fee either via the agreement process, if the representative submits the fee agreement before the first favorable decision, or the fee petition process, if the representative submits the request after the favorable decision. Currently SSA has no standardized form for the fee agreement process. Therefore, we created the SSA-1693 to make it easier for representatives to obtain the authorization for a fee agreement. SSA will use the information we collect on the SSA-1693 to review the request and authorize any fee to representatives who seek to charge and collect from a claimant. The respondents are the representatives who help claimants through the application process. Type of Request: Request for a new information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1693.................... 600,000 1 12 120,000 ---------------------------------------------------------------------------------------------------------------- 2. Statement of Interpreter--0960-NEW. SSA and the Disability Determination Services (DDS) will use Form SSA-4321, Statement of Interpreter, when a person requiring an interpreter prefers to provide their own interpreter during an interview or conversation between the person requiring an interpreter and SSA or DDS. SSA will require the interpreter to sign Form SSA-4321, and confirm, among other things, that: (1) They will not knowingly give false information; (2) they will act as an interpreter and witness, and (3) they will accurately interpret the interview to the best of their ability. Section 205(a) of the Act, as amended in 42 U.S.C. 405(a), authorizes SSA collect this information. Type of Request: Request for a new information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-4321.................... 5,170,399 1 5 430,867 ---------------------------------------------------------------------------------------------------------------- 3. Statement of Living Arrangements, In-Kind Support, and Maintenance--20 CFR 416.1130-416.1148-0960-0174. SSA determines Supplemental Security Income (SSI) payment amounts based on applicants' and recipients' needs. We measure individuals' needs, in part, by the amount of income they receive, including in-kind support and maintenance in the form of food and shelter other people provide. SSA uses Form SSA-8006-F4 to determine if in-kind support and maintenance exists for SSI applicants and recipients. This information also assists SSA in determining the income value of in-kind support and maintenance SSI applicants and recipients receive. The respondents are individuals who apply for SSI payments, or who complete an SSI eligibility redetermination. Type of Request: Revision of an OMB-approved information collection. [[Page 55708]] ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-8006-F4................. 173,380 1 7 20,228 ---------------------------------------------------------------------------------------------------------------- 4. Claimant's Recent Medical Treatment--20 CFR 404.1512 and 416.912--0960-0292. When DDSs deny a claim at the reconsideration level, the claimant has a right to request a hearing before an administrative law judge (ALJ). For the hearing, SSA asks the claimant to complete and return the HA-4631 if the claimant's file does not reflect a current, complete medical history as the claimant proceeds through the appeals process. ALJs must obtain the information to update and complete the record and to verify the accuracy of the information. Through this process, ALJs can ascertain whether the claimant's situation changed. The ALJs and hearing office staff use the response to make arrangements for consultative examination(s) and the attendance of an expert witness(es), if appropriate. During the hearing, the ALJ offers any completed questionnaires as exhibits and may use them to: (1) Refresh the claimant's memory, and (2) shape their questions. The respondents are claimant's requesting hearings on entitlement to Old Age Survivors and Disabilty Insurance benefits or SSI payments. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- HA-4631..................... 200,000 1 10 33,333 ---------------------------------------------------------------------------------------------------------------- 5. Statement of Funds You Provided to Another and Statement of Funds You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA- 2854 (Statement of Funds You Provided to Another) and SSA-2855 (Statement of Funds You Received) to gather information to verify if a loan is bona fide for SSI recipients. The SSA-2854 asks the lender for details on the transaction, and Form SSA-2855 asks the borrower the same basic questions independently. Agency personnel then compare the two statements; gather evidence if needed; and make a decision on the validity of the bona fide status of the loan. For SSI purposes, we consider a loan bona fide if it meets these requirements:Must be between a borrower and lender with the understanding that the borrower has an obligation to repay the money; Must be in effect at the time the cash goes to the borrower, that is, the agreement cannot come after the cash is paid; and Must be enforceable under State law, often there are additional requirements from the State. SSA collects this information at the time of initial application for SSI, or at any point when an individual alleges being party to an informal loan while receiving SSI. SSA collects information on the informal loan through both interviews and mailed forms. The agency's field personnel conduct the interviews and mail the form(s) for completion, as needed. The respondents are SSI recipients and applicants, and individuals who lend money to them. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-2854........................ 20,000 1 10 3,333 SSA-2855........................ 20,000 1 10 3,333 ------------------------------------------------------------------------------- Totals...................... 40,000 .................. .................. 6,666 ---------------------------------------------------------------------------------------------------------------- 6. Filing Claims Under the Federal Tort Claims Act--20 CFR 429.101- 429.110--0960-0667. The Federal Tort Claims Act is the legal mechanism for compensating people injured by negligent or wrongful acts that occur during the performance of Federal employees' official duties. In accordance with the law, SSA accepts monetary claims filed under the Federal Tort Claims Act for damages against the United States; loss of property; personal injury; or death resulting from an SSA employee's wrongful act or omission. The regulation sections cleared under this information collection request require claimants to provide information SSA can use to investigate and determine whether to make an award, compromise, or settlement under the Federal Tort Claims Act. The respondents are individuals or entities making a claim under the Federal Tort Claims Act. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated total Modality of completion Number of Frequency of Average burden per annual burden respondents response response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- 429.102; 429.103\1\............. 1 1 1 1 429.104(a)...................... 11 1 5 1 429.104(b)...................... 43 1 5 4 429.104(c)...................... 1 1 5 0 [[Page 55709]] 429.106(b)...................... 8 1 10 1 ------------------------------------------------------------------------------- Totals...................... 64 .................. .................. 7 ---------------------------------------------------------------------------------------------------------------- \1\ The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because respondents complete OMB-approved Form SF-95. 7. Application for Extra Help with Medicare Prescription Drug Plan Costs--20 CFR 418.3101--0960-0696. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and the provision of subsidies for eligible Medicare beneficiaries. SSA uses Form SSA-1020 or the Internet i1020, the Application for Extra Help with Medicare Prescription Drug Plan Costs, to obtain income and resource information from Medicare beneficiaries, and to make a subsidy decision. The respondents are Medicare beneficiaries applying for the Part D low-income subsidy. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden per Estimated total Modality of completion Number of Frequency of response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1020 (paper application 531,715 1 30 265,858 form).......................... i1020 (online application)...... 346,642 1 25 144,434 Field office interview.......... 108,194 1 30 54,097 ------------------------------------------------------------------------------- Totals...................... 986,551 .................. .................. 464,389 ---------------------------------------------------------------------------------------------------------------- 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 22, 2017. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 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 completion Number of Frequency of Average burden per annual burden respondents response 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 U.S.; and (3) allow claimants to collect a lump sum death benefit if the number holder died outside the United States and we do not have information to determine whether the lump sum death benefit is payable under the Social Security Act. The respondents are Social Security claimants, or individuals entitled to Social Security benefits, who are, were, or will be residing outside the United States for three months or longer. 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) ---------------------------------------------------------------------------------------------------------------- Paper SSA-21--U.S. Residents.... 510 1 14 119 Paper SSA-21--Residents of a Tax 2,751 1 9 413 Treaty Country................. Paper SSA-21--Nonresident aliens 1,835 1 8 245 Modernized Claims System (MCS) 1,325 1 11 243 Macros SSA[dash]21--U.S. Residents...................... [[Page 55710]] MCS Macros SSA 21--Residents of 7,153 1 6 715 a Tax Treaty Country........... MCS Macros SSA 21--Nonresident 4,769 1 5 397 aliens......................... ------------------------------------------------------------------------------- Totals...................... 18,343 .................. .................. 2,132 ---------------------------------------------------------------------------------------------------------------- Dated: November 17, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017-25282 Filed 11-21-17; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 82, No. 224 / Wednesday, November 22, 2017 / Notices 55707
For the Commission, by the Division of minimize burden on respondents, 1. Fee Agreement for Representation
Trading and Markets, pursuant to delegated including the use of automated Before the Social Security
authority.26 collection techniques or other forms of Administration—0960–NEW. SSA
Eduardo A. Aleman, information technology. Mail, email, or requires individuals who represent a
Assistant Secretary. fax your comments and claimant before the Social Security
[FR Doc. 2017–25228 Filed 11–21–17; 8:45 am] recommendations on the information Administration and want to receive a
BILLING CODE 8011–01–P collection(s) to the OMB Desk Officer fee for their services to obtain SSA’s
and SSA Reports Clearance Officer at authorization of the fee under the Social
the following addresses or fax numbers. Security Act (Act). We currently have
SOCIAL SECURITY ADMINISTRATION (OMB), Office of Management and two different, but mutually exclusive,
Budget, Attn: Desk Officer for SSA, methods to authorize a fee for a
[Docket No: SSA–2017–0064] representative’s services before SSA.
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov. SSA authorizes the fee either via the
Agency Information Collection
agreement process, if the representative
Activities: Proposed Request and (SSA), Social Security Administration,
submits the fee agreement before the
Comment Request OLCA, Attn: Reports Clearance
first favorable decision, or the fee
Director, 3100 West High Rise, 6401
The Social Security Administration petition process, if the representative
Security Blvd., Baltimore, MD 21235,
(SSA) publishes a list of information submits the request after the favorable
Fax: 410–966–2830, Email address:
collection packages requiring clearance decision. Currently SSA has no
OR.Reports.Clearance@ssa.gov.
by the Office of Management and standardized form for the fee agreement
Budget (OMB) in compliance with Or you may submit your comments process. Therefore, we created the SSA–
Public Law 104–13, the Paperwork online through www.regulations.gov, 1693 to make it easier for
Reduction Act of 1995, effective October referencing Docket ID Number [SSA– representatives to obtain the
1, 1995. This notice includes an 2017–0064]. authorization for a fee agreement. SSA
extension of an OMB-approved I. The information collections below will use the information we collect on
information collection, new information are pending at SSA. SSA will submit the SSA–1693 to review the request and
collections, and revisions of OMB- them to OMB within 60 days from the authorize any fee to representatives who
approved information collections. date of this notice. To be sure we seek to charge and collect from a
SSA is soliciting comments on the consider your comments, we must claimant. The respondents are the
accuracy of the agency’s burden receive them no later than January 22, representatives who help claimants
estimate; the need for the information; 2018 Individuals can obtain copies of through the application process.
its practical utility; ways to enhance its the collection instruments by writing to Type of Request: Request for a new
quality, utility, and clarity; and ways to the above email address. information collection.
Average burden Estimated total
Modality of Number of Frequency of per response annual burden
completion respondents response (minutes) (hours)
SSA–1693 ........................................................................ 600,000 1 12 120,000
2. Statement of Interpreter—0960– conversation between the person witness, and (3) they will accurately
NEW. SSA and the Disability requiring an interpreter and SSA or interpret the interview to the best of
Determination Services (DDS) will use DDS. SSA will require the interpreter to their ability. Section 205(a) of the Act,
Form SSA–4321, Statement of sign Form SSA–4321, and confirm, as amended in 42 U.S.C. 405(a),
Interpreter, when a person requiring an among other things, that: (1) They will authorizes SSA collect this information.
interpreter prefers to provide their own not knowingly give false information; Type of Request: Request for a new
interpreter during an interview or (2) they will act as an interpreter and information collection.
Average burden Estimated total
Modality of Number of Frequency of per response annual burden
completion respondents response (minutes) (hours)
SSA–4321 ........................................................................ 5,170,399 1 5 430,867
3. Statement of Living Arrangements, including in-kind support and support and maintenance SSI applicants
In-Kind Support, and Maintenance—20 maintenance in the form of food and and recipients receive. The respondents
CFR 416.1130–416.1148–0960–0174. shelter other people provide. SSA uses are individuals who apply for SSI
SSA determines Supplemental Security Form SSA–8006–F4 to determine if in- payments, or who complete an SSI
Income (SSI) payment amounts based kind support and maintenance exists for
asabaliauskas on DSKBBXCHB2PROD with NOTICES
eligibility redetermination.
on applicants’ and recipients’ needs. We SSI applicants and recipients. This
Type of Request: Revision of an OMB-
measure individuals’ needs, in part, by information also assists SSA in
approved information collection.
the amount of income they receive, determining the income value of in-kind
26 17 CFR 200.30–3(a)(12).
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![55710 Federal Register / Vol. 82, No. 224 / Wednesday, November 22, 2017 / Notices
Average burden Estimated total
Number of Frequency
Modality of completion per response annual burden
respondents of response (minutes) (hours)
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
Dated: November 17, 2017. DEPARTMENT OF STATE December 11–15, 2017
Naomi R. Sipple,
[Public Notice: 10205] PP–18 will take place in Dubai, United
Reports Clearance Officer, Social Security Arab Emirates, from October 29 to
Administration. Notice of Public Meeting of the November 17, 2018. The Plenipotentiary
[FR Doc. 2017–25282 Filed 11–21–17; 8:45 am] International Telecommunication Conference, which takes place every
BILLING CODE 4191–02–P Advisory Committee and Preparations four years, is the highest policy-making
for Upcoming International body of the Union. PP–18 will
Telecommunications Meetings determine the overall policy direction of
This notice announces a meeting of the ITU; adopt the strategic and
DEPARTMENT OF STATE financial plans for the next four years;
the Department of State’s International
Telecommunication Advisory elect the 48 members of Council, 12
[Public Notice 10209] Committee (ITAC). The ITAC will meet members of the Radio Regulations
on December 7, 2017 at 10:00 a.m. EST Board, and five Elected Officials; and
U.S. National Commission for UNESCO at 1120 20th St. NW., 10th Floor, consider and adopt, if appropriate,
Notice of Web Conference Meeting Washington, DC to report on the modifications to the ITU Constitution
outcome of the World and Convention.
The 2017 Annual Meeting of the U.S. Telecommunication Development
National Commission for the United Attendance at this meeting is open to
Conference, review the results of recent
Nations Educational, Scientific and the public as seating capacity allows.
multilateral meetings, updates on
Cultural Organization (UNESCO) will preparations for the International The public will have an opportunity to
take place on Tuesday, December 12, Telecommunication Union (ITU) 2018 provide comments at this meeting at the
2017, starting at 1:00 p.m. Eastern Plenipotentiary Conference (PP–18), and invitation of the chair. Further details
Standard Time. This will be a web discuss preparations for upcoming on this ITAC meeting will be announced
conference meeting to discuss recent multilateral meetings at ITU, the on the Department of State’s email list,
UNESCO developments, including the Organization for Economic Cooperation ITAC@lmlist.state.gov. Use of the ITAC
election of new UNESCO Director- and Development (OECD), and the Asia list is limited to meeting
General Azoulay; overall assessments/ Pacific Economic Cooperation (APEC). announcements and confirmations,
outcomes of the 39th General The meeting will focus on the following distribution of agendas and other
Conference; the U.S. decision to topics: relevant meeting documents. The
withdraw from UNESCO, effective 1. Results of Recent Multilateral Department welcomes any U.S. citizen
December 31, 2018; and plans for the Meetings or legal permanent resident to remain
Commission during this time of a. ITU Council Working Groups on or join the ITAC listserv by
transition. The Commission will accept b. World Telecommunication registering by email via ITAC@state.gov
brief oral comments during a portion of Development Conference and providing his or her name, email
this web conference. The public c. ITU–R SG4, SG5, SG6, and SG7 address, telephone contact and the
comment period will be limited to block meetings company, organization, or community
approximately 30 minutes in total, with d. Inter-American Telecommunication that he or she is representing, if any.
five minutes allowed per speaker. For Commission (CITEL) Persons wishing to request reasonable
more information, or to arrange to • Permanent Consultative Committee accommodation during the meeting
on Radiocommunication (PCC–II) should send their requests to ITAC@
participate in the web conference,
2. Meeting of the Permanent Executive state.gov no later than November 30,
individuals are asked to contact the
Committee (COM/CITEL) 2018 ITU 2017. Requests made after that time will
Executive Director of the National Plenipotentiary Conference (PP–18)
Commission by Friday, December 8, be considered, but might not be able to
preparatory process and U.S.
2017, at the following email address: be fulfilled.
priorities
DCUNESCO@state.gov. 3. Preparations for upcoming Please send all inquiries to ITAC@
Paul Mungai, Multilateral Activities state.gov.
a. ITU–R meetings Cecily C. Holiday,
Acting Executive Director, U.S. National
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Commission for UNESCO, Department of
b. ITU–T meetings
c. ITU–D meetings Acting Director, Multilateral Affairs, Cyber
State. and International Communications, and
d. ITU Council Working Groups and
[FR Doc. 2017–25274 Filed 11–21–17; 8:45 am] Information Policy, Department of State.
Experts Group on International
BILLING CODE 4710–19–P
Telecommunications Regulations [FR Doc. 2017–25235 Filed 11–21–17; 8:45 am]
(ITRs) BILLING CODE 4710–AE–P
e. WSIS Forum
f. APEC Telecommunications
Working Group (APEC TEL 56)—
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Document Created: 2017-11-22 00:48:35
Document Modified: 2017-11-22 00:48:35
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| FR Citation | 82 FR 55707 |
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