83 FR 21328 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 83, Issue 90 (May 9, 2018)
Federal Register Volume 83, Issue 90 (May 9, 2018)
| Page Range | 21328-21333 | |
| FR Document | 2018-09802 |
[Federal Register Volume 83, Number 90 (Wednesday, May 9, 2018)] [Notices] [Pages 21328-21333] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-09802] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2018-0020] 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 extensions 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: OIRA_Submission@omb.eop.gov. (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: OR.Reports.Clearance@ssa.gov. Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA-2018-0020]. 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 July 9, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When workers report they were paid wages but cannot provide proof of those earnings, and the wages do not appear in SSA's records of earnings, SSA uses Form SSA-7011-F4 to document the alleged wages. Specifically, the agency uses the form to resolve discrepancies in the individual's Social Security earnings record and to process claims for Social Security benefits. We only send Form SSA-7011-F4 to employers if we are unable able to locate the earnings information within our own records. The respondents are employers who can verify wage allegations made by wage earners. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-7011-F4..................................... 500 1 20 167 ---------------------------------------------------------------------------------------------------------------- 2. Request for Waiver of Overpayment Recovery and Request for Change in Overpayment Recovery Rate--20 CFR 404.502, 20 CFR 404.506- 404.512, 20 CFR 416.550-416.558, and 416.570-416.571--0960-0037. When Social Security beneficiaries and Supplemental Security Income (SSI) recipients receive an overpayment, they must return the extra money. These beneficiaries and recipients can use Form SSA-632-BK to request a waiver from repaying their overpayment. Beneficiaries and recipients can also use Form SSA-634 to request a change to the monthly recovery rate of their overpayment. The respondents must provide financial information to help the agency determine how much the overpaid person can afford to repay each month. Respondents are overpaid Social Security beneficiaries or SSI recipients who are requesting: (1) A waiver of recovery of an overpayment, or (2) a lesser rate of withholding, Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-632--Waiver of Overpayment (If completing 400,000 1 120 800,000 entire paper form, including the AFI authorization)................................. Regional Application (New York Debt Management). 30,000 1 120 60,000 Internet Instructions........................... 430,000 1 5 35,833 SSA-634--Requesting change in repayment rate 100,000 1 45 75,000 (completing paper form)........................ Internet Instructions........................... 100,000 1 5 8,333 --------------------------------------------------------------- Totals...................................... 1,060,000 .............. .............. 979,166 ---------------------------------------------------------------------------------------------------------------- [[Page 21329]] 3. Statement of Claimant or Other Person--20 CFR 404.702 & 416.570--0960-0045. SSA uses Form SSA-795 in special situations where there is no authorized form or questionnaire, yet we require a signed statement from the applicant, claimant, or other individuals who have knowledge of facts, in connection with claims for Social Security benefits or SSI. The information we request on the SSA-795 is of sufficient importance that we need both a signed statement and a penalty clause. SSA uses this information to process, in addition to claims for benefits, issues about continuing eligibility; ongoing benefit amounts; use of funds by a representative payee; fraud investigation; and a myriad of other program-related matters. The most common respondents are applicants for Social Security, SSI, or recipients of these programs. However, respondents also include friends and relatives of the involved parties, coworkers, neighbors, or anyone else in a position to provide information pertinent to the issue(s). Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-795......................................... 305,500 1 15 76,375 ---------------------------------------------------------------------------------------------------------------- 4. Application for a Social Security Number Card, the Social Security Number Application Process (SSNAP), and internet SSN Replacement Card (iSSNRC) Application--20 CFR 422.103-422.110--0960- 0066. SSA collects information on the SS-5 (used in the United States) and SS-5-FS (used outside the United States) to issue original or replacement Social Security cards. SSA also enters the application data into the SSNAP application when issuing a card via telephone or in person. In addition, hospitals collect the same information on SSA's behalf for newborn children through the Enumeration-at-Birth process. In this process, parents of newborns provide hospital birth registration clerks with information required to register these newborns. Hospitals send this information to State Bureaus of Vital Statistics (BVS), and they send the information to SSA's National Computer Center. SSA then uploads the data to the SSA mainframe along with all other enumeration data, and we assign the newborn a Social Security number (SSN) and issue a Social Security card. Respondents can also use these modalities to request a change in their SSN records. Finally, the iSSNRC internet application collects information similar to the paper SS-5 for no-change replacement SSN cards for adult U.S. citizens. The iSSNRC modality allows certain applicants for an SSN replacement cards to complete the internet application and submit the required evidence online rather than completing a paper Form SS-5. The respondents for this collection are applicants for original and replacement Social Security cards, or individuals who wish to change information in their SSN records, who use any of the modalities described above. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Application scenario respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Respondents who do not have to provide parents' 10,500,000 1 8.5 1,487,500 SSNs........................................... *Adult U.S. Citizens requesting a replacement 1,500,000 1 5 125,000 card with no changes through new iSSNRC modality....................................... Respondents whom we ask to provide parents' SSNs 400,000 1 9 60,000 (when applying for original SSN cards for children under age 18)......................... Applicants age 12 or older who need to answer 1,500,000 1 9.5 237,500 additional questions so SSA can determine whether we previously assigned an SSN.......... Applicants asking for a replacement SSN card 900 1 60 900 beyond the new allowable limits (i.e., who must provide additional documentation to accompany the application)............................... Authorization to SSA to obtain personal 500 1 15 125 information cover letter....................... Authorization to SSA to obtain personal 500 1 15 125 information follow-up cover letter............. --------------------------------------------------------------- Totals...................................... 13,901,900 .............. .............. 1,911,150 ---------------------------------------------------------------------------------------------------------------- 5. Statement of Care and Responsibility for Beneficiary--20 CFR 404.2020, 404.2025, 408.620, 408.625, 416.620, & 416.625--0960-0109. SSA uses the information from Form SSA-788 to verify payee applicants' statements of concern, and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will use Social Security benefits in the beneficiary's best interest. SSA considers factors such as the payee applicant's capacity to perform payee duties; awareness of the beneficiary's situation and needs; demonstration of past, and current concern for the beneficiary's well- being; etc. in making that determination. If the payee applicant does not have custody of the beneficiary, SSA will obtain information from the custodian for evaluation against the information the applicant provides. Respondents are individuals who have custody of the beneficiary in cases where someone else filed to be the beneficiary's representative payee. Type of Request: Revision of an OMB-approved information collection. [[Page 21330]] ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-788......................................... 130,000 1 10 21,667 ---------------------------------------------------------------------------------------------------------------- 6. Certificate of Election for Reduced Spouse's Benefits--20 CFR 404.421--0960-0398. SSA cannot pay reduced Social Security benefits to an already entitled spouse unless the spouse elects to receive reduced benefits and is (1) at least age 62, but under full retirement age; and (2) no longer is caring for a child. In this situation, spouses who decide to elect reduced benefits must file Form SSA-25, Certificate of Election for Reduced Spouse's Benefits. SSA uses the information to pay qualified spouses who elect to receive reduced benefits. Respondents are entitled spouses seeking reduced Social Security benefits. Type of Request: Revision of an OMB approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-25.......................................... 30,000 1 2 1,000 ---------------------------------------------------------------------------------------------------------------- 7. Coverage of Employees of State and Local Governments--20 CFR 404, Subpart M--0960-0425. The Code of Federal Regulations (CFR) at 20 CFR 404, subpart M, prescribes the rules for States submitting reports of deposits and recordkeeping to SSA. SSA requires States (and interstate instrumentalities) to provide wage and deposit contribution information for pre-1987 periods. Not all states have completely satisfied their pending wage report and contribution liability with SSA for pre-1987 tax years. SSA needs these regulations: (1) Until all pending items with all states are closed out, and (2) to provide for collection of this information in the future, if necessary. The respondents are State and local governments or interstate instrumentalities. Type of Request: Extension of an OMB approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated CFR citation respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- 404.1204(a) & (b)............................... 52 1 30 26 404.1215........................................ 52 1 60 52 404.1216(a) & (b)............................... 52 1 60 52 --------------------------------------------------------------- Total....................................... 156 .............. .............. 130 ---------------------------------------------------------------------------------------------------------------- 8. Continuation of Supplemental Security Income Payments for the Temporarily Institutionalized--Certification of Period and Need to Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When Supplemental Security Income (SSI) recipients (1) enter a public institution, or (2) enter a private medical treatment facility with Medicaid paying more than 50 percent of expenses, SSA reduces recipients' SSI payments to a nominal sum. However, if this institutionalization is temporary (defined as a maximum of three months), SSA may waive the reduction. Before SSA can waive the SSI payment reduction, the agency must receive the following documentation: (1) A physician's certification stating the SSI recipient will only be institutionalized for a maximum of three months, and (2) certification from the recipient, the recipient's family, or friends, confirming the recipient needs SSI payments to maintain the living arrangements to which the individual will return post- institutionalization. To obtain this information, SSA employees contact the recipient (or a knowledgeable source) to collect the required physician's certification and the statement of need. SSA does not require any specific format for these items, so long as we obtain the necessary attestations. The respondents are SSI recipients, their family or friends, as well as physicians or hospital staff members who treat the SSI recipient. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Physician's Certifications and Statements from 60,000 1 5 5,000 Other Respondents.............................. ---------------------------------------------------------------------------------------------------------------- 9. Request for internet Services and 800# Automated Telephone Services Knowledge-Based Authentication (RISA-KBA)--20 CFR 401.45-- 0960-0596. The Request for internet Services and 800# Automated Telephone Services (RISA) Knowledge-Based Authentication (KBA) is one of the authentication methods SSA uses to [[Page 21331]] allow individuals access to their personal information through our internet and Automated Telephone Services. SSA asks individuals and third parties who seek personal information from SSA records, or who register to participate in SSA's online business services, to provide certain identifying information. As an extra measure of protection, SSA asks requestors who use the internet and telephone services to provide additional identifying information unique to those individuals so SSA can authenticate their identities before releasing personal information. The respondents are current beneficiaries who are requesting personal information from SSA, and individuals and third parties who are registering for SSA's online business services. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Internet Requestors............................. 2,903,902 1 2.5 120,996 Telephone Requestors............................ 9,795,655 1 4 653,044 *Change of Address (on hold).................... 1 .............. .............. 1 *Screen Splash (on hold)........................ 1 .............. .............. 1 --------------------------------------------------------------- Totals...................................... 12,699,559 .............. .............. 774,042 ---------------------------------------------------------------------------------------------------------------- * One-hour placeholder burdens; Screen Splash and Change of Address applications are on hold. 10. Representative Payment Policies Regulation--20 CFR 404.2011, 404.2025, 416.611, and 416.625--0960-0679. Per 20 CFR 404.2011 and 20 CFR 416.611, if SSA determines it may cause substantial harm for Title II or Title XVI recipients to receive their payments directly, recipients may dispute that decision. To do so, recipients provide SSA with information the agency uses to reevaluate its determination. In addition, our regulations state that after SSA selects a representative payee to receive benefits on a recipient's behalf, the payees provide SSA with information on their continuing relationship and responsibility for the recipients, and explain how they use the recipients' payments. Sections 20 CFR 404.2025 and 20 CFR 416.625 provide a process to follow up with the representative payee to verify payee performance. The respondents are Title II and Title XVI recipients, and their representative payees. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated CFR citation respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- 404.2011(a)(1); 416.611(a)(1)................... 250 1 15 63 404.2025; 416.625............................... 3,000 1 6 300 --------------------------------------------------------------- Totals...................................... 3,250 .............. .............. 363 ---------------------------------------------------------------------------------------------------------------- 11. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. Individuals receiving or applying for Social Security disability insurance (SSDI) or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA staff, and, on our behalf, State Disability Determination Services' (DDS) employees, collect the information via paper Form SSA-3373-BK, or through an in-person or telephone interview for cases where we need information about a claimant's activities and abilities to evaluate the claimant's disability. We use the information to document how claimants' disabilities affect their ability to function, and to determine eligibility, or continued eligibility, for SSI and SSDI claims. The respondents are Title II and Title XVI applicants (or current recipients undergoing redeterminations) for disability payments. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3373-BK..................................... 1,734,635 1 61 1,763,546 ---------------------------------------------------------------------------------------------------------------- 12. Request for Business Entity Taxpayer Information--0960-0731. SSA requires Law firms or other business entities to complete Form SSA- 1694, Request for Business Entity Taxpayer Information, if they wish to serve as appointed representatives and receive direct payment of fees from SSA. SSA uses the information we receive to issue a Form 1099- MISC. SSA also uses the information to allow business entities to designate individuals to serve as entity administrators authorized to perform certain administrative duties on their behalf, such as providing bank account information; maintaining entity information; and updating individual affiliations. Respondents are law firms, or other business entities with attorneys or other qualified individuals as partners or employees, who represent claimants before SSA. Type of Request: Revision of an OMB-approved information collection. [[Page 21332]] ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1694--Paper Version......................... 750 1 10 125 SSA-1694--Business Services Online Submission... 150 1 10 25 --------------------------------------------------------------- Totals...................................... 900 .............. .............. 150 ---------------------------------------------------------------------------------------------------------------- 13. Request to Pay Civil Monetary by Installment Agreement--20 CFR 498--0960-0776. When SSA imposes a civil monetary penalty (CMP) on individuals for various fraudulent conduct related toSSA-administrated programs, those individuals may request to pay the CMP through benefit withholding, or an installment agreement. To negotiate a monthly payment amount, fair to both the individual and the agency, SSA needs financial information from the individual. SSA uses Form SSA-640, Financial Disclosure for CMP Debt, to obtain the information necessary to determine a monthly installment repayment rate for individuals owing a CMP. The respondents are recipients of Social Security benefits and non-entitled individuals who must repay a CMP to the agency and choose to do so using an installment plan. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-640......................................... 10 1 120 20 ---------------------------------------------------------------------------------------------------------------- 14. Authorization for the Social Security Administration to Obtain Personal Information--20 CFR 404.704; 404.820--404.823; 404.1926; 416.203; and 418.3001--0960-0801. SSA uses Form SSA-8510 to contact a public or private custodian of records on behalf of an applicant or recipient of an SSA program to request evidence information, which may support a benefit application or payment continuation. We ask for evidence information such as the following:Age requirements (e.g. birth certificate, court documents) Insured status (e.g. earnings, employer verification) Marriage or divorce information Pension offsets Wages verification Annuities Property information Benefit verification from a State agency or third party Immigration status (rare instances) Income verification from public agencies or private individuals Unemployment benefits Insurance policies If the custodian requires a signed authorization from the individual(s) whose information SSA requests, SSA may provide the custodian with a copy of the SSA-8510. Once the respondent completes the SSA-8510, either using the paper form, or using the Personal Information Authorization web page version, SSA uses the form as the authorization to obtain personal information regarding the respondent from third parties until the authorizing person (respondent) revokes the permission of its usage. The collection is voluntary; however, failure to verify the individuals' eligibility can prevent SSA from making an accurate and timely decision for their benefits. The respondents are individuals who may file for, or currently receive, Social Security benefits, SSI payments, or Medicare Part D subsidies. 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) ---------------------------------------------------------------------------------------------------------------- Paper SSA[dash]8510 for general evidence 19,800 1 5 1650 purposes....................................... Personal Information Authorization web page..... 140,145 1 5 11, 679 --------------------------------------------------------------- Totals...................................... 163,445 .............. .............. 13,621 ---------------------------------------------------------------------------------------------------------------- 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 8, 2018. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Request for Reconsideration--Disability Cessation--20 CFR 404.909, 416.1409--0960-0349. When SSA determines that claimants' disabilities medically improved; ceased; or are no longer sufficiently disabling, these claimants may ask SSA to reconsider that determination. SSA uses Form SSA-789-U4 to arrange for a hearing or to prepare a decision based on the evidence of record. Specifically, claimants or their representatives use Form SSA-789-U4 to: (1) Ask SSA to reconsider a determination; (2) indicate if they wish to appear at a disability hearing; (3) submit any additional information or evidence for use in the reconsidered determination; and (4) indicate if they will need an interpreter for the hearing. The respondents are disability claimants for Social Security benefits or SSI payments, or their representatives who wish to appeal an [[Page 21333]] unfavorable disability cessation determination. 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-789-U4...................................... 30,000 1 13 6,500 ---------------------------------------------------------------------------------------------------------------- 2. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913- 404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. Claimants for Social Security disability payments or their representatives can use Form SSA-773-U4 to waive their right to appear at a disability hearing. The disability hearing officer uses the signed form as a basis for not holding a hearing, and for preparing a written decision on the claimant's request for disability payments based solely on the evidence of record. The respondents are disability claimants for Social Security benefits or SSI payments, or their representatives, who wish to waive their right to appear at a disability hearing. 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-773-U4...................................... 200 1 3 10 ---------------------------------------------------------------------------------------------------------------- 3. Social Security Number Verification Services--20 CFR 401.45-- 0960-0660. Internal Revenue Service regulations require employers to provide wage and tax data to SSA using Form W-2, or its electronic equivalent. As part of this process, the employer must furnish the employee's name and Social Security number (SSN). In addition, the employee's name and SSN must match SSA's records for SSA to post earnings to the employee's earnings record, which SSA maintains. SSA offers the Social Security Number Verification Service (SSNVS), which allows employers to verify the reported names and SSNs of their employees match those in SSA's records. SSNVS is a cost-free method for employers to verify employee information via the internet. The respondents are employers who need to verify SSN data using SSA's records. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of Number of burden per total annual Modality of completion respondents response responses response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSNVS........................... 41,387 60 2,483,220 5 206,935 ---------------------------------------------------------------------------------------------------------------- Dated: May 3, 2018. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2018-09802 Filed 5-8-18; 8:45 am] BILLING CODE 4191-02-P
![21328 Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices
June 1, 2018 at veteransbusiness@ by the Office of Management and Or you may submit your comments
sba.gov. Comments for the record Budget (OMB) in compliance with online through www.regulations.gov,
should be applicable to the ‘‘six focus Public Law 104–13, the Paperwork referencing Docket ID Number [SSA–
areas’’ of the Task Force and will be Reduction Act of 1995, effective October 2018–0020].
limited to five minutes in the interest of 1, 1995. This notice includes extensions I. The information collections below
time and to accommodate as many and revisions of OMB-approved are pending at SSA. SSA will submit
participants as possible. Written information collections.
SSA is soliciting comments on the them to OMB within 60 days from the
comments should also be sent to the date of this notice. To be sure we
above email no later than June 1, 2018. accuracy of the agency’s burden
estimate; the need for the information; consider your comments, we must
Special accommodations requests
its practical utility; ways to enhance its receive them no later than July 9, 2018.
should also be directed to SBA’s Office
quality, utility, and clarity; and ways to Individuals can obtain copies of the
of Veterans Business Development at
minimize burden on respondents, collection instruments by writing to the
(202) 205–6773 or to veteransbusiness@
including the use of automated above email address.
sba.gov.
For more information on veteran collection techniques or other forms of 1. Statement of Employer—20 CFR
owned small business programs, please information technology. Mail, email, or 404.801–404.803—0960–0030. When
visit www.sba.gov/veterans. fax your comments and workers report they were paid wages but
Dated: May 3, 2018.
recommendations on the information cannot provide proof of those earnings,
collection(s) to the OMB Desk Officer and the wages do not appear in SSA’s
John Woodard,
and SSA Reports Clearance Officer at records of earnings, SSA uses Form
SBA Committee Management Officer. the following addresses or fax numbers. SSA–7011–F4 to document the alleged
[FR Doc. 2018–09827 Filed 5–8–18; 8:45 am]
(OMB) wages. Specifically, the agency uses the
BILLING CODE P
form to resolve discrepancies in the
Office of Management and Budget, individual’s Social Security earnings
Attn: Desk Officer for SSA, Fax: 202– record and to process claims for Social
SOCIAL SECURITY ADMINISTRATION 395–6974, Email address: OIRA_ Security benefits. We only send Form
Submission@omb.eop.gov. SSA–7011–F4 to employers if we are
[Docket No: SSA–2018–0020]
(SSA) unable able to locate the earnings
Agency Information Collection information within our own records.
Social Security Administration,
Activities: Proposed Request and The respondents are employers who can
OLCA, Attn: Reports Clearance Director,
Comment Request verify wage allegations made by wage
3100 West High Rise, 6401 Security
The Social Security Administration Blvd., Baltimore, MD 21235, Fax: 410– earners.
(SSA) publishes a list of information 966–2830, Email address: Type of Request: Revision of an OMB-
collection packages requiring clearance OR.Reports.Clearance@ssa.gov. approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–7011–F4 .................................................................................................. 500 1 20 167
2. Request for Waiver of Overpayment extra money. These beneficiaries and determine how much the overpaid
Recovery and Request for Change in recipients can use Form SSA–632–BK to person can afford to repay each month.
Overpayment Recovery Rate—20 CFR request a waiver from repaying their Respondents are overpaid Social
404.502, 20 CFR 404.506–404.512, 20 overpayment. Beneficiaries and Security beneficiaries or SSI recipients
CFR 416.550–416.558, and 416.570– recipients can also use Form SSA–634 who are requesting: (1) A waiver of
416.571—0960–0037. When Social to request a change to the monthly recovery of an overpayment, or (2) a
Security beneficiaries and Supplemental recovery rate of their overpayment. The lesser rate of withholding,
Security Income (SSI) recipients receive respondents must provide financial Type of Request: Revision of an OMB-
an overpayment, they must return the information to help the agency approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–632—Waiver of Overpayment (If completing entire paper form, includ-
ing the AFI authorization) ............................................................................. 400,000 1 120 800,000
Regional Application (New York Debt Management) ...................................... 30,000 1 120 60,000
Internet Instructions ......................................................................................... 430,000 1 5 35,833
SSA–634—Requesting change in repayment rate (completing paper form) .. 100,000 1 45 75,000
amozie on DSK3GDR082PROD with NOTICES
Internet Instructions ......................................................................................... 100,000 1 5 8,333
Totals ........................................................................................................ 1,060,000 ........................ ........................ 979,166
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![Federal Register / Vol. 83, No. 90 / Wednesday, May 9, 2018 / Notices 21333
unfavorable disability cessation Type of Request: Revision of an OMB-
determination. approved information collection.
Estimated
Average total
Number of Frequency burden per
Modality of completion annual
respondents of response response burden
(minutes) (hours)
SSA–789–U4 ................................................................................................... 30,000 1 13 6,500
2. Waiver of Right to Appear— right to appear at a disability hearing. disability claimants for Social Security
Disability Hearing—20 CFR 404.913– The disability hearing officer uses the benefits or SSI payments, or their
404.914, 404.916(b)(5), 416.1413– signed form as a basis for not holding representatives, who wish to waive their
416.1414, 416.1416(b)(5)—0960–0534. a hearing, and for preparing a written right to appear at a disability hearing.
Claimants for Social Security disability decision on the claimant’s request for Type of Request: Revision of an OMB-
payments or their representatives can disability payments based solely on the
approved information collection.
use Form SSA–773–U4 to waive their evidence of record. The respondents are
Estimated
Average total
Number of Frequency burden per
Modality of completion annual
respondents of response response burden
(minutes) (hours)
SSA–773–U4 ................................................................................................... 200 1 3 10
3. Social Security Number addition, the employee’s name and SSN a cost-free method for employers to
Verification Services—20 CFR 401.45— must match SSA’s records for SSA to verify employee information via the
0960–0660. Internal Revenue Service post earnings to the employee’s earnings internet. The respondents are employers
regulations require employers to record, which SSA maintains. SSA who need to verify SSN data using
provide wage and tax data to SSA using offers the Social Security Number SSA’s records.
Form W–2, or its electronic equivalent. Verification Service (SSNVS), which
Type of Request: Revision of an OMB-
As part of this process, the employer allows employers to verify the reported
approved information collection.
must furnish the employee’s name and names and SSNs of their employees
Social Security number (SSN). In match those in SSA’s records. SSNVS is
Estimated
Average total
Number of Frequency Number of burden per
Modality of completion annual
respondents of response responses response burden
(minutes) (hours)
SSNVS ................................................................................. 41,387 60 2,483,220 5 206,935
Dated: May 3, 2018. Iran, North Korea, and Syria such items have the potential of making
Naomi R. Sipple, Nonproliferation Act. The Act provides a material contribution to WMD or
Reports Clearance Officer, Social Security for penalties on foreign entities and cruise or ballistic missile systems, items
Administration. individuals for the transfer to or on U.S. national control lists for WMD/
[FR Doc. 2018–09802 Filed 5–8–18; 8:45 am] acquisition from Iran since January 1, missile reasons that are not on
BILLING CODE 4191–02–P 1999; the transfer to or acquisition from multilateral lists, and other items with
Syria since January 1, 2005; or the the potential of making such a material
transfer to or acquisition from North contribution when added through case-
DEPARTMENT OF STATE Korea since January 1, 2006, of goods, by-case decisions.
services, or technology controlled under
[Public Notice: 10406] DATES: April 30, 2018.
multilateral control lists (Missile
Technology Control Regime, Australia FOR FURTHER INFORMATION CONTACT: On
Imposition of Nonproliferation Group, Chemical Weapons Convention, general issues: Pam Durham, Office of
Measures Against Rosoboronexport, Nuclear Suppliers Group, Wassenaar Missile, Biological, and Chemical
Including a Ban on U.S. Government Arrangement) or otherwise having the Nonproliferation, Bureau of
Procurement potential to make a material International Security and
amozie on DSK3GDR082PROD with NOTICES
AGENCY: Department of State. contribution to the development of Nonproliferation, Department of State,
ACTION: Notice. weapons of mass destruction (WMD) or Telephone (202) 647–4930, durhampk@
cruise or ballistic missile systems. The state.gov. For U.S. Government
SUMMARY: A determination has been latter category includes items of the procurement ban issues: Eric Moore,
made that a foreign person has engaged same kind as those on multilateral lists Office of the Procurement Executive,
in activities that warrant the imposition but falling below the control list Department of State, Telephone: (703)
of measures pursuant to Section 3 of the parameters when it is determined that 875–4079, mooren@state.gov.
VerDate Sep<11>2014 18:53 May 08, 2018 Jkt 244001 PO 00000 Frm 00077 Fmt 4703 Sfmt 4703 E:\FR\FM\09MYN1.SGM 09MYN1](https://thefederalregister.org/doc/83_FR_21418/page/6.svg)
Document Created: 2018-05-09 03:17:56
Document Modified: 2018-05-09 03:17:56
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 83 FR 21328 |
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