83_FR_38592 83 FR 38441 - Agency Information Collection Activities: Proposed Request and Comment Request

83 FR 38441 - Agency Information Collection Activities: Proposed Request and Comment Request

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 83, Issue 151 (August 6, 2018)

Page Range38441-38447
FR Document2018-16727

Federal Register, Volume 83 Issue 151 (Monday, August 6, 2018)
[Federal Register Volume 83, Number 151 (Monday, August 6, 2018)]
[Notices]
[Pages 38441-38447]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-16727]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2018-0044]


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 a new information collection, 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-2018-0044].
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than 
October 5, 2018. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits based on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the parent receives at 
least one-half support from the deceased worker. The one-half support 
requirement also applies to a spousal applicant in determining

[[Page 38442]]

whether OASDI benefits are subject to Government Pension Offset (GPO). 
SSA uses Form SSA-760-F4 to determine if the parent of a deceased 
worker or a spouse applicant meets the one-half support requirement. 
Respondents are parents of deceased workers, and spouses who may meet 
the GPO exception.
    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-760-F4..................................          18,000                1               15            4,500
----------------------------------------------------------------------------------------------------------------

    2. Application for Supplemental Security Income--20 CFR 416.207 and 
416.305-416.335, Subpart C--0960-0229. The Supplemental Security Income 
(SSI) program provides aged, blind, and disabled individuals who have 
little or no income, with funds for food, clothing, and shelter. 
Individuals complete Form SSA-8000-BK to apply for SSI. SSA uses the 
information from Form SSA-8000-BK, and its electronic Intranet 
counterpart, the SSI Claims System, to: (1) Determine whether SSI 
claimants meet all statutory and regulatory eligibility requirements; 
and (2) calculate SSI payment amounts. The respondents are applicants 
for SSI or their 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)
----------------------------------------------------------------------------------------------------------------
SSI Claims System...............................       1,212,512               1              35         707,299
SSA-8000 (Paper Form)...........................          20,941               1              41          14,310
                                                 ---------------------------------------------------------------
    Totals......................................       1,233,453  ..............  ..............         721,609
----------------------------------------------------------------------------------------------------------------

    3. Statement of Household Expenses and Contributions--20 CFR 
416.1130-416.1148--0960-0456. SSA bases eligibility for SSI on the 
needs of the recipient. In part, we assess need by determining the 
amount of income a recipient receives. This income includes in-kind 
support and maintenance in the form of food and shelter owners provide. 
SSA uses Form SSA-8011-F3 to determine whether the claimant or 
recipient receives in-kind support and maintenance. This is necessary 
to determine: (1) The claimant's or recipient's eligibility for SSI, 
and (2) the SSI payment amount. SSA only uses this form in cases where 
SSA needs the householder's (head of household) corroboration of in-
kind support and maintenance. The SSA-8011-F3 provides information, 
which could affect SSI eligibility and payment amount. The claim 
specialist collects the information on Form SSA-8011-F3 through 
telephone contact with the respondent, or through face-to-face 
interviews. The claims specialist records the information in our 
electronic SSI Claims System. When we use this procedure we do not use 
a paper Form SSA-8011-F3, and we do not need a wet signature, rather we 
require verbal attestation. However, when we use a paper form, we 
ensure the appropriate person, i.e., the householder signs the form, 
and then the claims specialist documents the information in the SSI 
Claims System; faxes the form into the appropriate electronic folder; 
and shreds form. Respondents are householders of homes in which an SSI 
applicant or recipient resides.
    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-8011-F3 (Paper Version).....................           8,233               1              15           2,058
SSA-8011-F3 (SSI Claims System).................         417,025               1              15         104,256
                                                 ---------------------------------------------------------------
    Total.......................................         425,258  ..............  ..............         106,314
----------------------------------------------------------------------------------------------------------------

    4. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals, 
businesses, organizations, entities, and government agencies seeking to 
use SSA's secured internet and telephone applications. Individuals need 
this verification to electronically request and exchange business data 
with SSA. Requestors provide SSA with the information needed to 
establish their identities. Once SSA verifies identity, the IRES system 
issues the requestor a user identification number and a password to 
conduct business with SSA. Respondents are employers; employees; third 
party submitters of wage data business entities providing taxpayer 
identification information; appointed representatives; representative 
payees; and data exchange partners conducting business in support of 
SSA programs.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 38443]]



----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations.....................         611,296               1               5          50,941
IRES Internet Requestors........................      15,692,525               1               2         523,084
IRES CS (CSA) Registrations.....................          20,621               1              11           3,781
                                                 ---------------------------------------------------------------
    Totals......................................      16,324,442  ..............  ..............         577,806
----------------------------------------------------------------------------------------------------------------

    5. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f--0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under Title II of the Social Security Act (Act) when their medical 
condition no longer permits them to perform substantial gainful 
activity. SSA uses Form SSA-371 to obtain: (1) A signed statement from 
individuals requesting an EXR of their Title II disability benefits; 
and (2) proof the requestors meet the EXR requirements. SSA maintains 
the form in the disability folder of the applicant to demonstrate the 
requestors' awareness of the EXR requirements, and their choice to 
request EXR. Respondents are applicants for EXR of Title II disability 
benefits.
    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-371.....................................          10,000                1                2              333
----------------------------------------------------------------------------------------------------------------

    6. Important Information About Your Appeal, Waiver Rights, and 
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally 
overpays beneficiaries, the agency informs them of the following 
rights: (1) The right to reconsideration of the overpayment 
determination; (2) the right to request a waiver of recovery and the 
automatic scheduling of a personal conference if SSA cannot approve a 
request for waiver; and (3) the availability of a different rate of 
withholding when SSA proposes the full withholding rate. SSA uses Form 
SSA-3105, Important Information About Your Appeal, Waiver Rights, and 
Repayment Options, to explain these rights to overpaid individuals and 
allow them to notify SSA of their decision(s) regarding these rights. 
The respondents are overpaid current, or former, beneficiaries 
requesting a waiver of recovery for the overpayment; reconsideration of 
the fact of the overpayment; or a lesser rate of withholding of the 
overpayment.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105 Paper form.............................         500,000               1              15         125,000
Debt Management System..........................         200,000               1              15          50,000
                                                 ---------------------------------------------------------------
    Totals......................................         700,000  ..............  ..............         175,000
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these information collections would 
be most useful if OMB and SSA receive them 30 days from the date of 
this publication. To be sure we consider your comments, we must receive 
them no later than September 5, 2018. Individuals can obtain copies of 
the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Fee Agreement for Representation before the Social Security 
Administration--0960-NEW. Under the Act, SSA requires individuals who 
represent a claimant before the agency and want to receive a fee for 
their services to obtain SSA's authorization of the fee. One way to 
obtain the authorization is to submit the fee agreement. To facilitate 
this process, individuals can use Form SSA-1693. SSA uses the 
information from the SSA-1693 to review the request and authorize any 
fee to representatives who seek to charge and collect a fee from a 
claimant. The respondents are the representatives who help claimants 
through the application process.
    Type of Request: Request for a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1693....................................         600,000                1               12          120,000
----------------------------------------------------------------------------------------------------------------


[[Page 38444]]

    2. Request for Waiver of Overpayment Recovery and Request for 
Change in Overpayment Recovery Rate--20 CFR 404.502, 404.506-404.512, 
416.550-416.558, and 416.570-416.571--0960-0037. When Social Security 
beneficiaries and 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 burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (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
----------------------------------------------------------------------------------------------------------------

    3. Employment Relationship Questionnaire--20 CFR 404.1007--0960-
0040. When SSA needs information to determine a worker's employment 
status for the purpose of maintaining a worker's earning records, the 
agency uses Form SSA-7160-F4 to determine the existence of an employer-
employee relationship. We use the information to develop the employment 
relationship; specifically, to determine whether a beneficiary is self-
employed or an employee. The respondents are individuals seeking to 
establish their status as employees, and their alleged employers.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Individuals.....................................           8,000               1              25           3,333
Businesses......................................           7,200               1              25           3,000
State/Local Government..........................             800               1              25             333
                                                 ---------------------------------------------------------------
     Totals.....................................          16,000  ..............  ..............           6,666
----------------------------------------------------------------------------------------------------------------

    4. State Supplementation Provisions: Agreement; Payments--20 CFR 
416.2095-416.2098, and 20 CFR 416.2099--0960-0240. Section 1618 of the 
Act requires those states administering their own supplementary income 
payment program(s) to demonstrate compliance with the Act by passing 
Federal cost-of-living increases on to individuals who are eligible for 
state supplementary payments, and informing SSA of their compliance. In 
general, states report their supplementary payment information annually 
by the maintenance-of-payment levels method. However, SSA may ask them 
to report up to four times in a year by the total-expenditures method. 
Regardless of the method, the states confirm their compliance with the 
requirements, and provide any changes to their optional supplementary 
payment rates. SSA uses the information to determine each state's 
compliance or noncompliance with the pass-along requirements of the Act 
to determine eligibility for Medicaid reimbursement. If a state fails 
to keep payments at the required level, it becomes ineligible for 
Medicaid reimbursement under Title XIX of the Act. Respondents are 
state agencies administering supplemental programs.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
     Modality of completion          Number of     Frequency of      Number of     per response    total annual
                                     responses       response        responses       (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Total Expenditures..............               7               4              28              60              28
Maintenance of Payment Levels...              26               1              26              60              26
                                 -------------------------------------------------------------------------------
    Total.......................              33  ..............  ..............  ..............              54
----------------------------------------------------------------------------------------------------------------

    5. Substitution of Party Upon Death of Claimant--20 CFR 
404.957(c)(4) and 416.1457(c)(4)--0960-0288. An administrative law 
judge (ALJ) may dismiss a request for a hearing on a pending claim of a 
deceased individual for Social Security benefits or SSI payments. 
Individuals who believe the dismissal may adversely affect them may 
complete Form HA-539, which allows them to request to become a 
substitute party for the deceased

[[Page 38445]]

claimant. The ALJs and the hearing office support staff use the 
information from the HA-539 to: (1) Maintain a written record of 
request; (2) establish the relationship of the requester to the 
deceased claimant; (3) determine the substituted individual's wishes 
regarding an oral hearing or decision on the record; and (4) admit the 
data into the claimant's official record as an exhibit. The respondents 
are individuals requesting to be substitute parties for a deceased 
claimant.
    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)
----------------------------------------------------------------------------------------------------------------
HA-539......................................           4,000                1                5              333
----------------------------------------------------------------------------------------------------------------

    6. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. SSA bases an SSI claimant or recipient's eligibility on 
need, as measured by the amount of income an individual receives. Per 
our calculations, income includes other people providing in-kind 
support and maintenance in the form of food and shelter to SSI 
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to 
obtain statements about food or shelter provided to SSI claimants or 
recipients. SSA uses this information to determine whether food or 
shelters are bona fide loans or income for SSI purposes. This 
determination may affect claimants' or recipients' eligibility for SSI 
as well as the amounts of their SSI payments. The respondents are 
claimants and recipients for SSI payments, and individuals who provide 
loans of food or shelter to them.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5062 Paper Form.............................          30,632               1              10           5,105
SSA-L5063 Paper Form............................          30,632               1              10           5,105
SSA-5062 SSI Claims System......................          30,632               1              10           5,105
SSA-L5063 SSI Claims System.....................          30,632               1              10           5,105
                                                 ---------------------------------------------------------------
    Total.......................................         122,528  ..............  ..............          20,420
----------------------------------------------------------------------------------------------------------------

    7. Application for Circuit Court Law--20 CFR 404.985 & 416.1458--
0960-0581. People claiming an acquiescence ruling (AR) would change 
SSA's prior determination or decision must submit a written 
readjudication request with specific information. SSA reviews the 
information in the requests to determine if the issues stated in the AR 
pertain to the claimant's case, and if the claimant is entitled to 
readjudication. If readjudication is appropriate, SSA considers the 
issues the AR covers. Any new determination or decision is subject to 
administrative or judicial review as specified in the regulations, and 
the claimants must provide information to request readjudication. 
Respondents are claimants for Social Security benefits and SSI payments 
who request readjudication.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
AR-based Readjudication Requests............          10,000                1               17            2,833
----------------------------------------------------------------------------------------------------------------

    8. Testimony by Employees and the Production of Records and 
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619. 
Regulations at 20 CFR 403.100-403.155 of the Code of Federal 
Regulations establish SSA's policies and procedures for an individual; 
organization; or government entity to request official agency 
information, records, or testimony of an agency employee in a legal 
proceeding when the agency is not a party. The request, which 
respondents submit in writing to SSA, must: (1) Fully set out the 
nature and relevance of the sought testimony; (2) explain why the 
information is not available by other means; (3) explain why it is in 
SSA's interest to provide the testimony; and (4) provide the date, 
time, and place for the testimony. Respondents are individuals or 
entities who request testimony from SSA employees in connection with a 
legal proceeding.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155......................             100                1               60              100
----------------------------------------------------------------------------------------------------------------


[[Page 38446]]

    9. Function Report Adult-Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security 
Disability Insurance (SSDI) or SSI provide SSA with medical evidence 
and other proof SSA requires to prove their disability. SSA, and 
Disability Determination Services (DDS) on our behalf, collect this 
information using Form SSA-3380-BK. We use the information to document 
how claimant's disabilities affect their ability to function, and to 
determine eligibility for SSI and SSDI claims. The respondents are 
third parties familiar with the functional limitations (or lack 
thereof) of claimants who apply for SSI and SSDI benefits.
    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-3380-BK.................................         709,700                1               61          721,528
----------------------------------------------------------------------------------------------------------------

    10. Request for Deceased Individual's Social Security Record--20 
CFR 402.130--0960-0665. When a member of the public requests an 
individual's Social Security record, SSA needs the name and address of 
the requestor as well as a description of the requested record to 
process the request. SSA uses the information the respondent provides 
on Form SSA-711, or via an internet request through SSA's electronic 
Freedom of Information Act (eFOIA) website, to (1) verify the wage 
earner is deceased and (2) access the correct Social Security record. 
Respondents are members of the public requesting deceased individuals' 
Social Security records.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA..................          49,800               1               7           5,810
SSA-711 (paper).................................             200               1               7              23
                                                 ---------------------------------------------------------------
    Total.......................................          50,000  ..............  ..............           5,833
----------------------------------------------------------------------------------------------------------------

    11. Certification of Prisoner Identity Information--20 CFR 
422.107--0960-0688. Inmates of Federal, State, or local prisons may 
need a Social Security card as verification of their Social Security 
number for school or work programs, or as proof of employment 
eligibility upon release from incarceration. Before SSA can issue a 
replacement Social Security card, applicants must show SSA proof of 
their identity. People who are in prison for an extended period 
typically do not have current identity documents. Therefore, under 
formal written agreement with the correctional institution, SSA allows 
prison officials to verify the identity of certain incarcerated U.S. 
citizens who need replacement Social Security cards. Information prison 
officials provide comes from the official prison files, sent on 
correctional facility letterhead. SSA uses this information to 
establish the applicant's identity in the replacement Social Security 
card process. The respondents are prison officials who certify the 
identity of prisoners applying for replacement Social Security cards.
    Type of Request: Extension of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average burden  Estimated total
                       Modality of completion                           Number of       Frequency of      Number of       per response    annual burden
                                                                        responses         response        responses        (minutes)         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements.......................           1,000              200          200,000                3           10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------

    12. 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 to SSA-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 burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640.....................................              10                1              120               20
----------------------------------------------------------------------------------------------------------------


[[Page 38447]]

    13. Notification of a Social Security Number (SSN) To An Employer 
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying 
for employment must provide a Social Security Number, or indicate they 
have applied for one. However, when an individual applies for an 
initial SSN, there is a delay between the assignment of the number and 
the delivery of the SSN card. At an individual's request, SSA uses Form 
SSA-132 to send the individual's SSN to an employer. Mailing this 
information to the employer: (1) Ensures the employer has the correct 
SSN for the individual; (2) allows SSA to receive correct earnings 
information for wage reporting purposes; and (3) reduces the delay in 
the initial SSN assignment and delivery of the SSN information directly 
to the employer. It also enables SSA to verify the employer as a 
safeguard for the applicant's personally identifiable information. The 
majority of individuals who take advantage of this option are in the 
United States with exchange visitor and student visas; however, we 
allow any applicant for an SSN to use the SSA-132. The respondents are 
individuals applying for an initial SSN who ask SSA to mail 
confirmation of their application or the SSN to their employers.
    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-132.....................................         326,000                1                2           10,867
----------------------------------------------------------------------------------------------------------------

    14. Social Security Administration Health IT Partner Program 
Assessment--Participating Facilities and Available Content Form--20 CFR 
404.1614 and 416.1014--0960-0798. The Health Information Technology for 
Economic and Clinical Health (HITECH) Act promotes the adoption and 
meaningful use of health information technology (IT), particularly in 
the context of working with government agencies. Similarly, section 
3004 of the Public Health Service Act requires health care providers or 
health insurance issuers with government contracts to implement, 
acquire, or upgrade their health IT systems and products to meet 
adopted standards and implementation specifications. To support 
expansion of SSA's health IT initiative as defined under HITECH, SSA 
developed Form SSA-680, the Health IT Partner Program Assessment--
participating Facilities and Available Content Form. The SSA-680 allows 
healthcare providers to provide the information SSA needs to determine 
their ability to exchange health information with us electronically. We 
evaluate potential partners (i.e., healthcare providers and 
organizations) on: (1) The accessibility of health information they 
possess; and (2) the content value of their electronic health records' 
systems for our disability adjudication processes. SSA reviews the 
completeness of organizations' SSA-680 responses as one part of our 
careful analysis of their readiness to enter into a health IT 
partnership with us. The respondents are healthcare providers and 
organizations exchanging information with the agency.
    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-680.....................................              30                1                5              150
----------------------------------------------------------------------------------------------------------------


    Date: August 1, 2018.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2018-16727 Filed 8-3-18; 8:45 am]
 BILLING CODE 4191-02-P



                                                                              Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices                                            38441

                                                member or person associated with a                      securities, the Pilot tier sizes work to              SOCIAL SECURITY ADMINISTRATION
                                                member, and the persons to whom such                    restrict customers from being able to
                                                                                                                                                              [Docket No: SSA–2018–0044]
                                                quotations may be supplied.                             trade their positions if the unsolicited
                                                   As stated in the Notice, FINRA                       customer order does not meet FINRA’s                  Agency Information Collection
                                                believes that making the Pilot tiers                    minimum tier size requirements.57 The                 Activities: Proposed Request and
                                                permanent would promote just and                        Commission notes that FINRA’s 2013                    Comment Request
                                                equitable principles of trade and protect               Assessment and its subsequent
                                                investors and the public interest. FINRA                assessment for the period covering July                  The Social Security Administration
                                                believes that the 2013 Assessment and                   1, 2013 through July 31, 2014 indicate                (SSA) publishes a list of information
                                                subsequent observations demonstrate                     that there was a meaningful increase in               collection packages requiring clearance
                                                that the Pilot has resulted in an                       the number of customer limit orders                   by the Office of Management and
                                                increased display of customer limit                     eligible for display. The Commission                  Budget (OMB) in compliance with
                                                orders. FINRA notes that the 2013                       agrees with FINRA that the minimum                    Public Law 104–13, the Paperwork
                                                Assessment found a 13% increase in the                  tier size requirements of FINRA Rule                  Reduction Act of 1995, effective October
                                                number of customer limit orders that                    6433, which have been in place on a                   1, 1995. This notice includes a new
                                                met the minimum quotation sizes                         Pilot basis, achieve a reasonable balance             information collection, extensions and
                                                eligible for display across all Pilot tiers,            between fostering customer limit order                revisions of OMB-approved information
                                                and FINRA’s updated data through July                   display and facilitating a meaningful                 collections.
                                                2014 shows an even greater increase of                  minimum dollar-value commitment to                       SSA is soliciting comments on the
                                                18.45% than otherwise would have                        the market for all displayed quotations.              accuracy of the agency’s burden
                                                been eligible for display. The increase in                 The Commission believes that the                   estimate; the need for the information;
                                                customer limit orders eligible for                      Pilot has accomplished its intended                   its practical utility; ways to enhance its
                                                display was significant in tiers that                   objectives and has realized its                       quality, utility, and clarity; and ways to
                                                make up substantial percentages of the                  anticipated benefits, including greater               minimize burden on respondents,
                                                overall volume transacted in OTC equity                 customer limit order display. At the                  including the use of automated
                                                securities.                                             same time, market quality indicators                  collection techniques or other forms of
                                                   In the Notice, FINRA further states its              during the Pilot suggest that the revised             information technology. Mail, email, or
                                                belief that any concerns about market                   tiers and evidence of greater customer                fax your comments and
                                                quality raised by public commenters                     limit order display did not result in a               recommendations on the information
                                                prior to the Commission’s approval of                   harmful reduction in liquidity for OTC                collection(s) to the OMB Desk Officer
                                                the Pilot have not materialized. In fact,               equity securities. The Commission                     and SSA Reports Clearance Officer at
                                                FINRA states that it believes that the                  believes that these results are consistent            the following addresses or fax numbers.
                                                Pilot has had a positive impact on OTC
                                                                                                        with FINRA’s assessment that the Pilot                (OMB) Office of Management and
                                                market quality for the majority of OTC
                                                                                                        has had a neutral to positive impact on                  Budget, Attn: Desk Officer for SSA,
                                                equity securities and the tiers set forth
                                                                                                        liquidity for the majority of OTC equity                 Fax: 202–395–6974, Email address:
                                                in the Pilot. FINRA believes that the
                                                                                                        securities and price tiers.58 At the same                OIRA_Submission@omb.eop.gov
                                                Pilot data shows overall a slight
                                                                                                        time, the Commission notes that there is              (SSA) Social Security Administration,
                                                reduction in spreads for most OTC
                                                                                                        inconclusive evidence regarding the                      OLCA, Attn: Reports Clearance
                                                equity securities with no negative (and
                                                                                                        effects of the Pilot on liquidity for the                Director, 3100 West High Rise, 6401
                                                perhaps a positive) impact on liquidity.
                                                   When the Commission approved the                     price tier for which the minimum                         Security Blvd., Baltimore, MD 21235,
                                                Pilot, it emphasized the potential                      quotation size requirement was                           Fax: 410–966–2830, Email address:
                                                benefit of increasing customer limit                    increased.59 In light of the foregoing, the              OR.Reports.Clearance@ssa.gov
                                                order display. For instance, the                        Commission believes that it is                           Or you may submit your comments
                                                Commission noted that increased limit                   consistent with the Act to adopt the                  online through www.regulations.gov,
                                                order display potentially could improve                 Pilot tiers, which have been in effect for            referencing Docket ID Number [SSA–
                                                the prices at which customer limit                      nearly six years, on a permanent basis.               2018–0044].
                                                orders would be executed, consistent                    IV. Conclusion                                           I. The information collections below
                                                with the protection of investors and the                                                                      are pending at SSA. SSA will submit
                                                public interest.54 The Commission also                    It is therefore ordered pursuant to                 them to OMB within 60 days from the
                                                stated its belief that greater customer                 Section 19(b)(2) 60 of the Exchange Act               date of this notice. To be sure we
                                                limit order display could increase quote                that the proposal (SR–FINRA–2018–                     consider your comments, we must
                                                competition, narrow spreads, and                        015) be and hereby is approved.                       receive them no later than October 5,
                                                increase the likelihood of price                          For the Commission, by the Division of              2018. Individuals can obtain copies of
                                                improvement for OTC equity                              Trading and Markets, pursuant to delegated            the collection instruments by writing to
                                                securities.55 The Commission has                        authority.61                                          the above email address.
                                                maintained a longstanding view that                     Robert W. Errett,                                        1. Certificate of Support—20 CFR
                                                there are benefits to promoting customer                Deputy Secretary.                                     404.370, 404.750, 404.408a—0960–
                                                limit order display.56                                  [FR Doc. 2018–16724 Filed 8–3–18; 8:45 am]            0001. A parent of a deceased, fully
                                                   As noted above, the sole commenter                   BILLING CODE 8011–01–P                                insured worker may be entitled to Social
                                                on the proposed rule change is                                                                                Security Old-Age, Survivors, and
                                                concerned that when a firm is quoting                                                                         Disability Insurance (OASDI) benefits
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                                                                                                          57 See  supra note 4.
                                                on an unsolicited basis in certain                        58 See  id. at 2.                                   based on the earnings record of the
                                                                                                          59 Id. The minimum quotation size requirement       deceased worker under certain
                                                  54 See Order Approving Tier Size Pilot, supra         increased for those securities prices between         conditions. One of the conditions is the
                                                note 10, 77 FR at 37466.                                $0.0001 and $0.0999. These securities are included
                                                  55 See id. at 37469.                                  in the lowest tier which requires a minimum
                                                                                                                                                              parent receives at least one-half support
                                                  56 See id. at 37469 n.168 (citing, among other        quotation size of 10,000 shares.                      from the deceased worker. The one-half
                                                things, the Commission’s 1996 Order Handling              60 15 U.S.C. 78s(b)(2).                             support requirement also applies to a
                                                Rules Release).                                           61 17 CFR 200.30–3(a)(12).                          spousal applicant in determining


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                                                38442                                    Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices

                                                whether OASDI benefits are subject to                                       spouse applicant meets the one-half                                spouses who may meet the GPO
                                                Government Pension Offset (GPO). SSA                                        support requirement. Respondents are                               exception.
                                                uses Form SSA–760–F4 to determine if                                        parents of deceased workers, and                                     Type of Request: Revision of an OMB-
                                                the parent of a deceased worker or a                                                                                                           approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                SSA–760–F4 ....................................................................................................            18,000                    1                         15                   4,500



                                                  2. Application for Supplemental                                           food, clothing, and shelter. Individuals                           regulatory eligibility requirements; and
                                                Security Income—20 CFR 416.207 and                                          complete Form SSA–8000–BK to apply                                 (2) calculate SSI payment amounts. The
                                                416.305–416.335, Subpart C—0960–                                            for SSI. SSA uses the information from                             respondents are applicants for SSI or
                                                0229. The Supplemental Security                                             Form SSA–8000–BK, and its electronic                               their representative payees.
                                                Income (SSI) program provides aged,                                         Intranet counterpart, the SSI Claims                                 Type of Request: Revision of an OMB-
                                                blind, and disabled individuals who                                         System, to: (1) Determine whether SSI
                                                                                                                                                                                               approved information collection.
                                                have little or no income, with funds for                                    claimants meet all statutory and

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                SSI Claims System ..........................................................................................                   1,212,512                        1                        35           707,299
                                                SSA–8000 (Paper Form) .................................................................................                           20,941                        1                        41            14,310

                                                      Totals ........................................................................................................          1,233,453   ........................   ........................        721,609



                                                   3. Statement of Household Expenses                                       SSI payment amount. SSA only uses                                  paper Form SSA–8011–F3, and we do
                                                and Contributions—20 CFR 416.1130–                                          this form in cases where SSA needs the                             not need a wet signature, rather we
                                                416.1148—0960–0456. SSA bases                                               householder’s (head of household)                                  require verbal attestation. However,
                                                eligibility for SSI on the needs of the                                     corroboration of in-kind support and                               when we use a paper form, we ensure
                                                recipient. In part, we assess need by                                       maintenance. The SSA–8011–F3                                       the appropriate person, i.e., the
                                                determining the amount of income a                                          provides information, which could                                  householder signs the form, and then
                                                recipient receives. This income includes                                    affect SSI eligibility and payment                                 the claims specialist documents the
                                                in-kind support and maintenance in the                                      amount. The claim specialist collects                              information in the SSI Claims System;
                                                form of food and shelter owners                                             the information on Form SSA–8011–F3                                faxes the form into the appropriate
                                                provide. SSA uses Form SSA–8011–F3                                          through telephone contact with the                                 electronic folder; and shreds form.
                                                to determine whether the claimant or                                        respondent, or through face-to-face                                Respondents are householders of homes
                                                recipient receives in-kind support and                                      interviews. The claims specialist                                  in which an SSI applicant or recipient
                                                maintenance. This is necessary to                                           records the information in our                                     resides.
                                                determine: (1) The claimant’s or                                            electronic SSI Claims System. When we                                Type of Request: Revision of an OMB-
                                                recipient’s eligibility for SSI, and (2) the                                use this procedure we do not use a                                 approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                SSA–8011–F3 (Paper Version) .......................................................................                               8,233                         1                        15             2,058
                                                SSA–8011–F3 (SSI Claims System) ...............................................................                                 417,025                         1                        15           104,256

                                                      Total ..........................................................................................................          425,258    ........................   ........................        106,314



                                                   4. Integrated Registration Services                                      business data with SSA. Requestors                                 business entities providing taxpayer
                                                (IRES) System—20 CFR 401.45—0960–                                           provide SSA with the information                                   identification information; appointed
                                                0626. The IRES System verifies the                                          needed to establish their identities.                              representatives; representative payees;
                                                identity of individuals, businesses,                                        Once SSA verifies identity, the IRES                               and data exchange partners conducting
                                                organizations, entities, and government                                     system issues the requestor a user
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                                                                                                                                                                                               business in support of SSA programs.
                                                agencies seeking to use SSA’s secured                                       identification number and a password to
                                                                                                                                                                                                 Type of Request: Revision of an OMB-
                                                internet and telephone applications.                                        conduct business with SSA.
                                                Individuals need this verification to                                       Respondents are employers; employees;                              approved information collection.
                                                electronically request and exchange                                         third party submitters of wage data




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                                                                                        Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices                                                                                    38443

                                                                                                                                                                                                                        Average                Estimated
                                                                                                                                                                         Number of         Frequency                  burden per              total annual
                                                                                        Modality of completion                                                          respondents       of response                  response                  burden
                                                                                                                                                                                                                       (minutes)                 (hours)

                                                IRES Internet Registrations .............................................................................                    611,296                         1                         5            50,941
                                                IRES Internet Requestors ................................................................................                 15,692,525                         1                         2           523,084
                                                IRES CS (CSA) Registrations .........................................................................                         20,621                         1                        11             3,781

                                                      Totals ........................................................................................................     16,324,442    ........................   ........................        577,806



                                                   5. Request for Reinstatement (Title                                     permits them to perform substantial                              to demonstrate the requestors’
                                                II)—20 CFR 404.1592b–404.1592f—                                            gainful activity. SSA uses Form SSA–                             awareness of the EXR requirements, and
                                                0960–0742. SSA allows certain                                              371 to obtain: (1) A signed statement                            their choice to request EXR.
                                                previously entitled disability                                             from individuals requesting an EXR of                            Respondents are applicants for EXR of
                                                beneficiaries to request expedited                                         their Title II disability benefits; and (2)                      Title II disability benefits.
                                                reinstatement (EXR) of benefits under                                      proof the requestors meet the EXR
                                                                                                                                                                                              Type of Request: Revision of an OMB-
                                                Title II of the Social Security Act (Act)                                  requirements. SSA maintains the form
                                                when their medical condition no longer                                     in the disability folder of the applicant                        approved information collection.

                                                                                                                                                                                                                        Average                Estimated
                                                                                                                                                                         Number of         Frequency                  burden per              total annual
                                                                                        Modality of completion                                                          respondents       of response                  response                  burden
                                                                                                                                                                                                                       (minutes)                 (hours)

                                                SSA–371 ..........................................................................................................        10,000                  1                          2                    333



                                                  6. Important Information About Your                                      SSA cannot approve a request for                                 rights. The respondents are overpaid
                                                Appeal, Waiver Rights, and Repayment                                       waiver; and (3) the availability of a                            current, or former, beneficiaries
                                                Options—20 CFR 404.502–521—0960–                                           different rate of withholding when SSA                           requesting a waiver of recovery for the
                                                0779. When SSA accidentally overpays                                       proposes the full withholding rate. SSA                          overpayment; reconsideration of the fact
                                                beneficiaries, the agency informs them                                     uses Form SSA–3105, Important                                    of the overpayment; or a lesser rate of
                                                of the following rights: (1) The right to                                  Information About Your Appeal, Waiver                            withholding of the overpayment.
                                                reconsideration of the overpayment                                         Rights, and Repayment Options, to
                                                                                                                                                                                               Type of Request: Revision of an OMB-
                                                determination; (2) the right to request a                                  explain these rights to overpaid
                                                waiver of recovery and the automatic                                       individuals and allow them to notify                             approved information collection.
                                                scheduling of a personal conference if                                     SSA of their decision(s) regarding these

                                                                                                                                                                                                                        Average                Estimated
                                                                                                                                                                         Number of         Frequency                  burden per              total annual
                                                                                        Modality of completion                                                          respondents       of response                  response                  burden
                                                                                                                                                                                                                       (minutes)                 (hours)

                                                SSA–3105 Paper form .....................................................................................                     500,000                        1                         15          125,000
                                                Debt Management System ..............................................................................                         200,000                        1                         15           50,000

                                                      Totals ........................................................................................................         700,000   ........................   ........................        175,000



                                                  II. SSA submitted the information                                        packages by writing to                                           agreement. To facilitate this process,
                                                collections below to OMB for clearance.                                    OR.Reports.Clearance@ssa.gov.                                    individuals can use Form SSA–1693.
                                                Your comments regarding these                                                1. Fee Agreement for Representation                            SSA uses the information from the
                                                information collections would be most                                      before the Social Security                                       SSA–1693 to review the request and
                                                useful if OMB and SSA receive them 30                                      Administration—0960–NEW. Under the                               authorize any fee to representatives who
                                                days from the date of this publication.                                    Act, SSA requires individuals who                                seek to charge and collect a fee from a
                                                To be sure we consider your comments,                                      represent a claimant before the agency                           claimant. The respondents are the
                                                we must receive them no later than                                         and want to receive a fee for their                              representatives who help claimants
                                                September 5, 2018. Individuals can                                         services to obtain SSA’s authorization of                        through the application process.
                                                obtain copies of the OMB clearance                                         the fee. One way to obtain the                                     Type of Request: Request for a new
                                                                                                                           authorization is to submit the fee                               information collection.
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                                                                                                                                                                                                                        Average                Estimated
                                                                                                                                                                         Number of         Frequency                  burden per              total annual
                                                                                        Modality of completion                                                          respondents       of response                  response                  burden
                                                                                                                                                                                                                       (minutes)                 (hours)

                                                SSA–1693 ........................................................................................................         600,000                 1                         12                 120,000




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                                                38444                                    Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices

                                                  2. Request for Waiver of Overpayment                                     recipients can use Form SSA–632–BK to                                       person can afford to repay each month.
                                                Recovery and Request for Change in                                         request a waiver from repaying their                                        Respondents are overpaid Social
                                                Overpayment Recovery Rate—20 CFR                                           overpayment. Beneficiaries and                                              Security beneficiaries or SSI recipients
                                                404.502, 404.506–404.512, 416.550–                                         recipients can also use Form SSA–634                                        who are requesting: (1) A waiver of
                                                416.558, and 416.570–416.571—0960–                                         to request a change to the monthly                                          recovery of an overpayment, or (2) a
                                                0037. When Social Security                                                 recovery rate of their overpayment. The                                     lesser rate of withholding.
                                                beneficiaries and SSI recipients receive                                   respondents must provide financial
                                                an overpayment, they must return the                                       information to help the agency                                                Type of Request: Revision of an OMB-
                                                extra money. These beneficiaries and                                       determine how much the overpaid                                             approved information collection.

                                                                                                                                                                                                                                   Average                Estimated
                                                                                                                                                                          Number of                   Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents                 of response                  response                  burden
                                                                                                                                                                                                                                  (minutes)                 (hours)

                                                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
                                                Internet Instructions .........................................................................................                   100,000                                1                        5             8,333

                                                      Totals ........................................................................................................           1,060,000          ........................   ........................        979,166



                                                  3. Employment Relationship                                               the agency uses Form SSA–7160–F4 to                                         or an employee. The respondents are
                                                Questionnaire—20 CFR 404.1007—                                             determine the existence of an employer-                                     individuals seeking to establish their
                                                0960–0040. When SSA needs                                                  employee relationship. We use the                                           status as employees, and their alleged
                                                information to determine a worker’s                                        information to develop the employment                                       employers.
                                                employment status for the purpose of                                       relationship; specifically, to determine                                      Type of Request: Revision of an OMB-
                                                maintaining a worker’s earning records,                                    whether a beneficiary is self-employed                                      approved information collection.

                                                                                                                                                                                                                                   Average                Estimated
                                                                                                                                                                          Number of                   Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents                 of response                  response                  burden
                                                                                                                                                                                                                                  (minutes)                 (hours)

                                                Individuals ........................................................................................................                   8,000                             1                       25             3,333
                                                Businesses .......................................................................................................                     7,200                             1                       25             3,000
                                                State/Local Government ..................................................................................                                800                             1                       25               333

                                                      Totals ........................................................................................................                16,000        ........................   ........................          6,666



                                                  4. State Supplementation Provisions:                                     general, states report their                                                compliance or noncompliance with the
                                                Agreement; Payments—20 CFR                                                 supplementary payment information                                           pass-along requirements of the Act to
                                                416.2095–416.2098, and 20 CFR                                              annually by the maintenance-of-                                             determine eligibility for Medicaid
                                                416.2099—0960–0240. Section 1618 of                                        payment levels method. However, SSA                                         reimbursement. If a state fails to keep
                                                the Act requires those states                                              may ask them to report up to four times                                     payments at the required level, it
                                                administering their own supplementary                                      in a year by the total-expenditures                                         becomes ineligible for Medicaid
                                                income payment program(s) to                                               method. Regardless of the method, the                                       reimbursement under Title XIX of the
                                                demonstrate compliance with the Act by                                     states confirm their compliance with the                                    Act. Respondents are state agencies
                                                passing Federal cost-of-living increases                                   requirements, and provide any changes                                       administering supplemental programs.
                                                on to individuals who are eligible for                                     to their optional supplementary
                                                state supplementary payments, and                                          payment rates. SSA uses the                                                   Type of Request: Extension of an
                                                informing SSA of their compliance. In                                      information to determine each state’s                                       OMB-approved information collection.

                                                                                                                                                                                                                                   Average                Estimated
                                                                                                                                                 Number of                 Frequency                  Number of                  burden per              total annual
                                                                           Modality of completion                                                responses                of response                 responses                   response                  burden
                                                                                                                                                                                                                                  (minutes)                 (hours)

                                                Total Expenditures ...............................................................                                7                           4                       28                         60                 28
                                                Maintenance of Payment Levels .........................................                                          26                           1                       26                         60                 26
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                                                      Total ..............................................................................                       33     ........................   ........................   ........................              54



                                                  5. Substitution of Party Upon Death of                                   dismiss a request for a hearing on a                                        dismissal may adversely affect them
                                                Claimant—20 CFR 404.957(c)(4) and                                          pending claim of a deceased individual                                      may complete Form HA–539, which
                                                416.1457(c)(4)—0960–0288. An                                               for Social Security benefits or SSI                                         allows them to request to become a
                                                administrative law judge (ALJ) may                                         payments. Individuals who believe the                                       substitute party for the deceased


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                                                                                         Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices                                                                                      38445

                                                claimant. The ALJs and the hearing                                          deceased claimant; (3) determine the                               exhibit. The respondents are individuals
                                                office support staff use the information                                    substituted individual’s wishes                                    requesting to be substitute parties for a
                                                from the HA–539 to: (1) Maintain a                                          regarding an oral hearing or decision on                           deceased claimant.
                                                written record of request; (2) establish                                    the record; and (4) admit the data into                              Type of Request: Revision of an OMB-
                                                the relationship of the requester to the                                    the claimant’s official record as an                               approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                HA–539 ............................................................................................................            4,000                 1                          5                    333



                                                   6. Claimant Statement about Loan of                                      support and maintenance in the form of                             may affect claimants’ or recipients’
                                                Food or Shelter; Statement about Food                                       food and shelter to SSI applicants or                              eligibility for SSI as well as the amounts
                                                or Shelter Provided to Another—20 CFR                                       recipients. SSA uses Forms SSA–5062                                of their SSI payments. The respondents
                                                416.1130–416.1148—0960–0529. SSA                                            and SSA–L5063 to obtain statements                                 are claimants and recipients for SSI
                                                bases an SSI claimant or recipient’s                                        about food or shelter provided to SSI                              payments, and individuals who provide
                                                eligibility on need, as measured by the                                     claimants or recipients. SSA uses this                             loans of food or shelter to them.
                                                amount of income an individual                                              information to determine whether food
                                                receives. Per our calculations, income                                      or shelters are bona fide loans or income                             Type of Request: Revision of an OMB-
                                                includes other people providing in-kind                                     for SSI purposes. This determination                               approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                SSA–5062 Paper Form ...................................................................................                           30,632                        1                        10                5,105
                                                SSA–L5063 Paper Form .................................................................................                            30,632                        1                        10                5,105
                                                SSA–5062 SSI Claims System .......................................................................                                30,632                        1                        10                5,105
                                                SSA–L5063 SSI Claims System ......................................................................                                30,632                        1                        10                5,105

                                                      Total ..........................................................................................................           122,528   ........................   ........................         20,420



                                                  7. Application for Circuit Court Law—                                     if the issues stated in the AR pertain to                          claimants must provide information to
                                                20 CFR 404.985 & 416.1458—0960–                                             the claimant’s case, and if the claimant                           request readjudication. Respondents are
                                                0581. People claiming an acquiescence                                       is entitled to readjudication. If                                  claimants for Social Security benefits
                                                ruling (AR) would change SSA’s prior                                        readjudication is appropriate, SSA                                 and SSI payments who request
                                                determination or decision must submit                                       considers the issues the AR covers. Any                            readjudication.
                                                a written readjudication request with                                       new determination or decision is subject
                                                                                                                                                                                                 Type of Request: Extension of an
                                                specific information. SSA reviews the                                       to administrative or judicial review as
                                                information in the requests to determine                                    specified in the regulations, and the                              OMB-approved information collection.

                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                AR-based Readjudication Requests ................................................................                          10,000                    1                         17                   2,833



                                                  8. Testimony by Employees and the                                         information, records, or testimony of an                           interest to provide the testimony; and
                                                Production of Records and Information                                       agency employee in a legal proceeding                              (4) provide the date, time, and place for
                                                in Legal Proceedings—20 CFR 403.100–                                        when the agency is not a party. The                                the testimony. Respondents are
                                                403.155—0960–0619. Regulations at 20                                        request, which respondents submit in                               individuals or entities who request
                                                CFR 403.100–403.155 of the Code of                                          writing to SSA, must: (1) Fully set out                            testimony from SSA employees in
                                                Federal Regulations establish SSA’s                                         the nature and relevance of the sought                             connection with a legal proceeding.
                                                policies and procedures for an                                              testimony; (2) explain why the
                                                                                                                                                                                                 Type of Request: Extension of an
                                                individual; organization; or government                                     information is not available by other
                                                entity to request official agency                                           means; (3) explain why it is in SSA’s                              OMB-approved information collection.
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                                                                                                                                                                                                                           Average                Estimated
                                                                                                                                                                          Number of           Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents         of response                  response                  burden
                                                                                                                                                                                                                          (minutes)                 (hours)

                                                20 CFR 403.100–403.155 ...............................................................................                         100                   1                         60                    100




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                                                38446                                    Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices

                                                  9. Function Report Adult-Third                                            SSA, and Disability Determination                                 claims. The respondents are third
                                                Party—20 CFR 404.1512 & 416.912—                                            Services (DDS) on our behalf, collect                             parties familiar with the functional
                                                0960–0635. Individuals receiving or                                         this information using Form SSA–3380–                             limitations (or lack thereof) of claimants
                                                applying for Social Security Disability                                     BK. We use the information to                                     who apply for SSI and SSDI benefits.
                                                Insurance (SSDI) or SSI provide SSA                                         document how claimant’s disabilities                                Type of Request: Revision of an OMB
                                                with medical evidence and other proof                                       affect their ability to function, and to
                                                                                                                                                                                              approved information collection.
                                                SSA requires to prove their disability.                                     determine eligibility for SSI and SSDI

                                                                                                                                                                                                                          Average                Estimated
                                                                                                                                                                          Number of          Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents        of response                  response                  burden
                                                                                                                                                                                                                         (minutes)                 (hours)

                                                SSA–3380–BK .................................................................................................              709,700                  1                         61                 721,528



                                                  10. Request for Deceased Individual’s                                     record to process the request. SSA uses                           Social Security record. Respondents are
                                                Social Security Record—20 CFR                                               the information the respondent provides                           members of the public requesting
                                                402.130—0960–0665. When a member                                            on Form SSA–711, or via an internet                               deceased individuals’ Social Security
                                                of the public requests an individual’s                                      request through SSA’s electronic                                  records.
                                                Social Security record, SSA needs the                                       Freedom of Information Act (eFOIA)                                  Type of Request: Revision of an OMB-
                                                name and address of the requestor as                                        website, to (1) verify the wage earner is
                                                                                                                                                                                              approved information collection.
                                                well as a description of the requested                                      deceased and (2) access the correct

                                                                                                                                                                                                                          Average                Estimated
                                                                                                                                                                          Number of          Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents        of response                  response                  burden
                                                                                                                                                                                                                         (minutes)                 (hours)

                                                Internet Request through eFOIA .....................................................................                             49,800                        1                          7              5,810
                                                SSA–711 (paper) .............................................................................................                       200                        1                          7                 23

                                                      Total ..........................................................................................................           50,000   ........................   ........................            5,833



                                                  11. Certification of Prisoner Identity                                    of their identity. People who are in                              comes from the official prison files, sent
                                                Information—20 CFR 422.107—0960–                                            prison for an extended period typically                           on correctional facility letterhead. SSA
                                                0688. Inmates of Federal, State, or local                                   do not have current identity documents.                           uses this information to establish the
                                                prisons may need a Social Security card                                     Therefore, under formal written                                   applicant’s identity in the replacement
                                                as verification of their Social Security                                    agreement with the correctional                                   Social Security card process. The
                                                number for school or work programs, or                                      institution, SSA allows prison officials                          respondents are prison officials who
                                                as proof of employment eligibility upon                                     to verify the identity of certain                                 certify the identity of prisoners applying
                                                release from incarceration. Before SSA                                      incarcerated U.S. citizens who need                               for replacement Social Security cards.
                                                can issue a replacement Social Security                                     replacement Social Security cards.                                  Type of Request: Extension of an
                                                card, applicants must show SSA proof                                        Information prison officials provide                              OMB-approved information collection.

                                                                                                                                                                                                                          Average                Estimated
                                                                                                                                                  Number of               Frequency          Number of                  burden per              total annual
                                                                           Modality of completion                                                 responses              of response         responses                   response                  burden
                                                                                                                                                                                                                         (minutes)                 (hours)

                                                Verification of Prisoner Identity Statements ........................                                1,000                     200             200,000                         3                  10,000



                                                  12. Request to Pay Civil Monetary by                                      installment agreement. To negotiate a                             repayment rate for individuals owing a
                                                Installment Agreement—20 CFR 498—                                           monthly payment amount, fair to both                              CMP. The respondents are recipients of
                                                0960–0776. When SSA imposes a civil                                         the individual and the agency, SSA                                Social Security benefits and non-
                                                monetary penalty (CMP) on individuals                                       needs financial information from the                              entitled individuals who must repay a
                                                for various fraudulent conduct related to                                   individual. SSA uses Form SSA–640,                                CMP to the agency and choose to do so
                                                SSA-administrated programs, those                                           Financial Disclosure for CMP Debt, to                             using an installment plan.
                                                individuals may request to pay the CMP                                      obtain the information necessary to                                 Type of Request: Revision of an OMB-
                                                through benefit withholding, or an                                          determine a monthly installment                                   approved information collection.
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                                                                                                                                                                                                                          Average                Estimated
                                                                                                                                                                          Number of          Frequency                  burden per              total annual
                                                                                        Modality of completion                                                           respondents        of response                  response                  burden
                                                                                                                                                                                                                         (minutes)                 (hours)

                                                SSA–640 ..........................................................................................................             10                   1                        120                    20




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                                                                                        Federal Register / Vol. 83, No. 151 / Monday, August 6, 2018 / Notices                                                             38447

                                                  13. Notification of a Social Security                                  individual’s SSN to an employer.                               information. The majority of individuals
                                                Number (SSN) To An Employer for                                          Mailing this information to the                                who take advantage of this option are in
                                                Wage Reporting—20 CFR 422.103(a)—                                        employer: (1) Ensures the employer has                         the United States with exchange visitor
                                                0960–0778. Individuals applying for                                      the correct SSN for the individual; (2)                        and student visas; however, we allow
                                                employment must provide a Social                                         allows SSA to receive correct earnings                         any applicant for an SSN to use the
                                                Security Number, or indicate they have                                   information for wage reporting                                 SSA–132. The respondents are
                                                applied for one. However, when an                                        purposes; and (3) reduces the delay in                         individuals applying for an initial SSN
                                                individual applies for an initial SSN,                                   the initial SSN assignment and delivery                        who ask SSA to mail confirmation of
                                                there is a delay between the assignment                                  of the SSN information directly to the                         their application or the SSN to their
                                                of the number and the delivery of the                                    employer. It also enables SSA to verify                        employers.
                                                SSN card. At an individual’s request,                                    the employer as a safeguard for the                              Type of Request: Revision of an OMB-
                                                SSA uses Form SSA–132 to send the                                        applicant’s personally identifiable                            approved information collection.

                                                                                                                                                                                                            Average     Estimated
                                                                                                                                                                      Number of         Frequency         burden per   total annual
                                                                                        Modality of completion                                                       respondents       of response         response       burden
                                                                                                                                                                                                           (minutes)      (hours)

                                                SSA–132 ..........................................................................................................     326,000              1                 2          10,867



                                                  14. Social Security Administration                                     upgrade their health IT systems and                            of health information they possess; and
                                                Health IT Partner Program                                                products to meet adopted standards and                         (2) the content value of their electronic
                                                Assessment—Participating Facilities                                      implementation specifications. To                              health records’ systems for our
                                                and Available Content Form—20 CFR                                        support expansion of SSA’s health IT                           disability adjudication processes. SSA
                                                404.1614 and 416.1014—0960–0798.                                         initiative as defined under HITECH,                            reviews the completeness of
                                                The Health Information Technology for                                    SSA developed Form SSA–680, the                                organizations’ SSA–680 responses as
                                                Economic and Clinical Health (HITECH)                                    Health IT Partner Program                                      one part of our careful analysis of their
                                                Act promotes the adoption and                                            Assessment—participating Facilities                            readiness to enter into a health IT
                                                meaningful use of health information                                     and Available Content Form. The SSA–                           partnership with us. The respondents
                                                technology (IT), particularly in the                                     680 allows healthcare providers to
                                                                                                                                                                                        are healthcare providers and
                                                context of working with government                                       provide the information SSA needs to
                                                                                                                                                                                        organizations exchanging information
                                                agencies. Similarly, section 3004 of the                                 determine their ability to exchange
                                                                                                                                                                                        with the agency.
                                                Public Health Service Act requires                                       health information with us
                                                health care providers or health                                          electronically. We evaluate potential                            Type of Request: Revision of an OMB-
                                                insurance issuers with government                                        partners (i.e., healthcare providers and                       approved information collection.
                                                contracts to implement, acquire, or                                      organizations) on: (1) The accessibility

                                                                                                                                                                                                            Average     Estimated
                                                                                                                                                                      Number of         Frequency         burden per   total annual
                                                                                        Modality of completion                                                       respondents       of response         response       burden
                                                                                                                                                                                                           (minutes)      (hours)

                                                SSA–680 ..........................................................................................................         30               1                 5            150



                                                  Date: August 1, 2018.                                                  publishes details of the new system as                         Rise, 6401 Security Boulevard,
                                                Faye Lipsky,                                                             set forth under the caption,                                   Baltimore, Maryland 21235–6401, or
                                                Reports Clearance Director, Social Security                              SUPPLEMENTARY INFORMATION.                                     through the Federal e-Rulemaking Portal
                                                Administration.                                                          DATES: The system of records notice                            at http://www.regulations.gov, please
                                                [FR Doc. 2018–16727 Filed 8–3–18; 8:45 am]                               (SORN) is applicable upon its                                  reference docket number SSA–2018–
                                                BILLING CODE 4191–02–P                                                   publication in today’s Federal Register,                       0046. All comments we receive will be
                                                                                                                         with the exception of the routine uses,                        available for public inspection at the
                                                                                                                         which are effective September 5, 2018.                         above address and we will post them to
                                                SOCIAL SECURITY ADMINISTRATION                                           We invite public comment on the                                http://www.regulations.gov.
                                                [Docket No. SSA–2018–0046]                                               routine uses or other aspects of this                          FOR FURTHER INFORMATION CONTACT:
                                                                                                                         SORN. In accordance with 5 U.S.C.                              Navdeep Sarai, Government Information
                                                Privacy Act of 1974; System of                                           552a(e)(4) and (e)(11), the public is                          Specialist, Privacy Implementation
                                                Records                                                                  given a 30-day period in which to                              Division, Office of Privacy and
                                                                                                                         submit comments. Therefore, please                             Disclosure, Office of the General
                                                AGENCY:  Office of the General Counsel,
                                                                                                                         submit any comments by September 5,                            Counsel, SSA, Room G–401 West High
                                                Social Security Administration (SSA).
                                                                                                                         2018.                                                          Rise, 6401 Security Boulevard,
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                                                ACTION: Notice of a new system of                                                                                                       Baltimore, Maryland 21235–6401,
                                                records.                                                                 ADDRESSES: The public, Office of
                                                                                                                         Management and Budget (OMB), and                               telephone: (410) 965–2997, email:
                                                SUMMARY:   In accordance with the                                        Congress may comment on this                                   Navdeep.Sarai@ssa.gov.
                                                Privacy Act, we are issuing public                                       publication by writing to the Executive                        SUPPLEMENTARY INFORMATION: We are
                                                notice of our intent to establish a new                                  Director, Office of Privacy and                                establishing the General Law Litigation
                                                system of records entitled, General Law                                  Disclosure, Office of the General                              Files to cover information we collect
                                                Litigation Files (60–0272). This notice                                  Counsel, SSA, Room G–401 West High                             about individuals (including but not


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Document Created: 2018-11-06 10:37:02
Document Modified: 2018-11-06 10:37:02
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
DatesAugust 1, 2018. Faye Lipsky, Reports Clearance Director, Social Security Administration. [FR Doc. 2018-16727 Filed 8-3-18; 8:45 am]
FR Citation83 FR 38441 

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