83 FR 4722 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 83, Issue 22 (February 1, 2018)
Federal Register Volume 83, Issue 22 (February 1, 2018)
| Page Range | 4722-4725 | |
| FR Document | 2018-01947 |
[Federal Register Volume 83, Number 22 (Thursday, February 1, 2018)] [Notices] [Pages 4722-4725] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-01947] ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2018-0002] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes an extension of an OMB-approved information collection, a new information collection, 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-2018-0002]. 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 April 2, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Request for Reconsideration--Disability Cessation--20 CFR 404.909, 416.1409--0960-0349. When SSA determines that claimants' disabilities medically improved; ceased; or are no longer sufficiently disabling, these claimants may ask SSA to reconsider that determination. SSA uses Form SSA-789-U4 to arrange for a hearing or to prepare a decision based on the evidence of record. Specifically, claimants or their representatives use Form SSA-789-U4 to: (1) Ask SSA to reconsider a determination; (2) indicate if they wish to appear at a disability hearing; (3) submit any additional information or evidence for use in the reconsidered determination; and (4) indicate if they will need an interpreter for the hearing. The respondents are disability claimants for Social Security benefits or Supplemental Security Income (SSI) payments, or their representatives who wish to appeal an [[Page 4723]] unfavorable disability cessation determination. 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-789-U4.................................. 30,000 1 13 6,500 ---------------------------------------------------------------------------------------------------------------- 2. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913- 404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. Claimants for Social Security disability payments or their representatives can use Form SSA-773-U4 to waive their right to appear at a disability hearing. The disability hearing officer uses the signed form as a basis for not holding a hearing, and for preparing a written decision on the claimant's request for disability payments based solely on the evidence of record. The respondents are disability claimants for Social Security benefits or SSI payments, or their representatives, who wish to waive their right to appear at a disability hearing. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-773-U4.................................. 200 1 3 10 ---------------------------------------------------------------------------------------------------------------- 3. Social Security Number Verification Services--20 CFR 401.45-- 0960-0660. Internal Revenue Service regulations require employers to provide wage and tax data to SSA using Form W-2, or its electronic equivalent. As part of this process, the employer must furnish the employee's name and Social Security number (SSN). In addition, the employee's name and SSN must match SSA's records for SSA to post earnings to the employee's earnings record, which SSA maintains. SSA offers the Social Security Number Verification Service (SSNVS), which allows employers to verify the reported names and SSNs of their employees match those in SSA's records. SSNVS is a cost-free method for employers to verify employee information via the internet. The respondents are employers who need to verify SSN data using SSA's records. Type of Request: Revision of an OMB-approved information collection. -------------------------------------------------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of Number of per response annual burden respondents response responses (minutes) (hours) -------------------------------------------------------------------------------------------------------------------------------------------------------- SSNVS.............................................................. 41,387 60 2,483,220 5 206,935 -------------------------------------------------------------------------------------------------------------------------------------------------------- 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 March 5, 2018. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Statement of Interpreter--0960-NEW. SSA and the Disability Determination Services (DDS) will use Form SSA-4321, Statement of Interpreter, when a person requiring an interpreter prefers to provide their own interpreter during an interview or conversation between the person requiring an interpreter and SSA or DDS. SSA will require the interpreter sign Form SSA-4321, and confirm, among other things, that they will not knowingly give false information; they will act as an interpreter and witness; and they will accurately interpret the interview to the best of their ability. Section 205(a) of the Social Security Act (Act), as amended (42 U.S.C. 405(a)) authorizes SSA collect this information. Type of Request: A New Information Collection Request. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-4321.................................... 5,170,399 1 5 430,867 ---------------------------------------------------------------------------------------------------------------- 2. Application for Mother's or Father's Insurance Benefits--20 CFR 404.339-404.342, 20 CFR 404.601-404.603--0960-0003. Section 202(g) of the Act provides for the payment of monthly benefits to the widow or widower of an insured individual if the surviving spouse is caring for the deceased worker's child (who is entitled to Social Security benefits). SSA uses the information on Form SSA-5-BK to determine an individual's eligibility for mother's or father's insurance benefits. The respondents are individuals caring for a child of the deceased worker who [[Page 4724]] is applying for mother's or father's insurance benefits under the Old Age, Survivors, and Disability Insurance program. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-5-F6 (paper)............................ 6,542 1 15 1,636 Modernized Claims System.................... 42,175 1 15 10,544 ------------------------------------------------------------------- Totals.................................. 48,717 ............... ............... 12,180 ---------------------------------------------------------------------------------------------------------------- 3. Statement of Living Arrangements, In-Kind Support, and Maintenance--20 CFR 416.1130-416.1148--0960-0174. SSA determines SSI payment amounts based on applicants' and recipients' needs. We measure individuals' needs, in part, by the amount of income they receive, including in-kind support and maintenance in the form of food and shelter provided by other people. SSA uses Form SSA-8006-F4 to determine if in-kind support and maintenance exists for SSI applicants and recipients. This information also assists SSA in determining the income value of in-kind support and maintenance SSI applicants and recipients receive. The respondents are individuals who apply for SSI payments, or who complete an SSI eligibility redetermination. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-8006-F4................................. 173,380 1 7 20,228 ---------------------------------------------------------------------------------------------------------------- 4. Statement of Funds You Provided to Another and Statement of Funds You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA- 2854 (Statement of Funds You Provided to Another) and SSA-2855 (Statement of Funds You Received) to gather information to verify if a loan is bona fide for SSI recipients. The SSA-2854 asks the lender for details on the transaction, and Form SSA-2855 asks the borrower the same basic questions independently. Agency personnel then compare the two statements; gather evidence if needed; and make a decision on the validity of the bona fide status of the loan. For SSI purposes, we consider a loan bona fide if it meets these requirements:Must be between a borrower and lender with the understanding that the borrower has an obligation to repay the money; Must be in effect at the time the cash goes to the borrower, that is, the agreement cannot come after the cash is paid; and Must be enforceable under State law, often there are additional requirements from the State. SSA collects this information at the time of initial application for SSI, or at any point when an individual alleges being party to an informal loan while receiving SSI. SSA collects information on the informal loan through both interviews and mailed forms. The agency's field personnel conduct the interviews and mail the form(s) for completion, as needed. The respondents are SSI recipients and applicants, and individuals who lend money to them. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-2854.................................... 20,000 1 10 3,333 SSA-2855.................................... 20,000 1 10 3,333 ------------------------------------------------------------------- Totals.................................. 40,000 ............... ............... 6,666 ---------------------------------------------------------------------------------------------------------------- 5. Filing Claims Under the Federal Tort Claims Act--20 CFR 429.101- 429.110--0960-0667. The Federal Tort Claims Act is the legal mechanism for compensating persons injured by negligent or wrongful acts that occur during the performance of official duties by Federal employees. In accordance with the law, SSA accepts monetary claims filed under the Federal Tort Claims Act for damages against the United States, loss of property, personal injury, or death resulting from an SSA employee's wrongful act or omission. The regulation sections cleared under this information collection request require claimants to provide information SSA can use to investigate and determine whether to make an award, compromise, or settlement under the Federal Tort Claims Act. The respondents are individuals or entities making a claim under the Federal Tort Claims Act. Type of Request: Extension of an OMB-approved information collection. [[Page 4725]] ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- 429.102; 429.103 \1\........................ 1 ............... ............... 1 429.104(a).................................. 11 1 5 1 429.104(b).................................. 43 1 5 4 429.104(c).................................. 1 1 5 0 429.106(b).................................. 8 1 10 1 ------------------------------------------------------------------- Totals.................................. 64 ............... ............... 7 ---------------------------------------------------------------------------------------------------------------- \1\ The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because respondents complete OMB-approved Form SF-95. 6. Application for Extra Help with Medicare Prescription Drug Plan Costs--20 CFR 418.3101--0960-0696. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and the provision of subsidies for eligible Medicare beneficiaries. SSA uses Form SSA-1020 or the internet i1020, the Application for Extra Help with Medicare Prescription Drug Plan Costs, to obtain income and resource information from Medicare beneficiaries, and to make a subsidy decision. The respondents are Medicare beneficiaries applying for the Part D low-income subsidy. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1020.................................... 531,715 1 30 265,858 (paper application form).................... i1020....................................... 346,642 1 25 144,434 (online application)........................ Field office interview...................... 108,194 1 30 54,097 ------------------------------------------------------------------- Totals.................................. 986,551 ............... ............... 464,389 ---------------------------------------------------------------------------------------------------------------- Dated: January 26, 2018. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2018-01947 Filed 1-31-18; 8:45 am] BILLING CODE 4191-02-P
![4722 Federal Register / Vol. 83, No. 22 / Thursday, February 1, 2018 / Notices
matching program will be in effect for redetermines the eligibility and subsidy extension of an OMB-approved
a period of 18 months. amounts for these individuals, information collection, a new
ADDRESSES: Interested parties may thereafter. Also, section 1144 of the Act information collection, and revisions of
comment on this notice by either requires SSA to conduct outreach efforts OMB-approved information collections.
telefaxing to (410) 966–0869, writing to for MSP and subsidized Medicare SSA is soliciting comments on the
Mary Ann Zimmerman, Acting prescription drug coverage. accuracy of the agency’s burden
Executive Director, Office of Privacy estimate; the need for the information;
CATEGORIES OF INDIVIDUALS:
and Disclosure, Office of the General
The individuals whose information is its practical utility; ways to enhance its
Counsel, Social Security
Administration, 617 Altmeyer Building, involved in this matching program are: quality, utility, and clarity; and ways to
Medicare beneficiaries who are minimize burden on respondents,
6401 Security Boulevard, Baltimore, MD
potentially eligible for Extra Help with including the use of automated
21235–6401, or emailing
their Medicare prescription drug plan collection techniques or other forms of
Mary.Ann.Zimmerman@ssa.gov. All
costs. information technology. Mail, email, or
comments received will be available for
public inspection by contacting Ms. CATEGORIES OF RECORDS: fax your comments and
Zimmerman at this street address. VA/VBA will furnish SSA with an recommendations on the information
FOR FURTHER INFORMATION CONTACT: electronic file containing compensation collection(s) to the OMB Desk Officer
Interested parties may submit general and pension payment data monthly. The and SSA Reports Clearance Officer at
questions about the matching program actual matching will take place the following addresses or fax numbers.
to Mary Ann Zimmerman, Acting approximately the first week of every (OMB), Office of Management and
Executive Director, Office of Privacy month. Budget, Attn: Desk Officer for SSA,
and Disclosure, Office of the General SSA will conduct the match using the
Fax: 202–395–6974, Email address:
Counsel, by any of the means shown Social Security number, name, date of
birth, and VA/VBA claim number on OIRA_Submission@omb.eop.gov
above.
both the file and the Medicare Database (SSA), Social Security Administration,
Mary Ann Zimmerman, (MDB). SSA will match VA/VBA’s data OLCA, Attn: Reports Clearance
Acting Executive Director, Office of Privacy with data in SSA’s MDB system of Director, 3100 West High Rise, 6401
and Disclosure, Office of the General Counsel. Security Blvd., Baltimore, MD 21235,
records, 60–0321 to verify an
Participating Agencies: individual’s self-certification of Fax: 410–966–2830, Email address:
SSA and VA/VBA. eligibility for Extra Help. OR.Reports.Clearance@ssa.gov
AUTHORITY FOR CONDUCTING THE MATCHING
SYSTEM(S) OF RECORDS: Or you may submit your comments
PROGRAM: VA/VBA will provide SSA with online through www.regulations.gov,
Legal authorities for SSA to conduct electronic files containing compensation referencing Docket ID Number [SSA–
this computer matching are sections and pension payment data from its SOR 2018–0002].
1860D–14(a)(3), 1144(a)(1) and (b)(1) of entitled ‘‘Compensation, Pension, I. The information collections below
the Social Security Act (Act) (42 U.S.C. Education, and Vocational are pending at SSA. SSA will submit
1395w–114(a)(3), 1320b–14(a)(1) and Rehabilitation and Employment them to OMB within 60 days from the
(b)(1). Records—VA’’ (58VA21/22/28), date of this notice. To be sure we
republished with updated name at 74 consider your comments, we must
PURPOSE(S): FR 14865 (April 1, 2009) and last
The purpose of this matching program receive them no later than April 2, 2018.
amended at 77 FR 42593 (July 19, 2012). Individuals can obtain copies of the
is to set forth the conditions under SSA will match the VA/VBA data
which VA/VBA will provide SSA with collection instruments by writing to the
with SSA SOR 60–0321, SSA’s MDB
compensation and pension payment file, last published at 71 FR 42159 (July above email address.
data. This disclosure will provide SSA 25, 2006) and amended at 72 FR 6973 1. Request for Reconsideration—
with information necessary to verify an (December 10, 2007). Disability Cessation—20 CFR 404.909,
individual’s self-certification of The systems of records involved in 416.1409—0960–0349. When SSA
eligibility for the Medicare Prescription this matching program have routine determines that claimants’ disabilities
Drug (Medicare Part D) subsidy (Extra uses permitting the disclosures needed medically improved; ceased; or are no
Help). It will also enable SSA to identify to conduct this match. longer sufficiently disabling, these
individuals who may qualify for Extra [FR Doc. 2018–01967 Filed 1–31–18; 8:45 am] claimants may ask SSA to reconsider
Help as part of the agency’s Medicare BILLING CODE 4191–02–P that determination. SSA uses Form
outreach efforts. SSA–789–U4 to arrange for a hearing or
SSA will use VA/VBA’s data to to prepare a decision based on the
determine an individual’s eligibility for SOCIAL SECURITY ADMINISTRATION evidence of record. Specifically,
Extra Help and to identify such
[Docket No: SSA–2018–0002] claimants or their representatives use
individuals to the state agencies that
Form SSA–789–U4 to: (1) Ask SSA to
administer the Medicare Savings Agency Information Collection reconsider a determination; (2) indicate
Program (MSP), unless those Activities: Proposed Request and
individuals do not consent to share their if they wish to appear at a disability
Comment Request hearing; (3) submit any additional
information with the state agencies.
information or evidence for use in the
sradovich on DSK3GMQ082PROD with NOTICES
Under section 1860D–14 of the Act, The Social Security Administration
SSA is required to determine the (SSA) publishes a list of information reconsidered determination; and (4)
eligibility of applicants who self-certify collection packages requiring clearance indicate if they will need an interpreter
their income, resources, and family size by the Office of Management and for the hearing. The respondents are
for Extra Help. SSA is responsible for Budget (OMB) in compliance with disability claimants for Social Security
verifying, on a pre-enrollment basis, an Public Law 104–13, the Paperwork benefits or Supplemental Security
applicant’s income and resource Reduction Act of 1995, effective October Income (SSI) payments, or their
allegations. SSA periodically 1, 1995. This notice includes an representatives who wish to appeal an
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![Federal Register / Vol. 83, No. 22 / Thursday, February 1, 2018 / Notices 4725
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
429.102; 429.103 1 ........................................................................................... 1 ........................ ........................ 1
429.104(a) ........................................................................................................ 11 1 5 1
429.104(b) ........................................................................................................ 43 1 5 4
429.104(c) ........................................................................................................ 1 1 5 0
429.106(b) ........................................................................................................ 8 1 10 1
Totals ........................................................................................................ 64 ........................ ........................ 7
1 The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because respondents complete OMB-approved
Form SF–95.
6. Application for Extra Help with subsidies for eligible Medicare subsidy decision. The respondents are
Medicare Prescription Drug Plan beneficiaries. SSA uses Form SSA–1020 Medicare beneficiaries applying for the
Costs—20 CFR 418.3101—0960–0696. or the internet i1020, the Application Part D low-income subsidy.
The Medicare Modernization Act of for Extra Help with Medicare Type of Request: Revision of an OMB-
2003 mandated the creation of the Prescription Drug Plan Costs, to obtain approved information collection.
Medicare Part D prescription drug income and resource information from
coverage program and the provision of Medicare beneficiaries, and to make a
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
SSA–1020 ........................................................................................................
(paper application form) ................................................................................... 531,715 1 30 265,858
i1020 ................................................................................................................
(online application) ........................................................................................... 346,642 1 25 144,434
Field office interview ........................................................................................ 108,194 1 30 54,097
Totals ........................................................................................................ 986,551 ........................ ........................ 464,389
Dated: January 26, 2018. the rate of productivity growth in 2014 DEPARTMENT OF TRANSPORTATION
Naomi R. Sipple, relative to 2013 (1.018). Incorporating
Reports Clearance Officer, Social Security the 2015 value with the values from Federal Aviation Administration
Administration. 2011–2014 period produces a geometric
Public Notice for a Change in Use of
[FR Doc. 2018–01947 Filed 1–31–18; 8:45 am] average productivity growth of 0.994 for
Aeronautical Property at Los Angeles
BILLING CODE 4191–02–P the five-year period 2011–2015, or
International Airport, Los Angeles,
-0.6% per year.
California
DATES: Applicability Date: January 29,
SURFACE TRANSPORTATION BOARD AGENCY:Federal Aviation
2018.
[Docket No. EP 290 (Sub-No. 4)] Administration (FAA), DOT.
FOR FURTHER INFORMATION CONTACT: ACTION: Request for public comment.
Railroad Cost Recovery Procedures— Pedro Ramirez, (202) 245–0333. Federal
Productivity Adjustment Information Relay Service (FIRS) for the SUMMARY: The Federal Aviation
AGENCY: Surface Transportation Board. hearing impaired, (800) 877–8339. Administration (FAA) is requesting
public comment on Los Angeles World
ACTION:Adoption of Railroad Cost SUPPLEMENTARY INFORMATION:
Airports’ (LAWA) request to change
Recovery Procedures Productivity Additional information is contained in
approximately 5 acres of airport
Adjustment. the Board’s decision, which is available
property from aeronautical use to non-
on the Board’s website, http:// aeronautical use.
SUMMARY: In a decision served on
www.stb.gov. Copies of the decision may
January 29, 2018, the Surface The property is located at the
be purchased by contacting the Office of
Transportation Board adopted as final northeast intersection of Westchester
Public Assistance, Governmental
its calculation of the productivity Parkway and Falmouth Avenue. The
adjustment, with the linking factor for Affairs, and Compliance at (202) 245– property is currently vacant land with
the year 2015, proposed in its 0238. no structures onsite. LAWA requests to
September 29, 2017 decision in the develop the land with the Argo Drain
sradovich on DSK3GMQ082PROD with NOTICES
Decided: January 25, 2018.
same docket. See R.R. Cost Recovery By the Board, Board Members Begeman Sub-Basin Facility. The Sub-Basin
Procedures—Productivity Adjustment, and Miller. Facility is primarily an underground
EP 290 (Sub-No. 4), slip op. at 4 (STB Jeffrey Herzig, storm water treatment facility designed
served Sept. 29, 2017). The productivity to potentially allow open space uses on
Clearance Clerk.
change for 2015, based on changes in the surface. The Sub-Basin Facility also
[FR Doc. 2018–01966 Filed 1–31–18; 8:45 am]
input and output levels from 2014, is includes two above-ground elements: A
0.939, which is a decrease of 7.8% from BILLING CODE 4915–01–P pump facility and blower building.
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Document Created: 2018-10-26 13:48:03
Document Modified: 2018-10-26 13:48:03
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 83 FR 4722 |
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