[Federal Register Volume 72, Number 141 (Tuesday, July 24, 2007)]
[Notices]
[Pages 40353-40355]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-14147]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities; Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages that will require 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.
The information collection packages that may be included in this notice
are for new information collections, approval of existing information
collections, revisions to OMB-approved information collections, and
extensions (no change) 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed or e-mailed to the
individuals at the addresses and fax numbers listed below: (OMB) Office
of Management and Budget, Attn: Desk Officer for SSA, Fax: 202-395-
6974, E-mail address: [email protected]. (SSA) Social
Security Administration, DCBFM, Attn: Reports Clearance Officer, 1333
Annex Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: 410-965-
6400, E-mail address: [email protected].
I. The information collections listed below are pending at SSA and
will be submitted to OMB within 60 days from the date of this notice.
Therefore, your comments should be submitted to SSA within 60 days from
the date of this publication. You can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
0454 or by writing to the address listed above.
1. Statement of Agricultural Employer (Year Prior to 1988; and 1988
and later)--20 CFR 404.702, 404.802, 404.1056--0960-0036. The
information from forms SSA-1002-F3 and SSA-1003-F3 is used by SSA to
resolve discrepancies when farm workers allege their employers did not
report their wages, or reported the wages incorrectly. If an
agricultural employer has incorrectly reported wages, or failed to
report any wages for an employee, SSA must attempt to correct its
records by contacting the employer to obtain convincing evidence of the
wages paid. The respondents are agricultural employers having knowledge
of wages paid to agricultural employees.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 125,000.
Estimated Annual Burden: 62,500 hours.
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Average
Number of Frequency of burden per Total annual
Form number respondents response response burden
(minutes)
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SSA-1002........................................ 75,000 1 30 37,500
SSA-1003........................................ 50,000 1 30 25,000
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Total....................................... 125,000 .............. .............. 62,500
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2. Medical Report (General)--20 CFR 404.1512-404.1515, 416.912-
416.915--0960-0052. SSA, through its agents, the disability
determination services, uses form SSA-3826-F4 to collect medical
information needed to make disability determinations. The information
is used in determining the claimant's physical and mental status prior
to making a disability determination, and to document the disability
claims folder with the medical evidence. Thus, it provides disability
adjudicators and reviewers with a narrative record and history of the
alleged disability and with the objective medical findings necessary to
make a disability determination. SSA uses the medical evidence provided
on this form in making a determination of whether an individual's
impairment meets the severity and duration requirements required for
disability benefits. The respondents are members of the medical
community including individual and hospital physicians, medical records
librarians, and other medical sources.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 150,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 75,000 hours.
3. Request for Correction of Earnings Record--20 CFR 404.820 and
422.125-0960-0029. Form SSA-7008 is used by individual wage earners to
request SSA review and, if necessary, correct its master record of
their earnings. The respondents are individuals who question SSA's
record of their earnings.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 40354]]
Number of Respondents: 375,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 62,500 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 410-965-0454,
or by writing to the address listed above.
1. Statement for Determining Continuing Eligibility for
Supplemental Security Income Payments--Adult, Form SSA-3988; Statement
for Determining Continuing Eligibility for Supplemental Security Income
Payments--Child, Form SSA-3989--20 CFR Subpart B--416.204--0960-0643.
Forms SSA-3988 and SSA-3989 will be used to determine whether
Supplemental Security Income (SSI) recipients have met and continue to
meet all statutory and regulatory non-medical requirements for SSI
eligibility, and whether they have been and are still receiving the
correct payment amount. The SSA-3988 and SSA-3989 are designed as self-
help forms that will be mailed to recipients or to their representative
payees for completion and return to SSA. The respondents are recipients
of SSI payments or their representatives.
Type of Request: Revision to an existing OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Collection instrument respondents response response annual burden
(minutes) (hours)
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SSA-3988........................................ 30,000 1 26 13,000
SSA-3989........................................ 30,000 1 26 13,000
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Totals...................................... 60,000 .............. .............. 26,000
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2. eData Registration/Account Modification--20 CFR 401.45--0960-
NEW.
Collection Background
Section 5 U.S.C. 552a, (e) (10) of the Privacy Act of 1974 requires
agencies to establish appropriate administrative, technical, and
physical safeguards to ensure the security and confidentiality of
records. Also, Section (f) (2) & (3) requires agencies to establish
requirements for identifying an individual who requests a record or
information pertaining to that individual and to establish procedures
for disclosure of personal information. SSA promulgated Privacy Act
rules in the Code of Federal Regulations, Subpart B. Procedures for
verifying identity are at 20 CFR 401.45.
Collection Description
The eData Services Web site allows various external organizations
to submit files to a variety of SSA systems and in some cases receive
return files. The users include state/local government agencies, other
federal agencies, and some nongovernmental business entities. The SSA
systems that process data transferred via eData include, but are not
limited to, systems responsible for disability processing and benefit
determination or termination. The information collected on form SSA-118
(Government to Government Services Online Web site Registration Form)
to register organizations is used exclusively to maintain the identity
of the requester within eData. The requestor is already a known entity
to a sponsor within SSA. The SSA sponsor collects the information on
the registration form and submits it for internal processing. Once this
is completed, SSA provides the requestor with their new password and
conducts a walkthrough of the eData Web site as necessary. The
organization also can make modifications to their online account (e.g.,
address change) by completing an online form, SSA-119 (Government to
Government Service Online Web site Account Modification/Deletion Form).
Type of Request: Collection in use without OMB Control Number.
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Average
Number of Frequency of burden per Estimated
Collection instrument respondents response response annual burden
(minutes) (hours)
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SSA-118......................................... 925 1 15 231
SSA-119......................................... 1,575 1 15 394
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Totals...................................... 2,500 .............. .............. 625
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3. Certificate of Election for Reduced Widow(er)'s Benefits--20
CFR, Subpart D, 404.335--0960-NEW. Section 202(q) of the Social
Security Act provides for the authority to reduce benefits under
certain conditions when elected by a beneficiary. However, reduced
benefits are not payable to an already entitled spouse (or divorced
spouse) who:
Is at least age 62 and under full retirement age in the
month of the number holder's death; and
Is receiving both reduced spouse's (or divorced spouse's)
benefits and either retirement or disability benefits in the month
before the month of the number holder's death.
In order to elect reduced widow(er) benefits, a beneficiary must
complete form SSA-4111. SSA uses the information collected on form SSA-
4111 to determine eligibility for and pay a qualified dually entitled
widow(er) (or surviving divorced spouse) reduced benefits. The
respondents are qualified dually entitled widow(er) (or surviving
divorced spouse) who elects to receive a reduced widow(er) benefit.
Type of Request: Collection in use without OMB Control Number.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 1,000 hours.
[[Page 40355]]
4. Work History Report--20 CFR 404.1512 and 416.912-- 0960-0578.
The information collected by form SSA-3369 is needed to determine
disability by the State Disability Determination Services (DDS). The
information will be used to document an individual's past work history.
The respondents are applicants for Supplemental Security Income (SSI)
disability payments and Social Security disability benefits.
Type of Request: Extension of an OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Collection method respondents response response annual burden
(hours) (hours)
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SSA-3369 (Paper form)........................... 21,000 1 1 21,000
EDCS 3369....................................... 428,500 1 1 428,500
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Totals...................................... 449,500 .............. .............. 449,500
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SSA published a 60-day notice on March 15, 2007 at 72 FR 12244 and
a 30-day notice on May 9, 2007 at 72 FR 26443. We are publishing a
correction to these notices, reducing the number of respondents from
1,000,000 and correcting the average burden per response from 30
minutes.
Dated: July 17, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-14147 Filed 7-23-07; 8:45 am]
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