Professional Documents
Culture Documents
U.S. Small Business Administration, comments and recommendations Number of Respondents: 16,000.
Office of Small Business Development regarding the information collection(s) Frequency of Response: 1.
Centers, 409 3rd Street, SW., should be submitted to the OMB Desk Average Burden Per Response: 25
Washington, DC 20416, telephone (202) Officer and the SSA Reports Clearance minutes.
205–7045 or fax (202) 481–0681. Officer. The information can be mailed Estimated Annual Burden: 6,667
and/or faxed to the individuals at the hours.
Thomas Dwyer,
addresses and fax numbers listed below: 2. State Supplementation Provisions:
Committee Management Officer.
(OMB), Office of Management and Agreement; Payments—20 CFR
[FR Doc. E6–12146 Filed 7–28–06; 8:45 am]
Budget, Attn: Desk Officer for SSA, 416.2095–416.2098, 416.2099—0960–
BILLING CODE 8025–01–P
Fax: 202–395–6974. 0240. Section 1618 of the Social
(SSA), Social Security Administration, Security Act contains pass-along
DCFAM, Attn: Reports Clearance provisions of the Social Security
SOCIAL SECURITY ADMINISTRATION Officer, 1333 Annex Building, 6401 amendments. These provisions require
Security Blvd., Baltimore, MD 21235, that States which supplement the
Agency Information Collection Fax: 410–965–6400. Federal Supplemental Security Income
Activities: Proposed Request and
I. The information collections listed (SSI) payments also pass along Federal
Comment Request
below are pending at SSA and will be cost-of-living increases to individuals
The Social Security Administration submitted to OMB within 60 days from who are eligible for State supplemental
(SSA) publishes a list of information the date of this notice. Therefore, your payments. If a State fails to keep
collection packages that will require comments should be submitted to SSA payments at the required level, it
clearance by the Office of Management within 60 days from the date of this becomes ineligible for Medicaid
and Budget (OMB) in compliance with publication. You can obtain copies of reimbursement under Title XIX of the
Pub. L. 104–13, the Paperwork the collection instruments by calling the Social Security Act. In order to make
Reduction Act of 1995, effective October SSA Reports Clearance Officer at 410– sure the States are keeping the
1, 1995. The information collection 965–0454 or by writing to the address payments, they submit their payment
packages that may be included in this listed above. amounts to SSA. Seven of the
notice are for new information 1. Employment Relationship participating States may use a total-
collections, approval of existing Questionnaire—20 CFR 404.1007— expenditures method, in which they
information collections, revisions to 0960–0040. Form SSA–7160–F4 is used send their total expenditures to SSA
OMB-approved information collections, in developing the question of employer- four times per year to prove that they
and extensions (no change) of OMB- employee relationships, except where are maintaining the regulated cost-of-
approved information collections. the worker is an officer of a corporation. living increase. The remaining twenty
SSA is soliciting comments on the This form gathers the information three States send SSA one annual report
accuracy of the agency’s burden needed for developing the employment which shows that they have maintained
estimate; the need for the information; relationship, and determining whether a the cost-of-living increase as per the
its practical utility; ways to enhance its beneficiary is self-employed or an regulations. Respondents are State
quality, utility, and clarity; and on ways employee. Respondents are beneficiaries agencies administering supplemental
to minimize burden on respondents, questioning their status as employees programs.
including the use of automated and employers. Type of Request: Extension of an
collection techniques or other forms of Type of Request: Extension of an OMB-approved information collection.
information technology. Written OMB-approved information collection. Number of Respondents: 30.
Average Estimated
Number of Frequency
Reporting method burden per annual bur-
respondents of response response den hours
Estimated Annual Burden: 51 hours. from providing VR services for the validation review. This enables SSA to
3. Vocational Rehabilitation Provider beneficiaries. The information collected assess the appropriateness of its
Claim—20 CFR 404.2108(b), on the SSA–199 is used by SSA to reimbursement policies, and when/
404.2117(c)(1) and (2), 404.2101(b) and determine whether or not, and how where changes should be considered to
(c), 404.2121(a), 416.2208(b), much, to pay the VR agencies under ensure that maximum benefits from VR
416.2217(c)(1) and (2), 416.2201(b) and SSA’s VR program (20 CFR 404.2108(b) services are secured at the appropriate
(c), 416.2221(a)—0960–0310. SSA refers and 416.2208(b). level of cost to the trust/general funds.
certain disability beneficiaries to State (b) SSA requires the VR agencies to Respondents are State VR agencies
Vocational Rehabilitation (VR) agencies certify their adherence to cost who offer Vocational and Employment
for vocational rehabilitation services. containment policies and procedures to services for SSA beneficiaries.
Under Social Security regulations, the ensure that the costs we reimburse are
Type of Request: Revision of an OMB-
State VR agencies must report certain in accordance with these cost
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Federal Register / Vol. 71, No. 146 / Monday, July 31, 2006 / Notices 43271
Average Estimated
Number of Frequency Total
CFR sections burden per annual bur-
respondents of response responses response den hours
4. Medicare Part B Income-Related Medicare Part B beneficiaries believe form SSA–44, the Medicare Part B
Premium—Life-Changing Event Form— that more recent tax data should be used Income-Related Premium—Life-
0960–NEW. As per the Medicare because a life-changing event has Changing Event form. The respondents
Modernization Act of 2003, beginning in occurred that significantly reduces their are Medicare Part B beneficiaries who
January 2007 selected beneficiaries of income, they can report these changes to want SSA to use more recent income
Medicare Part B insurance will have to SSA and ask for a new initial data in determining the amount of their
pay a new income-related monthly determination of their IRMAA. SSA IRMAA.
adjustment amount (IRMAA). The believes that most respondents will go
amount of the IRMAA is based on to a field office and do this in person; Type of Request: New information
income tax return data obtained from however some respondents may choose collection.
the Internal Revenue Service. If affected to contact SSA by mail and they can use
Average Estimated
Number of Frequency burden per
Method of information collection annual bur-
respondents of response response den hours
(minutes)
Total Burden Hours: 79,905 hours. requirements in the notice. The projects from the various Protection and
4. Protection and Advocacy for funded under this grant are part of Advocacy (P&A) projects to manage
Beneficiaries of Social Security SSA’s strategy to increase the number of program performance. SSA uses the
(PABSS)—Program Performance beneficiaries who return to work and information to evaluate the efficacy of
Report—0960–NEW. achieve self-sufficiency as the result of the program and to ensure that those
Background receiving advocacy or other services. dollars appropriated for PABSS services
The overall goal of the program is to are being spent on SSA beneficiaries.
In August of 2004, SSA announced its
provide information and advice about The project data will be valuable to SSA
intention to award grants to establish
obtaining vocational rehabilitation and in its analysis of and future planning for
community-based protection and
employment services and to provide the Social Security Disability Insurance
advocacy projects in every State and
U.S. Territory, as authorized under advocacy or other services that a (SSDI) and SSI programs. The
section 1150 of the Social Security Act. beneficiary with a disability may need respondents to this collection are the 57
Potential awardees were protection and to secure, maintain, or regain gainful designated P&A project system sites in
advocacy organizations established employment. each of the fifty States, the District of
under Title I of the Developmental Collection Activity Columbia, and the U.S. Territories.
Disabilities Assistance and Bill of Rights Type of Request: New information
Act which submitted a timely The PABSS Program Performance collection.
application conforming to the Report collects statistical information
Average
Number of Respond- Frequency burden per
Title of collection annual ents of response response
(hours)
5. Pilot Program for Participating in Background or witnesses may appear before the ALJ
Administrative Law Judge Hearings by On February 3, 2003, the by video teleconferencing (68 FR No. 22,
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Using Privately Owned Video Commissioner of Social Security 5210). In that final rule we noted that
Teleconferencing (VTC) Equipment. published a final rule allowing SSA to dialing into SSA’s VTC network from
conduct hearings before administrative private facilities, such as facilities
law judges (ALJs) at which a party or owned by a law firm, could be possible
parties to the hearing and/or a witness at a future date. Appearances by video
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43272 Federal Register / Vol. 71, No. 146 / Monday, July 31, 2006 / Notices
teleconference are also central to the have been certified by the agency. representatives who elect to participate
rules for the new disability Representatives who are interested in in the pilot.
determination process (final rule participating in the pilot program or the The pilot is structured to begin with
published March 31, 2006 71 FR No. 62, permanent program will need to provide 10 private video sites expanding to 30
16423). Pursuant to these rules, SSA is some basic information about their private sites after a six month evaluation
now preparing to pilot a program location, the area they serve and their period. There will be a second
wherein private representatives and expected workload. Because private evaluation period after the 30 sites have
their clients may appear at ALJ hearings video sites are being used, the pilot operated for a six month period. SSA
using privately owned video equipment. guidelines provide for site inspections, will then make final decisions regarding
certain on-the-record certifications and operating procedures for a permanent
The VTC Activity
other claimant safeguards to help ensure program.
SSA plans to expand its Video that no claimants are disadvantaged by Type of Request: New Information
Teleconferencing program of Collection.
participating in their hearing from a
Administrative Law Judge hearings by Total Burden Hours for all
private site. Respondents to this
allowing these hearings to be conducted Collections: 717 burden hours (shown
from private representative sites that collection will be the claimant’s below).
PHASE-I
[10 sites for 6 months]
Average Estimated
Number of Frequency burden per
Collection activity annual bur-
respondents of response response den hours
(minutes)
PHASE-II
[30 sites for 6 months]
Average Estimated
Number of Frequency
Collection activity burden per annual bur-
respondents of response response den hours
II. The information collections listed respondents are applicants or claimants are the 52 State DDSs administering the
below have been submitted to OMB for for Social Security benefits or Title II and Title XVI programs.
clearance. Your comments on the Supplemental Security Income (SSI) Type of Request: Extension of an
information collections would be most payments. OMB-approved information collection.
useful if received by OMB and SSA Type of Request: Extension of an Number of Respondents: 52.
within 30 days from the date of this OMB-approved information collection. Frequency of Response: 20,595.
publication. You can obtain a copy of Number of Respondents: 49,000. Total Annual Responses: 1,070,940.
the OMB clearance packages by calling Average Burden Per Response: 15
Frequency of Response: 1. minutes.
the SSA Reports Clearance Officer at Average Burden Per Response: 13 Estimated Annual Burden: 267,735
410–965–0454, or by writing to the minutes. hours.
address listed above. Estimated Annual Burden: 10,617 3. Request for Internet Services-
1. Request for Reconsideration— hours. Password Authentication—20 CFR
Disability Cessation—20 CFR 404.909, 2. Psychiatric Review Technique—20 401.45—0960–0632. Password
416.1409—0960–0349. Form SSA–789– CFR 404.1520a, 416.920a—0960–0413. Authentication is used to establish a
U4 is used by claimants to request Form SSA–2506–BK assists the State password process for verifying the
reconsideration of a determination and Disability Determination Services identity of individuals who choose to
to indicate whether or not they wish to (DDSs) in evaluating mental use the Internet and Automated
appear at a disability hearing. This form impairments by helping to: organize and Telephone Response for conducting
can also be used to submit any present the mental findings in a clear, business with SSA. Services are
additional information/evidence for use concise and consistent manner; consider password protected when it is necessary
in the reconsidered determination and and evaluate all aspects of the mental due to the nature of the information
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to indicate if an interpreter is needed for impairment relevant to the individual’s being transmitted or because the
the hearing. SSA will use this ability to perform work-related mental requestor requires a higher level of
information to either arrange for a functions; and identify additional protection. The password process
hearing or to prepare a decision based evidence needed to determine allows requestors to establish their
on the evidence of record. The impairment severity. The respondents identities with SSA and create a
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Federal Register / Vol. 71, No. 146 / Monday, July 31, 2006 / Notices 43273
password which they can then use to Type of Request: Revision of an OMB- Frequency of Response: 1.
access their own personal information. approved information collection. Average Burden Per Response: 75
The respondents are individuals Number of Respondents: 1,000,000. minutes.
electing to do business with SSA Frequency of Response: 1.
through an electronic medium. Average Burden Per Response: 60 Estimated Annual Burden: 43,750
Type of Request: Revision of an OMB- minutes. hours.
approved information collection. Estimated Annual Burden: 1,000,000 6. Representative Payment Policies
Number of Respondents: 1,630,771. hours. Regulation—20 CFR 404.2011,
Frequency of Response: 1. 5. Disability Hearing Officer’s 404.2025, 416.611, 416.625—0960–
Average Burden Per Response: 10 Decision—Title XVI Disabled Child (DC) 0679. In cases where SSA determines
minutes. Continuing Disability Review—20 CFR that it is not in a beneficiary’s best
Estimated Annual Burden: 271,795 404.913–.914, 404.917, 416.994a, interest to receive payments directly as
hours. 416.1413–.1414, 416.1417—0960–0657. it may cause substantial harm, the
4. Function Report—Adult—Third Form SSA–1209–BK is used by the beneficiaries may dispute this decision.
Party—20 CFR 404.1512, 416.912— disability hearing officer conducting the If they do, they provide SSA with
0960–0635. The information collected disability hearing to prepare and issue information which SSA will take into
on the SSA–3380–BK is needed to make a written reconsidered determination— consideration when reevaluating the
determinations on SSI and Social specifically for evaluating Title XVI decision. Representative payees must
Security Disability (SSDI) claims. This childhood disability cases. The form also provide SSA with information
information is necessary for case provides the framework for addressing regarding their relationship,
development and adjudication, and is the crucial elements of the case in a responsibility, and how payments were
used by State DDS evaluators as an sequential and logical fashion, and the used for the beneficiary. Respondents
evidentiary source used in the disability completed form is the official document are beneficiaries and representative
evaluation process. The respondents are of the decision. Respondents are payees.
third parties familiar with the functional disability hearing officers in State DDSs.
limitations (or lack thereof) of claimants Type of Request: Extension of an Type of Request: Revision of an OMB-
who apply for SSDI benefits and SSI OMB-approved information collection. approved information collection.
payments. Number of Respondents: 35,000. Estimated Annual Burden: 363 hours.
Average Estimated
Number of Frequency burden per
CFR section annual bur-
respondents of response response den hours
(minutes)
7. Statement of Reclamation Action— Type of Request: Existing Information payees. The information collected
31 CFR 210—0960–NEW. Form SSA– Collection in Use Without an OMB during the interview is used to
1713 collects information regarding Number. determine whether SSI recipients have
whether, how and when a Canadian Number of Respondents: 15. met and continue to meet all statutory
bank was able to return erroneous Frequency of Response: 1. and regulatory requirements for SSI
payments made after the death of a Average Burden Per Response: 5 eligibility and whether they have been,
beneficiary who elected to have minutes. and are still receiving, the correct
payments sent to Canada. The SSA– Estimated Annual Burden: 1 hour. payment amount. Form SSA–8202–
1713 is sent with the SSA–1712, an 8. Statement for Determining
OCR–SM (Optical Character Recognition
SSA-generated cover sheet which Continuing Eligibility, Supplemental
Self-Mailer) collects information similar
provides the Canadian bank with Security Income Payment—20 CFR,
to that collected on Form SSA–8202–
information regarding the deceased Subpart D, 416.204—0960–0145. SSA
beneficiary. In this way, SSA can uses form SSA–8202–BK to conduct BK. However, it is used exclusively in
reclaim funds which were erroneously low- and middle-error-profile (LEP- LEP RZ cases on a 6-year cycle.
paid. The respondents are Canadian MEP) telephone or face-to-face Type of Request: Revision of an OMB-
financial institutions to which Social redetermination (RZ) interviews with approved collection.
Security payments have been made. SSI recipients and representative
Average Estimated
Number of Frequency burden per
Forms annual bur-
respondents of response response den hours
(minutes)
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43274 Federal Register / Vol. 71, No. 146 / Monday, July 31, 2006 / Notices
9. Statement for Determining determine whether SSI recipients have personal contact (face-to-face or
Continuing Eligibility, Supplemental met and continue to meet all statutory telephone interview) using the
Security Income Payment(s)—20 CFR and regulatory requirements for SSI automated Modernized SSI Claim
Subpart B, 416.204—0960–0416. SSA eligibility and whether they have been, System (MSSICS). The respondents are
uses the information collected on form and are still receiving, the correct recipients of Title XVI benefits.
SSA–8203–BK for high-error-profile payment amount. The information is Type of Request: Revision of an OMB-
(HEP) redeterminations of disability to normally completed in field offices by approved information collection.
Average Estimated
Number of Frequency burden per
Collection method annual bur-
respondents of response response den hours
(minutes)
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