Agency Information Collection Activities: Proposed Request and Comment Request
Federal Information & News Dispatch, Inc. |
Citation: "79 FR 26798"
"Notices"
The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the
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)
(SSA)
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
1. Statement Regarding Date of Birth and Citizenship--20CFR 404.716-- 0960-0016. Section 205(a) of the Social Security Act (Act) gives the Commissioner of SSA the authority to make rules and regulations, and to establish procedures for collecting evidence from individuals applying for
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per total annual response burden (minutes) (hours) SSA-7157 1,200 1 10 200
2. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4), 416.1540(b)(4), and 405 Subpart C--0960-0144. SSA requires disability applicants who wish to appeal an unfavorable disability determination to complete Form SSA-3441-BK, the associated Electronic Disability Collect System (EDCS) interview, or the Internet application, i3441. This allows claimants to disclose any changes to their disability or resources that might influence SSA's unfavorable determination. We may use the information to: (1) Reconsider and review an initial disability determination; (2) review a continuing disability; and (3) evaluate a request for a hearing. This information assists the State Disability Determination Services (DDS) and administrative law judges (ALJ) in preparing for the appeals and hearings, and in issuing a determination or decision on an individual's entitlement (initial or continuing) to disability benefits. In addition, the information we collect on the SSA-3441-BK facilitates SSA's collection of medical information to support the applicant's request for reconsideration; request for benefits cessation appeal; and request for a hearing before an ALJ. Respondents are individuals who appeal denial, reduction, or cessation of
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per total annual response burden (minutes) (hours) SSA-3441-BK 2,396 1 45 1,797 Electronic 476,771 1 45 357,578 Disability Collect System (EDCS) i3441 1,046,938 1 28 488,571 (Internet) Totals 1,526,105 847,946
3. Request for Hearing by Administrative Law Judge--20 CFR 404.929, 404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269. When SSA denies applicants' or beneficiaries' requests for new or continuing benefits, the Act entitles those applicants or beneficiaries to request a hearing to appeal the decision. To request a hearing, individuals complete Form HA-501, the associated Modernized Claims System (MCS) or Modernized Supplemental Security Income Claims System (MSSICS) interview, or the Internet application (i501). SSA uses the information to determine if the individual: (1) Filed the request within the prescribed time; (2) is the proper party; and (3) took the steps necessary to obtain the right to a hearing. SSA also uses the information to determine: (1) The individual's reason(s) for disagreeing with SSA's prior determinations in the case; (2) if the individual has additional evidence to submit; (3) if the individual wants an oral hearing or a decision on the record; and (4) whether the individual has (or wants to appoint) a representative. The respondents are
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per total annual response burden (minutes) (hours) HA-501; 25,953 1 10 4,326 Modernized Claims System (MCS); Modernized Supplemental Security Income Claims System (MSSICS) I501 (Internet 643,516 1 5 53,626 iAppeals) Totals 669,469 57,952
4. Application for Benefits under a U.S. International Social Security Agreement--20 CFR 404.1925-- 0960-0448. Section 233(a) of the Act authorizes the President of
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per total annual response burden (minutes) (hours) SSA-2490-BK 14,175 1 30 7,088 (MCS) SSA-2490-BK 2,025 1 30 1,013 (paper) Totals 16,200 8,101
5. Information Collections Conducted by State Disability Determination Services on Behalf of SSA--20 CFR, subpart P, 404.1503a, 404.1512, 404.1513, 404.1514 404.1517, 404.1519; 20 CFR subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 416.1013, 416.1024, 416.1014--0960-0555. State DDSs collect the information necessary to administer the
Type of Request: Revision of an OMB-approved information collection.
CE Collections
There are three CE information collections: (1) Medical evidence about claimants' medical condition(s) that DDS's use to make disability determinations when the claimant's own medical sources cannot or will not provide the required information, and proof of credentials from CE providers; (2) CE appointment letters; and (3) CE claimant reports sent to claimants' doctors.
(1) Medical Evidence and Credentials From CE Providers GOES
Modality of Number of Frequency Average Total completion respondents of response burden per estimated response annual burden (minutes) (hours) CE Paper 1,400,000 1 30 700,000 Submissions CE Electronic 300,000 1 15 75,000 Submissions Totals 1,700,000 775,000
(2) CE Appointment Letters and (3) CE Claimants' Report to Medical Providers GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per annual burden response (hours) (minutes) (b) CE 880,000 1 5 73,333 Appointment Letters (c) CE 450,000 1 5 37,500 Claimants' Report to Medical Providers Totals 1,330,000 110,833
MER Collections
The DDS's collect MER information from the claimant's medical sources to determine a claimant's physical or mental status prior to making a disability determination. GOES
Modality of Number of Frequency of Average Total completion respondents response burden per estimated response annual burden (minutes) (hours) Paper 3,150,000 1 20 1,050,000 Submissions Electronic 9,450,000 1 12 1,890,000 Submissions Totals 12,600,000 2,940,000
Pain or Other Symptoms--Impairment Information From Claimants
The DDSs use information about pain or symptoms to determine how pain or symptoms affect the claimant's ability to do work-related activities prior to making a disability determination. GOES
Modality of Number of Frequency of Average Total completion respondents response burden per estimated response annual burden (minutes) (hours) Pain or Other 2,100,000 1 20 700,000 Symptoms
The total estimated annual burden for all of the categories described in this information collection is 4,525,833 hours.
6. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407- 416.1421, 408.1009, and 418.1325--0960-0622. Individuals use Form SSA-561-U2, the associated MCS interview, or the Internet application (i561) to initiate a request for reconsideration of a denied claim. SSA uses the information to document the request and to determine an individual's eligibility or entitlement to
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency of Average Estimated completion respondents response burden per total response annual burden (minutes) (hours) SSA-561 and 550,370 1 8 73,383 MCS I561 (Internet 911,330 1 5 75,944 iAppeals) Totals 1,461,700 149,327
7. Teacher Questionnaire and Request for Administrative Information--20 CFR 416.1103(f)--0960-0646. When determining the effects of a child's impairment for children applying for Title II childhood disability benefits, SSA obtains information about the child's functioning from teachers, parents, and others who observe the child on a daily basis. SSA obtains results of formal testing, teacher reports, therapy progress notes, individualized education programs, and other records of a child's educational aptitude and achievement using Forms SSA-5665-BK and SSA-5666. The respondents are parents, teachers, and other education personnel.
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency of Average Estimated completion respondents response burden per total annual response burden (minutes) (hours) SSA-5665-BK 368,098 1 40 245,399 (electronic) SSA-5665 2,562 1 40 1,708 (paper form) SSA-5666 137,590 1 30 68,795 (electronic) SSA-5666 1,843 1 30 922 (paper form) Totals 510,093 316,824
II. SSA submitted the information collection below to OMB for clearance. Your comments regarding the information collection 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
Request for Social Security Earnings Information--20CFR 404.810 & 401.100--0960-0525. The Act permits wage earners, or their authorized representative, to request
Type of Request: Revision of an OMB-approved information collection. GOES
Modality of Number of Frequency Average Estimated completion respondents of response burden per total annual response burden (minutes) (hours) SSA-7050-F4 66,800 1 11 12,247
Dated:
Reports Clearance Director,
[FR Doc. 2014-10662 Filed 5-8-14;
BILLING CODE 4191-02-P
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