Agency Information Collection Activities: Proposed Request and Comment Request
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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. Application for Parent's Insurance Benefits--20 CFR 404.370-404.374, 20 CFR 404.601-404.603--0960-0012. Section 202(h) of the Social Security Act establishes the conditions of eligibility a claimant must meet to receive monthly benefits as a parent of a deceased worker. SSA uses information from form SSA-7-F6 to determine whether the claimant meets the eligibility and application criteria. The respondents are applicants for, and recipients of, Social Security Old Age, Survivors, and
Type of Request: Revision of an OMB-approved information collection.
Collection.... Number of......Frequency of.. Average........Estimated
method........ respondents....response...... burden per.... total annual
............................................ response...... burden (hours)
............................................ (minutes)
Modernized.... 153............1..............15............ 38
Claims System
(MCS)
MCS/Signature..158............1..............14............ 37
Proxy
Paper SSA-7-F6 4..............1..............15............ 1
Total..........315..........................................76
2. Statement of Living Arrangements, In-Kind Support and Maintenance--20 CFR 416.1130-416.1148--0960-0174. A recipient's need is the basis for determining Supplemental Security Income (SSI) payment amounts. Need is measured, in part, by the amount of income an individual receives. Income includes in-kind support and maintenance in the form of food and shelter provided by other persons. SSA uses information from 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, or who complete an SSI eligibility redetermination.
Type of Request: Revision of an OMB-approved information collection.
Collection.... Number of......Frequency......Average........Estimated
method........ respondents....of response....burden per.... total
............................................ response...... annual burden
............................................ (minutes)......(hours)
SSA-8006-F4....173,380........1..............7..............20,228
3. Application for Supplemental Security Income--20 CFR 416.305-416.335, Subpart C--0960-0444. SSA collects information on the SSA-8001-BK to determine an applicant's eligibility for SSI and the SSI payment amounts. SSA employees also collect this information during interviews with members of the public who wish to file for SSI. SSA uses the information for two purposes: (1) To formally deny SSI for non-medical reasons when information the applicant provides results in ineligibility; or (2) to establish a disability claim, but defer the complete development of non-medical issues until SSA approves the disability. The respondents are applicants for SSI.
Type of Request: Revision of an OMB-approved information collection.
Collection method Number of......Frequency of.. Average........Estimated
..................respondents....response...... burden........ total
................................................per response.. annual burden
................................................(minutes)......(hours)
Modernized SSI....1,006,400......1..............15............ 251,600
Claims System
(MSSICS)
MSSICS/Signature..326,400........1..............14............ 76,160
Proxy
Paper SSA-8001-BK 27,200........ 1..............18............ 8,160
Total............ 1,360,000....................................335,920
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 and SSA-2855 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.
In addition to these elements: (1) There must be an understanding between borrower and lender that the borrower is obligated to repay the money; (2) the loan agreement must be in effect at the time the borrower receives the cash proceeds; and, (3) the transaction must be enforceable under State law. State requirements generally demand the presence of other conditions before the agreement is a bona fide loan.
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.
Collection.... Number........ Frequency of.. Average........Estimated
method........ of respondents response...... burden........ total
............................................ per response.. annual burden
............................................ (minutes)......(hours)
SSA-2854...... 20,000........ 1..............10............ 3,333
SSA-2855...... 20,000........ 1..............10............ 3,333
Total..........40,000...................................... 6,666
5. Certification of
Type of Request: Extension of an OMB-approved information collection.
Collection.... Number of......Frequency......Average........Estimated
method........ respondents....of response....burden........ total annual
............................................ per response.. burden (hours)
............................................ (minutes)
SSA-3380...... 24,000........ 1..............15............ 6,000
II. SSA submitted the information collections below to OMB for clearance. Your comments regarding the information collections would be most useful if OMB and SSA receive them within 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than
--This is a summary of a
Citation: "77 FR 147"
Federal Register Page Number: "147"
"Notices"
Copyright: | (c) 2012 Federal Information & News Dispatch, Inc. |
Wordcount: | 1182 |
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