# Agency Information Collection Activities: Proposed Request and Comment Request

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URL: https://www.frixlaw.com/law-library/documents/fr%3A2016-21834

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** September 12, 2016
- **Citation:** 81 FR 62788

## Text

SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2016-0043]
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 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-2016-0043].

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 November 14, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address.

1. Supplemental Security Income (SSI)—Quality Review Case Analysis—0960-0133.
To assess the SSI program and ensure the accuracy of its payments, SSA conducts legally mandated periodic SSI case analysis quality reviews. SSA uses Form SSA-8508 to conduct these reviews, collecting information on operating efficiency; the quality of underlying policies; and the effect of incorrect payments. SSA also uses the data to determine SSI program payment accuracy rate, which is a performance measure for the agency's service delivery goals. Respondents are recipients of SSI payments selected for quality reviews.

Type of Request:
Revision of an OMB approved information collection.

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

SSA-8508-BK (paper interview)
225
1
60
225

SSA-8508-BK (electronic)
4,275
1
60
4,275

Totals
4,500

4,500

2. Social Security Benefits Application—20 CFR 404.310-404.311, 404.315-404.322, 404.330-404.333, 404.601-404.603, and 404.1501-404.1512—0960-0618.
Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for each type of benefits. SSA uses the information we gather through the multiple information collection tools in this information collection request to determine applicants' eligibility for specific Social Security benefits, as well as the amount of the benefits. Individuals filing for disability benefits can, and in some instances SSA may require them to, file applications under both Title II, Social Security disability benefits, and Title XVI, SSI payments. We refer to disability applications filed under both titles as “concurrent applications.” This collection comprises the various application methods for each type of benefits. These methods include the following modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized Claims System (MCS) screens for in-person interview applications; and Internet-based iClaim and iAppointment applications. SSA uses the information we collect through these modalities to determine: (1) The applicants' eligibility for the above-mentioned Social Security benefits and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under title II of the Social Security Act.

Type of Request:
Revision of an OMB-approved information collection.

Form SSA-1

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

MCS/Signature Proxy
2,793,597
1
10
465,600

Paper
115,678
1
11
21,208

Medicare-only MCS
880,763
1
7
102,756

Medicare-only Paper
9,549
1
7
1,114

Totals
3,779,587

590,678

Form SSA-2

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minutes)

Estimated
annual
burden
(hours)

MCS/Signature Proxy
518,598
1
14
121,006

Paper
54,661
1
15
13,665

Totals
573,259

134,671

Form SSA-16

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

MCS/Signature Proxy
2,483,952
1
19
786,585

Paper
116,294
1
20
38,765

Totals
2,600,246

825,350

i
Claim Screens

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

iClaim 3rd Party
345,267
1
15
86,317

iClaim Applicant after 3rd Party Completion
345,267
1
5
28,772

First Party iClaim—Domestic Applicant
2,956,208
1
15
739,052

First Party iClaim—Foreign Applicant
11,650
1
3
583

Medicare-only iClaim
723,062
1
10
120,510

Totals
4,381,454

975,234

i
Appointment Screens

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

iAppointment
20,218
1
10
3,370

Grand Total

Modality of completion

Number of
respondents

Frequency of response

Average
burden per
response
(minute)

Estimated
annual
burden
(hours)

Total
11,374,764

2,529,303

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 October 12, 2016. Individuals can obtain

copies of the OMB clearance package by writing to
OR.Reports.Clearance@ssa.gov.

Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims—20 CFR parts 404, 405, and 416—0960-0710.
Claimants have a statutory right under the Act and current regulations to apply for Social Security Disability Insurance (SSDI) benefits or SSI payments. SSA collects information at each step of the administrative process to adjudicate claims fairly and efficiently. SSA collects this information to establish a claimant's right to administrative review and determine the severity of the claimant's alleged impairments. SSA uses the information we collect to determine entitlement or continuing eligibility to SSDI benefits or SSI payments, and to enable appeals of these determinations. In addition, SSA collects information on Forms HA-85 and HA-86 to allow claimants to withdraw a hearing request or an Appeals Council review request. The respondents are applicants for Title II SSDI or Title XVI SSI benefits; their appointed representatives; legal advocates; medical sources; and schools.

Type of Request:
Revision of an OMB- approved information collection.

20 CFR Section No.

Number of
respondents

Frequency of response

Average
burden per
response
(minutes)

Estimated
annual
burden
(hours)

404.961, 416.1461, 405.330, and 405.366
12,220
1
20
4,073

404.950, 416.1450, and 405.332
1,040
1
20
347

404.949 and 416.1449
2,868
1
60
2,868

405.334
20
1
60
20

404.957, 416.1457, and 405.380
21,041
1
10
3,507

405.381
37
1
30
19

405.401
5,310
1
10
885

404.971 and 416.1471 (HA-85; HA-86)
1,606
1
10
268

404.982 and 416.1482
1,687
1
30
844

404.987 & 404.988 and 416.1487 & 416.148 and 405.601
12,425
1
30
6,213

405.372(c)
5,310
1
10
885

405.1(b)(5), 405.372(b)
833
1
30
417

405.505
833
1
30
417

405.1(c)(2)
5,310
1
10
885

405.20
5,310
1
10
885

Totals
75,850

22,533

Dated: September 7, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.

[FR Doc. 2016-21834 Filed 9-9-16; 8:45 am]
BILLING CODE 4191-02-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A2016-21834. Public record. Not legal advice.