[Federal Register: September 11, 2006 (Volume 71, Number 175)]
[Notices]
[Page 53485-53486]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr11se06-124]
=======================================================================
-----------------------------------------------------------------------
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 and/or faxed 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;
(SSA) Social Security Administration, DCFAM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
fax: 410-965-6400.
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.
Blood Donor Locator Service (BDLS)--20 CFR 401.200--0960-0501. This
regulation requires requesting State agencies to provide the names and
Social Security Numbers of blood donors, and a statement that the
donor's blood tested positive for Human Immunodeficiency Virus (HIV) to
SSA's Blood Donor Locator Service when blood donor facilities have
identified donors as testing positive for HIV. This information is used
by SSA to furnish the State agencies with the blood donors' address
information for the purpose of notifying them. Respondents are State
agencies acting on behalf of blood donor facilities.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 10.
Frequency of Response: 5.
Number of Responses: 50.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 13 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. Authorization for the Social Security Administration to Obtain
Account Records From a Financial Institution and Request for Records--
20 CFR 416.200, 416.203--0960-0293. The SSA-4641-U2 provides financial
institutions with the applicant, recipient, or deemor's authorization
to disclose records. Responses to the questions are used, in part, to
determine whether the resources requirements are met in the
Supplemental Security Income (SSI) program. The respondents
[[Page 53486]]
are financial institutions used by SSI applicants, recipients and/or
deemors.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 500,000.
Frequency of Response: 1.
Average Burden Per Response: 6 minutes.
Estimated Annual Burden: 50,000 hours.
2. You Can Make Your Payment By Credit Card--0960-0462. The SSA-
4588 and SSA-4589 are used by SSA to update an individual's record to
reflect that a payment has been made on their overpayment and to
effectuate payment through the appropriate credit card company. The
SSA-4588 is sent to overpaid individuals with an initial notice of
overpayment, and the SSA-4589 is sent to overpaid individuals who have
been previously notified of their debt. The SSA-4588 is sent out only
once to the debtor, with the official first notice of overpayment;
while the SSA-4589 is sent on a monthly basis until the debt is repaid.
Respondents are Title II beneficiaries and Title XVI recipients who
have outstanding overpayments.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
3. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566. The
Privacy Act of 1974 (5 U.S.C. 552a) authorizes SSA to collect certain
information for access to and amendment or correction of records. The
information collected is used by SSA to: (1) Identify individuals who
request access to their records; (2) designate an individual to receive
and review their medical records; (3) amend or correct records; (4)
obtain consent from an individual to release his/her records to others
(consent is submitted by letter in writing or by use of the SSA-3288,
or other consent form). The Freedom of Information Act authorizes SSA
to collect information needed to facilitate the release of information
from SSA records. Respondents are individuals or businesses requesting
access to, correction of, or disclosure of SSA records.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 3,028,500.
Estimated Annual Burden: 159,133 hours.
----------------------------------------------------------------------------------------------------------------
Estimated
Type of request Number of Frequency of Average burden annual burden
respondents response per response (hours)
----------------------------------------------------------------------------------------------------------------
Access to Records............................... 10,000 1 \1\11 1,833
Designating a Representative for Disclosure of 3,000 1 \2\2 6,000
Records........................................
Amendment of Records............................ 100 1 10 17
Consent of Release of Records................... 3,000,000 1 \1\3 150,000
FOIA Requests for Records....................... 15,000 1 \1\5 1,250
Waiver/Reduction of Fees........................ 400 1 \2\5 33
---------------------------------------------------------------
Totals...................................... 3,028,500 .............. .............. 159,133
----------------------------------------------------------------------------------------------------------------
\1\ Minutes.
\2\ Hours.
4. Medical Consultant's Review of Psychiatric Review Technique
Form--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 416.920a--0960-
0677. SSA measures the performance of the State Disability
Determination Services (DDS) in the area of quality of documentation
and determinations on claims. In mental claims, a Psychiatric Review
Technique Form (PRTF) is completed by DDS. The SSA-3023 is only
completed when an adjudicating component's PRTF is in the file. An SSA-
3023 is required for each completed PRTF and is used by the regional
review component to facilitate SSA's medical/psychological consultants'
review of the PRTF for quality purposes. The respondents are medical/
psychological consultants who review the Psychiatric Review Technique
Form for quality purposes.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 344.
Frequency of Response: 194.
Total Annual Responses: 66,736.
Average Burden Per Response: 12 minutes.
Estimated Annual Burden: 13,347 hours.
5. Continuing Education Information Collection under Non-Attorney
Demonstration Project--0960-NEW. Section 303 of the Social Security
Protection Act of 2004 (SSPA) provides for a 5-year demonstration
project to be conducted by SSA under which the direct payment of SSA
approved fees is extended to certain non-attorney claimant
representatives. Under the SSPA, to be eligible for direct payment of
fees, a non-attorney representative must fulfill a series of statutory
requirements. One of the steps is to demonstrate completion of relevant
continuing education courses. Through the services of a private
contractor, SSA must collect the requested information to determine if
a non-attorney representative has met this statutory requirement to be
eligible for direct payment of fees for his or her claimant
representation services. The information collection is needed to comply
with the legislation. The respondents are non-attorney representatives
who apply for direct payment of fees.
Type of Request: Collection in use without OMB number.
Number of Respondents: 300.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 150 hours.
Dated: September 5, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-14900 Filed 9-8-06; 8:45 am]
BILLING CODE 4191-02-P