Skip to Content

Notice

Agency Information Collection Activities: Comment Request

Document Details

Information about this document as published in the Federal Register.

Enhanced Content

Relevant information about this document from Regulations.gov provides additional context. This information is not part of the official Federal Register document.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble

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 a revision of an OMB-approved information collection.

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.

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 December 19, 2014. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.

Supplement to Claim of Person Outside the United States—20 CFR 422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)-0960-0051. Claimants or beneficiaries (both United States (U.S.) citizens and aliens entitled to benefits living outside the United States complete Form SSA-21 as a supplement to an application for benefits. SSA collects the information to determine eligibility for U.S. Social Security benefits for those months an alien beneficiary or claimant is outside the United States, and to determine if tax withholding applies. In addition, SSA uses the information to: (1) Allow beneficiaries or claimants to request a special payment exception in an SSA restricted country; (2) terminate supplemental medical insurance coverage for recipients who request it, because they are, or will be, out of the United States; and (3) allow claimants to collect a lump sum death benefit if the number holder died outside the United States and we do not have information to determine whether the lump sum death benefit is payable under the Social Security Act. The respondents are Social Security claimants, or individuals entitled to Social Security benefits, who are, were, or will be residing outside the United States for three months or longer.

Note: This is a correction notice. SSA published incorrect burden information on September 11, 2014, at 79 FR 54341. We are correcting that oversight now with burden figures based on our most recent management information data.

Type of Request: Revision of an OMB-approved information collection.Start Printed Page 68952

Modality of completionNumber of respondentsFrequency of responseAverage burden per response (minutes)Estimated total annual burden (hours)
Paper SSA-21—U.S. Citizens3,58019537
Paper SSA-21—U.S. Resident3,669115917
Paper SSA-21—Resident of Tax Treaty Country670111123
Paper SSA-21—Non-Resident Alien (not a resident of a tax treaty country)2,557110426
MCS Macros SSA-21—U.S. Resident10,6131111,946
MCS Macros SSA-21—Resident of Tax Treaty Country2,002111367
MCS Macros SSA-21—Non-Resident Alien (not a resident of a tax treaty country)7,40915617
Totals30,5004,933
Start Signature

Dated: November 13, 2014.

Faye Lipsky,

Reports Clearance Officer, Social Security Administration.

End Signature End Preamble

[FR Doc. 2014-27337 Filed 11-18-14; 8:45 am]

BILLING CODE 4191-02-P