[Federal Register Volume 60, Number 106 (Friday, June 2, 1995)]
[Notices]
[Pages 28825-28826]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-13523]



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SOCIAL SECURITY ADMINISTRATION


Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    Normally on Fridays, the Social Security Administration publishes a 
list of information collection packages that have been submitted to the 
Office of Management and Budget (OMB) for clearance in compliance with 
Public Law 96-511, The Paperwork Reduction Act. The following clearance 
packages have been submitted to OMB since the last list was published 
in the Federal Register on Friday, May 12, 1995.

(Call Reports Clearance Officer on (410) 965-4142 for copies of 
package)

    1. Student's Statement Regarding School Attendance--0960-0105. The 
information on form SSA-1372 is used by the Social Security 
Administration to determine if a claimant is entitled to Social 
Security benefits as a student. Respondents are student claimants for 
Social Security benefits.

Number of Respondents: 200,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 33,333 hours

    2. Request for Earnings Benefits Estimate Statement--0960-0466. The 
information on form SSA-7004 is used by the Social Security 
Administration to provide a statement of earnings, quarters of coverage 
and future benefit estimates to certain workers and self-employed 
individuals. The respondents are [[Page 28826]] individuals requesting 
personal earnings and benefit statements.

Number of Respondents: 20,000,000
Frequency of Response: 1
Average Burden Per Response: 5 minutes
Estimated Annual Burden: 1,166,667 hours

    3. Statement of Agricultural Employer (Years Prior to 1988); 
Statement of Agricultural Employer Years 1988 and Later--0960-0036. The 
information on forms SSA-1002 and SSA-1003 is used by the Social 
Security Administration to resolve discrepancies when farm workers have 
alleged that their employers did not report their wages or reported 
them incorrectly. The respondents are agricultural employers.

Number of Respondents: 125,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes (SSA-1002)
30 minutes (SSA-1003)
Estimated Annual Burden: 37,500 hours
OMB Desk Officer: Laura Oliven.

Social Security Administration

    Written comments and recommendations regarding these information 
collections should be sent directly to the appropriate OMB Desk Officer 
designated above at the following address: Office of Management and 
Budget, OIRA, New Executive Office Building, Room 10230, Washington, 
D.C. 20503.

    Dated: May 26, 1995.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 95-13523 Filed 6-1-95; 8:45 am]
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