[Federal Register Volume 60, Number 116 (Friday, June 16, 1995)]
[Notices]
[Pages 31752-31753]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-14674]



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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 
P.L. 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 June 2, 1995.

(Call Reports Clearance Officer on (410) 965-4142 for copies of 
package.)
    1. Beneficiary Recontact Report--0960-0502. The information on form 
SSA-1588 is used by the Social Security Administration to recontact 
mothers, fathers or children in direct payment to determine if they are 
still entitled. The respondents are beneficiaries who are in the ``high 
risk'' area and are, therefore, most prone to overpayments.
    Number of Respondents: 241,260.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 20,105 hours.
    2. Child-Care Dropout Questionnaire--0960-0474. The information on 
form SSA-4162 is used by the Social Security Administration to 
determine if an applicant for disability benefits may have certain 
computation years excluded from the benefit computation. This will 
result in a higher benefit amount. The respondents are individuals 
applying for disability benefits.
    Number of Respondents: 2,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 167 hours.
    3. Representative Payee Evaluation Report--0960-0069. The 
information on form SSA-624 is used by the Social Security 
Administration to accurately account for the use of social security 
benefits and supplemental security income payments that representative 
payees receive on behalf of the 

[[Page 31753]]
individual. The affected public is comprised of individuals who were 
previously sent an SSA-623.
    Number of Respondents: 422,533.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 211,267 hours.
    4. Supplemental Statement Regarding Farming Activities of Person 
Living Outside the U.S.A.--0960-0103. The information on form SSA-7163A 
is used by the Social Security Administration to make a determination 
as to whether foreign work deductions are applicable when an SSA 
claimant reports work on a farm outside the United States. The 
respondents are SSA claimants who report work on farms outside of the 
United States.
    Number of Respondents: 1,000.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 1,000 hours.
    5. Letter to Employer Requesting Information About Wages Earned by 
Beneficiary--0960-0034. The information on form SSA-L725 is used by the 
Social Security Administration to establish the exact amount of wages 
earned by a beneficiary and to determine the amount of benefit 
payments, if any. The respondents are employers of the beneficiaries.
    Number of Respondents: 150,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30-50 minutes.
    Estimated Annual Burden: 100,000 hours.
    6. Request for Address Information from Motor Vehicle Records; 
Request for Address Information from Employment Commissions--0960-0341. 
The information on forms SSA-L711 and SSA-L712 is used by the Social 
Security Administration to determine the current address for missing 
debtors. The affected public is comprised of State agencies who have 
entered in agreements with SSA to provide the requested information.
    Number of Respondents: 3,200.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 106 hours.
    7. Payment Cycling Impact Survey--0960-NEW. The information is used 
by the Social Security Administration to assess whether the issuance of 
regularly scheduled title II monthly payments significantly increases 
the workload in the field offices and teleservice centers during the 
early part of each month. The information is needed to determine 
whether payment cycling would be an effective tool in managing the 
title II workload. The respondents are the general public contacting 
field offices and the teleservice centers.
    Number of Respondents: 26,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 2,167 hours.
    8. Social Security Request for Information--0960-0531. The 
information on form SSA-6231 is used by the Social Security 
Administration to complete or clarify data previously provided by 
representative payees on forms SSA-623 or SSA-6230. The respondents 
will be payees who furnished incomplete or unclear information.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 25,000 hours.
    OMB Desk Officer: Laura Oliven.
    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: June 9, 1995.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 95-14674 Filed 6-15-95; 8:45 am]
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