[Federal Register Volume 61, Number 52 (Friday, March 15, 1996)]
[Notices]
[Page 10839]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5704]



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SOCIAL SECURITY ADMINISTRATION

Agency Information Collection Activities: Proposed Collection 
Request

    Normally on Fridays, the Social Security Administration publishes a 
list of information collection packages that will require submission to 
the Office of Management and Budget (OMB) for clearance in compliance 
with Public Law 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995. Since the last list was published in the Federal 
Register on March 1, 1996, the information collections listed below 
have been proposed or will require extension of the current OMB 
approvals. (Call the SSA Reports Clearance Officer on (410) 965-4142 
for a copy of the form(s) or package(s), or write to her at the address 
listed below the information collections.)
    1. Application for Benefits Under a U.S. International Social 
Security Agreement--0960-0448. The information collected on form SSA-
2490 is used by the Social Security Administration to determine a 
claimant's eligibility for U.S. Social Security benefits under the 
provisions of an international social security agreement. It is also 
used to take an application for benefits from a foreign country under 
an agreement. The respondents are individuals who are applying for 
benefits from either the United States and/or a foreign country with 
which the United States has an agreement. The United States currently 
has 17 such agreements.
    Number of Respondents: 20,000.
    Frequency of response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 10,000 hours.
    2. Self-Employment-Corporate Officer Questionnaire--0960-0487. The 
information collected on form SSA-4184 is used by the Social Security 
Administration to develop a claimant's earnings or corroborate his or 
her allegation of retirement when he or she is self-employed or a 
corporate officer. The affected public consists of claimants for 
benefits who provide the additional information to support their 
allegation concerning earnings or employment.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 16,667 hours.
    3. Statement Regarding the Inferred Death of an Individual by 
Reason of Continued and Unexplained Absence--0960-0002. The information 
collected on form SSA-723 is used to determine if the Social Security 
Administration may infer that a missing person is deceased. The 
respondents are individuals who know or are related to the missing 
person.
    Number of Respondents: 3,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 1,500 hours.
    4. Partnership Questionnaire--0960-0025. The form SSA-7104 is used 
to collect information which is needed to evaluate partnership 
relationships to determine which portion of the partnership income 
should be credited to each partner. The affected public consists of 
claimants for social security benefits who are involved in a 
partnership.
    Number of Respondents: 12,350.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 6,175 hours.
    Written comments and recommendations regarding these information 
collections should be sent within 60 days from the date of this 
publication, directly to the SSA Reports Clearance Officer at the 
following address: Social Security Administration, DCFAM, Attn: 
Charlotte S. Whitenight, 6401 Security Blvd., 1-A-21 Operations Bldg., 
Baltimore, MD 21235.
    In addition to your comments on the accuracy of the agency's burden 
estimate, we are soliciting comments on 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.

    Dated: March 4, 1996.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-5704 Filed 3-14-96; 8:45 am]
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