[Federal Register Volume 61, Number 52 (Friday, March 15, 1996)]
[Notices]
[Pages 10838-10839]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-5959]



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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. Annual Earnings Operations Direct Mail Followup--0960-0369. The 
information collected on forms SSA-L9778, SSA-L9779, SSA-L9780 and SSA-
L9781 will be used to determine if the recipients have underestimated 
their earnings for the current year. This will allow benefits to be 
withheld if necessary, and will thereby avoid many overpayments. The 
affected public is beneficiaries who are likely to underestimate their 
earnings.
    Number of Respondents: 400,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 66,667 hours.
    2. Medical Report on Adult or Child With Allegation of Human 
Immunodeficiency Virus (HIV) Infection--0960-0503. The information on 
forms SSA-4814 and SSA-4815 is used by the Social Security 
Administration to determine if an individual claiming to have HIV 
infection meets the requirements for presumptive disability benefits.

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                                       SSA-4814            SSA-4815     
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Number of Respondents:           25,000               7,500.            
Frequency of Response:           1                    1.                
Average Burden Per Response:     10 minutes           10 minutes.       
Estimated Annual Burden:         4,167 hours          1,250 hours.      
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    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.
    The information collection listed below, which was published in the 
Federal Register on December 29, 1995, has been submitted to OMB.
    Coverage of Employees of State and Local Governments, F-20-404M. 
The information collected in accordance with this regulation is 
obtained from State governments (or interstate instrumentalities) 
desiring to obtain Social Security coverage for their employees. The 
respondents are State governments.
    Number of Respondents: 52.
    Frequency of Response: 6.
    Average Burden Per Response: 1 hour.
    Estimated Annual Burden: 312 hours.
    Written comments and recommendations regarding this information 
collections should be sent within 30 days of the date of this 
publication. Comments may be directed to OMB and SSA at the following 
addresses:

(OMB)
Office of Management and Budget, OIRA
Attn: Laura Oliven

[[Page 10839]]

New Executive Office Building, Room 10230
Washington, D.C. 20503

(SSA)
Social Security Administration, DCFAM
Attn: Charlotte S. Whitenight
6401 Security Blvd, 1-A-21 Operations Bldg.
Baltimore, MD 21235

    Dated: March 6, 1996.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-5959 Filed 3-14-96; 8:45 am]
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