[Federal Register Volume 61, Number 90 (Wednesday, May 8, 1996)]
[Notices]
[Pages 20872-20873]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-11447]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Collection
Request
Normally on Fridays, the Social Security Administration (SSA)
publishes a list of information collection packages that will require
submission to the Office of Management and Budget (OMB) for clearance
in compliance with P.L. 104-13 effective October 1, 1995, The Paperwork
Reduction Act of 1995. Since the last list was published in the Federal
Register on April 26, 1996, the information collection listed below has
been proposed.
(Call the SSA Reports Clearance Officer on (410) 965-4123 for a copy
of the form(s) or package(s), or write to her at the address listed
below the information collection.)
Modified Benefit Formula Questionnaire-Foreign Pension--0960-NEW.
The information collected on form SSA-308 is used by SSA to determine
exactly how much (if any) of a foreign pension may be used to reduce
the amount of Social Security retirement or disability benefits under
the modified benefit formula. The respondents are applicants for Social
Security retirement/disability benefits.
Number of Respondents: 50,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 8,333 hours
Written comments and recommendations regarding this information
collection 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.
Agency Information Collection Activities: Submission for OMB Review;
Comment Request
The information collections listed below, which were published in
the Federal Register on March 15, 1996 have been submitted to OMB.
(Call Reports Clearance Officer on (410) 965-4123 for copies of
package.)
[[Page 20873]]
OMB Desk Officer: Laura Oliven
SSA Reports Clearance Officer: Charlotte S. Whitenight.
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-4187 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.
5. 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.
6. 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 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, 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: May 2, 1996.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-11447 Filed 5-7-96; 8:45 am]
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