[Federal Register Volume 61, Number 184 (Friday, September 20, 1996)]
[Notices]
[Pages 49517-49518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-24140]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Collection 
Request

    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. 
The information collections listed below require extension of the 
current OMB approval:

(Call the SSA Reports Clearance Officer on (410) 965-4125 for a copy 
of the form(s) or package(s), or write to her at the address listed 
below the information collections)

    1. Employer Report of Special Wage Payments--0960-NEW. The 
information collected on form SSA-131 will be used by the Social 
Security Administration to verify wage information in order to prevent 
earnings-related overpayments or to avoid erroneous withholding of 
benefits. The respondents are employers who need to report an event 
which requires special wage payment verification.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 33,333 hours.
    2. Quickstart Enrollment Form--0960-NEW. The information is needed 
by the Social Security Administration to facilitate electronic 
transmission of data for direct deposit of funds to a payee's account. 
The respondents are Social Security and SSI recipients requesting 
direct deposit and their financial institutions.
    Number of Respondents: 3,950,000.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 329,167 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: Judith 
T. Hasche, 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 July 5, 1996 have been submitted to OMB.

(Call Reports Clearance Officer on (410) 965-4125 for copies of 
package)

    OMB Desk Officer: Laura Oliven.
    SSA Reports Clearance Officer: Judith T. Hasche.
    1. Application for Wife's or Husband's Insurance Benefits--0960-
0008. The information collected on form SSA-2 is needed by the Social 
Security Administration to determine an applicant's eligibility to 
wife's or husband's benefits. The respondents are individuals who wish 
to file for those types of benefits.
    Number of Respondents: 700,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 116,667 hours.
    2. Statement of Marital Relationship (By One of the Parties)-- 
0960-0038.

[[Page 49518]]

The information collected on form SSA-754 is used by the Social 
Security Administration to prove or disprove the existence of a valid 
common-law marriage. The respondents are individuals who allege a 
common-law marriage to someone entitled to Social Security benefits.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 15,000 hours.
    3. Worker's Compensation/Public Disability Benefit Questionnaire-- 
0960-0247. The information collected on form SSA-546 is used by the 
Social Security Administration to help determine if receipt of a 
workmen's compensation or public disability benefit by an individual 
will cause a reduction in his or her Social Security disability 
benefits. The respondents are applicants for Social Security Title II 
disability benefits.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 25,000 hours.
    4. Voluntary Customer Surveys In Accordance with E.O. 12862 Within 
the Social Security Administration--0960-0526. These voluntary customer 
surveys will be used to ascertain customer satisfaction with the Social 
Security Administration in terms of timeliness, appropriateness, 
access, and other measures of quality service. Surveys will involve 
individuals that are the direct or indirect beneficiaries of SSA 
services. The average burden per response for these activities is 
estimated to range from 5 minutes for a simple comment card to 2 hours 
for participation in a focus group.

FY 1997:
    Number of Respondents: 1,377,423.
    Frequency of Response: 1.
    Estimated Annual Burden: 129,902 hours.
FY 1998:
    Number of Respondents: 1,389,413.
    Frequency of Response: 1.
    Estimated Annual Burden: 133,062.
FY 1999:
    Number of Respondents: 1,389,529.
    Frequency of Response: 1.
    Estimated Annual Burden: 133,354.
    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, 725 17th St., NW, Washington, 
D.C. 20503.
(SSA)--Social Security Administration, DCFAM, Attn: Judith T. Hasche, 
6401 Security Blvd, 1-A-21 Operations Bldg., Baltimore, MD 21235.

    Dated: September 13, 1996.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-24140 Filed 9-19-96; 8:45 am]
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