[Federal Register Volume 62, Number 16 (Friday, January 24, 1997)]
[Notices]
[Pages 3728-3729]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-1608]


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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 P.L. 104-
13 effective October 1, 1995, The Paperwork Reduction Act of 1995. The 
information collection(s) listed below requires extension of the 
current OMB approval(s):
    0960-0030--Statement of Employer. The information collected on form 
SSA-7011 is used by the Social Security Administration to substantiate 
allegations of wages paid to workers when those wages do not appear in 
SSA's records of earnings and the worker does not have proof that they 
were paid. This information is used to process claims for social 
security benefits and to resolve discrepancies in earnings records. The 
respondents are certain employers who can verify allegations of wages 
made by the wage earner.
    Number of Respondents: 925,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Average Burden: 308,333.
    To receive a copy of the form(s) or clearance packages (s), call 
the SSA Reports Clearance Officer on (410) 965-4125 or write to her at 
the address listed below. Written comments and recommendations 
regarding the information collection(s) 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.
    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. 104-
13 effective October 1, 1995, The Paperwork Reduction Act of 1995. The 
information collection(s) listed below, which were published in the 
Federal Register on November 1 and November 20, 1996, have been 
submitted to OMB.
    1. Statement of Funds You Provided to Another; Statement of Funds 
You Received--0960-0481. The information collected on forms SSA-2854 
and SSA-2855 is used by the Social Security Administration to determine 
if money borrowed on an informal basis from a noncommercial lender 
(friend or relative) is income to the borrower/claimant. The 
information is needed to insure that an individual is properly eligible 
for Supplemental Security Income (SSI) payments. The respondents are 
applicants for and recipients of SSI payments.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 6,667 hours.
    2. Employer Classification Update--0960-0262. The information on 
form SSA-L378 is needed by the Social Security Administration in 
situations where an employer submits an SS-4, Employer Identification 
Form, with incomplete or missing information. The data from the SSA-
L378 is used, in conjunction with tax return data, for program 
planning, revenue estimates and employment studies. The respondents are 
employers with 11 or more employees.
    Number of Respondents: 75,000.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Annual Burden: 3,750 hours.
    3. Certificate of Election for Reduced Spouse's Benefits--0960-
0398. A qualified spouse, age 62 to 64, can elect to receive a reduced 
Social Security benefit by completing a form SSA-25. The information 
collected on the form is used by the Social Security Administration to 
pay a reduced Social Security benefit. The respondents are qualified 
spouses of Social Security beneficiaries who are entitled to reduced 
Social Security benefits.
    Number of Respondents: 30,000.
    Frequency of Response: 1.

[[Page 3729]]

    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 1,000 hours.
    4. Reporting Events--SSI; 0960-0128. The information collected on 
form SSA-8150-EV by the Social Security Administration is used to 
determine eligibility and correct payment amounts for SSI payments. The 
respondents are SSI applicants and recipients.
    Number of Respondents: 43,600.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 3,633 hours.
    Written comments and recommendations regarding the information 
collection(s) should be sent within 30 days of the date of this 
publication. Comments may be directed to the OMB Desk Officer and SSA 
Reports Clearance Officer 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: January 14, 1997.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-1608 Filed 1-23-97; 8:45 am]
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