[Federal Register Volume 62, Number 85 (Friday, May 2, 1997)]
[Notices]
[Page 24151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-11242]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Collection 
Requests

    This notice lists information collection packages that will require 
submission to the Office of Management and Budget (OMB), in compliance 
with PL. 104-13 effective October 1, 1995, The Paperwork Reduction Act 
of 1995.
    1. Childhood Disability Evaluation--0960-0568. The information 
collected on form SSA-538 is used by SSA and the State Disability 
Determination Services (DDS) to record medical and functional findings 
concerning the severity of impairments of children claiming SSA 
benefits based on disability. The form is used for initial 
determinations of eligibility, in appeals and in initial continuing 
disability reviews. The respondents are State DDS offices.
    Number of Responses: 1,066,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 355,333 hours.
    2. Statement for Self-Employment Income--0960-0046. The information 
collected on form SSA-766 is needed to determine quarters of coverage 
for eligibility to Social Security benefits. The information will be 
used to expedite the payment of benefits to an individual who is self-
employed and who is establishing insured status in the current year. 
The respondents are self-employed applicants for Social Security 
benefits.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Average Burden: 417 hours.
    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: 
Nicholas E. Tagliareni, 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.
    To receive a copy of any of the forms or clearance packages, call 
the SSA Reports Clearance Officer on (410) 965-4125 or write to him at 
the address listed above.

    Dated: April 24, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-11242 Filed 4-30-97; 8:45 am]
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