[Federal Register Volume 62, Number 90 (Friday, May 9, 1997)]
[Notices]
[Pages 25685-25686]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-11299]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities; Submissions for OMB 
Review

    This notice lists information collection packages that have been 
sent to the Office of Management and Budget (OMB) for clearance, in 
compliance with PL. 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995.
    1. You Can Make Your Payments by Credit Cards--0960-0462. The 
information on Forms SSA-4588 & SSA-4589 will be used to update the 
individual's social security record to reflect that a payment has been 
made on their overpayment and to effectuate payment through the 
appropriate credit card company. The respondents are individuals who 
make payments by credit cards.
    Number of Respondents: 12,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 1,000 hours.
    2. Third Party Liability Information Statement--0960-0323. Form 
SSA-8019 is used by the Social Security Administration to gather 
information or to make changes in existing information about third 
party insurance (other than Medicare or Medicaid), which could be 
responsible for payment for a beneficiary's medical care. The 
respondents are applicants and beneficiaries of social security 
benefits.
    Number of Respondents: 65,400.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 5,450 hours.
    3. Representative Payee Report--0960-0068. Sections 205(j) and 
1631(a)(2) of the Social Security Act provide for the payment of 
supplemental security income and social security benefits to a 
relative, another person or an organization when the best interests of 
the beneficiary will be served. Form SSA-6230 (20 CFR 404.2065) is sent 
to parents, stepparents and grandparents with custody of minor children 
receiving social security benefits. Form SSA-623 (20 CFR 404.2065 and 
416.665) is sent to all other payees with or without custody of the 
beneficiary. Both forms are used to

[[Page 25686]]

determine the continuing suitability of the individual/organization to 
serve as representative payee.
    Number of Respondents: 5,315,160.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 1,328,790 hours.
    4. Telephone Replacement Card Pilot Test--0960-NEW. The Social 
Security Administration will conduct a pilot study on obtaining 
information by telephone from individuals who need a duplicate Social 
Security Number (SSN) card. The information will be used to properly 
identify an individual prior to releasing a replacement SSN card, thus 
eliminating the need for the respondent to take or mail his/her 
identity documents to a Social Security office. The information 
provided, which should be known by the true Social Security number 
holder, will be compared to information available in our current 
electronic systems. The respondents are individuals in the pilot study 
who request a duplicate SSN replacement card by telephone.
    Number of Respondents: 500,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 16,667 hours.
    To receive a copy of the form or clearance packages, call the SSA 
Reports Clearance Officer on (410) 965-4125 or write to him at the 
address listed below. Written comments and recommendations regarding 
the information collection(s) should be directed within 30 days 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: Nicholas E. 
Tagliareni, 1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 
21235

    Dated: April 25, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-11299 Filed 5-8-97; 8:45 am]
BILLING CODE 4190-29-P