[Federal Register Volume 62, Number 93 (Wednesday, May 14, 1997)]
[Notices]
[Pages 26607-26608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-12590]


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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.
     Request to Resolve Questionable Quarters of Coverage (SSA-512); 
Request for Quarters of Coverage History Based on Relationship (SSA-
513)--0960-NEW. The Personal Responsibility and Work Opportunity 
Reconciliation Act states that aliens admitted for lawful residence who 
have worked and earned 40 qualifying quarters of coverage (QC) for 
Social Security purposes can generally receive State benefits. QCs can 
also be allocated to a spouse and/or to a child under age 18, if needed 
to obtain 40 qualifying QCs for the alien. The form SSA-512 is used by 
the States to request clarification from SSA on questionable QC 
information. The form SSA-513 is used by States to request QC 
information for an alien's spouse or child in cases where the alien 
does not sign a consent form giving permission to access his/her social 
security records. The respondents are State agencies which require QC 
information in order to determine eligibility for benefits.

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                                                         SSA-512                             SSA-513            
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Number of Responses.....................  200,000..............................  350,000.                       
Frequency of Response...................  1....................................  1.                             
Average Burden Per Response:............  2 minutes............................  2 minutes.                     
Estimated Annual Burden.................  6,667 hours..........................  11,667 hours.                  
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    2. Statement for Determining Continuing Eligibility for 
Supplemental Security Income Payments--0960-0416. The information 
collected by the Social Security Administration on form SSA-8203 is 
used to determine whether SSI

[[Page 26608]]

recipients have met and continue to meet all statutory and regulatory 
requirements for SSI eligibility and whether they have been and are 
still receiving the correct payment amount. The information collected 
will also assist agencies administering Medicaid programs in 
ascertaining the legal liability of third parties to pay for care and 
services. The respondents are recipients of SSI benefits or their 
representative payees.
    Number of Respondents: 552,000.
    Frequency of Response: 1.
    Average Burden Per Response: 17 minutes.
    Estimated Annual Burden: 156,400 hours.
    3. Work Activity Report--Employee--0960-0059. The information on 
form SSA-821 is needed by the Social Security Administration to 
determine whether an individual is performing substantial gainful 
activity. The information will be used to determine eligibility for 
benefits. The respondents are Social Security Disability and 
Supplemental Security Income applicants and recipients.
    Number of Respondents: 300,000.
    Frequency of Response: 1.
    Average Burden Per Response: 45 minutes.
    Estimated Annual Burden: 225,000 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: May 8, 1997.
Frederick W. Brickenkamp,
Forms Management Officer, Social Security Administration.
[FR Doc. 97-12590 Filed 5-13-97; 8:45 am]
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