[Federal Register Volume 62, Number 162 (Thursday, August 21, 1997)]
[Notices]
[Page 44506]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-22170]


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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 Public Law 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995.
    1. Electronic Request for Replacement SSA-1099/SSA-1042--0960-NEW. 
The information requested will be used by the Social Security 
Administration (SSA) to provide replacement copies of Forms SSA-1099/
SSA-1042 needed to prepare Federal tax returns. Over 700,000 requests 
are received annually for replacement forms from Social Security 
beneficiaries by SSA field offices and teleservice centers. We intend 
to offer the public the option to use the Internet to request that SSA 
mail to them a replacement SSA-1099/SSA-1042, eliminating the need for 
a phone call to a teleservice center or a visit to a field office. The 
respondents are Title II Social Security beneficiaries.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 583 hours.
    2. Discrimination Complaint Form--0960-NEW. The information 
collected on form SSA-437 will be used by SSA to investigate and 
informally resolve complaints of discrimination based on race, color, 
national origin, sex, age, religion and retaliation in any program or 
activity conducted by SSA. A person who believes that he or she has 
been discriminated against on any of the above bases may file a written 
complaint of discrimination. The information will be used to identify 
the complainant; identify the alleged discriminatory act; ascertain the 
date of the alleged act; obtain the identity of the individual(s)/
facility/component that allegedly discriminated; and ascertain other 
relevant information that would assist in the investigation and 
resolution of the complaints. The respondents are individuals who 
allege discrimination on the grounds described above.
    Number of Respondents: 250.
    Frequency of Response: 1.
    Average Burden Per Response: 1 hour.
    Estimated Annual Burden: 250 hours.
    3. Beneficiary Recontact Report--0960-0536. SSA uses the 
information collected on form SSA-1587-OCR-SM to ensure that 
eligibility for benefits continues after entitlement is established for 
children ages 15 through 17. Studies show that children who marry fail 
to report the marriage (which is a terminating event). SSA asks 
children ages 15, 16 and 17 information about marital status to detect 
overpayments and to avoid continuing payments to those no longer 
entitled. The respondents are applicants for Title II benefits, ages 15 
through 17.
    Number of Respondents: 835,492.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Annual Burden: 41,775 hours.
    4. Waiver of Right to Appear, Disability Hearing--0960-0534. Form 
SSA-773-U4 is used by claimants to request waiver of their right to 
appear at a disability hearing. The information collected will be used 
to document that claimants understand their right to appear and the 
effects of their decision to waive that right. The respondents are 
claimants who wish to waive their right to appear at a disability 
hearing, under Titles II and XVI of the Social Security Act.
    Number of Respondents: 194.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 48 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: August 15, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-22170 Filed 8-20-97; 8:45 am]
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