[Federal Register Volume 62, Number 193 (Monday, October 6, 1997)]
[Notices]
[Page 52173]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-26410]


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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 Pub. L. 104-13 effective October 1, 1995, The Paperwork Reduction 
Act of 1995.
    1. Disability Report--0960-0141. The information collected on Form 
SSA-3368-BK is needed for the determination of disability by the State 
Disability Determination Services. This version of the form will be 
used in those SSA offices and State DDS offices that are piloting SSA's 
Reengineered Disability System. The information will be used to develop 
medical evidence and to assess the alleged disability. The respondents 
are applicants for disability benefits.
    Number of Respondents: 36,500.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated annual Burden: 18,250 hours.
    2. Pain Report--Child--0960-0540. The information collected on form 
SSA-3371-BK by the Social Security Administration is used to make a 
determination of disability for a child under the title XVI program. 
This information is essential to the adjudication of a claim. The 
respondents are applicants for title XVI child disability benefits.
    Number of Respondents: 250,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 62,500 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: September 30, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-26410 Filed 10-3-97; 8:45 am]
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