[Federal Register Volume 62, Number 198 (Tuesday, October 14, 1997)]
[Notices]
[Page 53377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-27121]


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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. Application for Retirement Insurance Benefits--0960-0007. The 
Social Security Administration uses the information on Form SSA-1 to 
determine an individual's entitlement to retirement insurance benefits. 
The respondents are applicants for retirement benefits.
    Number of Respondents: 1,600,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10.5 minutes.
    Estimated Annual Burden: 280,000 hours.
    2. Physician's/Medical Officer's Statement, Patient's Capability to 
Manage Benefits--0960-0024. The Social Security Administration uses the 
information on Form SSA-787 to determine whether an individual is 
capable of handling his/her benefits. The information is also used for 
leads in selecting a representative payee. The respondents are 
physicians of the beneficiaries or medical officers of institutions 
where beneficiaries reside.
    Number of Respondents: 120,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 20,000 hours.
    3. Claimant's Statement When Request for Hearing Is Filed and The 
Issue Is Disability--0960-0316. The Social Security Administration 
requires that applicants for disability benefits provide the updated 
medical information requested on Form HA-4486, to facilitate processing 
their Old Age, Survivors and Disability Insurance (OASDI) and 
Supplemental Security Income (SSI) claims. This information also 
enables the Administrative Law Judge hearing the case to fully inquire 
into the claimant's medical condition. The respondents are applicants 
for OASDI and SSI Benefits.
    Number of Respondents: 283,460.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 70,865 hours.
    4. Representative Payee Report of Benefits and Dedicated Account--
0960-0576. The Social Security Administration uses Form SSA-6233 to 
ensure that payment of SSI benefits is made to a relative, another 
person, or an organization when the best interests of the beneficiary 
would be served. The form is also used to ensure that the 
representative payee is using the benefits received for the 
beneficiary's current maintenance and personal needs and that 
expenditures of funds from the dedicated account are in compliance with 
the law. The respondents are individual and organizational 
representative payees required by law to establish a separate 
(``dedicated'') account in a financial institution for certain past-due 
SSI monthly benefits.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 10,000 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.

    Date: October 6, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer Social Security Administration.
[FR Doc. 97-27121 Filed 10-10-97; 8:45 am]
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