[Federal Register Volume 62, Number 220 (Friday, November 14, 1997)]
[Notices]
[Page 61161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-29993]


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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 Pub. L. 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995.
    1. Electronic Request for Replacement SSA-1099/SSA-1042S--0960-New. 
The information requested will be used by the Social Security 
Administration (SSA) to provide replacement copies of Forms SSA-1099/
SSA-1042S 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. SSA intends 
to offer the public the option to use the Internet to request that the 
Agency mail to them a replacement SSA-1099/SSA-1042S, 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 basis 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.
    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.

    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: November 7, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-29993 Filed 11-13-97; 8:45 am]
BILLING CODE 4190-29-P