[Federal Register Volume 62, Number 226 (Monday, November 24, 1997)]
[Notices]
[Pages 62654-62655]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-30620]


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SOCIAL SECURITY ADMINISTRATION


Information Collection Activities: Proposed Collection Requests 
and Comment Requests

    This notice lists information collection packages that will require 
submission to the Office of Management and Budget (OMB), as well as 
information collection packages submitted to OMB for clearance, in 
compliance with Pub. L. 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995.
    I. The information collection(s) listed below require(s) 
extension(s) of the current OMB approval(s) or are proposed new 
collection(s):
    1. Application for Child's Insurance Benefits--0960-0010. The 
information collected on Form SSA-4-BK is used to entitle children of 
living and deceased workers to Social Security benefits. The 
respondents are children of living or deceased workers.
    Number of Respondents: 1,740,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10.5 or 15.5 minutes (depending on the 
type of claim).
    Estimated Average Burden: 372,417 hours.
    2. Notice Regarding Substitution of Party Upon Death of Claimant--
0960-0288. The information collected on Form HA-539 is used to advise 
claimants of their statutory right to a hearing and of a decision by 
the Social Security Administration (SSA) on who, if anyone, should 
become a substitute party for the deceased, as provided for in the 
Social Security Act. The respondents are individuals requesting 
hearings on behalf of deceased claimants on Social Security benefits 
issues.
    Number of Respondents: 35,451.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Average Burden: 2,954 hours.
    3. Certificate of Responsibility for Welfare and Care of Child Not 
in Applicant's Custody--0960-0019. SSA uses the information collected 
on Form SSA-781 to decide if ``in care'' requirements are met by 
noncustodial parent(s) (or the spouse of a parent), who is filing for 
benefits based on having a child in care. The respondents are 
noncustodial wage earners whose entitlement to benefits depends upon 
having an entitled child in care.
    Number of Respondents: 14,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 2,333 hours.
    4. Report of Function--Child--0960-0542. The information collected 
on Forms SSA-3375, 3376, 3377, 3378, and 3379 will be used by SSA to 
help determine if a child claiming Supplemental Security Income 
disability benefits under title XVI is disabled. The respondents are 
parents or guardians who file for such benefits on behalf of a child.
    Number of Respondents: 500,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 166,667 hours.
    5. Payee Interview, SSA-835; Beneficiary Interview, SSA-836; 
Custodian Interview, SSA-837--0960-NEW. SSA is proposing a three-tier 
review process of the representative payee program. As part of this 
review process, SSA is proposing to conduct interviews with a sample of 
beneficiaries and their representative payees. The information will be 
used to assess the effectiveness of the representative payee program.

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                                             SSA-835   SSA-836   SSA-837
------------------------------------------------------------------------
Number of Respondents.....................     2,000     1,000       380
Frequency of Response.....................         1         1         1
Average Burden Per Response (minutes).....        30        20        10
Estimated Annual Burden (hours)...........     1,000       333        63
------------------------------------------------------------------------

    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.
    II. The information collection(s) listed below have been submitted 
to OMB:

[[Page 62655]]

    1. Blood Donor Locator Service--0960-0501. Regulation 20 CFR 
401.200 requires that requesting State agencies provide to the SSA 
Blood Donor Locator Service (BDLS) specific information on blood donors 
who have tested positive for Human Immunodeficiency Virus. The 
information is used to identify the donor, locate the donor's address 
in SSA records and assure that States meet regulatory requirements to 
qualify for using the BDLS. SSA will retain no record of the request or 
the information after processing has been completed. The respondents 
are requesting State agencies acting on behalf of authorized blood 
facilities.
    Number of Respondents: 10.
    Frequency of Response: 5.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 13 hours.
    2. Child Relationship Statement--0960-0116. The information 
collected on Form SSA-2519 is used to help determine children's 
entitlement to Social Security benefits under Section 216(h)(3) of the 
Social Security Act (deemed child provision). The respondents are 
persons providing information about the relationship between the worker 
and his/her alleged biological child, in connection with a child's 
application for benefits.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 12,500 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 17, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-30620 Filed 11-21-97; 8:45 am]
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