[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
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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
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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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