[Federal Register Volume 63, Number 34 (Friday, February 20, 1998)]
[Notices]
[Page 8733]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-4159]


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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. 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 (DDS). This version of the form will 
be used in those Social Security Administration (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. Request for Earnings and Benefit Estimate Statement--0960-0466. 
Form SSA-7004 is used by members of the public to request information 
about their Social Security earnings records and to get an estimate of 
their potential benefits. SSA provides information, in response to the 
request, from the individual's personal Social Security record. The 
respondents are Social Security numberholders who have covered earnings 
on record.
    Number of Respondents: 3,350,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Average Burden: 279,167 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: February 12, 1998.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-4159 Filed 2-19-98; 8:45 am]
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