[Federal Register Volume 63, Number 88 (Thursday, May 7, 1998)]
[Notices]
[Pages 25261-25263]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-12152]
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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 Public Law 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. Representative Payee Report--0960-0068. Forms SSA-6230 and SSA-
623 are used by the Social Security Administration (SSA) to determine
the continuing suitability of an individual/organization to serve as
representative payee. Form SSA-6230 is sent to parents, stepparents and
grandparents with custody of minor children receiving Social Security
benefits.
Form SSA-623 is sent to all other payees with or without custody of
the beneficiary. The respondents are individuals and organizations who
serve as representative payees for SSI and Social Security
beneficiaries.
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SSA-623 SSA-6230
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Number of Respondents...................... 3,350,875........................ 2,099,298.
[[Page 25262]]
Frequency of Response...................... 1................................ 1.
Average Burden Per Response................ 15 minutes....................... 15 minutes.
Estimated Annual Burden.................... 837,719 hrs...................... 524,824 hrs.
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2. Request for Social Security Earnings Statement--0960-0525. The
information on Form SSA-7050 is used by SSA to identify the requestor,
to define the earnings information being requested, and to inform the
requester of the fee for such information. Based on the information
provided, SSA produces the requested statement. The respondents are
individuals and organizations that use this form to request statements
of earnings from SSA.
Number of Respondents: 44,000.
Frequency of Response: 1.
Average Burden Per Response: 11 minutes.
Estimated Average Burden: 8,067 hours.
3. Request for Change in Time/Place of Disability Hearing--0960-
0348. The information on Form SSA-769 is used by the Social Security
Administration (SSA) to provide claimants with a structured format to
exercise their right to request a change in the time or place of a
scheduled disability hearing. The information will be used as a basis
for granting or denying requests for changes and for rescheduling
hearings. The respondents are claimants who wish to request a change in
the time or place of their disability hearing.
Number of Respondents: 7,483.
Frequency of Response: 1.
Average Burden Per Response: 8 minutes.
Estimated Average Burden: 998 hours.
4. Request for Reconsideration--Disability Cessation-- 0960-0349.
The information on Form SSA-789 is used by SSA to schedule hearings and
to develop additional evidence for individuals who have received an
initial or revised determination that their disability ceased, did not
exist, or is no longer disabling. The respondents are disability
beneficiaries who file a claim for reconsideration.
Number of Respondents: 15,015.
Frequency of Response: 1.
Average Burden Per Response: 12 minutes.
Estimated Average Burden: 3,003 hours.
5. Summary of Evidence--0960-0430. The information on Form SSA-887
is used by State Disability Determination Services (DDS) to provide
claimants with a list of medical/vocational reports pertaining to their
disability. The form will aid claimants in reviewing the evidence in
their folders and will be used by hearing officers in preparing for and
conducting hearings. The respondents are State DDSs that make
disability determinations.
Number of Respondents: 22,024.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Average Burden: 5,506 hours.
6. Report of Work Activity--Notice of Continuing Disability--0960-
0108. The information collected on Form SSA-3945 will be used by SSA to
determine whether an individual's work after entitlement to disability
is cause for that entitlement to end. The respondents are individuals
who report earnings after their entitlement to disability benefits.
Number of Respondents: 140,000.
Frequency of Response: 1.
Average Burden Per Response: 45 minutes.
Estimated Average Burden: 105,000 hours.
7. Employee Identification Statement--0960-0473. The information on
Form SSA-4156 is used by SSA to resolve situations where two or more
individuals have used the same Social Security Number (SSN), and an
employer has erroneously reported earnings under an SSN. The
respondents are employers involved in erroneous wage reporting.
Number of Respondents: 4,750.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Average Burden: 792 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.
II. The information collection(s) listed below have been submitted
to OMB:
1. Disability Hearing Officer's Report of Disability--0960-0507.
The information on Form SSA-1204-BK is used by the Disability Hearing
Officer (DHO) to conduct and document disability hearings and to
provide a structured format that covers all conceivable issues relating
to SSI claims for disabled children. The completed Form SSA-1204-BK
will aid the DHO in preparing the disability decision and will provide
a record of what transpired at the hearing. The respondents are DHOs in
the State Disability Determination Services (DDS).
Number of Respondents: 100,000.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 100,000 hours.
2. Disability Hearing Officer's Report of Disability Hearing--0960-
0440. The information on Form SSA-1205 is used by DHOs to conduct and
record disability hearings for adults. The form serves as a guide in
conducting the hearings and ensures that all pertinent issues are
considered. The respondents are DHOs in the State DDSs.
Number of Respondents: 100,000.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 100,000 hours.
3. Disability Hearing Officer's Decision--0960-0441. The DHO uses
the information on Form SSA-1207 and the supplements--which apply to
the type of claim involved--in preparing the disability decision. The
form will aid the DHO in addressing the crucial elements of the case in
a sequential and logical fashion. The respondents are DHOs in the State
DDSs.
Number of Respondents: 100,000.
Frequency of Response: 1.
Average Burden Per Response: 45 minutes.
Estimated Annual Burden: 75,000 hours.
4. Chinese Custom Marriage Statement (By One or Both of the
Parties); and Statement Regarding Chinese Custom Marriage--0960-0086.
The information on Forms SSA-1344 and 1345 is used by SSA to determine
if an alleged spouse of the
[[Page 25263]]
numberholder is legally married, in order to be paid Social Security
benefits. The respondents are individuals applying for benefits based
upon a Chinese custom marriage or individuals who attended the marriage
ceremony.
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SSA-1344 SSA-1345
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Number of Respondents...................... 100.............................. 100.
Frequency of Response...................... 1................................ 1.
Average Burden Per Response................ 14 minutes....................... 14 minutes.
Estimated Annual Burden.................... 23 hours......................... 23 hours.
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5. Student's Statement Regarding School Attendance--0960-0105. The
information on Form SSA-1372 is used by SSA to determine if a claimant
is entitled to Social Security benefits as a student. The respondents
are student claimants for Social Security benefits.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 33,333 hours.
6. Application for Benefits under the Italy-U.S. International
Social Security Agreement--0960-0445. The information on Form SSA-2528
is used by SSA to determine if a resident of Italy is eligible for
Social Security benefits under the Italy-U.S. Social Security
agreement. The respondents are Italian residents who file for U.S.
benefits with the Italian Social Security Agency.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 67 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.
Date: May 1, 1998.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-12152 Filed 5-6-98; 8:45 am]
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