[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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