[Federal Register Volume 63, Number 103 (Friday, May 29, 1998)]
[Notices]
[Pages 29464-29465]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-14263]


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SOCIAL SECURITY ADMINISTRATION


Information Collection Activities: 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 PL. 104-13 effective October 1, 1995, The Paperwork 
Reduction Act of 1995. The information collection(s) listed below have 
been submitted to OMB:
    1. Representative Payee Evaluation Report--0960-0069. The 
information on Form SSA-624 is used by SSA to accurately account for 
the use of Social Security benefits and Supplemental Security Income 
(SSI) payments received by representative payees on behalf of an 
individual. The respondents are individuals and organizations, who (as 
representative payees) received Form SSA-623/6230 and failed to 
respond, provided unacceptable responses which cannot be resolved or 
reported a change in custody.
    Number of Respondents: 250,000
    Frequency of Response: 1
    Average Burden Per Response: 30 minutes
    Estimated Average Burden: 125,000 hours
    2. Request for Address Information from Motor Vehicles Records; and 
Request for Address Information from Employment Commissions Records--
0960-0341. The information on Forms SSA-L711 and L712 is used by SSA to 
determine the current address for missing debtors. The respondents are 
State agencies who have entered into agreements with SSA to provide the 
requested information.

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                                        SSA-L711            SSA-L712    
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Number of Respondents............  1,300.............  1,100.           
Frequency of Response............  1.................  1.               
Average Burden Per Response......  2 minutes.........  2 minutes.       
Estimated Annual Burden..........  43 hours..........  37 hours.        
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    3. Disability Report--0960-0579. The information collected on Form 
SSA-3368 is needed for the determination of disability by the State 
Disability Determination Services. 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: 2,438,500
    Frequency of Response: 1
    Average Burden Per Response: 30 minutes
    Estimated Annual Burden: 1,219,250 hours
    4. Work History Report--0960-0578. The information collected on 
Form SSA-3369 is needed for the determination of disability by the 
State Disability Determination Services. The respondents are applicants 
for disability benefits. The information will be used to document an 
individual's past work history.
    Number of Respondents: 1,000,000
    Frequency of Response: 1
    Average Burden Per Response: 30 minutes
    Estimated annual Burden: 500,000 hours
    5. Medical History and Disability Report, Disabled Child-0960-0577. 
The information collected on Form SSA-3820 is needed for the 
determination of disability by the State Disability Determination 
Services. The SSA-3820 will be used to obtain various types of 
information about a child's condition, his/her treating sources and/or 
other medical sources of evidence. The respondents are applicants for 
disability benefits.
    Number of Respondents: 523,000
    Frequency of Response: 1
    Average Burden Per Response: 40 minutes
    Estimated Annual Burden: 348,667 hours
    6. Child-Care Dropout Questionnaire--0960-0474. The information on 
Form SSA-4162 is used by SSA to determine whether zero earnings years 
can be dropped out when computing a claimant's benefit. The respondents 
are applicants for Disability Insurance benefits, who may qualify for a 
higher primary insurance amount because of having a child in care for 
certain years.
    Number of Respondents: 2,000
    Frequency of Response: 1
    Average Burden Per Response: 5 minutes
    Estimated Average Burden: 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.

[[Page 29465]]

(SSA)

    Social Security Administration, DCFAM, Attn: Frederick W. 
Brickenkamp, 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) 965-4145 or write to him at 
the address listed above.

    Dated: May 21, 1998.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-14263 Filed 5-28-98; 8:45 am]
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