[Federal Register Volume 63, Number 213 (Wednesday, November 4, 1998)]
[Notices]
[Pages 59617-59618]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-29508]


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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. Statement of Death by Funeral Director--0960-0142. The Social 
Security Administration (SSA) uses the information collected on Form 
SSA-721 to verify the death of an individual insured under the Social 
Security Act and to determine if there is a survivor eligible for a 
lump-sum death payment. The respondents are funeral directors with 
knowledge of the death of a person insured for Social Security 
benefits.
    Number of Respondents: 900,000.
    Frequency of Response: 1.
    Average Burden Per Response: 3.5 minutes.
    Estimated Average Burden: 52,500 hours.
    2. Statement Regarding Marriage--0960-0017. SSA uses the 
information collected on Form SSA-753 to make determinations regarding 
entitlement to spouse's benefits when a common-law marriage is alleged. 
The respondents are third parties who can supply evidence concerning 
the existence of a common-law marriage.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden Per Response: 9 minutes.
    Estimated Average Burden: 6,000 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: 
Frederick W. Brickenkamp, 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. Modified Benefits Formula Questionnaire, Employer--0960-0477. 
The information collected on Form SSA-50 is used by SSA to verify that 
a pension based on noncovered employment after 1956 was allegedly 
received by the claimant. The form also shows whether or not the 
individual became eligible for that pension before 1985. The 
respondents are persons who are eligible for both Social Security 
benefits and a pension from noncovered employment after 1985.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Average Burden: 10,000 hours.
    2. Report of Continuing Disability Interview--0960-0072. SSA uses 
the information collected on Form SSA-454 to determine whether a person 
who receives Social Security Disability benefits is still unable to 
work because of an existing disability. The form will also be used to 
make a determination as

[[Page 59618]]

to whether the disability benefits should continue or be terminated. 
The respondents are Social Security Disability benefit recipients.
    Number of Respondents: 830,175.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Average Burden: 415,088 hours.
    3. Statement by School Official About Student's Attendance; 
Statement to U.S. Social Security Administration by School Outside the 
U.S. About Student's Attendance--0960-0090. The information collected 
on Forms SSA-1371 and SSA-1371-FC is used by SSA to verify a student's 
alleged full-time attendance at an educational institution, in order to 
determine the student's eligibility for Social Security student 
benefits. The respondents are the school officials who provide the 
information on these forms.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 833 hours.
    4. Reconsideration Disability Report--0960-0144. SSA uses the 
information collected on Form SSA-3441 to determine if the claimant's 
medical or vocational situation changed after the initial disability 
determination, when the claimant requests a reconsideration of a denied 
disability claim. The form also elicits additional sources of medical 
and vocational evidence, which was not considered in the initial 
determination. The respondents are disability beneficiaries who request 
a reconsideration.
    Number of Respondents: 400,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Average Burden: 200,000 hours.
    5. Agreement to Sell Property--0960-0127. The information on Form 
SSA-8060-U3 is used by SSA field office personnel to authorize payment 
of conditional benefits to individuals or couples who are otherwise 
eligible for Supplemental Security Income (SSI) benefits (but whose 
resources exceed the allowable limit), and at the end of the 
conditional payment period, to institute overpayment recovery 
procedures. Form SSA-8060-U3 documents this agreement and ensures that 
the individuals understand their obligations. The respondents are 
applicants for and recipients of SSI benefits.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 3,333 hours.
    6. Modified Benefit Formula Questionnaire--0960-0395. The 
information collected on Form SSA-150 is needed by SSA to determine the 
correct formula to use in computing Social Security benefits for 
someone who also receives benefits from employment not covered by 
Social Security. The respondents consist of claimants for Social 
Security benefits who are also entitled to benefits not covered by 
Social Security.
    Number of Respondents: 90,000.
    Frequency of Response: 1.
    Average Burden Per Response: 4 minutes.
    Estimated Average Burden: 6,000 hours.
    7. Application for Survivors Benefits--0960-0062. SSA collects the 
information on Form SSA-24 to determine whether insured status exists 
in order for the claimant to complete the appropriate SSA survivor 
application. If entitlement does not exist, SSA may disallow the claim. 
If an SSA survivor application has already been filed, Form SSA-24 is 
treated as a duplicate application. The respondents are survivors of 
military service veterans filing for Social Security benefits.
    Number of Respondents: 3,200.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 800 hours.
    8. Medical Report (Individual With Childhood Impairment)--0960-
0102. The information collected on Form SSA-3827 is used by SSA to 
determine whether an individual with a childhood impairment medically 
qualifies for benefits or payments under the provisions of the Social 
Security Act, based on the medical aspects of an individual's claim or 
application. The respondents are attending physicians/medical sources.
    Number of Respondents: 12,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Average Burden: 6,000 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: Desk Officer for SSA, New 
Executive Office Building, Room 10230, 725 17th St., NW, Washington, 
D.C. 20503

(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: October 29, 1998.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-29508 Filed 11-3-98; 8:45 am]
BILLING CODE 4190-29-P