[Federal Register Volume 63, Number 238 (Friday, December 11, 1998)]
[Notices]
[Pages 68495-68496]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-32804]


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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. Disability Report--0960-0573. The information collected on Form 
SSA-3368-F6 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: 85,280.
    Frequency of Response: 1.
    Average Burden Per Response: 45 minutes.
    Estimated Annual Burden: 63,960 hours.
    2. Vocational Report--0960-0572. The information collected on the 
SSA-3369-F6 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

[[Page 68496]]

to document an individual's past work history.
    Number of Respondents: 42,640.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 14,213 hours.
    3. Medical History and Disability Report, Disabled Child--0960-
0574. The information collected on Form SSA-3820-F4 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: 18,720.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 6,240 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. Employer Report of Special Wage Payments--0960-0565. The Social 
Security Administration (SSA) gathers the information on Form SSA-131 
to prevent earnings related overpayments to employees and to avoid 
erroneous withholding. The respondents are employers who provide 
special wage payment verification.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20-22 minutes.
    Estimated Annual Burden: 33,367 hours.
    2. Railroad Employment Questionnaire--0960-0078. Form SSA-671 is 
used by SSA to secure sufficient information to coordinate Social 
Security claims processing with the Railroad Retirement Board. The form 
is completed whenever claimants indicate having been employed in the 
Railroad Industry. The respondents are retired employees of the 
Railroad Industry or their dependents.
    Number of Respondents: 125,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 10,417 hours.
    3. Concise Notice Survey--0960-NEW. SSA will conduct a survey of 
Supplemental Security Income (SSI) awardees to determine customer 
opinions and preferences on the format and clarity of existing and 
proposed SSI award notices. The information will be used to determine 
whether a new concise notice format would improve comprehension of the 
information thus improving service to SSI customers. The respondents 
will be a random sample of new SSI awardees.
    Number of respondents: 1,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 250 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: Lori Schack, New Executive 
Office Building, Room 10230, 725 17th St., NW, Washington, DC 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: December 3, 1998.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-32804 Filed 12-10-98; 8:45 am]
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