[Federal Register Volume 64, Number 48 (Friday, March 12, 1999)]
[Notices]
[Pages 12398-12399]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-5978]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    In compliance with Public Law 104-13, the Paperwork Reduction Act 
of 1995, SSA is providing notice of its information collections that 
require submission to the Office of Management and Budget (OMB). SSA is 
soliciting comments on the accuracy of the agency's burden estimate; 
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.

I. The Information Collections Listed Below Will be Submitted to 
OMB Within 60 Days From the Date of This Notice

    Therefore, comments and recommendations regarding the information 
collections would be most useful if received by the Agency within 60 
days from the date of this publication. Comments should be directed to 
the SSA Reports Clearance Officer at the address listed at the end of 
the notices. You can obtain a copy of the collection instruments by 
calling the SSA Reports Clearance Officer on (410) 965-4145, or by 
writing to him.
    1. Request for Hearing--0960-0269. The information collected on 
Form HA-501 is used by the Social Security Administration (SSA) to 
process a request for hearing on an unfavorable determination of 
entitlement or eligibility to benefits administered by SSA. The 
respondents are individuals whose claims for benefits are denied and 
who request a hearing on the denial.
    Number of Respondents: 554,100.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 92,350 hours.
    2. Petition to Obtain Approval of a Fee for Representing a Claimant 
Before the Social Security Administration--0960-0104. Form SSA-1560 is 
used by SSA if the representative files a fee petition to obtain 
approval of a fee for representing a claimant. The representative must 
file either a fee petition or a fee agreement with SSA in order to 
charge for representing a claimant in proceedings before the Agency. 
The information is reviewed by SSA to determine a reasonable fee for 
the representative's services. The respondents are attorneys and other 
persons representing Social Security claimants.
    Number of Respondents: 34,624.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Average Burden: 17,312 hours.
    3. Letter to Landlord Requesting Rental Information--0960-0454. 
Form SSA-L5061 is used by SSA to provide a nationally uniform vehicle 
for collecting information from landlords in making a rental subsidy 
determination in the Supplemental Security Income (SSI) Program. The 
responses are used in deciding whether income limits are met. The 
respondents are landlords who provide subsidized rental arrangements to 
SSI applicants and recipients.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 8,167 hours.
    4. State Contribution Return--0960-0041. SSA uses the information 
on Form SSA-3961 to identify and account for all contributions owed and 
paid, under section 218 of the Social Security Act. The data is used to 
balance each deposit made by a State and to allocate the deposited 
contributions by specific liability. The form is ultimately used to 
provide audit statements to State agencies and to perform trust fund 
accounting. The respondents are State Social Security agencies (one 
agency in each state, Puerto Rico, and the Virgin Islands) and each of 
approximately 65 interstate instrumentalities.
    Number of Respondents: 10,000.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Average Burden: 500 hours.
    5. Farm Arrangement Questionnaire--0960-0064. SSA needs the 
information collected on Form SSA-7157-F4 to determine if farm rental 
income may be considered self-employment income for Social Security 
coverage purposes. The respondents are individuals alleging self-
employment income from renting land for farming activities.
    Number of Respondents: 38,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Average Burden: 19,000 hours.

II. The Information Collections Listed Below Have Been Submitted to 
OMB for Clearance

    Written comments and recommendations on the information collections 
would be most useful if received within 30 days from the date of this 
publication. Comments should be directed to the SSA Reports Clearance 
Officer and the OMB Desk Officer at the addresses listed at the end of 
the notices. A copy of the OMB clearance packages can be obtained by 
calling the SSA Reports Clearance Officer on (410) 965-4145, or by 
writing to him.
    1. Inquiry To File an SSI Child's Application--0960-0557. The 
information collected on Form SSRO-3-293 (formerly SSA-293) is used by 
SSA to document the earliest possible filing date and to determine 
potential eligibility for SSI child's benefits. The respondents are 
individuals, such as hospital social workers, who inquire about SSI 
eligibility for low birth weight babies.
    Number of Respondents: 2,100.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Average Burden: 105 hours.
    2. Request for Workers' Compensation/Public Disability 
Information--0960-0098. Form SSA-1709 is used by SSA to request and/or 
verify information about worker's compensation or public disability 
benefits given to Social Security disability insurance benefit 
recipients so that their monthly benefit adjustments are properly made. 
The respondents are State and local governments and/or businesses that 
administer workers' compensation or other disability benefits.
    Number of Respondents: 140,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 35,000 hours.
    3. Individuals Who Inquire About SSI Eligibility for Themselves--
0960-0140. Form SSA-3462 is completed by SSA personnel, via telephone 
or personal interview and is used to determine

[[Page 12399]]

potential eligibility for SSI benefits. The respondents are individuals 
who inquire about SSI eligibility for themselves or someone else.
    Number of Respondents: 2,134,100.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Average Burden: 177,842 hours.
    4. State Mental Institution Policy Review--0960-0110. The 
information collected on form SSA-9584 is used by SSA to determine 
whether an institution's policies and practices conform with SSA's 
regulations in the use of benefits, and whether the institution is 
performing other duties and responsibilities required of a 
representative payee. The information also provides the basis for 
conducting the actual onsite review and is used in the preparation of 
the subsequent report of findings and recommendations which are 
provided to the institution. The respondents are State mental 
institutions which serve as representative payees for Social Security 
beneficiaries.
    Number of Respondents: 183.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Average Burden: 183 hours.
(SSA Address)
Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 
6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore, MD 21235
(OMB Address)
Office of Management and Budget, OIRA, Attn: Lori Schack, New Executive 
Office Building, Room 10230, 725 17th St., NW, Washington, D.C. 20503

    Dated: March 5, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-5978 Filed 3-11 99; 8:45 am]
BILLING CODE 4190-29-P