[Federal Register Volume 64, Number 58 (Friday, March 26, 1999)]
[Notices]
[Pages 14781-14782]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-7161]


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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 Review of Hearing Decision/Order--0960-0277. The 
information collected on form HA-520 is needed to afford claimants 
their statutory right under the Social Security Act to request review 
of a hearing decision. The data will be used to determine the course of 
action appropriate to resolve each issue. The respondents are claimants 
denied or dissatisfied with a decision made regarding their claim.
    Number of Respondents: 103,932.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 17,322 hours.
    2. Statement Regarding Date of Birth and Citizenship--0960-0016. 
The information collected on form SSA-702 is used by the Social 
Security Administration in conjunction with other evidence to establish 
a claimant's age or citizenship when better proofs are not available. 
The respondents are individuals who have knowledge of the birth and 
citizenship of the applicant.
    Number of Respondents: 1,200.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 200 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 after this publication. You can obtain a copy of the OMB 
clearance packages by calling the SSA Reports Clearance Officer on 
(410) 965-4145, or by writing to him.
    1. Government Pension Questionnaire--0960-0160. The Social

[[Page 14782]]

Security Act and the Code of Federal Regulations provide that an 
individual receiving spouse's benefits and concurrently receiving a 
Government pension, based on the individual's own earnings, may have 
the Social Security benefits amount reduced by two-thirds of the 
pension amount. The data collected on Form SSA-3885 is used by the 
Social Security Administration (SSA) to determine if the individual's 
Social Security benefit will be reduced, the amount of reduction, the 
effective date of the reduction and if one of the exceptions in 20 CFR 
404.408a applies. The respondents are individuals who are receiving (or 
will receive) Social Security spouse's benefits and also receive their 
own Government pension.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 12.5 minutes.
    Estimated Average Burden: 6,250 hours.
    2. Annual Registration Statement Identifying Separated Participants 
with Deferred Benefits, Schedule SSA--0960-0556. Schedule SSA is a form 
filed annually with the Internal Revenue Service (IRS) by pension plan 
administrators as part of a series of pension plan documents required 
by Section 6057 of the IRS Code. IRS forwards Schedule SSA to the 
Social Security Administration, which maintains it until a claim for 
social security benefits has been approved. At that time, SSA notifies 
the beneficiary of his/her potential eligibility for private pension 
plan benefits.
    Number of Respondents: 107,174.
    Frequency of Response: 1.
    Average Burden Per Response: 17 minutes.
    Estimated Annual Burden: 30,366 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 18, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-7161 Filed 3-25-99; 8:45 am]
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