[Federal Register Volume 64, Number 117 (Friday, June 18, 1999)]
[Notices]
[Pages 32913-32915]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-15539]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    In compliance with Pub. L. 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 SSA's 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 at the 
address listed at the end of these notices.
    1. Report on Individual with Mental Impairment--0960-0058. Form 
SSA-824 is used by the Social Security Administration to determine the 
claimant's medical status prior to making a disability determination. 
The respondents are physicians, medical

[[Page 32914]]

directors, medical record librarians and other health professionals.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 36 minutes.
    Estimated Annual Burden: 30,000 hours.
    2. Report of Student Beneficiary at End of School Year--0960-0089. 
The information collected on Form SSA-1388 is used by SSA to verify a 
student's full-time attendance at an approved educational institution. 
The respondents are secondary school student beneficiaries or claimants 
who are enrolled full time.
    Number of Respondents: 200,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 33,333 hours.
    3. Request for Claimant Conference--0960-NEW. As part of SSA's 
disability redesign effort, SSA is testing modifications to the 
disability determination procedures. One aspect of the tests includes 
notifying claimants when the initial determination of disability by the 
State agency will be less than fully favorable. The State agency making 
the determination must send a written notice to the claimant offering 
him or her the opportunity to have a conference with the Disability 
Adjudicator and to provide an opportunity to submit additional 
evidence. The claimant can respond by either completing and returning 
the form (SSA-378) enclosed with the notice or by telephoning the 
Disability Adjudicator. Based on the reply, the Disability Adjudicator 
can schedule a conference, request additional medical evidence, and/or 
await the receipt of additional evidence or complete the processing of 
the claim. The respondents are claimants for title II and title XVI 
disability benefits whose claims will receive a less than fully 
favorable determination.
    Number of Respondents: 163,000.
    Frequency of Response: 1.
    Average Burden Per Response: 1.5 minutes.
    Estimated Annual Burden: 4,075 hours.
    II. The information collections listed below have been submitted to 
OMB for clearance. Written comments and recommendations on the 
information collection 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 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. Application for Mother's or Father's Insurance Benefit-0960-
0003. The information collected on Form SSA-5 is used by the Social 
Security Administration (SSA) to determine an applicant's eligibility 
for mother's or father's insurance benefits. The respondents are 
individuals who wish to file an application for such benefits.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 12,500 hours.
    2. Missing and Discrepant Wage Reports Letter and Questionnaire--
0960-0432. SSA uses the information on Forms SSA-L93, SSA-95 and SSA-97 
to secure the employer information missing from its records (or 
discrepant with Internal Revenue Service (IRS) records) by contacting 
the involved employers. When secured, SSA is able to properly post the 
employee's earnings records. Compliance by employers with SSA requests 
facilitates proper posting of employees' wage records. SSA makes two 
efforts to obtain wage information from the employer before the case is 
turned over to the IRS for penalty assessments. The respondents are 
employers with missing or discrepant wage reports.
    Number of Respondents: 360,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 180,000 hours.
    3. Medical Report on Adult with Allegation of Human Immune 
Deficiency Virus Infection and Medical Report on Child with Allegation 
of Human Immune Deficiency Virus Infection--0960-0500. SSA uses Forms 
SSA-4814-F5 and SSA-4815-F6 to obtain information from a medical source 
concerning an individual who has filed for Supplemental Security Income 
(SSI) disability benefits with an allegation of Human Immune Deficiency 
Virus (HIV) infection. The information is necessary for SSA field 
office personnel to determine whether the individual meets the 
requirements for a presumptive disability payment. The respondents are 
medical sources of individuals who apply for SSI disability benefits.

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                                            SSA-4814-F5     SSA-4815-F6
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Number of Respondents...................          46,200          12,900
Frequency of Response...................               1               1
Average Burden Per Response (minutes)...              10              10
Estimated Annual Burden (hours).........           7,700           2,150
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    4. Self-Employment--Corporate Officer Questionnaire--0960-0487. 
Form SSA-4184 is used by SSA to develop earnings and to corroborate the 
claimant's allegations of retirement when the claimant is self-employed 
or a corporate officer. The respondents are self-employed individuals 
and corporate officers.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 16,667 hours.
    5. Coverage of Employees of State and Local Governments--0960-0425. 
This current rule contains reporting and recordkeeping requirements in 
20 CFR Part 404 (see table below). The regulation sections cited 
require State and/or interstate instrumentalities to provide certain 
information to SSA that is needed to extend Social Security coverage to 
public sector workers for pre-1987 tax years, and to maintain accurate 
records of social security agreements. SSA would not be able to provide 
coverage to these workers and would be in violation of the statute 
requiring coverage if the information were not collected. This rule 
applies to 52 State agencies who could submit modifications to their 
Social Security coverage agreements and 3 interstate instrumentalities 
who could submit agreements for coverage, and one or two potential 
annual responses for each. In actuality, SSA may receive any number of 
reports from a few States and no reports from the remainder. From 
experience, SSA anticipates that no error modifications will be filed 
for tax years prior to 1987, nor wage reports and contributions 
payments for an error

[[Page 32915]]

situation where wages have never been reported for those years. In 
addition, the reporting requirements in sections 404.1242, .1251 and 
.1271(a) and (c) no longer exist so we are showing no public reporting 
burden for these sections. SSA plans to publish a Notice of Proposed 
Rulemaking to eliminate the obsolete reporting requirements from these 
sections. For the remaining sections, SSA is basing the public burden 
estimates on the total number of respondents that could potentially 
report to us, although we anticipate the actual number will be less.

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                                          Number of     Frequency of                               Annual burden
               Section                     States         response         Individual burden          (hours)
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404.1203(a)..........................              52               1  1 hour...................              52
404.1204(a) & (b)....................              52               1  30 minutes...............              26
404.1214(d)..........................            \1\3               1  1 hour...................               3
404.1215.............................              52               1  1 hour...................              52
404.1216(a) & (b)....................              52               1  1 hour...................              52
404.1220(b) & (c)....................              52               1  5 minutes................               4
404.1225(a) & (b)....................              52               1  1 hour...................              52
404.1237(a), (b) & (c); .1239;                     52               1  1 hour...................              52
 .1243(a), (b), (c).
404.1242.............................               0               0  0........................               0
404.1247.............................              52               1  1 hour...................              52
404.1249(a), (b) & (c)...............              52               1  1 hour...................              52
404.1251.............................               0               0  0........................               0
404.1265.............................               3               1  1 hour...................               3
404.1271(a) & (c)....................               0               0  0 hour...................               0
404.1271(b)..........................               2               2  4 hours..................              16
404.1272.............................               3               1  1........................               3
404.1292.............................               3               1  5........................              15
                                                                                                 ---------------
    Total............................  ..............  ..............  .........................            434
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\1\ Interstate Instrumentalities.

(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: Desk Officer 
for SSA, New Executive Office Building, Room 10230, 725 17th St., NW, 
Washington, DC 20503

    Dated: June 11, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-15539 Filed 6-17-99; 8:45 am]
BILLING CODE 4190-29-P