[Federal Register Volume 64, Number 130 (Thursday, July 8, 1999)]
[Notices]
[Pages 36941-36942]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-17401]
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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 this publication. 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 this publication.
1. Application for Widow's or Widower's Insurance Benefits-0960-
0004. The Social Security Administration (SSA) uses the information
collected on Form SSA-10-BK to determine whether the applicant meets
the statutory and regulatory conditions for entitlement to widow(er)'s
benefits. The respondents are applicants for widow(er)'s benefits.
Number of Respondents: 288,850.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 72,213 hours.
2. Request for Waiver of Overpayment Recovery or Change in
Repayment Notice-0960-0037. Form SSA-632 collects information on the
circumstances surrounding overpayment of Social Security Benefits to
recipients. SSA uses the information to determine whether recovery of
an overpayment amount can be waived or must be repaid and, if repaid,
how recovery will be made. The respondents are recipients of Social
Security, Medicare, Black Lung or Supplemental Security Income
overpayments.
Number of Respondents: 500,000.
Frequency of Response: 1.
Average Burden Per Response: 120 minutes.
Estimated Annual Burden: 1,000,000 hours.
3. Voluntary Customer Surveys in Accordance with E.O. 12862 within
the Social Security Administration--0960-0526. These voluntary customer
surveys will be used to ascertain customer satisfaction with the Social
Security Administration in terms of timeliness, appropriateness,
access, and other measures of quality service. Surveys will involve
individuals that are the direct or indirect beneficiaries of SSA
services. The average burden per response for these activities is
estimated to range from 5 minutes for a simple comment card to 2 hours
for participation in a focus group.
FY 2000:
Number of Respondents: 1,328,264.
Frequency of Response: 1.
Estimated Annual Burden: 123,231 Hours.
FY 2001:
Number of Respondents: 1,325,760.
Frequency of Response: 1.
Estimated Annual Burden: 122,274 Hours.
FY 2002:
Number of Respondents: 1,327,400.
Frequency of Response: 1.
Estimated Annual Burden: 121,734 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 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. Marriage Certification--0960-0009. Form SSA-3 is used by the
Social Security Administration (SSA) to determine whether the
claimant's spouse has the necessary relationship to the worker as
required by section 216(h)(1) of the Social Security Act (the Act).
The respondents are applicants for Spouse's Benefits.
Number of Respondents: 180,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 15,000 hours.
2. Claimant's Work Background--0960-0300. The information collected
on Form HA-4633 is used by SSA in cases in which claimants for
disability benefits have requested a hearing, which is a statutory
right granted to claimants under the Act, on the decision regarding
their claim. A completed form provides an updated summary of a
claimant's past relevant work and helps the Administrative Law Judge
better decide whether or not the claimant is disabled. The respondents
are claimants who request a hearing on entitlement to disability
benefits, under titles II and/or XVI of the Act.
Number of Respondents: 120,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 30,000 hours.
3. Report on Individual with Childhood Impairment--0960-0084.
[[Page 36942]]
Form SSA-1323 is used by SSA to determine the claimant's medical status
prior to making disability determinations. The respondents are public
and nonpublic schools and agencies who provide status reports on
claimants applying for disability benefits.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 2,333 hours.
4. Medicare Buy-In Part B Screening Guide--0960-0601. Pub. L. 105-
277 authorizes SSA to conduct a Medicare buy-in demonstration project
to evaluate means to promote the Medicare buy-in programs targeted to
elderly and disabled individuals under titles XVIII and XIX of the
Social Security Act. A lack of awareness about the Medicare buy-in
programs appears to be one of the major obstacles to enrollments. Other
obstacles to enrollment include the confusion of potential eligibles as
to how to apply for these programs and a preference for dealing with
SSA field offices rather than with local Medicaid offices.
SSA will screen respondents voluntarily for potential Medicare Part
B buy-in eligibility using a screening guide developed for this
purpose. The screening guide will collect information from SSA
beneficiaries regarding income, resources, marital status, and living
arrangements and also ask questions about their awareness of Medicare
Part B buy-in programs. SSA will gather this information to identify
and overcome obstacles to Medicare Part B buy-in enrollments and to
determine potential eligibility for Medicare Part B benefits. The
screening guide will be in use from March 1, 1999 through December 31,
1999.
Number of Respondents: 130,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 43,333 hours.
5. State Report of Incorrect Bendex Information--0960-0517. SSA
uses the information collected on Form SSA-1086 to correct its master
database and to facilitate the electronic exchange of data. The
respondents are State agencies administering programs for Aid to
Families with Dependent Children.
Number of Respondents: 123.
Frequency of Response: 2.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 41 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: Desk Officer
for SSA, New Executive Office Building, Room 10230, 725 17th St., NW,
Washington, DC 20503
Dated: July 1, 1999.
Nicholas E. Tagliareni,
Director, Center for Publications Management, Social Security
Administration.
[FR Doc. 99-17401 Filed 7-7-99; 8:45 am]
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