[Federal Register Volume 64, Number 237 (Friday, December 10, 1999)]
[Notices]
[Pages 69316-69317]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-31987]


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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 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. Vocational Rehabilitation ``301'' Program Development--0960-
0282. The information on Form SSA-4290 is used by the Social Security 
Administration (SSA) to determine an individual's continued entitlement 
to disability benefits when that individual has medically recovered 
while allegedly participating in a State or alternate Vocational 
Rehabilitation (VR) program. The respondents are State or alternate VR 
agencies serving such beneficiaries.
    Number of Respondents: 8,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 2,000 hours.
    2. Certificate of Election for Reduced Spouse's Benefits--0960-
0398. SSA uses the information collected on Form SSA-25 to pay a 
qualified spouse who elects to receive a reduced benefit at an earlier 
age. The respondents are entitled spouses seeking reduced benefits.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 1,000 hours.
    3. Statement of Funds You Provided to Another, Statement of Funds 
You Received--0960-0481. Forms SSA-2854 and SSA-2855 are used by SSA to 
collect information in situations where the SSI claimant alleges that 
money was borrowed on an informal basis from a noncommercial lender, 
e.g., a relative or friend, etc. These statements are completed by the 
borrower/claimant and the lender and are required to determine whether 
the proceeds from the transaction are/are not income to the borrower/
claimant. If the transaction constitutes a bona fide loan, the proceeds 
are not income to the SSI borrower/claimant. The respondents are 
applicants for and recipients of SSI payments who borrow money on an 
informal (noncommercial) basis and individuals who lend money 
informally to SSI applicants and recipients.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 6,667 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. Application for Wife's or Husband's Insurance Benefits--0960-
0008. SSA uses the information collected on Form SSA-2-F6 to determine 
whether applicants (including those who are divorced) are entitled to 
wife's or husband's insurance benefits. The respondents are applicants 
for wife or husband's benefits (including those who are divorced).
    Number of Respondents: 700,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 175,000 hours.
    2. Application for Supplemental Security Income--0960-0229. SSA 
uses the information collected on Form SSA-8000-BK to determine the 
respondent's eligibility for, and amount of, SSI benefits. The 
respondents are applicants for SSI Benefits.
    Number of Respondents: 1,002,773.
    Frequency of response: 1.
    Average Burden Per response: 35 minutes for paper application (3 
percent of responses) 25 minutes for automated collection of 
information (97% of responses).
    Estimated Annual Burden: 422,835 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, DC 20503


[[Page 69317]]


    Dated: December 2, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-31987 Filed 12-9-99; 8:45 am]
BILLING CODE 4191-02-P