[Federal Register Volume 64, Number 243 (Monday, December 20, 1999)]
[Notices]
[Pages 71164-71165]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-32806]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Comment Request

    In compliance with Pub. L. 104-13, the Paperwork Reduction Act of 
1995, SSA is providing notice of its

[[Page 71165]]

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.
    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. Worker's Compensation Letter (SSA-L1708), Worker Compensation 
Questionnaire (SSA-1708)--0960-NEW. A review of SSA records revealed 
that beneficiaries receiving disability benefits, who were first placed 
in worker's compensation offset, have an extremely high potential for 
payment error, because an increase in or expiration of worker's 
compensation was not reported for/by such beneficiaries. Therefore, SSA 
is proposing to test a new form that collects information on changes in 
WC status. The information collected will be used to evaluate whether 
this is an effective method of detecting changes in workers 
compensation payments and determining payment accuracy. The respondents 
are a random sample of beneficiaries receiving disability benefits with 
workers compensation offset.
    Number of Respondents: 200.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 33 hours.
    2. Payee Interview (SSA-835), Beneficiary Interview (SSA-836), 
Custodian Interview (SSA-837)--0960-0588. SSA is conducting a three-
tier review process of the representative payee program. As part of 
this review process, SSA will conduct interviews with title II 
Disability Insurance and title XVI Supplemental Security Income 
recipients and their representative payees. The information obtained on 
the interview forms will be used to assess the effectiveness of the 
policies and procedures that govern the postentitlement selection and 
appointment of the approximately 7 million payees in the title II and 
title XVI programs.

------------------------------------------------------------------------
                                     SSA-835      SSA-836      SSA-837
------------------------------------------------------------------------
Number of Respondents............        1,000          500          190
Frequency of Response............            1            1            1
Average Burden Per Response                 20           15           10
 (Minutes).......................
Estimated Annual Burden (Hours)..          333          125           32
------------------------------------------------------------------------

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

    Dated: December 14, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration
[FR Doc. 99-32806 Filed 12-17-99; 8:45 am]
BILLING CODE 4190-29-U