[Federal Register Volume 65, Number 43 (Friday, March 3, 2000)]
[Notices]
[Pages 11630-11631]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-5161]


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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.
    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 package by calling the SSA Reports Clearance Officer on (410) 
965-4145, or by writing to him.
    1. Report to United States Social Security Administration by Person 
Receiving Benefits for a Child or Adult Unable to Handle Funds-0960-
0049. The information on Forms SSA-7161-OCR-SM and 7162-OCR-SM is used 
by the Social Security Administration (SSA) to determine continuing 
entitlement and proper benefit amounts for Social Security 
beneficiaries who live outside the United States (U.S.). The 
respondents are persons living outside the U.S. who are entitled to

[[Page 11631]]

benefits or who are representative payees for beneficiaries.

------------------------------------------------------------------------
                                  SSA-7161-OCR-SM      SSA-7162-OCR-SM
------------------------------------------------------------------------
Number of Respondents.........               30,000              200,000
Frequency of Response.........                    1                    1
Average Burden Per Response                      15                    5
 (minutes)....................
Estimated Annual Burden                       7,500               16,667
 (hours)......................
------------------------------------------------------------------------

    2. State Agency Schedule for Equipment Purchases for SSA Disability 
Programs-0960-0406. SSA uses the information collected on Form SSA-871 
to budget and account for expenditures of funds for equipment purchases 
by the State Disability Determination Services (DDS) that administer 
the disability determination program. The respondents are State 
governments that make disability determinations.
    Number of Respondents: 54.
    Frequency of Response: 4.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 216 hours.
    3. Physical Residual Functional Capacity Assessment; Mental 
Residual Functional Capacity Assessment-0960-0431. The information 
collected on forms SSA-4734-BK and SSA-4734-BK-SUP is needed by SSA to 
assist in the adjudication of disability claims involving physical and/
or mental impairments. The forms assist the State DDS to evaluate 
impairment(s) by providing a standardized data collection format to 
present findings in a clear, concise and consistent manner. The 
respondents are State DDSs administering title II and title XVI 
disability programs.
    Number of Responses: 1,130,772.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 376,924 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: February 28, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 00-5161 Filed 3-2-00; 8:45 am]
BILLING CODE 4190-29-P