[Federal Register Volume 65, Number 68 (Friday, April 7, 2000)]
[Notices]
[Page 18418]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-8637]



[[Page 18418]]

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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. Request for Reconsideration-0960-NEW. The information collected 
on Form SSA-561 is used by the Social Security Administration (SSA) to 
document and initiate the reconsideration process for determining 
entitlement to Social Security benefits under (title II), Supplemental 
Security Income payments (title XVI), Special Veterans Benefits (title 
VIII) and Medicare benefits (title XVIII). The respondents are 
individuals filing for such reconsideration.
    Number of respondents: 1,455,000.
    Number of Response: 1.
    Average burden per response: 8 minutes.
    Estimated Annual Burden: 194,000.
    2. Disability Hearing Officer's Decision--Title XVI Disabled Child 
Continuing Disability Review--0960-NEW. The information collected on 
form SSA-1209 will be used by State Disability Hearing Officers (DHO) 
to formalize disability decisions. The form will aid the DHO in 
addressing the crucial elements of the case in a sequential and logical 
fashion. The form is used as the official determination of the DHO's 
decision and the personalized portion of the notice to the claimant.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden Per Response: 3.6 hours.
    Estimated Annual Burden: 144,000 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. Claimant's Medications-0960-0289. SSA uses Form HA-4632 to 
request that applicants for disability benefits provide information to 
facilitate processing their title II, Old-Age, Survivors and Disability 
Insurance (OASDI) and Title XVI, Supplemental Security Income (SSI) 
claims. The form elicits from the claimants an updated list of 
medications used by the claimants. It enables the Administrative Law 
Judge hearing the case to fully inquire into medical treatment the 
claimant is receiving and the effect of medications on the claimant's 
medical impairments. The respondents are applicants for OASDI and SSI 
benefits.
    Number of Respondents: 171,939.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 42,985 hours.
    2. Statement of Employer-0960-0030. The information collected on 
Form SSA-7011 is needed by SSA to substantiate allegations of wages 
paid to workers when those wages do not appear in SSA's records of 
earnings and the worker does not have proof that payment was made. This 
information is used to process claims for social security benefits and 
to resolve discrepancies in earnings records. The respondents are 
certain employers who can verify allegations of wages made by the wage 
earner.
    Number of Respondents: 925,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 308,333 hours.
    3. Request for SSI Benefit Estimate-0960-0492. SSA uses Form SSA-
3716 for an SSI beneficiary who wishes to request a 5-month estimate of 
what their benefits would be if they should return to work in the 
future. The respondents are SSI recipients.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 4,167 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, 
D.C. 20503.

    Dated: April 3, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 00-8637 Filed 4-6-00; 8:45 am]
BILLING CODE 4191-02-U