[Federal Register Volume 65, Number 106 (Thursday, June 1, 2000)]
[Notices]
[Page 35154]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-13608]


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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 Withdrawal of Application--0960-0015. Form SSA-521 
is completed by the Social Security Administration (SSA) when an 
individual wishes to withdraw his or her application for Social 
Security benefits. The respondents are individuals who wish to withdraw 
their applications for benefits.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 8,333 hours.

    2. Statement of Self-Employment Income--0960-0046. SSA uses the 
information on Form SSA-766 to expedite the payment of Social Security 
Benefits to an individual who is self-employed and who is establishing 
insured status in the current year. The respondents are self-employed 
persons.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 417 hours.

    3. Certification by Religious Group--0960-0093. The data that SSA 
collects via form SSA-1458 will be used to determine if the religious 
group meets the qualifications set out in section 1402(g) of the 
Internal Revenue Code permitting its members to be exempt from payment 
of certain Social Security taxes. The respondents are spokespersons for 
a religious group or sect.
    Number of Respondents: 180.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 45 hours.

    4. You Can Make Your Payment by Credit Card--0960-0462. Forms SSA-
4588 and SSA-4589 provide information to SSA on the debtor's name, 
Social Security Number, credit card number, the amount being paid and 
the credit card type so that a remittance can be credited to the 
debtor's account. The respondents are Title II (Old-Age, Survivors and 
Disbility Insurance) and Title XVI (Supplemental Security Income) 
debtors; and citizens requesting material through SSA.
    Number of Respondents: 19,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 1,583 hours.

    5. Statement Regarding Contributions--0960-0020. To determine 
eligibility of child applicants to Social Security benefits, SSA must 
collect information about the source of support and the amount of 
contributions. SSA uses the form SSA-783 for this purpose. The 
respondents are individuals who provide information to SSA about the 
child's sources of support.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 7,500 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.
    Statement of Claimant or Other Person--0960-0045. In special 
situations when there is no standard form or questionnaire, Form SSA-
795 is used by SSA to obtain information from claimants or other 
persons having knowledge of facts in connection with claims for Social 
Security or Supplementary Supplemental Security Income. The information 
collected is used to process claims for benefits. The respondents are 
applicants for SocialSecurity or Supplemental Security Income benefits.
    Number of Respondents: 305,500.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 76,375 hours.

(SSA Address) Social Security Administration, DCFAM, Attn: Frederick W. 
Brickenkamp, 6401 Security Blvd., 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: May 25, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 00-13608 Filed 5-31-00; 8:45 am]
BILLING CODE 4191-02-P