[Federal Register Volume 65, Number 136 (Friday, July 14, 2000)]
[Notices]
[Pages 43795-43796]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-17851]


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

SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed 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 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. Childhood Disability Evaluation Form--0960-0568. The information 
collected on form SSA-538 by the Social Security Administration (SSA) 
is used by SSA and the State Disability Determination Services to 
record medical and functional findings concerning the severity of 
impairments of children who are claiming Supplemental Security Income 
(SSI) benefits based on disability. The form is used for initial 
determinations of eligibility, in appeals, and in initial continuing 
disability reviews. We are revising the form in order to make it easier 
for those who use it to better record their medical and functional 
findings.
    Number of Respondents: 750,000.
    Frequency of Response: 1.
    Average Burden Per Response: 25 minutes.
    Estimated Annual Burden: 312,500 hours.
    2. Employment Support Representative Position: Survey of 
Beneficiaries and Community Organizations--0960-NEW. SSA has created a 
new position, the Employment Support Representative (ESR) to provide 
employment support information and counseling to SSA disability 
beneficiaries and community organizations. The positions are 
established initially in a pilot program supporting 51 service areas. 
SSA proposes to test three models, which vary by organizational 
placement and assigned duties of the ESR. SSA will evaluate the models 
to determine which model or feature(s) of the model(s) are most 
effective through information we will collect from individuals and 
organizations who made contact with, or received services from, ESRs in 
each of the models during the pilot.

------------------------------------------------------------------------
                                            Individuals    Organizations
------------------------------------------------------------------------
Number of Respondents:..................           1,332             894
Frequency of Response:..................               1               1
Average Burden Per Response:............      10 minutes      15 minutes
Estimated Annual Burden:................       222 hours       224 hours
------------------------------------------------------------------------


[[Page 43796]]

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: July 11, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 00-17851 Filed 7-13-00; 8:45 am]
BILLING CODE 4191-02-P