[Federal Register Volume 65, Number 180 (Friday, September 15, 2000)]
[Notices]
[Page 56018]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-23700]


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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 an information collection that 
requires 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 collection listed below will be submitted to OMB 
within 60 days from the date of this notice. Therefore, comments and 
recommendations regarding the information collection 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 the notice. You can obtain 
a copy of the collection instrument by calling the SSA Reports 
Clearance Officer on (410) 965-4145, or by writing to him.
    Waiver of Right to Appear, Disability Hearing--0960-0534. The 
Social Security Administration uses Form SSA-773-U4 to provide 
claimants with an effective means of requesting waiver of their right 
to appear at a disability hearing. The information collected will be 
used as documentation that claimants understand their right to appear 
and the effects of the decision to waive this right. The respondents 
are claimants under Title II (Old-Age, Survivors and Disability 
Insurance) and Title XVI (Supplemental Security Income), of the Social 
Security Act, who wish to waive their right to appear at a disability 
hearing.

Number of Respondents: 194.
Frequency of Response: 1.
Average Burden Per Response: 25 minutes.
Estimated Average Burden: 81 hours.

Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 
6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore, MD 21235.

    Dated: September 11, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 00-23700 Filed 9-14-00; 8:45 am]
BILLING CODE 4190-29-P