[Federal Register Volume 66, Number 30 (Tuesday, February 13, 2001)]
[Notices]
[Pages 10043-10044]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-3583]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages that will require clearance by the 
Office of Management and Budget (OMB) in compliance with Public Law 
104-13 effective October 1, 1995, The Paperwork Reduction Act of 1995. 
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.
    Written comments and recommendations regarding the information 
collection(s) should be submitted to the SSA Reports Clearance Officer 
and to the OMB Desk Officer at the following addresses:

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, New 
Executive Office Building, Room 10230, 725 17th St., NW., Washington, 
DC. 20503
(SSA) Social Security Administration, DCFAM, Attn: Frederick W. 
Brickenkamp 1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 
21235
    I. The information collections listed below will be submitted to 
OMB within 60 days from the date of this notice. Therefore, your 
comments should be submitted to SSA within 60 days from the date of 
this publication. You can obtain copies of the collection instruments 
by calling the SSA Reports Clearance Officer at 410-965-4145, or by 
writing to him at the address listed above.
    1. Site Review Questionnaire for Volume Payees, SSA-637; Site 
Review Questionnaire for Fee-for Service Payees, SSA-638; Site Review--
Beneficiary Interview Form, SSA-639--0960-NEW. Titles II and XVI of the 
Social Security Act provide for the payment of Social Security and 
Supplemental Security Income (SSI) benefits to a relative, another 
person, or an organization when the best interests of the beneficiary 
will be served. Social security regulations outline the duties and 
responsibilities of representative payees and require a written report 
accounting for these benefits.
    To ensure that benefits are being used properly for beneficiaries, 
SSA will conduct triennial site reviews for fee-for service payees and 
volume payees (organizations serving 100 or more beneficiaries). The 
reviews include a face-to-face meeting with the payee and appropriate 
staff and examination/verification of a sample of beneficiary records 
and supporting documentation, and may include beneficiary or custodian 
interviews. The information gathered using forms SSA-637, SSA-638 and 
SSA-639 will be used to ensure compliance with representative payment 
policies and procedures. It will enable SSA to identify poor payee 
performance and initiate corrective action as appropriate. The 
respondents are individuals who receive a fee for service, 
organizations serving as representative payees for 100 or more Social 
Security and Supplemental Security Income beneficiaries, and 
beneficiaries or custodians. Following is an estimate of the annual 
public reporting burden:

------------------------------------------------------------------------
                                               Fee-for-
                                   Volume      service    Beneficiaries/
                                   payees       payees      custodians
------------------------------------------------------------------------
Number of Respondents.........          347          333          2,040
Frequency of Response.........            1            1              1
Average Burden Per Response              60           60             10
 (Minutes)....................
Estimated Annual Burden                 347          333            340
 (Hours)......................
------------------------------------------------------------------------

    2. Earnings Record Information--0960-0505. The information on Form 
SSA-L3231-C1 is used by SSA to ensure that the proper person is 
credited with earnings reported for a minor under age 7. The 
respondents are businesses reporting earnings for children under age 7.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 3,333 hours.
    3. Employer Verification of Earnings After Death--0960-0472. The 
information collected on Form SSA-L4112 is used by SSA to determine 
whether wages reported by an employer are correct, when SSA records 
indicate that the wage earner is deceased. The respondents are 
employers who report wages for a deceased employee.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 8,333 hours.
    II. The information collections listed below have been submitted to 
OMB for clearance. Your comments on the information collections would 
be most useful if received by OMB and SSA within 30 days from the date 
of this publication. You can obtain a copy of

[[Page 10044]]

the OMB clearance packages by calling the SSA Reports Clearance Officer 
on (410) 965-4145, or by writing to him at the address listed above.
    1. Application Statement for Child's Insurance Benefits--0960-0010. 
Title II of the Social Security Act provides for payment of monthly 
benefits to the children of an insured retired, disabled or deceased 
worker, if certain conditions are met. The form SSA-4-BK is used by the 
Social Security Administration to collect information needed to 
determine whether the child or children are entitled to benefits. The 
respondents are children of the worker or individuals who complete this 
form on their behalf.

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                                                     Life claims                           Death claims
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Number of Respondents...............  925,000..................................  815,000.
Frequency of Response...............  1........................................  1.
Average Burden Per Response.........  10.5 minutes.............................  15.5 minutes.
Estimated Annual Burden.............  161,875 hours............................  210,542 hours.
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    2. Request for Internet Service--Password--0960-NEW. SSA will 
collect and use information to establish a Password Data File. The file 
will be used to allow customers to conduct electronic business with the 
Agency. SSA will request the following information to verify the 
customer's identity: Name, Social Security Number, Password Request 
Code, Last Month Payment Amount and Director Deposit Account Number (if 
applicable). SSA may also ask for a shared secret created by SSA and 
mailed or electronically sent to the requestor. The respondents are 
individuals electing to conduct business with SSA in the electronic 
medium.
    Number of Respondents: 250,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 41,667 hours.

    Dated: February 7, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-3583 Filed 2-12-01; 8:45 am]
BILLING CODE 4191-02-P