[Federal Register Volume 66, Number 119 (Wednesday, June 20, 2001)]
[Notices]
[Pages 33120-33122]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-15439]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed 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 Pub. L. 104-13
effective October 1, 1995, The Paperwork Reduction Act of
[[Page 33121]]
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
at the following address: Social Security Administration, DCFAM, Attn:
Frederick W. Brickenkamp, 1-A-21 Operations Bldg., 6401 Security Blvd.,
Baltimore, MD 21235.
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. Request for Address Information from Motor Vehicles Records,
SSA-L711; Request for Address Information from Employment Commissions
Records, SSA-L712--0960-0341. SSA sends the SSA-L711 to State Motor
Vehicle Adminstrations to obtain the last known address from driver's
license and vehicle registration records. SSA sends the SSA-L712 to
State Employment Commissions to obtain last known address from State
unemployment/employment wage records. SSA uses the information to
locate debtors to arrange for payment of a debt. The respondents are
State Motor Vehicle Administrations and State Employment Commissions.
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SSA-L711 SSA-L712
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Number of Respondents........... 1,300............. 1,100.
Frequency of Response........... 1................. 1.
Average Burden Per Response..... 2 minutes......... 2 minutes.
Estimated Annual Burden......... 43 hours.......... 37 hours.
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2. Employee Identification Statement--0960-0473. The information
collected on Form SSA-4156 is needed in scrambled earnings situations
when two or more individuals have used the same social security number
(SSN), or when an employer (or employers) have reported earnings for
two or more employees under the same SSN. The information on the form
is used to help identify the individual (and the SSN) to whom the
earnings belong. The respondents are employers who have reported
erroneous wages.
Number of Respondents: 4,750.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Average Burden: 792 hours.
3. Plan for Achieving Self-Support--0960-0559. The information on
form SSA-545 is collected by SSA when a Supplemental Security Income
(SSI) applicant/recipient desires to use available income and resources
to obtain education and/or training in order to become self-supportive.
The information is used to evaluate the recipient's plan for achieving
self-support to determine whether the plan may be approved under the
provisions of the SSI program. The respondents are SSI applicants/
recipients who are blind or disabled.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden Per Response: 2 hours.
Estimated Average Burden: 14,000 hours.
4. Request for the Correction of Earning Records--0960-0029. Form
SSA-7008 is used by individual wage earners to request SSA's review,
and if necessary, correction of the Agency's master record of their
earnings. The respondents are individuals who question SSA's record of
their earnings.
Number of Respondents: 375,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 62,500 hours.
5. Request for a Deceased Individual's Social Security Record, SSA-
711; You Can Make Your Payment by Credit Card for a Deceased
Individual's Social Security Record, SSA-714--0960-NEW. Form SSA-711 is
used by SSA to fulfill requests from members of the public who apply
for a microprint of the SS-5, Application for Social Security Card, for
a deceased individual. SSA provides this information in response to a
request from an individual conducting genealogical research. The
information collected on Form SSA-714 is used by SSA to process credit
card payments from members of the public who request a microprint of
the SS-5 in conjunction with the service provided by the Agency through
the SSA-711. Respondents to the SSA-711 and 714 are members of the
public who request a microprint of the SS-5 of a deceased individual
for genealogical research.
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Average burden
Respondents Frequency of per response Estimated
response (min) annual burden
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SSA-711......................................... 320,000 1 7 37,333
SSA-714......................................... 50,000 1 7 5,833
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Total burden hours........................ .............. .............. .............. 43,166
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6. Statement for Determining Continuing Eligibility for
Supplemental Security Income Payments--Adult, Form SSA-3988-TEST;
Statement for Determining Continuing Eligibility for Supplemental
Security Income Payments--Child, Form SSA-3987-TEST--0960-NEW.
Background
The Social Security Act mandates periodic redeterminations of the
non-medical factors that relate to the SSI recipients' continuing
eligibility for SSI payments. Recent SSA studies have indicated that as
many as \2/3\ of all scheduled redeterminations completed, with the
assistance of a SSA employee, did not result in any change in
circumstances that affected payment. Therefore, SSA will conduct a
limited test to determine whether a less intrusive and labor intensive
redetermination process could result in significant operational savings
and a decrease in recipient inconvenience, while timely obtaining the
accurate data needed to determine continuing eligibility through the
process.
The Collection
A limited test of forms SSA-3988-TEST and SSA-3987-TEST will be
used to determine whether SSI recipients have met and continue to meet
all statutory and regulatory non-medical requirements for SSI
eligibility, and whether they have been and are still receiving the
correct payment amount.
[[Page 33122]]
The SSA-3988-TEST and SSA-3987-TEST are designed as self-help forms
that will be mailed to recipients or to their representative payees for
completion and return to SSA. The test objectives are to determine the
public's ability to understand and accurately complete the test forms.
The respondents are recipients of SSI benefits or their
representatives.
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Average burden
Respondents Frequency of per response Estimated
response (min) annual burden
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SSA-3988-TEST................................... 13,600 1 20 4,533
SSA-3987-TEST................................... 2,400 1 20 800
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Total burden hours........................ .............. .............. .............. 5,333
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Dated: June 14, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-15439 Filed 6-19-01; 8:45 am]
BILLING CODE 4191-02-U