[Federal Register Volume 66, Number 136 (Monday, July 16, 2001)]
[Notices]
[Pages 37085-37086]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-17539]


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SOCIAL SECURITY ADMINISTRATION

  


Agency Information Collection Activities: 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 Pub. L. 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 OMB Desk Officer and the SSA 
Reports Clearance 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
    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 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. Chinese Custom Marriage Statement; Statement Regarding 
Marriage--0960-0086. The information collected on Forms SSA-1344 and 
SSA-1345 is used to determine whether the spouse/claimant is (or was) 
legally married to the numberholder for the purpose of paying Social 
Security Benefits. The respondents are individuals who were married in 
a Chinese custom marriage.

------------------------------------------------------------------------
                                                  SSA-1344     SSA-1345
------------------------------------------------------------------------
Number of Respondents.........................           10           10
Frequency of Response.........................            1            1
Average Burden Per Response (in minutes)......           14           14
Estimated Annual Burden (in hours)............          2.3          2.3
------------------------------------------------------------------------

    2. State Agency Ticket Assignment Form--0960-NEW. The information 
collected on this form will be used by SSA's contracted Program Manager 
(PM) to perform the task of assigning beneficiaries' tickets and 
monitoring the use of tickets under the Ticket to Work and Self-
Sufficiency Program. The State Vocational Rehabilitation (VR) agency 
answers the questions and the beneficiary reviews the data and if in 
agreement will sign the form acknowledging their Ticket assignment. The 
respondents are State VR agencies.
    Number of Respondents: 21.
    Frequency of Response: 4,048 annually per respondent.

[[Page 37086]]

    Average Burden Per Response: 3 minutes.
    Estimated Annual Burden: 4,250 hours.
    Please note that the Ticket to Work Program is being implemented in 
stages. The above represents the initial phase of the program with 13 
participating states that includes 21 State VR agencies. As the program 
continues to be phased in, each initial program year will result in a 
large number of new tickets for the participating State VRs because 
existing clients will also be brought into the program.
    3. Statement for Determining Continuing Eligibility, Supplemental 
Security Income Payment--0960-0145--Forms SSA-8202-F6 and SSA-8202-OCR-
SM. SSA uses form SSA-8202-F6 to conduct low- and middle-error-profile 
(LEP-MEP) telephone or face-to-face redetermination (RZ) interviews 
with Supplemental Security Income (SSI) recipients and representative 
payees. The information collected during the interview is used to 
determine whether SSI recipients have met and continue to meet all 
statutory and regulatory requirements for SSI eligibility and whether 
they have been and are still receiving the correct payment amount. Form 
SSA-8202-OCR-SM (Optical Character Recognition-Self Mailer) collects 
information similar to that collected on Form SSA-8202-F6. However it 
is used exclusively in LEP RZ cases on a 6-year cycle. The respondents 
are recipients of SSI benefits or their representative payees.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
                                                    Respondents    Frequency of    per response    annual burden
                                                                     response      (in minutes)     (in hours)
----------------------------------------------------------------------------------------------------------------
SSA-8202-F6.....................................         920,000               1              18         276,000
SSA-8202-OCR-SM.................................         800,000               1               9         120,000
    Total Burden................................  ..............  ..............  ..............         396,000
----------------------------------------------------------------------------------------------------------------

    4. Statement for Determining Continuing Eligibility for 
Supplemental Security Income Payments--0960-0416. SSA uses form SSA-
8203-BK for high-error-profile (HEP) redeterminations. The information 
is normally completed in field offices by personal contact (face-to-
face or telephone interview) using the automated Modernized SSI Claim 
System (MSSICS). The paper form is used only when a systems limitation 
prevents the interview from being completed on MSSICS. When the paper 
form is used, a tear-off sheet (Pages 7 and 8 of the form) is given to 
recipients at the conclusion of a face-to-face interview or is mailed 
to recipients at the completion of the telephone interview. The tear-
off includes information about how, what, when, where, and why SSI 
recipients report when there is a change in income, resources, or 
living arrangements. The respondents are recipients of title XVI SSI 
benefits.
    Number of Respondents: 920,000.
    Frequency of Response: 1.
    Average Burden Per Response: 18 minutes.
    Estimated Annual Burden: 276,000 hours.
    5. Summary of Evidence--0960-0430. The information on Form SSA-887 
is used by State Disability Determination Services (DDS) to provide 
claimants with a list of medical/vocational reports pertaining to their 
disability. The form will aid claimants in reviewing the evidence in 
their folders and will be used by hearing officers in preparing for and 
conducting hearings. The respondents are State DDSs that make 
disability determinations.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 12,250 hours.
    6. Notice Regarding Substitution of Party Upon Death of Claimant-- 
Reconsideration of Disability Cessation--0960-0351. The Social Security 
Administration uses the form SSA-770 to obtain information from 
substitute parties regarding their intention to pursue the appeals 
process for an individual who has died. The respondents are such 
parties.
    Number of Respondents: 1,200.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 200 hours.

    Dated: July 9, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-17539 Filed 7-13-01; 8:45 am]
BILLING CODE 4191-02-P