[Federal Register Volume 67, Number 76 (Friday, April 19, 2002)]
[Notices]
[Pages 19468-19469]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-9534]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request

    In compliance with Public Law 104-13, the Paperwork Reduction Act 
of 1995, the Social Security Administration (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.
    Written comments and recommendations regarding the information 
collections should be submitted to the SSA Reports Clearance Officer at 
the following address: (SSA), Social Security Administration, DCFAM, 
Attn: Reports Clearance Officer, 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, 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. You can obtain a copy of the collection instruments by 
calling the SSA Reports Clearance Officer at (410) 965-0454, or by 
writing to the address listed above.

1. Statement Regarding Date of Birth and Citizenship--0960-0016

    The Social Security Administration (SSA) collects information on 
Form SSA-702 when preferred or other evidence is not available to prove 
age for an individual applying for Social Security benefits. The 
respondents are Social Security benefit applicants who need to 
establish their dates of birth as a factor of entitlement or U.S. 
citizenship as a factor of payment.
    Number of Respondents: 1,200.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 200 hours.

2. Request for Reconsideration--Disability Cessation--0960-0349

    Form SSA-789 collects information used by SSA to schedule 
disability hearings and to develop additional evidence/information for 
claimants whose disability is found to have ceased, not to have 
existed, or is no longer disabling. The information will also be used 
to determine if an interpreter is needed for the disability hearing. 
The respondents are claimants under Titles II & XVI of the Social 
Security Act who wish to request reconsideration of disability 
cessation.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 12-15 minutes.
    Estimated Annual Burden: 10,290 hours.

3. Self-Employment/Corporate Officer Questionnaire--0960-0487

    Form SSA-4184 is used by SSA to develop earnings and corroborate a 
claimant's allegations regarding retirement when the claimant is self-
employed or a corporate officer. The information collected is used to 
determine the benefit amount. The respondents are self-employed 
individuals and corporate officers.

[[Page 19469]]

    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 6,667 hours.

4. Disability Report Update--0960-0511

    Form SSA-455 or Form SSA-455-OCR-SM is used by SSA to collect 
information when the continuing disability review (CDR) diary of a 
recipient of SSA-administered benefits, based on disability, has 
matured or there is an indication of possible medical improvement 
(e.g., a report of return to work or a physician's clearance for work). 
The information collected from beneficiaries is reviewed by 
technicians, including specialists in the evaluation of work and 
earnings and in disability adjudication, to determine if a full medical 
CDR should be processed or deferred to a later date. The respondents 
are recipients of benefits, based on disability, under title II and/or 
XVI of the Social Security Act, as amended.
    Number of Respondents: 702,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 175,500 hours.

5. Farm Arrangement Questionnaire--0960-0064

    SSA needs the information collected on Form SSA-7157-F4 to 
determine if farm rental income may be considered self-employment 
income for Social Security coverage purposes. The respondents are 
individuals alleging self-employment income from renting land for 
farming activities.
    Number of Respondents: 38,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 19,000 hours.

6. 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.

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                                                                                  Average burden     Estimated
                                                  Respondents      Frequency of    per response    annual burden
                                                                     response         (min.)          (hours)
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SSA-8202-F6...................................         920,000                1               18         276,000
SSA-8202-OCR-SM...............................         800,000                1                9         120,000
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    Total burden..............................  ...............  ...............  ..............         396,000
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7. Statement for Determining Continuing Eligibility for 
Supplemental Security Income Payments--0960-0416

    SSA uses the information collected on form SSA-8203-BK for high-
error-profile (HEP) redeterminations of disability 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. 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 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.

    Dated: April 15, 2002.
Liz Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-9534 Filed 4-18-02; 8:45 am]
BILLING CODE 4191-02-U