[Federal Register Volume 67, Number 100 (Thursday, May 23, 2002)]
[Notices]
[Pages 36291-36292]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12879]


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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 OMB Desk Officer and the SSA 
Reports Clearance Officer and at the following addresses:

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, New 
Executive Office Building, Room 10235, 725 17th St., NW., Washington, 
DC 20503.

[[Page 36292]]

(SSA) Social Security Administration, DCFAM, Attn: Reports Clearance 
Officer, 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 410-965-0454, or by 
writing to the address listed above.
    1. Application for Parent's Insurance Benefits--0960-0012. The 
information collected on form SSA-7 is used by the Social Security 
Administration to determine entitlement of an individual to parent's 
social security insurance benefits. The respondents are parents who 
were dependent on the worker for at least one-half of their support.
    Number of Respondents: 1,400.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 350 hours.
    2. The Census Bureau Survey of Income and Program Participation 
(SIPP) on Behalf of the Social Security Administration (SSA)--0960-NEW. 
SSA has requested the Census Bureau to include in its SIPP interviews 
scheduled for January 2003 a sample of social security disabled 
insurance beneficiaries and supplemental security income recipients. 
SSA will use these data to conduct statistical research of recipients 
of SSA-administered programs. The SIPP for SSA Beneficiaries is a 
household-based survey molded around a central ``core'' of labor force 
and income questions. The core is supplemented with questions designed 
to address specific needs, such as obtaining information about assets 
and liabilities, as well as expenses related to work, health care, 
child support and real estate/dependent care. These supplemental 
questions are included with the core and are referred to as ``topical 
modules.''
    The survey is currently scheduled for one month and will include 
approximately 1,000 households. We estimate that each household will 
average 2.1 people, yielding 2,100 interviews. Interviews take 30 
minutes on average. The total burden for the SIPP for SSA Beneficiaries 
would be 1,050 hours.
    The topical modules for the SIPP for SSA Beneficiaries collect 
information about:

 Medical Expenses and Utilization of Health Care (Adults and 
Children)
 Work Related Expenses, Child Support Paid and Child Care 
Poverty
 Assets, Liabilities, and Eligibility
 Real Estate and Dependent Care

    The survey interviews will be conducted from January 1, 2003 
through January 31, 2003.
    Number of Respondents: 2,100.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 1,050 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 the OMB clearance package 
by calling the SSA Reports Clearance Officer on (410) 965-0454, or by 
writing to the address listed above.
    1. Application for Benefits Under a U.S. International Social 
Security Agreement--0960-0448. The information collected on form SSA-
2490 is used by SSA to determine a claimant's eligibility for U.S. 
Social Security benefits under the provisions of an international 
social security agreement. It is also used to take an application for 
benefits from a foreign country under an agreement. The respondents are 
individuals who are applying for benefits from either the United States 
and/or a foreign country with which the United States has an agreement. 
The United States currently has 17 such agreements.
    Number of Respondents: 22,000.
    Frequency of response: 1.
    Average Burden per response: 30 minutes.
    Estimated Annual Burden: 11,000 hours.
    2. Request for Workers' Compensation/Public Disability 
Information--0960-0098. Form SSA-1709 is used by SSA to request and/or 
to verify information about worker's compensation or public disability 
benefits given to Social Security disability insurance benefit 
recipients so that their monthly benefit adjustments are properly made. 
The respondents are State and local governments and/or businesses that 
administer workers' compensation or other disability benefits.
    Number of Respondents: 140,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 35,000 hours.
    3. Government Pension Questionnaire--0960-0160. The Social Security 
Act and Regulations provide that an individual receiving spouse's 
benefits and concurrently receiving a Government pension, based on the 
individual's own earnings, may have the Social Security benefit amount 
reduced by two-thirds of the pension amount. The data collected on Form 
SSA-3885 is used by the Social Security Administration (SSA) to 
determine if the individual's Social Security benefit will be reduced, 
the amount of reduction, the effective date of the reduction and if one 
of the exceptions in SSA regulations applies. The respondents are 
individuals who are receiving (or will receive) Social Security 
spouse's benefits and also receive their own Government pension.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 12.5 minutes.
    Estimated Annual Burden: 6,250 hours.

    Dated: May 17, 2002.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-12879 Filed 5-22-02; 8:45 am]
BILLING CODE 4191-02-P