[Federal Register Volume 67, Number 132 (Wednesday, July 10, 2002)]
[Notices]
[Pages 45776-45777]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-17211]


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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 P.L. 104-13 
effective October 1, 1995, The Paperwork Reduction Act of 1995. The 
information collection packages that may be included in this notice are 
for new information collections, revisions to OMB-approved information 
collections and extensions (no change) of OMB-approved information 
collections.
    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 10235, 
725 17th St., NW., Washington, DC 20503; (SSA) Social Security 
Administration, DCFAM, Attn: Reports Clearance Officer, 1-A-21 
Operations Bldg., 6401 Security Blvd., Baltimore, MD 21235.
    I. The information collection listed below is pending at SSA and 
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 a copy of the collection 
instrument by calling the SSA Reports Clearance Officer at 410-965-
0454, or by writing to the address listed above.
    Disability Report--Adult--0960-0579. The Social Security Act 
requires claimants to furnish medical and other evidence to prove they 
are disabled. Applicants for disability benefits will complete form 
SSA-3368. The information will be used, in conjunction with other 
evidence, by State DDSs to develop medical evidence, to assess the 
alleged disability, and to make a disability determination. The 
respondents are applicants for title II and title XVI disability 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 2,116,667.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 2,116,667 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. 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 applicants for one or more Social Security benefits who 
need to establish their dates of birth as a factor of entitlement or 
U.S. citizenship as a factor of payment.
    Type of Request: Extension of an OMB-Approved Information 
Collection.
    Number of Respondents: 1,200.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 200 hours.
    2. 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.
    Type of Request: Extension of an OMB-Approved Information 
Collection.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 6,667 hours.
    3. Disability Report Update--0960-0511. Form SSA-455 or 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 titles II and/or XVI of the Social Security Act, as 
amended.
    Type of Request: Extension of an OMB-Approved Information 
Collection.
    Number of Respondents: 702,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 175,500 hours.
    4. 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.

[[Page 45777]]

    Type of Request: Extension of an OMB-Approved Information 
Collection.
    Number of Respondents: 38,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 19,000 hours.
    5. 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.
    Type of Request: Revision of an OMB-approved Information 
Collection.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 12-15 minutes.
    Estimated Annual Burden: 10,290 hours.

    Dated: June 28, 2002.
Nicholas E. Tagliareni,
Acting Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-17211 Filed 7-9-02; 8:45 am]
BILLING CODE 4191-02-P