[Federal Register Volume 67, Number 201 (Thursday, October 17, 2002)]
[Notices]
[Pages 64187-64189]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-26392]


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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 Pub.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. The information can be mailed and/or faxed to the individuals 
at the addresses and fax numbers listed below:

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, New 
Executive Office Building, Room 10235, 725 17th St., NW., Washington, 
D.C. 20503, Fax: 202-395-6974.
(SSA), Social Security Administration, DCFAM, Attn: Reports Clearance 
Officer, 1338 Annex Bldg., 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400.

I

    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. Application for Supplemental Security Income-20 CFR, Subpart C, 
416.305-.335-0960-0229

    The information collected using Form SSA-8000-BK is needed and used 
to determine eligibility for Supplemental Security Income (SSI) and the 
amount of benefits payable. The respondents are applicants for SSI 
payments.
    Type of Request: Revision of an OMB-approved information 
collection, Number of Respondents: 1,249,933, Frequency of Response: 1, 
Average Burden Per Response: 40 minutes, Estimated Annual Burden: 
833,289 hours.

2. Application for Wife's or Husband's Insurance Benefits--20 CFR, 
Subpart D, 404.330-.333; Subpart G, 404.603-0960-0008

    SSA needs and uses the information collected on Form SSA-2-F6 to 
determine if an applicant (including a divorced applicant) can be 
entitled to benefits as the spouse of the worker and the amount of the 
spouse's benefits. The respondents are applicants for wife's or

[[Page 64188]]

husband's benefits, including those who are divorced.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 700,000, Frequency of Response: 1, 
Average Burden Per Response: 15 minutes, Estimated Annual Burden: 
175,000 hours.

3. Supplemental Security Income Claim Information Notice--20 CFR, 
Subpart B, 416.210-0960-0324

    Form SSA-L8050 is used by SSA to ensure that all sources of 
potential income, which can be used to provide for the support and 
maintenance of an individual receiving SSI, are utilized. SSI is 
intended to supplement other income available to an individual. The 
respondents are applicants/recipients of SSI who may be eligible for 
benefits from public or private programs.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 7,500, Frequency of Response: 1, 
Average Burden Per Response: 10 minutes, Estimated Annual Burden: 1,250 
hours.

4. Reporting Changes that Affect Your Social Security Payment --20 CFR 
404, Subpart D and Subpart E-0960-0073

    SSA uses the information collected on Form SSA-1425 to determine 
continuing entitlement to title II Social Security benefits and to 
determine the proper benefit amount. The respondents are Social 
Security beneficiaries who need to report an event that could affect 
payments.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 70,000, Frequency of Response: 1, 
Average Burden Per Response: 5 minutes, Estimated Annual Burden: 5,833.

5. Medicaid Use Report, 20 CFR 416.268--0960-0267

    The information required by this regulation is used by SSA to 
determine if an individual is entitled to special SSI payments. The 
respondents are SSI recipients whose payments were stopped based on 
earnings from work.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 60,000, Frequency of Response: 1, 
Average Burden Per Response: 3 minutes, Estimated Annual Burden: 3,000 
hours.

6. Quickstart Enrollment--31 CFR 209 and 210--0960-0564

    The information collected is needed by SSA to facilitate electronic 
transmission of data for direct deposit of funds to a payee's account. 
The respondents are Social Security beneficiaries and SSI recipients 
requesting direct deposit to their financial institutions.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 3,950,000, Frequency of Response: 1, 
Average Burden Per Response: 3 minutes, Estimated Annual Burden: 
197,500 hours.

7. Request for Internet Services Representative Payee, 20 CFR 401.45 
Report--0960-NEW

Background
    SSA is developing an Internet Representative Payee Report form 
(I623) to electronically report on the use of benefit payments made on 
behalf of Social Security beneficiaries and SSI recipients. As part of 
this process, SSA will conduct a proof of concept (POC) test that will 
be limited to 40 organizational representative payees. During the 
projected 6-month POC test, participating organizations will use the 
I623 to complete and file the representative payee report instead of 
using the paper SSA-623.
The Collection
    Organizations participating in the POC will designate up to three 
employees that will be authenticated using SSA's existing Integrated 
Registration for Employers and Submitters (IRES) OMB control number 
0960-0626. Once authenticated, the employee will be required to enter a 
Personal Identification Number (PIN) and Password to gain access to the 
online I623 application. The PIN and Password will serve as the 
electronic signature. SSA will use the information collected through 
the I623 to determine whether the payments provided to the 
representative payee have been used for the beneficiary's current 
maintenance and personal needs and whether the representative payee 
continues to be concerned with the beneficiary's welfare. The 
respondents are organizational representative payees designated to 
receive funds on behalf of Social Security beneficiaries and/or SSI 
recipients.
    Type of request: New information collection, Number of Respondents: 
40 organizations, Frequency of Response: 117.5 per respondent, Average 
Burden Per Response: 15 minutes, Estimated Annual Burden: 1,175 hours.

8. Letter to Employer Requesting Information about Wages Earned by a 
Beneficiary--20 CFR, Subpart I, 404.801--0960-0034

    SSA uses the data collected on form SSA-L725 to establish the exact 
amount of wages earned by a beneficiary in situations where the 
information in SSA records is incomplete or has been questioned. The 
respondents are employers of wage earners whose earnings records are 
incomplete or have been questioned.
    Type of Request: Extension of an OMB-approved information 
collection, Number of Respondents: 150,000, Frequency of Response: 1, 
Average Burden Per Response: 40 minutes, Estimated Annual Burden: 
100,000 hours.

II

    The information collection listed below has 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 at 410-965-0454 or by writing 
to the address listed above.

Application for Parent's Insurance Benefits--20 CFR 404.370-.374 and 
404.601-603--0960-0012

    The information collected on form SSA-7 is used by SSA to determine 
entitlement of an individual to parent's Social Security title II 
benefits. The respondents are parents who were dependent on the worker 
for at least one-half of their support.
    Type of Request: Revision of an OMB-approved information 
collection, Number of Respondents: 1,400, Frequency of Response: 1, 
Average Burden Per Response: 15 minutes, Estimated Annual Burden: 350 
hours.

    Dated: October 10, 2002.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-26392 Filed 10-16-02; 8:45 am]
BILLING CODE 4191-02-P