[Federal Register Volume 70, Number 71 (Thursday, April 14, 2005)]
[Notices]
[Pages 19820-19821]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-7451]


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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, the Paperwork Reduction Act of 1995, effective October 1, 1995. The 
information collection packages that may be included in this notice are 
for new information collections, approval of existing 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, Fax: 
(202) 395-6974.
(SSA):
    Social Security Administration, DCFAM, Attn: Reports Clearance 
Officer, 1338 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: (410) 965-6400.

    I. The information collections listed below are 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 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. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064. 
SSA uses the information collected on the SSA-7157-F4 to determine if 
farm rental income may be considered self-employment income for Social 
Security benefits coverage purposes. The respondents are individuals 
alleging self-employment income from the renting of land for farming 
activities.
    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.
    2. Application for Benefits Under a U.S. International Social 
Security Agreement--20 CFR 404.1925--0960-0448. The information 
collected on the SSA-2490-BK is required to determine entitlement to 
old-age, survivors or disability benefits from the United States or 
from a country that has entered into a Social Security agreement with 
the United States. The respondents are individuals who are applying for 
benefits from the U.S. or from a totalization agreement country.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 23,200.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Average Burden: 11,600 hours.
    3. Letter to Landlord Requesting Rental Information--20 CFR 
416.1130(b)--0960-0454. Form SSA-L5061 provides a nationally uniform 
vehicle for collecting information from landlords for use in making 
rental subsidy determinations in the Supplemental Security Income (SSI) 
program. The information is used in deciding whether income limits are 
met for SSI eligibility. Respondents are landlords who provide 
subsidized rental arrangements to SSI applicants and recipients.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 8,167 hours.
    4. Plan for Achieving Self-Support--20 CFR 416.1180-1182, 416.1225-
1227, 416.110(e)--0960-0559. The information on form SSA-545 is 
collected by SSA when a Supplemental Security Income (SSI) applicant/
recipient desires to use available income and resources to obtain 
education and/or training in order to become self-supportive. The 
information is used to evaluate the recipient's plan for achieving 
self-support to determine whether the plan may be approved under the 
provisions of the SSI program. The respondents are SSI applicants/
recipients who are blind or disabled.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden per Response: 2 hours.
    Estimated Annual Burden: 14,000 hours.
    5. Disability Update Report--20 CFR 404.1589-404.1595, 20 CFR 
416.988-416.996--0960-0511. Forms SSA-455 and SSA-455-OCR-SM are used 
by SSA to collect information when the continuing disability review 
(CDR) diary of a recipient of SSA-administered payments, based on 
disability, has matured or there is an indication of possible medical 
improvement. The information collected from beneficiaries is reviewed 
by specialists in the evaluation of work and earnings and in disability 
adjudication. The respondents are recipients of benefits, based on 
disability, under title II and/or XVI of the Social Security Act.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 981,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 245,250 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 
packages by calling the SSA Reports Clearance Officer at (410) 965-
0454, or by writing to the address listed above.
    1. Statement Regarding Contributions--20 CFR 360-366 and 404.736--
0960-0020. The determination of one-half support or contributions to 
support must be made to entitle certain child applicants to social 
security benefits. SSA uses Form SSA-783 to collect the information 
necessary to make such a determination. The respondents are persons 
giving information about a child's sources of support for entitlement 
to child's benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.

[[Page 19821]]

    Average Burden per Response: 17 minutes.
    Estimated Annual Burden: 8,500 hours.
    2. Report of Death by Funeral Director--20 CFR 404.715, 404.720, 
416.635--0960-0142. SSA uses the information on Form SSA-721 to make 
timely and accurate decisions based on the report of death including: 
(1) Proving the death of an insured individual, (2) learning of the 
death of a beneficiary whose benefits should terminate, and (3) 
determining who is eligible for the Lump-Sum Death Payment (LSDP) or 
may be eligible for benefits. The respondents are funeral directors 
with knowledge of the fact of death.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 741,113.
    Frequency of Response: 1.
    Average Burden per Response: 3.5 minutes.
    Estimated Annual Burden: 43,232 hours.
    3. Authorization To Obtain Earnings Data From the Social Security 
Administration--0960-0602. The information collected on Form SSA-581 is 
used to verify the authorization of the wage earner, or other party, to 
access the correct earnings record and disposition of the response. 
This access is required in order to produce an itemized statement for 
release to the proper third party. The respondents are individuals, and 
various private/public organizations/agencies needing detailed earnings 
information.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 60,000.
    Frequency of Response: 1.
    Average Burden per Response: 2 minutes.
    Estimated Average Burden: 2,000 hours.

    Dated: April 8, 2005.
Faye L. Lipsky,
Acting Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-7451 Filed 4-13-05; 8:45 am]
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