[Federal Register Volume 73, Number 82 (Monday, April 28, 2008)]
[Notices]
[Pages 22989-22990]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-9175]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law (Pub. L.) 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
This notice includes 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 how to minimize the 
burden on respondents, including the use of automated collection 
techniques or other forms of information technology. Mail, e-mail, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Reports Clearance Officer to the 
addresses or fax numbers listed below.

(OMB): Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974, E-mail address: [email protected].
(SSA): Social Security Administration, DCBFM, Attn: Reports Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400, E-mail address: [email protected].

    The information collections listed below are pending at SSA. SSA 
will submit them to OMB within 60 days from the date of this notice. 
Therefore, submit your comments 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. Statement Regarding Marriage--0960-0017. Some State laws 
recognize marriages entered into without a ceremony (common-law 
marriages). SSA uses Form SSA-753 to obtain third party statements 
about intent and cohabitation, which are the basic tenets of a common-
law marriage. SSA uses the information to determine if a valid marital 
relationship exists for entitlement to spouse/widow(er) benefits. The 
respondents are third party individuals/households.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 40,000.
    Frequency of Response: 1.
    Average Burden per Response: 9 minutes.
    Estimated Average Burden: 6,000 hours.
    2. Statement Regarding Contributions --0960-0020. SSA uses the Form 
SSA-783 to obtain information about the source of support for a child 
applicant who must meet a dependency requirement for benefits. SSA must 
determine if one-half support or regular and substantial contributions 
entitle certain child applicants to Social Security benefits. The 
respondents are persons with information on sources of a child 
applicant's support.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 17 minutes.
    Estimated Annual Burden: 8,500 hours.
    3. Questionnaire for Children Claiming Supplemental Security Income 
(SSI) Benefits--0960-0499. SSA uses Form SSA-3881 to obtain the names 
and addresses of non-medical sources such as schools, counselors, 
agencies, organizations, or therapists who would have information about 
how well the child functions. SSA uses this information to help 
determine a child's claim for benefits or continuing benefits. The 
respondents are applicants who appeal SSI childhood disability 
decisions or recipients undergoing a continuing disability review.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 253,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 126,500 hours.
    4. Statement of Death by Funeral Director--0960-0142. SSA uses the 
information collected on Form SSA-721 to: (1) Prove the death of an 
insured individual; (2) learn of the death of a beneficiary whose 
benefits should terminate; and (3) determine who is eligible for the 
lump-sum death payment or may be eligible for benefits. The respondents 
are funeral directors who report the death of a beneficiary.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 319,811.
    Frequency of Response: 1.
    Average Burden per Response: 3.5 minutes.
    Estimated Annual Burden: 18,656 hours.
    5. Representative Payee Report-Adult, Representative Payee Report-
Child,

[[Page 22990]]

Representative Payee Report-Organizational Representative Payees--0960-
0068. When SSA determines it is not in a beneficiary's best interest to 
receive Social Security benefit payments directly, the Agency will 
designate a family member, unrelated person, or organization to act as 
the representative payee for the beneficiary. Representative payees 
must account to SSA on how they use these payments on their 
beneficiaries' behalf. SSA collects this information on Forms SSA-623 
(for adult beneficiaries), SSA-6230 (for child beneficiaries), and SSA-
6234 (organizational repayees). This information collection request 
contains two changes to the collection: (1) we are clearing an Internet 
version of the Representative Payee Report (iRPA), an Internet platform 
customized for users of all three paper forms; and (2) we are clearing 
all three paper forms under one OMB Number, 0960-0068.
    Type of Request: Revision to an OMB-approved information 
collection.

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                                                                               Average burden       Estimated
         Collection instruments               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
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SSA-623 (paper).........................         2,093,125                 1                15           523,281
SSA-6230 (paper)........................         2,592,500                 1                15           648,125
SSA-6234 (paper)........................           626,875                 1                15           156,719
iRPA....................................           937,500                 1                15           234,374
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    Totals..............................         6,250,000  ................  ................         1,562,499
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    Dated: April 21, 2008.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E8-9175 Filed 4-25-08; 8:45 am]
BILLING CODE 4191-02-P