[Federal Register Volume 75, Number 148 (Tuesday, August 3, 2010)]
[Notices]
[Pages 45692-45693]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-19024]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request, 
Comment 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 extensions 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 ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Director to the following 
addresses or fax numbers.

(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].

    I. The information collection below is pending at SSA. SSA will 
submit it to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than 
October 4, 2010. Individuals can obtain copies of the collection 
instruments by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the above e-mail address.
    Work History Report--20 CFR 404.1515, 404.1560, 404.1565, 416.960 
and 416.965-0960-0578. Under certain circumstances, SSA asks 
individuals about work they have performed in the past. Applicants use 
Form SSA-3369 to provide detailed information about jobs held prior to 
becoming unable to work. State Disability Determination Services 
evaluate the information, together with medical evidence, to determine 
eligibility for disability.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
                Collection method                    Number of     Frequency of    per response    annual burden
                                                    respondents      response         (hours)          hours
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SSA-3369 (Paper form)...........................       1,090,346               1               1       1,090,346
EDCS 3369.......................................         607,122               1               1         607,122
                                                 ---------------------------------------------------------------
    Totals......................................       1,697,468  ..............  ..............       1,697,468
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    II. SSA has submitted the information collections listed below to 
OMB for clearance. Your comments on the information collections would 
be most useful if OMB and SSA receive them within 30 days from the date 
of this publication. To be sure we consider your comments, we must 
receive them no later than September 2, 2010. You can obtain a copy of 
the OMB clearance packages by calling the SSA Director for Reports 
Clearance at 410-965-0454 or by writing to the above e-mail address.
    Application for Child's Insurance Benefits--20 CFR 404.350-404.368, 
404.603, & 416.350--0960-0010. SSA uses Form SSA-4-BK to determine if

[[Page 45693]]

children of living and deceased workers are entitled to their parents' 
monthly Social Security payments. The respondents are guardians 
completing the form on behalf of the children of living or deceased 
workers, or the children of living or deceased workers.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                     Number of     Frequency of    Response time
                Collection method                   respondents      response        (minutes)    Burden (hours)
----------------------------------------------------------------------------------------------------------------
Life claims (paper).............................           8,052               1              12           1,610
Life Claims (MCS)...............................         152,983               1              12          30,597
Life Claims- Signature Proxy....................         152,983               1              11          28,047
Death Claims (paper)............................          19,061               1              12           3,812
Death Claims (MCS)..............................         362,150               1              12          72,430
Death Claims-Signature Proxy....................         362,150               1              11          66,394
                                                 ---------------------------------------------------------------
    Totals......................................       1,057,379  ..............  ..............         202,890
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Liz Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. 2010-19024 Filed 8-2-10; 8:45 am]
BILLING CODE 4191-02-P