[Federal Register Volume 61, Number 192 (Wednesday, October 2, 1996)]
[Notices]
[Pages 51481-51483]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-25186]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Collection
Request
The Social Security Administration publishes a list of information
collection packages that will require submission to the Office of
Management and Budget (OMB) for clearance in compliance with Public Law
104-13 effective October 1, 1995, The Paperwork Reduction Act of 1995.
The information collection(s) listed below requires extension of the
current OMB approval.
(Call the SSA Reports Clearance Officer on (410) 965-4125 for a copy
of the form(s) or package(s), or write to her at the address listed
below the information collection(s).)
1. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR 401 and
402;--0960-NEW. The respondents are individuals requesting access to
their SSA records, correction of their SSA records and disclosure of
SSA records. The information is required to:
(a) Identify individuals who request access to their records;
Number of Respondents: 10,000.
Frequency of Response: On occasion.
Average Burden Per Response: 11 minutes.
Estimated Annual Burden: 1,833 hours.
(b) Designate an individual to receive and review a recordholder's
sensitive medical records in accordance with 20 CFR 401.55, and for the
disclosure of such records to the recordholder by his/her designee.
Number of Respondents: 3,000.
Frequency of Response: On occasion.
Average Burden Per Response: 2 hours (This includes the time needed
for the designee to review the recordholder's medical records.)
Estimated Annual Burden: 6,000.
(c) Correct or amend records;
Number of Respondents: 100.
Frequency of Response: On occasion.
Average Burden Per Response: 10 minutes.
[[Page 51482]]
Estimated Annual Burden: 17 hours.
(d) Obtain consent from an individual to release his/her records to
others. Consents are submitted by letter in writing or by use of an
SSA-3288;
Number of Respondents: 200,000.
Frequency of Response: On occasion.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 10,000 burden hours.
(e) Facilitate the release of information under the Freedom of
Information Act (FOIA);
Number of Respondents: 15,000.
Frequency of Response: On occasion.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 1,250 hours.
(f) Grant a waiver or reduction of fees for records requested under
FOIA.
Number of Respondents: 400.
Frequency of Response: On occasion.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 33 hours.
2. Report of New Information in Disability Cases--0960-0071. The
information collected on form SSA-612 is needed by the Social Security
Administration to determine whether an event or change in circumstances
will affect an individual's disability benefits. The information will
be used to determine continued eligibility for disability payments. The
respondents are disabled social security beneficiaries or their
representative payees.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 16,667.
3. Instructions for Completion of Federal Assistance Application
Form SSA-96 for SSA Research and Demonstration Grant Programs--0960-
0184. The information collected on form SSA-96 is needed by the Social
Security Administration to evaluate and select grant proposals for
funding. The respondents are applicants for federal assistance,
including State and local governments, educational institutions and
other nonprofit and for-profit organizations.
Number of Respondents: 200.
Frequency of Response: On occasion.
Average Burden Per Response: 14 hours.
Estimated Annual Burden: 2,800 hours.
4. Request to be Selected as Payee--0960-0014. The information
collected on form SSA-11-BK is needed by the Social Security
Administration to determine the proper payee for a Social Security
beneficiary. The information is used to establish an applicant's
relationship to the beneficiary, his/her justification and concern for
the beneficiary, and the manner in which the benefits will be used. The
respondents are applicants for representative payee of individuals
receiving title II, title XVI and Black Lung benefits.
Number of Respondents: 1,709,657.
Frequency of Response: 1.
Average Burden Per Response: 11 minutes.
Estimated Annual Burden: 313,437.
5. Supplemental Security Income Claim Information Notice--0960-
0324. The information collected on form SSA-L8050-U3 will be used by
the Social Security Administration to ensure that all sources of
potential income which can be used to provide for an individual's own
support and maintenance are utilized. The respondents are applicants
for SSI and recipients who are potentially eligibility for benefits
from other public or private programs.
Number of Respondents: 7,500.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 1,250 hours.
6. Supplemental Security Income--Quality Review Case Analysis;
0960-0133. The information collected on form SSA-8508-BK is used by the
Social Security Administration to assess the effectiveness of SSI
policies and procedures and to establish payment accurate rates. The
respondents are a random sample of SSI recipients.
Number of Respondents: 14,000.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 14,000 hours.
7. Marital Relationship Questionnaire--0960-0460. The information
collected on form SSA-4178 is needed by the Social Security
Administration to determine whether unrelated individuals of the
opposite sex who are living together present themselves to the public
as husband and wife. The information is used to determine whether
correct payment is being made to SSI couples and individuals.
Number of Respondents: 5,100.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 425 hours.
Written comments and recommendations regarding the information
collection(s) should be sent within 60 days from the date of this
publication, directly to the SSA Reports Clearance Officer at the
following address: Social Security Administration, DCFAM, Attn: Judith
T. Hasche, 6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore, MD
21235.
In addition to your comments on the accuracy of the Agency's burden
estimate, we are soliciting comments on 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.
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
The information collections listed below, which were published in
the Federal Register on August 2, 1996, have been submitted to OMB.
OMB Desk Officer: Laura Oliven.
SSA Reports Clearance Officer: Judith T. Hasche.
1. Reporting Changes That Affect Your Social Security--0960-0073.
The information collected by the Social Security Administration on form
SSA-1425 is used to determine a beneficiary's continuing entitlement to
Social Security benefits and to determine the proper benefit amount.
The respondents are Social Security beneficiaries who need to report an
event which could affect their payments.
Number of Respondents: 70,000.
Frequency of Response: On occasion.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 5,833 hours.
2. Student Reporting Form--0960-0088. The information collected by
the Social Security Administration on form SSA-1383 is used to
determine if an event or change will affect a student's eligibility for
Social Security benefits and to determine the correct benefit amount.
The respondents are student beneficiaries or their representative
payees who report an event or change.
Number of Respondents: 75,000.
Frequency of Response: On occasion.
Average Burden Per Response: 6 minutes.
Estimated Annual Burden: 7,500 hours.
8. Psychiatric Review Technique--0960-0413. The information
collected on form SSA-2506 by the Social Security Administration is
needed to assist in the adjudication of claims involving mental
impairments. The information is used to identify the need for
additional evidence for the determination of impairment severity; to
[[Page 51483]]
consider aspects of the mental impairment relevant to the individual's
ability to work; and to organize and present the findings in a clear,
concise manner. The respondents are State Disability Determination
Services administering title II and title XVI disability programs.
Number of Responses: 796,346.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 199,087.
Written comments and recommendations regarding these information
collections should be sent within 30 days of the date of this
publication. Comments may be directed to OMB and SSA at the following
addresses:
(OMB), Office of Management and Budget, OIRA, Attn: Laura Oliven, New
Executive Office Building, Room 10230, 725 17th St., NW, Washington,
D.C. 20503
(SSA), Social Security Administration, DCFAM, Attn: Judith T. Hasche,
6401 Security Blvd, 1-A-21 Operations Bldg., Baltimore, MD 21235
Dated: September 25, 1996.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-25186 Filed 10-1-96; 8:45 am]
BILLING CODE 4190-29-P
