95-28165. Agency Forms Submitted to the Office of Management and Budget for Clearance

[Federal Register Volume 60, Number 222 (Friday, November 17, 1995)]
[Notices]
[Page 57743]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-28165]



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SOCIAL SECURITY ADMINISTRATION


Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    Normally on Fridays, the Social Security Administration publishes a 
list of information collection packages that have been submitted to the 
Office of Management and Budget (OMB) for clearance in compliance with 
Public Law 96-511 as amended (Public Law 104-13 effective 10/1/95), The 
Paperwork Reduction Act. The following clearance packages have been 
submitted to OMB since the last list was published in the Federal 
Register on October 27, 1995.

(Call Reports Clearance Officer on [phone] for copies of 
package.)

OMB Desk Officer: Laura Oliven
SSA Reports Clearance Officer: Charlotte S. Whitenight

    1. Psychiatric Review Techniques--0960-0413. The information on 
form SSA-2506 is used by the Social Security Administration to evaluate 
the severity of mental impairments in adults who have filed a claim for 
disability benefits. The affected public consists of State Disability 
Determination Agencies who are responsible for reviewing the claim from 
beneficiaries/recipients and who report their findings to SSA.

Number of Respondents: 54
Total Annual Responses: 854,375
Average Burden Per Response: 15 minutes
Estimated Annual Burden: 213,594 hours

    2. Questionnaire for Children Claiming SSI Benefits--0960-0499. The 
form SSA-3881 is used by the Social Security Administration to obtain 
information which is needed to evaluate disability in children claiming 
supplemental income payments. The respondents are such claimants whose 
alleged disability does not meet our medical listings.

Number of Respondents: 177,000
Frequency of Response: 1
Average Burden Per Response: 20 minutes
Estimated Annual Burden: 59,000 hours

    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, Washington, D.C. 20503
(SSA)
    Social Security Administration, DCFAM, Attn: Charlotte S. 
Whitenight, 6401 Security Blvd, 1-A-21 Operations Bldg., Baltimore, MD 
21235

    Dated: November 8, 1995.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 95-28165 Filed 11-16-95; 8:45 am]
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