[Federal Register Volume 63, Number 238 (Friday, December 11, 1998)]
[Notices]
[Pages 68495-68496]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-32804]
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SOCIAL SECURITY ADMINISTRATION
Information Collection Activities: Proposed Collection Requests
and Comment Requests
This notice lists information collection packages that will require
submission to the Office of Management and Budget (OMB), as well as
information collection packages submitted to OMB for clearance, in
compliance with Pub. L. 104-13 effective October 1, 1995, The Paperwork
Reduction Act of 1995.
I. The Information Collection(s) Listed Below Require(s)
Extension(s) of the Current OMB Approval(s) or are Proposed New
Collection(s)
1. Disability Report--0960-0573. The information collected on Form
SSA-3368-F6 is needed for the determination of disability by the State
Disability Determination Services. The information will be used to
develop medical evidence and to assess the alleged disability. The
respondents are applicants for disability benefits.
Number of Respondents: 85,280.
Frequency of Response: 1.
Average Burden Per Response: 45 minutes.
Estimated Annual Burden: 63,960 hours.
2. Vocational Report--0960-0572. The information collected on the
SSA-3369-F6 is needed for the determination of disability by the State
Disability Determination Services. The respondents are applicants for
disability benefits. The information will be used
[[Page 68496]]
to document an individual's past work history.
Number of Respondents: 42,640.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 14,213 hours.
3. Medical History and Disability Report, Disabled Child--0960-
0574. The information collected on Form SSA-3820-F4 is needed for the
determination of disability by the State Disability Determination
Services. The SSA-3820 will be used to obtain various types of
information about a child's condition, his/her treating sources and/or
other medical sources of evidence. The respondents are applicants for
disability benefits.
Number of Respondents: 18,720.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 6,240 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:
Frederick W. Brickenkamp, 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.
II. The Information Collection(s) Listed Below Have Been Submitted
to OMB
1. Employer Report of Special Wage Payments--0960-0565. The Social
Security Administration (SSA) gathers the information on Form SSA-131
to prevent earnings related overpayments to employees and to avoid
erroneous withholding. The respondents are employers who provide
special wage payment verification.
Number of Respondents: 100,000.
Frequency of Response: 1.
Average Burden Per Response: 20-22 minutes.
Estimated Annual Burden: 33,367 hours.
2. Railroad Employment Questionnaire--0960-0078. Form SSA-671 is
used by SSA to secure sufficient information to coordinate Social
Security claims processing with the Railroad Retirement Board. The form
is completed whenever claimants indicate having been employed in the
Railroad Industry. The respondents are retired employees of the
Railroad Industry or their dependents.
Number of Respondents: 125,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 10,417 hours.
3. Concise Notice Survey--0960-NEW. SSA will conduct a survey of
Supplemental Security Income (SSI) awardees to determine customer
opinions and preferences on the format and clarity of existing and
proposed SSI award notices. The information will be used to determine
whether a new concise notice format would improve comprehension of the
information thus improving service to SSI customers. The respondents
will be a random sample of new SSI awardees.
Number of respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 250 hours.
Written comments and recommendations regarding the information
collection(s) should be directed within 30 days to the OMB Desk Officer
and SSA Reports Clearance Officer at the following addresses:
(OMB)
Office of Management and Budget, OIRA, Attn: Lori Schack, New Executive
Office Building, Room 10230, 725 17th St., NW, Washington, DC 20503.
(SSA)
Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp,
1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 21235.
To receive a copy of any of the forms or clearance packages, call
the SSA Reports Clearance Officer on (410) 965-4145 or write to him at
the address listed above.
Dated: December 3, 1998.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-32804 Filed 12-10-98; 8:45 am]
BILLING CODE 4190-01-P
