95-31162. Agency Forms Submitted to the Office of Management and Budget for Clearance

[Federal Register Volume 60, Number 246 (Friday, December 22, 1995)]
[Notices]
[Page 66573]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-31162]



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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 will require submission to 
the Office of Management and Budget (OMB) for clearance in compliance 
with Public Law 96-511, as amended (Pub. L. 104-13 effective October 1, 
1995), The Paperwork Reduction Act. Since the last list was published 
in the Federal Register on December 8, 1995, the information collection 
listed below will require extension of the current OMB approval.
(Call the SSA Reports Clearance Officer on [phone] for a copy of 
the form(s) or package(s), or write to the SSA Reports Clearance 
Officer at the address listed after the information collections)

    'Application for U.S. Benefits Under the Canada-U.S. International 
Agreement--0960-0371. The information collected on form SSA-1294 is 
used to determine entitlement to benefits. The respondents are 
individuals who live in Canada and file for U.S. Social Security 
Benefits.

Number of Respondents: 1000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 250 hours.
    Written comments and recommendations regarding this information 
collection 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: 
Charlotte S. Whitenight, 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.

    Dated: December 15, 1995.
Charlotte Whitenight,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 95-31162 Filed 12-21-95; 8:45 am]
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