[Federal Register Volume 63, Number 36 (Tuesday, February 24, 1998)]
[Notices]
[Pages 9278-9279]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-4705]
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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 Public Law 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. Response to Notice of Revised Determination--0960-0347. Form
SSA-765 is used by claimants to request a disability hearing and/or to
submit additional information before a revised reconsideration
determination is issued. The respondents are claimants who wish to file
for a disability hearing in response to a notice of a revised
determination for Old-Age, Survivors and Disability Insurance and
Supplemental Security Income (SSI), under titles II and XVI of the
Social Security Act.
Number of Respondents: 1,925.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Average Burden: 963 hours.
2. Notification of Projected Completion Date--0960-0429. Form SSA-
891 is used by the Social Security Administration (SSA) and Disability
Determination Services (DDS) components to inform the disability
hearing units whenever a hearing case will not be completed and
forwarded to the hearing unit as expected. This information is
necessary to enable the hearing units to schedule hearings as promptly
and efficiently as possible. The respondents are State DDSs and SSA
components that make disability determinations for the Agency.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Average Burden: 8 hours.
3. Subpoena--Disability Hearing--0960-0428. The information on Form
SSA-1272-U4 is used by SSA to subpoena evidence or testimony needed at
disability hearings. The respondents are comprised of officers from
Federal and State DDSs.
Number of Respondents: 36.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Average Burden: 18 hours.
4. Student's Statement Regarding Resumption of School Attendance--
0960-0143. The information on Form SSA-1386 is used by SSA to verify
full-time attendance at educational institutions and to determine
eligibility for student benefits. The respondents are student
beneficiaries currently receiving SSA benefits.
Number of Respondents: 133,000.
Frequency of Response: 1.
Average Burden Per Response: 6 minutes.
Estimated Average Burden: 13,300 hours.
5. Real Property Current Market Value Estimate--0960-0471. The
information on Form SSA-2794 is used by SSA to determine the value of
non-home real property owned by applicants for or recipients of SSI.
The respondents are persons experienced in estimating the current
market value of real property.
Number of Respondents: 5,438.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Average Burden: 1,813 hours.
Written comments and recommendations regarding the information
collection(s) should be sent on or before April 27, 1998, directly to
the SSA Reports Clearance Officer at the following address: Social
Security Administration, DCFAM, Attn: Nicholas E. Tagliareni, 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. Report by Former Representative Payee--0960-0112. SSA collects
the information on Form SSA-625 when a mental facility is terminating
its payee services and a successor payee is to be named. The
information is needed to determine the proper disposition of any
conserved funds. The respondents are State institutions or agencies
which are no longer serving as representative payee for beneficiaries
who are incapable of managing benefits.
Number of Respondents: 8,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
[[Page 9279]]
Estimated Average Burden: 2,000 hours.
2. Pre-1957 Military Service Federal Benefit Questionnaire--0960-
0120. Form SSA-2512 is used by SSA to solicit sufficient information to
make a determination of eligibility for military wage credits. Sections
217 (a) and (e) of the Social Security Act provide for crediting
military service to the wage earner's record and for using the data in
the claims adjudication process to grant gratuitous military wage
credits, when applicable. The respondents are individuals who are
applying for Social Security benefits on a record where the wage earner
has pre-1957 military service.
Number of Respondents: 56,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Average Burden: 9,333 hours.
3. Certificate of Support--0960-0001. The information collected on
Form SSA-760-F4 is used to determine whether the deceased worker
provided one-half support required for entitlement to parent's or
spouse's benefits. The information will also be used to determine
whether the Government pension offset would apply to the applicant's
benefit payment. The respondents are parents of deceased workers or
spouses who may be subject to Government pension offset.
Number of Respondents: 18,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Average Burden: 4,500 hours.
4. Report of Function--Child--0960-0542. The information collected
on Forms SSA-3375, 3376, 3377, 3378, and 3379 will be used by SSA to
help determine if a child claiming SSI disability benefits under title
XVI is disabled. The respondents are parents or guardians who file for
such benefits on behalf of a child.
Number of Respondents: 500,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 166,667 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: Laura Oliven,
New Executive Office Building, Room 10230, 725 17th St., NW,
Washington, D.C. 20503.
(SSA) Social Security Administration, DCFAM, Attn: Nicholas E.
Tagliareni 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) 965-4125 or write to him at
the address listed above.
Dated: February 18, 1998.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 98-4705 Filed 2-23-98; 8:45 am]
BILLING CODE 4190-29-P
