96-5704. Agency Information Collection Activities: Proposed Collection Request  

  • [Federal Register Volume 61, Number 52 (Friday, March 15, 1996)]
    [Notices]
    [Page 10839]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-5704]
    
    
    
    -----------------------------------------------------------------------
    
    
    SOCIAL SECURITY ADMINISTRATION
    
    Agency Information Collection Activities: Proposed Collection 
    Request
    
        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 104-13 effective October 1, 1995, The Paperwork 
    Reduction Act of 1995. Since the last list was published in the Federal 
    Register on March 1, 1996, the information collections listed below 
    have been proposed or will require extension of the current OMB 
    approvals. (Call the SSA Reports Clearance Officer on (410) 965-4142 
    for a copy of the form(s) or package(s), or write to her at the address 
    listed below the information collections.)
        1. Application for Benefits Under a U.S. International Social 
    Security Agreement--0960-0448. The information collected on form SSA-
    2490 is used by the Social Security Administration to determine a 
    claimant's eligibility for U.S. Social Security benefits under the 
    provisions of an international social security agreement. It is also 
    used to take an application for benefits from a foreign country under 
    an agreement. The respondents are individuals who are applying for 
    benefits from either the United States and/or a foreign country with 
    which the United States has an agreement. The United States currently 
    has 17 such agreements.
        Number of Respondents: 20,000.
        Frequency of response: 1.
        Average Burden Per Response: 30 minutes.
        Estimated Annual Burden: 10,000 hours.
        2. Self-Employment-Corporate Officer Questionnaire--0960-0487. The 
    information collected on form SSA-4184 is used by the Social Security 
    Administration to develop a claimant's earnings or corroborate his or 
    her allegation of retirement when he or she is self-employed or a 
    corporate officer. The affected public consists of claimants for 
    benefits who provide the additional information to support their 
    allegation concerning earnings or employment.
        Number of Respondents: 50,000.
        Frequency of Response: 1.
        Average Burden Per Response: 20 minutes.
        Estimated Annual Burden: 16,667 hours.
        3. Statement Regarding the Inferred Death of an Individual by 
    Reason of Continued and Unexplained Absence--0960-0002. The information 
    collected on form SSA-723 is used to determine if the Social Security 
    Administration may infer that a missing person is deceased. The 
    respondents are individuals who know or are related to the missing 
    person.
        Number of Respondents: 3,000.
        Frequency of Response: 1.
        Average Burden Per Response: 30 minutes.
        Estimated Annual Burden: 1,500 hours.
        4. Partnership Questionnaire--0960-0025. The form SSA-7104 is used 
    to collect information which is needed to evaluate partnership 
    relationships to determine which portion of the partnership income 
    should be credited to each partner. The affected public consists of 
    claimants for social security benefits who are involved in a 
    partnership.
        Number of Respondents: 12,350.
        Frequency of Response: 1.
        Average Burden Per Response: 30 minutes.
        Estimated Annual Burden: 6,175 hours.
        Written comments and recommendations regarding these information 
    collections 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: March 4, 1996.
    Charlotte Whitenight,
    Reports Clearance Officer, Social Security Administration.
    [FR Doc. 96-5704 Filed 3-14-96; 8:45 am]
    BILLING CODE 4190-29-P
    
    

Document Information

Published:
03/15/1996
Department:
Social Security Administration
Entry Type:
Notice
Document Number:
96-5704
Pages:
10839-10839 (1 pages)
PDF File:
96-5704.pdf