[Federal Register Volume 62, Number 70 (Friday, April 11, 1997)]
[Notices]
[Pages 17901-17902]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-8989]
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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 PL. 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. Certification by Religious Group--0960-0093. The information
collected by the Social Security Administration on form SSA-1458 is
used to determine if the religious group of which an individual is a
member qualifies for a self-employment tax exemption under Section
1402(g) of the Internal Revenue Code. The respondents are spokespersons
for religious groups.
Number of Respondents: 180.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 45 hours.
2. RSI/DI Quality Review Case Analysis Questionnaires and Annual
Earnings Test Questionnaire--0960-0189. The information collected on
forms SSA-2930, SSA-2931 and SSA-2932 is used by the Social Security
Administration to establish a national payment accuracy rate for all
cases in payment status and to serve as a source of information
regarding problem areas in the Retirement and Survivors Insurance (RSI)
program and Disability Insurance (DI) programs. The information is also
used to measure the accuracy rate for newly adjudicated RSI/DI cases.
The information collected on form SSA-4659 is used to evaluate the
annual earnings test (AET) process to determine the effectiveness of
the AET process. The results will be used to develop ongoing
improvements in the process. The respondents are RSI and DI
beneficiaries.
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SSA-2930 SSA-2931 SSA-2932 SSA-4659
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Number of Respondents................................... 5,500 2,750 1,375 740
Frequency of Response................................... 1 1 1 1
Average Burden Per Response (minutes)................... 20 30 30 20
Estimated Annual Burden (hours)......................... 1,833 1,375 688 247
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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: Judith T. Hasche,
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. Appointment of Representative--0960-0527. The information
collected on form SSA-1696 is used by the Social Security
Administration to verify the applicant's appointment of a
representative. It allows SSA to inform the representative of items
which affect the applicant's claim. The respondents are applicants who
notify SSA that they have appointed a person to represent them and such
representatives when claiming a right or benefit.
Number of Respondents: 475,737.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 72,290 hours.
2. Information About Joint Checking/Savings Account--0960-0461. The
information collected on form SSA-2574 by the Social Security
Administration is used to determine whether a joint bank account should
be counted as a resource of an SSI claimant or applicant in determining
eligibility for SSI. The respondents are applicants for and recipients
of SSI payments and individuals who are joint owners of financial
accounts with SSI applicants/recipients.
Number of Respondents: 200,000
Frequency of Response: 1
Average Burden Per Response: 7 minutes
Estimated Annual Burden: 23,333 hours
3. Social Security Non-Applicant, Applicant and Advisor Surveys on
the Supplemental Security Income and Social Security Disability
Programs--0960-NEW. SSA will conduct a pilot study to obtain
information on the factors that motivate individuals to file for
disability benefits. The purpose of this project is to provide SSA with
an appropriate methodology to conduct a scientific survey of disability
applicants, non-applicants and disability advisors to determine the
types and sources of
[[Page 17902]]
information that disabled and impaired individuals utilize in making
their decisions to apply or not to apply for benefits. The data will be
used to determine the appropriateness and accuracy of the information
provided to potential applicants and to identify the social networks
through which information about the disability programs is
disseminated.
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Screener Pilot
survey survey
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Number of Respondents................................ 1,000 200
Frequency of Response................................ 1 1
Average Burden Per Response (minutes)................ 12 60
Estimated Annual Burden (hours)...................... 200 200
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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: Judith T. Hasche,
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) 965-4123 or write to her at
the address listed above.
Dated: April 3, 1997.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-8989 Filed 4-8-97; 8:45 am]
BILLING CODE 4190-29-P
