[Federal Register Volume 62, Number 90 (Friday, May 9, 1997)]
[Notices]
[Pages 25685-25686]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-11299]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities; Submissions for OMB
Review
This notice lists information collection packages that have been
sent to the Office of Management and Budget (OMB) for clearance, in
compliance with PL. 104-13 effective October 1, 1995, The Paperwork
Reduction Act of 1995.
1. You Can Make Your Payments by Credit Cards--0960-0462. The
information on Forms SSA-4588 & SSA-4589 will be used to update the
individual's social security record to reflect that a payment has been
made on their overpayment and to effectuate payment through the
appropriate credit card company. The respondents are individuals who
make payments by credit cards.
Number of Respondents: 12,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 1,000 hours.
2. Third Party Liability Information Statement--0960-0323. Form
SSA-8019 is used by the Social Security Administration to gather
information or to make changes in existing information about third
party insurance (other than Medicare or Medicaid), which could be
responsible for payment for a beneficiary's medical care. The
respondents are applicants and beneficiaries of social security
benefits.
Number of Respondents: 65,400.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 5,450 hours.
3. Representative Payee Report--0960-0068. Sections 205(j) and
1631(a)(2) of the Social Security Act provide for the payment of
supplemental security income and social security benefits to a
relative, another person or an organization when the best interests of
the beneficiary will be served. Form SSA-6230 (20 CFR 404.2065) is sent
to parents, stepparents and grandparents with custody of minor children
receiving social security benefits. Form SSA-623 (20 CFR 404.2065 and
416.665) is sent to all other payees with or without custody of the
beneficiary. Both forms are used to
[[Page 25686]]
determine the continuing suitability of the individual/organization to
serve as representative payee.
Number of Respondents: 5,315,160.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 1,328,790 hours.
4. Telephone Replacement Card Pilot Test--0960-NEW. The Social
Security Administration will conduct a pilot study on obtaining
information by telephone from individuals who need a duplicate Social
Security Number (SSN) card. The information will be used to properly
identify an individual prior to releasing a replacement SSN card, thus
eliminating the need for the respondent to take or mail his/her
identity documents to a Social Security office. The information
provided, which should be known by the true Social Security number
holder, will be compared to information available in our current
electronic systems. The respondents are individuals in the pilot study
who request a duplicate SSN replacement card by telephone.
Number of Respondents: 500,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 16,667 hours.
To receive a copy of the form or clearance packages, call the SSA
Reports Clearance Officer on (410) 965-4125 or write to him at the
address listed below. 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
Dated: April 25, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-11299 Filed 5-8-97; 8:45 am]
BILLING CODE 4190-29-P
