[Federal Register Volume 64, Number 117 (Friday, June 18, 1999)]
[Notices]
[Pages 32913-32915]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-15539]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
In compliance with Pub. L. 104-13, the Paperwork Reduction Act of
1995, SSA is providing notice of its information collections that
require submission to the Office of Management and Budget (OMB). SSA is
soliciting comments on the accuracy of the agency's burden estimate;
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.
I. The information collections listed below will be submitted to
OMB within 60 days from the date of this notice. Therefore, comments
and recommendations regarding the information collections would be most
useful if received by the Agency within 60 days from the date of this
publication. Comments should be directed to the SSA Reports Clearance
Officer at the address listed at the end of SSA's notices. You can
obtain a copy of the collection instruments by calling the SSA Reports
Clearance Officer on (410) 965-4145, or by writing to him at the
address listed at the end of these notices.
1. Report on Individual with Mental Impairment--0960-0058. Form
SSA-824 is used by the Social Security Administration to determine the
claimant's medical status prior to making a disability determination.
The respondents are physicians, medical
[[Page 32914]]
directors, medical record librarians and other health professionals.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 36 minutes.
Estimated Annual Burden: 30,000 hours.
2. Report of Student Beneficiary at End of School Year--0960-0089.
The information collected on Form SSA-1388 is used by SSA to verify a
student's full-time attendance at an approved educational institution.
The respondents are secondary school student beneficiaries or claimants
who are enrolled full time.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 33,333 hours.
3. Request for Claimant Conference--0960-NEW. As part of SSA's
disability redesign effort, SSA is testing modifications to the
disability determination procedures. One aspect of the tests includes
notifying claimants when the initial determination of disability by the
State agency will be less than fully favorable. The State agency making
the determination must send a written notice to the claimant offering
him or her the opportunity to have a conference with the Disability
Adjudicator and to provide an opportunity to submit additional
evidence. The claimant can respond by either completing and returning
the form (SSA-378) enclosed with the notice or by telephoning the
Disability Adjudicator. Based on the reply, the Disability Adjudicator
can schedule a conference, request additional medical evidence, and/or
await the receipt of additional evidence or complete the processing of
the claim. The respondents are claimants for title II and title XVI
disability benefits whose claims will receive a less than fully
favorable determination.
Number of Respondents: 163,000.
Frequency of Response: 1.
Average Burden Per Response: 1.5 minutes.
Estimated Annual Burden: 4,075 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Written comments and recommendations on the
information collection would be most useful if received within 30 days
from the date of this publication. Comments should be directed to the
SSA Reports Clearance Officer and the OMB Desk Officer at the addresses
listed at the end of this publication. You can obtain a copy of the OMB
clearance packages by calling the SSA Reports Clearance Officer on
(410) 965-4145, or by writing to him.
1. Application for Mother's or Father's Insurance Benefit-0960-
0003. The information collected on Form SSA-5 is used by the Social
Security Administration (SSA) to determine an applicant's eligibility
for mother's or father's insurance benefits. The respondents are
individuals who wish to file an application for such benefits.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 12,500 hours.
2. Missing and Discrepant Wage Reports Letter and Questionnaire--
0960-0432. SSA uses the information on Forms SSA-L93, SSA-95 and SSA-97
to secure the employer information missing from its records (or
discrepant with Internal Revenue Service (IRS) records) by contacting
the involved employers. When secured, SSA is able to properly post the
employee's earnings records. Compliance by employers with SSA requests
facilitates proper posting of employees' wage records. SSA makes two
efforts to obtain wage information from the employer before the case is
turned over to the IRS for penalty assessments. The respondents are
employers with missing or discrepant wage reports.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
3. Medical Report on Adult with Allegation of Human Immune
Deficiency Virus Infection and Medical Report on Child with Allegation
of Human Immune Deficiency Virus Infection--0960-0500. SSA uses Forms
SSA-4814-F5 and SSA-4815-F6 to obtain information from a medical source
concerning an individual who has filed for Supplemental Security Income
(SSI) disability benefits with an allegation of Human Immune Deficiency
Virus (HIV) infection. The information is necessary for SSA field
office personnel to determine whether the individual meets the
requirements for a presumptive disability payment. The respondents are
medical sources of individuals who apply for SSI disability benefits.
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SSA-4814-F5 SSA-4815-F6
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Number of Respondents................... 46,200 12,900
Frequency of Response................... 1 1
Average Burden Per Response (minutes)... 10 10
Estimated Annual Burden (hours)......... 7,700 2,150
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4. Self-Employment--Corporate Officer Questionnaire--0960-0487.
Form SSA-4184 is used by SSA to develop earnings and to corroborate the
claimant's allegations of retirement when the claimant is self-employed
or a corporate officer. The respondents are self-employed individuals
and corporate officers.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 16,667 hours.
5. Coverage of Employees of State and Local Governments--0960-0425.
This current rule contains reporting and recordkeeping requirements in
20 CFR Part 404 (see table below). The regulation sections cited
require State and/or interstate instrumentalities to provide certain
information to SSA that is needed to extend Social Security coverage to
public sector workers for pre-1987 tax years, and to maintain accurate
records of social security agreements. SSA would not be able to provide
coverage to these workers and would be in violation of the statute
requiring coverage if the information were not collected. This rule
applies to 52 State agencies who could submit modifications to their
Social Security coverage agreements and 3 interstate instrumentalities
who could submit agreements for coverage, and one or two potential
annual responses for each. In actuality, SSA may receive any number of
reports from a few States and no reports from the remainder. From
experience, SSA anticipates that no error modifications will be filed
for tax years prior to 1987, nor wage reports and contributions
payments for an error
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situation where wages have never been reported for those years. In
addition, the reporting requirements in sections 404.1242, .1251 and
.1271(a) and (c) no longer exist so we are showing no public reporting
burden for these sections. SSA plans to publish a Notice of Proposed
Rulemaking to eliminate the obsolete reporting requirements from these
sections. For the remaining sections, SSA is basing the public burden
estimates on the total number of respondents that could potentially
report to us, although we anticipate the actual number will be less.
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Number of Frequency of Annual burden
Section States response Individual burden (hours)
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404.1203(a).......................... 52 1 1 hour................... 52
404.1204(a) & (b).................... 52 1 30 minutes............... 26
404.1214(d).......................... \1\3 1 1 hour................... 3
404.1215............................. 52 1 1 hour................... 52
404.1216(a) & (b).................... 52 1 1 hour................... 52
404.1220(b) & (c).................... 52 1 5 minutes................ 4
404.1225(a) & (b).................... 52 1 1 hour................... 52
404.1237(a), (b) & (c); .1239; 52 1 1 hour................... 52
.1243(a), (b), (c).
404.1242............................. 0 0 0........................ 0
404.1247............................. 52 1 1 hour................... 52
404.1249(a), (b) & (c)............... 52 1 1 hour................... 52
404.1251............................. 0 0 0........................ 0
404.1265............................. 3 1 1 hour................... 3
404.1271(a) & (c).................... 0 0 0 hour................... 0
404.1271(b).......................... 2 2 4 hours.................. 16
404.1272............................. 3 1 1........................ 3
404.1292............................. 3 1 5........................ 15
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Total............................ .............. .............. ......................... 434
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\1\ Interstate Instrumentalities.
(SSA Address) Social Security Administration, DCFAM, Attn: Frederick W.
Brickenkamp, 6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore,
MD 21235
(OMB Address) Office of Management and Budget, OIRA, Attn: Desk Officer
for SSA, New Executive Office Building, Room 10230, 725 17th St., NW,
Washington, DC 20503
Dated: June 11, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-15539 Filed 6-17-99; 8:45 am]
BILLING CODE 4190-29-P
