[Federal Register Volume 62, Number 124 (Friday, June 27, 1997)]
[Notices]
[Page 34735]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16749]
=======================================================================
-----------------------------------------------------------------------
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):
Waiver of Benefit Payments--0960-0533. Form SSA-149 is required to
document the fact that benefits due are not being paid, because the
beneficiary (for personal reasons) has requested nonreceipt. Personal
reasons can range from religious, patriotic, or political beliefs to
situations where continued receipt of payment causes some adverse
effect. The respondents are beneficiaries who waive entitlement to
benefit payments.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Average Burden: 8 hours.
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:
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. Application for Special Age 72-or-Over Monthly Payments--0960-
0096. The information collected on form SSA-19 is used by SSA to
determine entitlement of individuals to special age 72-or-over
payments. The respondents are applicants who file for the special
payment.
Number of Respondents: 15.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Average Burden: 5 hours.
2. State Agency Report of Obligations for SSA Disability Program--
0960-0421. The information collected on form SSA-4513 is used by SSA in
a detailed analysis and evaluation of costs incurred by the State
Disability Determination Services (DDS) in making determinations of
disability for SSA and to determine funding levels for each DDS. The
respondents are State DDS offices.
Number of Respondents: 54.
Frequency of Response: 4.
Average Burden Per Response: 1 hour.
Estimated Annual Burden: 216 hours.
3. Statement for Determining Continuing Eligibility for
Supplemental Security Income Payments--0960-0416. The information
collected by the Social Security Administration on form SSA-8203 is
used to determine whether SSI recipients have met and continue to meet
all statutory and regulatory requirements for SSI eligibility and
whether they have been and are still receiving the correct payment
amount. The information collected will also assist agencies
administering Medicaid programs in ascertaining the legal liability of
third parties to pay for care and services. The respondents are
recipients of SSI benefits or their representative payees.
Number of Respondents: 552,000.
Frequency of Response: 1.
Average Burden Per Response: 17 minutes.
Estimated Annual Burden: 156,400 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,
DC. 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: June 20, 1997.
Nicholas E. Tagliareni,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-16749 Filed 6-26-97; 8:45 am]
BILLING CODE 4190-29-P
