[Federal Register Volume 61, Number 130 (Friday, July 5, 1996)]
[Notices]
[Pages 35295-35296]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16695]
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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 P.L. 104-13 effective October 1, 1995, The Paperwork Reduction Act
of 1995. Since the last list was published in the Federal Register on
June 14, 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) 965-4125 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 Wife's or Husband's Insurance Benefits--0960-
0008. The information collected on form SSA-2 is needed by the Social
Security Administration to determine an applicant's eligibility to
wife's or husband's benefits. The respondents are individuals who wish
to file for those types of benefits.
Number of Respondents: 700,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 116,667 hours
2. Statement of Marital Relationship (By One of the Parties)--0960-
0038. The information collected on form SSA-754 is used by the Social
Security Administration to prove or disapprove the existence of a valid
common-law marriage. The respondents are individuals who allege a
common-law marriage to someone entitled to Social Security benefits.
Number of Respondents: 30,000
Frequency of Response: 1
Average Burden Per Response: 30 minutes
Estimated Annual Burden: 15,000 hours
3. Worker's Compensation/Public Disability Benefit Questionnaire--
0960-0247. The information collected on form SSA-546 is used by the
Social Security Administration to help determine if receipt of a
workmen's compensation or public disability benefit by an individual
will cause a reduction in his or her Social Security disability
benefits. The respondents are applicants for Social Security Title II
disability benefits.
Number of Respondents: 100,000
Frequency of Response: 1
Average Burden Per Response: 15 minutes
Estimated Annual Burden: 25,000 hours
4. Voluntary Customer Surveys In Accordance with E.O. 12862 Within
the Social Security Administration--0960-0526. These voluntary customer
surveys will be used to ascertain customer satisfaction with the Social
Security Administration in terms of timeliness, appropriateness,
access, and other measures of quality service. Surveys will involve
individuals that are the direct or indirect beneficiaries of SSA
services. The average burden per response for these activities is
estimated to range from 5 minutes for a simple comment card to 2 hours
for participation in a focus group.
[[Page 35296]]
FY 1997: Number of Respondents: 1,328,767
Frequency of Response: 1
Estimated Annual Burden: 121,840 Hours
FY 1998: Number of Respondents: 1,339,327
Frequency of Response: 1
Estimated Annual Burden: 124,784
FY 1999: Number of Respondents: 1,328,707
Frequency of Response: 1
Estimated Annual Burden: 122,670
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: 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.
The information collections listed below, which were published in
the Federal Register on May 2 and May 8, 1996 have been submitted to
OMB.
1. Survey of Employers Regarding A Pre-retirement Satellite
Broadcast--0960-NEW. The Social Security Administration is attempting
to establish satellite communications with private sector employers as
an economical and efficient means of providing program information and
training. SSA will broadcast a pre-retirement seminar via satellite and
ask employers to provide information on the broadcast. The information
collected by SSA will be used to determine employer interest in
receiving information by satellite and to determine what issues should
be covered; i.e., retirement, legislative updates, wage reporting
training, etc. The respondents are employers who have received the
satellite transmission.
Number of Respondents: 10,000
Frequency of Response: 1
Average Burden Per Response: 5 minutes
Estimated Annual Burden: 833 hours
2. Modified Benefit Formula Questionnaire-Foreign Pension--0960-
NEW. The information collected on form SSA-308 is used by SSA to
determine exactly how much (if any) of a foreign pension may be used to
reduce the amount of Social Security retirement or disability benefits
under the modified benefit formula. The respondents are applicants for
Social Security retirement/disability benefits.
Number of Respondents: 50,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 8,333 hours
Written comments and recommendations regarding these information
collections should be sent within 30 days of the date of this
publication. Comments may be directed to OMB and SSA 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,
6401 Security Blvd, 1-A-21 Operations Bldg., Baltimore, MD 21235.
Dated: June 24, 1996.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-16695 Filed 7-3-96; 8:45 am]
BILLING CODE 4190-29-P
