Agency information collection activities: Proposed collection and submission for OMB review; comment request,

[Federal Register: November 4, 1998 (Volume 63, Number 213)]

[Notices]

[Page 59617-59618]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr04no98-110]

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 Pub. L. 104-13 effective October 1, 1995, The Paperwork Reduction Act of 1995.

1. The information collection(s) listed below require(s) extension(s) of the current OMB approval(s) or are proposed new collection(s).

   1. Statement of Death by Funeral Director--0960-0142. The Social Security Administration (SSA) uses the information collected on Form SSA-721 to verify the death of an individual insured under the Social Security Act and to determine if there is a survivor eligible for a lump-sum death payment. The respondents are funeral directors with knowledge of the death of a person insured for Social Security benefits.

      Number of Respondents: 900,000.

      Frequency of Response: 1.

      Average Burden Per Response: 3.5 minutes.

      Estimated Average Burden: 52,500 hours.

   2. Statement Regarding Marriage--0960-0017. SSA uses the information collected on Form SSA-753 to make determinations regarding entitlement to spouse's benefits when a common-law marriage is alleged. The respondents are third parties who can supply evidence concerning the existence of a common-law marriage.

      Number of Respondents: 40,000.

      Frequency of Response: 1.

      Average Burden Per Response: 9 minutes.

      Estimated Average Burden: 6,000 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: Frederick W. Brickenkamp, 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.

2. The information collection(s) listed below have been submitted to OMB.

   1. Modified Benefits Formula Questionnaire, Employer--0960-0477. The information collected on Form SSA-50 is used by SSA to verify that a pension based on noncovered employment after 1956 was allegedly received by the claimant. The form also shows whether or not the individual became eligible for that pension before 1985. The respondents are persons who are eligible for both Social Security benefits and a pension from noncovered employment after 1985.

      Number of Respondents: 30,000.

      Frequency of Response: 1.

      Average Burden Per Response: 20 minutes.

      Estimated Average Burden: 10,000 hours.

   2. Report of Continuing Disability Interview--0960-0072. SSA uses the information collected on Form SSA-454 to determine whether a person who receives Social Security Disability benefits is still unable to work because of an existing disability. The form will also be used to make a determination as

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      to whether the disability benefits should continue or be terminated. The respondents are Social Security Disability benefit recipients.

      Number of Respondents: 830,175.

      Frequency of Response: 1.

      Average Burden Per Response: 30 minutes.

      Estimated Average Burden: 415,088 hours.

   3. Statement by School Official About Student's Attendance; Statement to U.S. Social Security Administration by School Outside the U.S. About Student's Attendance--0960-0090. The information collected on Forms SSA-1371 and SSA-1371-FC is used by SSA to verify a student's alleged full-time attendance at an educational institution, in order to determine the student's eligibility for Social Security student benefits. The respondents are the school officials who provide the information on these forms.

      Number of Respondents: 5,000.

      Frequency of Response: 1.

      Average Burden Per Response: 10 minutes.

      Estimated Average Burden: 833 hours.

   4. Reconsideration Disability Report--0960-0144. SSA uses the information collected on Form SSA-3441 to determine if the claimant's medical or vocational situation changed after the initial disability determination, when the claimant requests a reconsideration of a denied disability claim. The form also elicits additional sources of medical and vocational evidence, which was not considered in the initial determination. The respondents are disability beneficiaries who request a reconsideration.

      Number of Respondents: 400,000.

      Frequency of Response: 1.

      Average Burden Per Response: 30 minutes.

      Estimated Average Burden: 200,000 hours.

   5. Agreement to Sell Property--0960-0127. The information on Form SSA-8060-U3 is used by SSA field office personnel to authorize payment of conditional benefits to individuals or couples who are otherwise eligible for Supplemental Security Income (SSI) benefits (but whose resources exceed the allowable limit), and at the end of the conditional payment period, to institute overpayment recovery procedures. Form SSA-8060-U3 documents this agreement and ensures that the individuals understand their obligations. The respondents are applicants for and recipients of SSI benefits.

      Number of Respondents: 20,000.

      Frequency of Response: 1.

      Average Burden Per Response: 10 minutes.

      Estimated Average Burden: 3,333 hours.

   6. Modified Benefit Formula Questionnaire--0960-0395. The information collected on Form SSA-150 is needed by SSA to determine the correct formula to use in computing Social Security benefits for someone who also receives benefits from employment not covered by Social Security. The respondents consist of claimants for Social Security benefits who are also entitled to benefits not covered by Social Security.

      Number of Respondents: 90,000.

      Frequency of Response: 1.

      Average Burden Per Response: 4 minutes.

      Estimated Average Burden: 6,000 hours.

   7. Application for Survivors Benefits--0960-0062. SSA collects the information on Form SSA-24 to determine whether insured status exists in order for the claimant to complete the appropriate SSA survivor application. If entitlement does not exist, SSA may disallow the claim. If an SSA survivor application has already been filed, Form SSA-24 is treated as a duplicate application. The respondents are survivors of military service veterans filing for Social Security benefits.

      Number of Respondents: 3,200.

      Frequency of Response: 1.

      Average Burden Per Response: 15 minutes.

      Estimated Average Burden: 800 hours.

   8. Medical Report (Individual With Childhood Impairment)--0960- 0102. The information collected on Form SSA-3827 is used by SSA to determine whether an individual with a childhood impairment medically qualifies for benefits or payments under the provisions of the Social Security Act, based on the medical aspects of an individual's claim or application. The respondents are attending physicians/medical sources.

      Number of Respondents: 12,000.

      Frequency of Response: 1.

      Average Burden Per Response: 30 minutes.

      Estimated Average Burden: 6,000 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: Desk Officer for SSA, New Executive Office Building, Room 10230, 725 17th St., NW, Washington, D.C. 20503

      (SSA)

      Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 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) 965-4145 or write to him at the address listed above.

      Dated: October 29, 1998. Frederick W. Brickenkamp, Reports Clearance Officer, Social Security Administration.

      [FR Doc. 98-29508Filed11-3-98; 8:45 am]

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