[Federal Register Volume 63, Number 88 (Thursday, May 7, 1998)] [Notices] [Pages 25261-25263] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 98-12152] ======================================================================= ----------------------------------------------------------------------- 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): 1. Representative Payee Report--0960-0068. Forms SSA-6230 and SSA- 623 are used by the Social Security Administration (SSA) to determine the continuing suitability of an individual/organization to serve as representative payee. Form SSA-6230 is sent to parents, stepparents and grandparents with custody of minor children receiving Social Security benefits. Form SSA-623 is sent to all other payees with or without custody of the beneficiary. The respondents are individuals and organizations who serve as representative payees for SSI and Social Security beneficiaries. ---------------------------------------------------------------------------------------------------------------- SSA-623 SSA-6230 ---------------------------------------------------------------------------------------------------------------- Number of Respondents...................... 3,350,875........................ 2,099,298. [[Page 25262]] Frequency of Response...................... 1................................ 1. Average Burden Per Response................ 15 minutes....................... 15 minutes. Estimated Annual Burden.................... 837,719 hrs...................... 524,824 hrs. ---------------------------------------------------------------------------------------------------------------- 2. Request for Social Security Earnings Statement--0960-0525. The information on Form SSA-7050 is used by SSA to identify the requestor, to define the earnings information being requested, and to inform the requester of the fee for such information. Based on the information provided, SSA produces the requested statement. The respondents are individuals and organizations that use this form to request statements of earnings from SSA. Number of Respondents: 44,000. Frequency of Response: 1. Average Burden Per Response: 11 minutes. Estimated Average Burden: 8,067 hours. 3. Request for Change in Time/Place of Disability Hearing--0960- 0348. The information on Form SSA-769 is used by the Social Security Administration (SSA) to provide claimants with a structured format to exercise their right to request a change in the time or place of a scheduled disability hearing. The information will be used as a basis for granting or denying requests for changes and for rescheduling hearings. The respondents are claimants who wish to request a change in the time or place of their disability hearing. Number of Respondents: 7,483. Frequency of Response: 1. Average Burden Per Response: 8 minutes. Estimated Average Burden: 998 hours. 4. Request for Reconsideration--Disability Cessation-- 0960-0349. The information on Form SSA-789 is used by SSA to schedule hearings and to develop additional evidence for individuals who have received an initial or revised determination that their disability ceased, did not exist, or is no longer disabling. The respondents are disability beneficiaries who file a claim for reconsideration. Number of Respondents: 15,015. Frequency of Response: 1. Average Burden Per Response: 12 minutes. Estimated Average Burden: 3,003 hours. 5. Summary of Evidence--0960-0430. The information on Form SSA-887 is used by State Disability Determination Services (DDS) to provide claimants with a list of medical/vocational reports pertaining to their disability. The form will aid claimants in reviewing the evidence in their folders and will be used by hearing officers in preparing for and conducting hearings. The respondents are State DDSs that make disability determinations. Number of Respondents: 22,024. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Average Burden: 5,506 hours. 6. Report of Work Activity--Notice of Continuing Disability--0960- 0108. The information collected on Form SSA-3945 will be used by SSA to determine whether an individual's work after entitlement to disability is cause for that entitlement to end. The respondents are individuals who report earnings after their entitlement to disability benefits. Number of Respondents: 140,000. Frequency of Response: 1. Average Burden Per Response: 45 minutes. Estimated Average Burden: 105,000 hours. 7. Employee Identification Statement--0960-0473. The information on Form SSA-4156 is used by SSA to resolve situations where two or more individuals have used the same Social Security Number (SSN), and an employer has erroneously reported earnings under an SSN. The respondents are employers involved in erroneous wage reporting. Number of Respondents: 4,750. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Average Burden: 792 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. Disability Hearing Officer's Report of Disability--0960-0507. The information on Form SSA-1204-BK is used by the Disability Hearing Officer (DHO) to conduct and document disability hearings and to provide a structured format that covers all conceivable issues relating to SSI claims for disabled children. The completed Form SSA-1204-BK will aid the DHO in preparing the disability decision and will provide a record of what transpired at the hearing. The respondents are DHOs in the State Disability Determination Services (DDS). Number of Respondents: 100,000. Frequency of Response: 1. Average Burden Per Response: 60 minutes. Estimated Annual Burden: 100,000 hours. 2. Disability Hearing Officer's Report of Disability Hearing--0960- 0440. The information on Form SSA-1205 is used by DHOs to conduct and record disability hearings for adults. The form serves as a guide in conducting the hearings and ensures that all pertinent issues are considered. The respondents are DHOs in the State DDSs. Number of Respondents: 100,000. Frequency of Response: 1. Average Burden Per Response: 60 minutes. Estimated Annual Burden: 100,000 hours. 3. Disability Hearing Officer's Decision--0960-0441. The DHO uses the information on Form SSA-1207 and the supplements--which apply to the type of claim involved--in preparing the disability decision. The form will aid the DHO in addressing the crucial elements of the case in a sequential and logical fashion. The respondents are DHOs in the State DDSs. Number of Respondents: 100,000. Frequency of Response: 1. Average Burden Per Response: 45 minutes. Estimated Annual Burden: 75,000 hours. 4. Chinese Custom Marriage Statement (By One or Both of the Parties); and Statement Regarding Chinese Custom Marriage--0960-0086. The information on Forms SSA-1344 and 1345 is used by SSA to determine if an alleged spouse of the [[Page 25263]] numberholder is legally married, in order to be paid Social Security benefits. The respondents are individuals applying for benefits based upon a Chinese custom marriage or individuals who attended the marriage ceremony. ---------------------------------------------------------------------------------------------------------------- SSA-1344 SSA-1345 ---------------------------------------------------------------------------------------------------------------- Number of Respondents...................... 100.............................. 100. Frequency of Response...................... 1................................ 1. Average Burden Per Response................ 14 minutes....................... 14 minutes. Estimated Annual Burden.................... 23 hours......................... 23 hours. ---------------------------------------------------------------------------------------------------------------- 5. Student's Statement Regarding School Attendance--0960-0105. The information on Form SSA-1372 is used by SSA to determine if a claimant is entitled to Social Security benefits as a student. The respondents are student claimants for Social Security benefits. Number of Respondents: 200,000. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 33,333 hours. 6. Application for Benefits under the Italy-U.S. International Social Security Agreement--0960-0445. The information on Form SSA-2528 is used by SSA to determine if a resident of Italy is eligible for Social Security benefits under the Italy-U.S. Social Security agreement. The respondents are Italian residents who file for U.S. benefits with the Italian Social Security Agency. Number of Respondents: 200. Frequency of Response: 1. Average Burden Per Response: 20 minutes. Estimated Annual Burden: 67 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, D.C. 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. Date: May 1, 1998. Nicholas E. Tagliareni, Reports Clearance Officer, Social Security Administration. [FR Doc. 98-12152 Filed 5-6-98; 8:45 am] BILLING CODE 4190-29-U