[Federal Register Volume 76, Number 66 (Wednesday, April 6, 2011)]
[Notices]
[Pages 19175-19176]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-8127]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections.
    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 ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, e-mail, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers. (OMB), Office of Management and Budget, Attn: 
Desk Officer for SSA, Fax: 202-395-6974, E-mail address: OIRA_Submission@omb.eop.gov.
    (SSA), Social Security Administration, DCBFM, Attn: Reports 
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, 
MD 21235, Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than June 
6, 2011. Individuals can obtain copies of the collection instruments by 
calling the SSA Reports Clearance Officer at 410-965-8783 or by writing 
to the above e-mail address.
    1. Authorization to Obtain Earnings Data from SSA--0960-0602. SSA 
collects information on Form SSA-581 to identify an earnings record, 
verify authorized access to the earnings record, and produce an 
itemized statement for release to the proper party. The respondents are 
various private or public organizations, or agencies needing detailed 
earnings information.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 32,000.
    Frequency of Response: 1.
    Average Burden per Response: 2 minutes.
    Estimated Annual Burden: 1,067 hours.
    2. Teacher Questionnaire and Request for Administrative 
Information--20 CFR 416.1103(f)--0960-0646. When determining the 
effects of a child's impairment(s), SSA obtains information about the 
child's functioning from teachers, parents, and others who observe the 
child on a daily basis. SSA obtains results of formal testing, teacher 
reports, therapy progress notes, individualized education programs, and 
other records of a child's educational aptitude and achievement using 
Forms SSA-5665 and SSA-5666. The respondents are parents, teachers, and 
other education personnel.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden
                    Form No.                         Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5665-BK.....................................         400,000               1              40         266,667
SSA-5666........................................         397,000               1              30         198,500
                                                 ---------------------------------------------------------------
    Totals......................................         797,000  ..............  ..............         465,167
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collection below to OMB for 
clearance. Your comments on the information collection would be most 
useful if OMB and SSA receive them within 30 days from the date of this 
publication. To be sure we consider your comments, we must receive them 
no later than May 6, 2011. You can obtain a copy of the OMB clearance 
package by calling the SSA Reports Clearance Officer at 410-965-8783 or 
by writing to the above e-mail address.
    Statement Regarding the Inferred Death of an Individual by Reason 
of Continued and Unexplained Absence--20 CFR 404.720 & 404.721--0960-
0002. Section 202(d)-(i) of the Social Security Act provides for the 
payment of various monthly survivor benefits and a lump sum death 
payment to certain survivors upon the death of a fully or currently 
insured individual. In cases where insured wage earners are absent from 
their homes for at least seven years, and there is no evidence these 
individuals are alive, SSA may presume they are deceased and pay their 
survivors the appropriate benefits. SSA uses the information from Form 
SSA-723 to determine if we may presume the death of a missing wage 
earner, and if so, to establish a date of presumed death. The 
respondents are relatives, friends, neighbors, or acquaintances of the 
presumed deceased wage earner or the person who is filing for survivors 
benefits.

[[Page 19176]]

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 3,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 1,500 hours.

    Date: April 1, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-8127 Filed 4-5-11; 8:45 am]
BILLING CODE 4191-02-P