[Federal Register Volume 64, Number 237 (Friday, December 10, 1999)]
[Notices]
[Pages 69316-69317]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-31987]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
In compliance with Public Law 104-13, the Paperwork Reduction Act
of 1995, SSA is providing notice of its information collections that
require submission to the Office of Management and Budget (OMB). 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 on ways to minimize burden on
respondents, including the use of automated collection techniques or
other forms of information technology.
I. The information collections listed below will be submitted to
OMB within 60 days from the date of this notice. Therefore, comments
and recommendations regarding the information collections would be most
useful if received by the Agency within 60 days from the date of this
publication. Comments should be directed to the SSA Reports Clearance
Officer at the address listed at the end of this publication. You can
obtain a copy of the collection instruments by calling the SSA Reports
Clearance Officer on (410) 965-4145, or by writing to him at the
address listed at the end of this publication.
1. Vocational Rehabilitation ``301'' Program Development--0960-
0282. The information on Form SSA-4290 is used by the Social Security
Administration (SSA) to determine an individual's continued entitlement
to disability benefits when that individual has medically recovered
while allegedly participating in a State or alternate Vocational
Rehabilitation (VR) program. The respondents are State or alternate VR
agencies serving such beneficiaries.
Number of Respondents: 8,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 2,000 hours.
2. Certificate of Election for Reduced Spouse's Benefits--0960-
0398. SSA uses the information collected on Form SSA-25 to pay a
qualified spouse who elects to receive a reduced benefit at an earlier
age. The respondents are entitled spouses seeking reduced benefits.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 1,000 hours.
3. Statement of Funds You Provided to Another, Statement of Funds
You Received--0960-0481. Forms SSA-2854 and SSA-2855 are used by SSA to
collect information in situations where the SSI claimant alleges that
money was borrowed on an informal basis from a noncommercial lender,
e.g., a relative or friend, etc. These statements are completed by the
borrower/claimant and the lender and are required to determine whether
the proceeds from the transaction are/are not income to the borrower/
claimant. If the transaction constitutes a bona fide loan, the proceeds
are not income to the SSI borrower/claimant. The respondents are
applicants for and recipients of SSI payments who borrow money on an
informal (noncommercial) basis and individuals who lend money
informally to SSI applicants and recipients.
Number of Respondents: 40,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 6,667 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Written comments and recommendations on the
information collections would be most useful if received within 30 days
from the date of this publication. Comments should be directed to the
SSA Reports Clearance Officer and the OMB Desk Officer at the addresses
listed at the end of this publication. You can obtain a copy of the OMB
clearance packages by calling the SSA Reports Clearance Officer on
(410) 965-4145, or by writing to him.
1. Application for Wife's or Husband's Insurance Benefits--0960-
0008. SSA uses the information collected on Form SSA-2-F6 to determine
whether applicants (including those who are divorced) are entitled to
wife's or husband's insurance benefits. The respondents are applicants
for wife or husband's benefits (including those who are divorced).
Number of Respondents: 700,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 175,000 hours.
2. Application for Supplemental Security Income--0960-0229. SSA
uses the information collected on Form SSA-8000-BK to determine the
respondent's eligibility for, and amount of, SSI benefits. The
respondents are applicants for SSI Benefits.
Number of Respondents: 1,002,773.
Frequency of response: 1.
Average Burden Per response: 35 minutes for paper application (3
percent of responses) 25 minutes for automated collection of
information (97% of responses).
Estimated Annual Burden: 422,835 hours.
(SSA Address): Social Security Administration, DCFAM, Attn: Frederick
W. Brickenkamp, 6401 Security Blvd., 1-A-21 Operations Bldg.,
Baltimore, MD 21235
(OMB Address): Office of Management and Budget, OIRA, Attn: Lori
Schack, New Executive Office Building, Room 10230, 725 17th St., NW,
Washington, DC 20503
[[Page 69317]]
Dated: December 2, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-31987 Filed 12-9-99; 8:45 am]
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