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[Federal Register Volume 65, Number 237 (Friday, December 8, 2000)]
[Notices]
[Page 77061]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-31307]

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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 that will require clearance by the 
Office of Management and Budget (OMB) in compliance with Pub. L. 104-13 
effective October 1, 1995, The Paperwork Reduction Act of 1995. 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.
    Written comments and recommendations regarding the information 
collection(s) should be submitted to the SSA Reports Clearance Officer 
and to the OMB Desk Officer at the following addresses:
(OMB)
Attn: Desk Officer for SSA, New Executive Office Building, Room 10230, 
725 17th St., NW., Washington, DC 20503
(SSA)
Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 
1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 21235

    I. The information collection listed below will be submitted to OMB 
within 60 days from the date of this notice. Your comments should be 
submitted to SSA within 60 days from the date of this publication. You 
can obtain a copy of the collection instrument by calling the SSA 
Reports Clearance Officer at 410-965-4145, or by writing to him at the 
address listed above.
    Application Statement for Child's Insurance Benefits--0960-0010. 
Title II of the Social Security Act provides for payment of monthly 
benefits to the children of an insured retired, disabled or deceased 
worker, if certain conditions are met. The form SSA-4-BK is used by the 
Social Security Administration to collect information needed to 
determine whether the child or children are entitled to benefits. The 
respondents are children of the worker or individuals who complete this 
form on their behalf.

------------------------------------------------------------------------
                                                       Life      Death
                                                      claims     claims
------------------------------------------------------------------------
Number of Respondents.............................    925,000    815,000
Frequency of Response.............................          1          1
Average Burden Per Response (minutes).............       10.5       15.5
Estimated Annual Burden (hours)...................    161,875    210,542
------------------------------------------------------------------------

    II. The information collections listed below have been submitted to 
OMB for clearance. Your comments on the information collections would 
be most useful if received by OMB and SSA within 30 days from the date 
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 at the address listed above.
    1. Application for Lump Sum Death Payment--0960-0013. The 
information collected on form SSA-8 by the Social Security 
Administration is required to authorize payment of a lump-sum death 
benefit to a widow, widower, or children as defined in section 202(i) 
of the Social Security Act. The respondents are widows, widowers or 
children who apply for a lump-sum death payment.
    Number of Respondents: 43,850.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 7,308 hours.
    2. Request for Replacement SSA-1099/SSA-1042S Social Security 
Benefits Statement--0960-0583. The information requested by the Social 
Security Administration (SSA) via the Internet will be used to verify 
identity and to provide replacement copies of Form SSA-1099/SSA-1042, 
which are needed to prepare Federal tax returns. This Internet option 
to request a replacement SSA-1099/SSA-1042 will eliminate the need for 
a phone call to a teleservice center or a visit to a field office. The 
respondents are beneficiaries who request a replacement SSA-1099/1042 
via the Internet.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Average Burden: 583 hours.

    Dated: December 4, 2000.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 00-31307 Filed 12-7-00; 8:45 am]
BILLING CODE 4191-02-U
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