[Federal Register Volume 62, Number 70 (Friday, April 11, 1997)]
[Notices]
[Pages 17901-17902]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-8989]


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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 PL. 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. Certification by Religious Group--0960-0093. The information 
collected by the Social Security Administration on form SSA-1458 is 
used to determine if the religious group of which an individual is a 
member qualifies for a self-employment tax exemption under Section 
1402(g) of the Internal Revenue Code. The respondents are spokespersons 
for religious groups.
    Number of Respondents: 180.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 45 hours.
    2. RSI/DI Quality Review Case Analysis Questionnaires and Annual 
Earnings Test Questionnaire--0960-0189. The information collected on 
forms SSA-2930, SSA-2931 and SSA-2932 is used by the Social Security 
Administration to establish a national payment accuracy rate for all 
cases in payment status and to serve as a source of information 
regarding problem areas in the Retirement and Survivors Insurance (RSI) 
program and Disability Insurance (DI) programs. The information is also 
used to measure the accuracy rate for newly adjudicated RSI/DI cases. 
The information collected on form SSA-4659 is used to evaluate the 
annual earnings test (AET) process to determine the effectiveness of 
the AET process. The results will be used to develop ongoing 
improvements in the process. The respondents are RSI and DI 
beneficiaries.

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                                                            SSA-2930      SSA-2931      SSA-2932      SSA-4659  
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Number of Respondents...................................         5,500         2,750         1,375           740
Frequency of Response...................................             1             1             1             1
Average Burden Per Response (minutes)...................            20            30            30            20
Estimated Annual Burden (hours).........................         1,833         1,375           688           247
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    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: Judith T. Hasche, 
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. Appointment of Representative--0960-0527. The information 
collected on form SSA-1696 is used by the Social Security 
Administration to verify the applicant's appointment of a 
representative. It allows SSA to inform the representative of items 
which affect the applicant's claim. The respondents are applicants who 
notify SSA that they have appointed a person to represent them and such 
representatives when claiming a right or benefit.
    Number of Respondents: 475,737.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 72,290 hours.
    2. Information About Joint Checking/Savings Account--0960-0461. The 
information collected on form SSA-2574 by the Social Security 
Administration is used to determine whether a joint bank account should 
be counted as a resource of an SSI claimant or applicant in determining 
eligibility for SSI. The respondents are applicants for and recipients 
of SSI payments and individuals who are joint owners of financial 
accounts with SSI applicants/recipients.
    Number of Respondents: 200,000
    Frequency of Response: 1
    Average Burden Per Response: 7 minutes
    Estimated Annual Burden: 23,333 hours
    3. Social Security Non-Applicant, Applicant and Advisor Surveys on 
the Supplemental Security Income and Social Security Disability 
Programs--0960-NEW. SSA will conduct a pilot study to obtain 
information on the factors that motivate individuals to file for 
disability benefits. The purpose of this project is to provide SSA with 
an appropriate methodology to conduct a scientific survey of disability 
applicants, non-applicants and disability advisors to determine the 
types and sources of

[[Page 17902]]

information that disabled and impaired individuals utilize in making 
their decisions to apply or not to apply for benefits. The data will be 
used to determine the appropriateness and accuracy of the information 
provided to potential applicants and to identify the social networks 
through which information about the disability programs is 
disseminated.

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                                                       Screener   Pilot 
                                                        survey    survey
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Number of Respondents................................     1,000      200
Frequency of Response................................         1        1
Average Burden Per Response (minutes)................        12       60
Estimated Annual Burden (hours)......................       200      200
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    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: Judith T. Hasche, 
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) 965-4123 or write to her at 
the address listed above.

    Dated: April 3, 1997.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 97-8989 Filed 4-8-97; 8:45 am]
BILLING CODE 4190-29-P