[Federal Register Volume 66, Number 119 (Wednesday, June 20, 2001)]
[Notices]
[Pages 33120-33122]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-15439]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed 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

[[Page 33121]]

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 
at the following address: Social Security Administration, DCFAM, Attn: 
Frederick W. Brickenkamp, 1-A-21 Operations Bldg., 6401 Security Blvd., 
Baltimore, MD 21235.
    The information collections listed below will be submitted to OMB 
within 60 days from the date of this notice. Therefore, your comments 
should be submitted to SSA within 60 days from the date of this 
publication. You can obtain copies of the collection instruments by 
calling the SSA Reports Clearance Officer at 410-965-4145, or by 
writing to him at the address listed above.
    1. Request for Address Information from Motor Vehicles Records, 
SSA-L711; Request for Address Information from Employment Commissions 
Records, SSA-L712--0960-0341. SSA sends the SSA-L711 to State Motor 
Vehicle Adminstrations to obtain the last known address from driver's 
license and vehicle registration records. SSA sends the SSA-L712 to 
State Employment Commissions to obtain last known address from State 
unemployment/employment wage records. SSA uses the information to 
locate debtors to arrange for payment of a debt. The respondents are 
State Motor Vehicle Administrations and State Employment Commissions.

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                                       SSA-L711            SSA-L712
------------------------------------------------------------------------
Number of Respondents...........  1,300.............  1,100.
Frequency of Response...........  1.................  1.
Average Burden Per Response.....  2 minutes.........  2 minutes.
Estimated Annual Burden.........  43 hours..........  37 hours.
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    2. Employee Identification Statement--0960-0473. The information 
collected on Form SSA-4156 is needed in scrambled earnings situations 
when two or more individuals have used the same social security number 
(SSN), or when an employer (or employers) have reported earnings for 
two or more employees under the same SSN. The information on the form 
is used to help identify the individual (and the SSN) to whom the 
earnings belong. The respondents are employers who have reported 
erroneous wages.
    Number of Respondents: 4,750.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 792 hours.
    3. Plan for Achieving Self-Support--0960-0559. The information on 
form SSA-545 is collected by SSA when a Supplemental Security Income 
(SSI) applicant/recipient desires to use available income and resources 
to obtain education and/or training in order to become self-supportive. 
The information is used to evaluate the recipient's plan for achieving 
self-support to determine whether the plan may be approved under the 
provisions of the SSI program. The respondents are SSI applicants/
recipients who are blind or disabled.
    Number of Respondents: 7,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 hours.
    Estimated Average Burden: 14,000 hours.
    4. Request for the Correction of Earning Records--0960-0029. Form 
SSA-7008 is used by individual wage earners to request SSA's review, 
and if necessary, correction of the Agency's master record of their 
earnings. The respondents are individuals who question SSA's record of 
their earnings.
    Number of Respondents: 375,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 62,500 hours.
    5. Request for a Deceased Individual's Social Security Record, SSA-
711; You Can Make Your Payment by Credit Card for a Deceased 
Individual's Social Security Record, SSA-714--0960-NEW. Form SSA-711 is 
used by SSA to fulfill requests from members of the public who apply 
for a microprint of the SS-5, Application for Social Security Card, for 
a deceased individual. SSA provides this information in response to a 
request from an individual conducting genealogical research. The 
information collected on Form SSA-714 is used by SSA to process credit 
card payments from members of the public who request a microprint of 
the SS-5 in conjunction with the service provided by the Agency through 
the SSA-711. Respondents to the SSA-711 and 714 are members of the 
public who request a microprint of the SS-5 of a deceased individual 
for genealogical research.

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                                                                                  Average burden
                                                    Respondents    Frequency of    per response      Estimated
                                                                     response          (min)       annual burden
----------------------------------------------------------------------------------------------------------------
SSA-711.........................................         320,000               1               7          37,333
SSA-714.........................................          50,000               1               7           5,833
                                                 ---------------------------------------------------------------
      Total burden hours........................  ..............  ..............  ..............          43,166
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    6. Statement for Determining Continuing Eligibility for 
Supplemental Security Income Payments--Adult, Form SSA-3988-TEST; 
Statement for Determining Continuing Eligibility for Supplemental 
Security Income Payments--Child, Form SSA-3987-TEST--0960-NEW.

Background

    The Social Security Act mandates periodic redeterminations of the 
non-medical factors that relate to the SSI recipients' continuing 
eligibility for SSI payments. Recent SSA studies have indicated that as 
many as \2/3\ of all scheduled redeterminations completed, with the 
assistance of a SSA employee, did not result in any change in 
circumstances that affected payment. Therefore, SSA will conduct a 
limited test to determine whether a less intrusive and labor intensive 
redetermination process could result in significant operational savings 
and a decrease in recipient inconvenience, while timely obtaining the 
accurate data needed to determine continuing eligibility through the 
process.

The Collection

    A limited test of forms SSA-3988-TEST and SSA-3987-TEST will be 
used to determine whether SSI recipients have met and continue to meet 
all statutory and regulatory non-medical requirements for SSI 
eligibility, and whether they have been and are still receiving the 
correct payment amount.

[[Page 33122]]

The SSA-3988-TEST and SSA-3987-TEST are designed as self-help forms 
that will be mailed to recipients or to their representative payees for 
completion and return to SSA. The test objectives are to determine the 
public's ability to understand and accurately complete the test forms. 
The respondents are recipients of SSI benefits or their 
representatives.

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                                                                                  Average burden
                                                    Respondents    Frequency of    per response      Estimated
                                                                     response          (min)       annual burden
----------------------------------------------------------------------------------------------------------------
SSA-3988-TEST...................................          13,600               1              20           4,533
SSA-3987-TEST...................................           2,400               1              20             800
                                                 ---------------------------------------------------------------
      Total burden hours........................  ..............  ..............  ..............           5,333
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    Dated: June 14, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-15439 Filed 6-19-01; 8:45 am]
BILLING CODE 4191-02-U