```

[Federal Register Volume 66, Number 125 (Thursday, June 28, 2001)]
[Notices]
[Pages 34506-34507]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-16194]

=======================================================================
-----------------------------------------------------------------------

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 Public Law 
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 OMB Desk Officer and the SSA 
Reports Clearance Officer and at the following addresses:

(OMB), Office of Management and Budget, 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 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. Electronic Death Registration Survey--0960-0625. Section 205(r) 
requires the Social Security Administration (SSA) to enter into 
agreements with States to obtain death records. Sections 202(a)(1)-
(h)(1) require SSA to terminate Retirement, Survivors and Disability 
benefits upon the death of the beneficiary. This survey will measure 
the States' readiness to implement electronic death registration 
processes, which will result in SSA getting death information more 
timely and accurately to terminate benefits as required by law. The 
respondents are State Vital Records Directors.
    Number of Respondents: 55.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 28 hours.
    2. Statement of Agricultural Employer (Years prior to 1988); 
Statement of Agricultural Employer (1988 and Later)--0960-0036. The 
information on Forms SSA-1002 and SSA-1003 is used by the Social 
Security Administration (SSA) to resolve discrepancies when farm 
workers have alleged that their employers did not report their wages or 
reported them incorrectly. The respondents are agricultural employers.

----------------------------------------------------------------------------------------------------------------
                                                            SSA-1002                         SSA-1003
----------------------------------------------------------------------------------------------------------------
Number of Respondents.........................  75,000.........................  50,000
Frequency of Response.........................  1..............................  1
Average Burden Per Response...................  10 minutes.....................  30 minutes.
Estimated Annual Burden.......................  12,500 hrs.....................  25,000 hrs.
----------------------------------------------------------------------------------------------------------------

    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 package 
by calling the SSA Reports Clearance Officer on (410) 965-4145, or by 
writing to him at the address listed above.
    1. Disability Hearing Officer's Report of Disability Hearing--0960-
0440. The information on Form SSA-1205-BK is used by the Disability 
Hearing Officers (DHOs) at the Social Security Administration (SSA) as 
a guide to conducting and recording disability hearings. It ensures 
that all of the pertinent issues are considered. The respondents are 
DHOs in the State Disability Determination Services and Federal DHOs.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 100,000.
    2. Application For Benefits Under The Italy-U.S. International 
Social Security Agreement--0960-0445. The information collected on Form 
SSA-2528 is required by SSA in order to determine entitlement to 
benefits. The respondents are applicants for old-age, survivors or 
disability benefits, who reside in Italy.
    Number of Respondents: 200.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 67 hours.
    3. Request for Claimant Conference--0960-0608. The information 
collected on form SSA-378 is used by the Disability Adjudicator to 
complete processing of a claimant's disability claim. Depending on the 
response, the Disability Adjudicator schedules/conducts the Claimant 
Conference, awaits the receipt of additional evidence, requests 
additional evidence from the source, or finalizes the determination on 
the case. The respondents are applicants for Social Security disability 
and Supplemental Security Income benefits whose initial determination 
of disability will be less than fully favorable.
    Number of Respondents: 210,500.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Annual Burden: 10,525 hours.
    4. Disability Hearing Officer's Report of Disability Hearing (DC)--
0960-0507.

[[Page 34507]]

The information collected on form SSA-1204-BK is used by the Disability 
Hearing Officer (DHO) to conduct and document disability hearings, and 
to provide a structured format that concerns all conceivable issues 
relating to SSI claims for disabled children. The completed form SSA-
1204-BK will aid the DHO in preparing the disability decision and will 
provide a record of what transpired at the hearing. The respondents are 
DHO's in the State Disability Determination Services.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 100,000 hours.

    Dated: June 21, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-16194 Filed 6-27-01; 8:45 am]
BILLING CODE 4191-02-P
```