[Federal Register Volume 70, Number 194 (Friday, October 7, 2005)]
[Notices]
[Pages 58774-58775]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-20158]


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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 Public Law 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
The information collection packages that may be included in this notice 
are for new information collections, approval of existing information 
collections, revisions to OMB-approved information collections, and 
extensions (no change) of OMB-approved information collections.
    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. The information can be mailed and/or faxed to the individuals 
at the addresses and fax numbers listed below:
    (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
New Executive Building, Room 10235, 725 17th St., NW., Washington, DC 
20503, Fax: 202-395-6974.
    (SSA), Social Security Administration, DCFAM, Attn: Reports 
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, 
MD 21235, Fax: 410-965-6400.
    I. The information collections listed below are pending at SSA and 
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-
0454 or by writing to the address listed above.
    1. Application for Mother's or Father's Insurance Benefits--20 CFR 
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. SSA collects the 
information on the SSA-5-F6 to entitle an individual to his/her 
mother's and father's insurance benefits. The respondents are 
individuals who apply for entitlement to their mothers' or fathers' 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 12,500 hours.
    2. Missing and Discrepant Wage Reports Letter and Questionnaire--26 
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts 
they paid their employees to IRS for tax purposes, and, separately, to 
SSA for retirement and disability coverage purposes. These amounts 
should be the same, however, each year many employer wage reports 
received by SSA are less than those reported to IRS. Through Forms SSA-
L93, 95, and 97, SSA attempts to reconcile the amounts to ensure 
employees receive full credit. The respondents are employers who 
reported less wage amounts to SSA than they did to IRS.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 359,999.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 180,000 hours.
    3. Information Collection Requirements for Title VIII of the Social 
Security Act--20 CFR 408.202(d), 408.210, 408.230(a), 408.232(a), 
408.320, 408.305, 408.310, 408.315, 408.340, 408.345, 408.351(d) and 
(f), 408.355(a), 408.360(a), 408.404(c), 408.410, 408.412, 408.420(a) 
and (b), 408.430, 408.432, 408.435(a) and (b), 408.437(b), (c) and 
(d)--0960-0658. Section 251 of the ``Foster Care Independence Act of 
1999'' added Title VIII to the Social Security Act (Special

[[Page 58775]]

Benefits for Certain World War II Veterans). Title VIII allows, under 
certain circumstances, the payment of a monthly benefit by the 
Commissioner of Social Security to a qualified World War II veteran who 
resides outside the United States. The accompanying regulations set out 
the requirements an individual must meet in order to qualify for and 
become entitled to Special Veterans Benefits (SVB). The respondents are 
individuals who are applying for benefits under Title VIII of the 
Social Security Act.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 762.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 381 hours.
    4. Application for Supplemental Security Income--20 CFR 416.305-
416.335--0960-0444. The information collected on the SSA-8001-BK is 
needed and used to determine eligibility for Supplemental Security 
Income (SSI), and the amount of SSI benefits payable to the applicant. 
Respondents are applicants for SSI benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                                                    respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper Form......................................          34,643               1              19          10,970
Electronic Form (MSSICS)........................       1,120,117               1              16         298,698
                                                 -----------------
    Total Annual Burden:........................       1,154,760  ..............  ..............         309,668
----------------------------------------------------------------------------------------------------------------

    5. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460. 
Form SSA-4178 provides a nationally uniform vehicle for collection of 
information to determine for Supplemental Security Income (SSI) 
purposes whether unrelated individuals of the opposite sex who live 
together are holding themselves out to the public as husband and wife. 
The information is necessary to determine whether correct payment is 
being made to SSI couples and individuals. The respondents are 
applicants for, and recipients of, SSI benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 5,100.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 425 hours.
    6. Public Information Campaign--0960-0544. SSA sends public 
information materials (e.g.: public service announcements, news 
releases, educational tapes) to public broadcasting systems so these 
media sources can inform the general public about the Agency's various 
programs and activities. To track media usage of these materials, SSA 
conducts the Public Information Campaign, a bi-annual solicitation of 
feedback from the target public media sources via business reply cards. 
The respondents are public broadcasting systems who are sent 
information about various SSA programs to disseminate to the public.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 8,000.
    Frequency of Response: 2.
    Average Burden Per Response: 1 minute.
    Estimated Annual Burden: 267 hours.
    7. Application for a Social Security Card--20 CFR 422.103-.110--
0960-0066. Forms SS-5 (used in the United States) and SS-5-FS (used 
outside the United States) are used to apply for original and 
replacement Social Security cards. Changes are being made to these 
forms to reflect new statutory limits on the number of allowable 
replacement cards. The respondents are requestors of new or replacement 
Social Security cards.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 13,600,000.
    Frequency of Response: 1.
    Average Burden Per Response: 9 minutes.
    Estimated Annual Burden: 2,040,000 hours.
    8. Private Printing and Modification of Prescribed Applications and 
Other Forms--20 CFR 422.527--0960-0663. This regulation mandates that 
non-government persons or organizations who wish to reproduce, 
duplicate, or privately print any application or other form owned by 
SSA must receive written authorization from the Agency to do so. 
Moreover, these persons or organizations may not charge the public a 
fee for any SSA applications, forms, or publications unless authorized 
by SSA under the circumstances described in these regulations. The 
respondents are private persons or groups who wish to reproduce, 
duplicate, privately print, or charge a fee for an SSA application, 
form, or publication.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 9.
    Frequency of Response: 36.
    Average Burden Per Response: 8 minutes.
    Estimated Annual Burden: 43 hours.
    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 at 410-965-0454, 
or by writing to the address listed above.
    1. Credit Card Payment Acknowledgement Form--0960-0648. SSA will 
use the information collected on Form SSA-1414 to process payments from 
former employees and vendors who have outstanding debts owed to the 
agency. This form has been developed as a convenient method for 
respondents to satisfy such debts. The respondents are former employees 
and vendors who have debts still owed to the agency.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 500.
    Frequency of Response: 12.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 500 hours.

    Dated: October 3, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-20158 Filed 10-6-05; 8:45 am]
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