[Federal Register Volume 61, Number 130 (Friday, July 5, 1996)]
[Notices]
[Pages 35295-35296]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16695]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Collection 
Request

    Normally on Fridays, the Social Security Administration publishes a 
list of information collection packages that will require submission to 
the Office of Management and Budget (OMB) for clearance in compliance 
with P.L. 104-13 effective October 1, 1995, The Paperwork Reduction Act 
of 1995. Since the last list was published in the Federal Register on 
June 14, the information collections listed below have been proposed or 
will require extension of the current OMB approvals. (Call the SSA 
Reports Clearance Officer on (410) 965-4125 for a copy of the form(s) 
or package(s), or write to her at the address listed below the 
information collections.)
    1. Application for Wife's or Husband's Insurance Benefits--0960-
0008. The information collected on form SSA-2 is needed by the Social 
Security Administration to determine an applicant's eligibility to 
wife's or husband's benefits. The respondents are individuals who wish 
to file for those types of benefits.

Number of Respondents: 700,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 116,667 hours
    2. Statement of Marital Relationship (By One of the Parties)--0960-
0038. The information collected on form SSA-754 is used by the Social 
Security Administration to prove or disapprove the existence of a valid 
common-law marriage. The respondents are individuals who allege a 
common-law marriage to someone entitled to Social Security benefits.

Number of Respondents: 30,000
Frequency of Response: 1
Average Burden Per Response: 30 minutes
Estimated Annual Burden: 15,000 hours
    3. Worker's Compensation/Public Disability Benefit Questionnaire--
0960-0247. The information collected on form SSA-546 is used by the 
Social Security Administration to help determine if receipt of a 
workmen's compensation or public disability benefit by an individual 
will cause a reduction in his or her Social Security disability 
benefits. The respondents are applicants for Social Security Title II 
disability benefits.

Number of Respondents: 100,000
Frequency of Response: 1
Average Burden Per Response: 15 minutes
Estimated Annual Burden: 25,000 hours

    4. Voluntary Customer Surveys In Accordance with E.O. 12862 Within 
the Social Security Administration--0960-0526. These voluntary customer 
surveys will be used to ascertain customer satisfaction with the Social 
Security Administration in terms of timeliness, appropriateness, 
access, and other measures of quality service. Surveys will involve 
individuals that are the direct or indirect beneficiaries of SSA 
services. The average burden per response for these activities is 
estimated to range from 5 minutes for a simple comment card to 2 hours 
for participation in a focus group.


[[Page 35296]]


FY 1997: Number of Respondents: 1,328,767
    Frequency of Response: 1
    Estimated Annual Burden: 121,840 Hours
FY 1998: Number of Respondents: 1,339,327
    Frequency of Response: 1
Estimated Annual Burden: 124,784
FY 1999: Number of Respondents: 1,328,707
    Frequency of Response: 1
    Estimated Annual Burden: 122,670

    Written comments and recommendations regarding these information 
collections 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.
    The information collections listed below, which were published in 
the Federal Register on May 2 and May 8, 1996 have been submitted to 
OMB.
    1. Survey of Employers Regarding A Pre-retirement Satellite 
Broadcast--0960-NEW. The Social Security Administration is attempting 
to establish satellite communications with private sector employers as 
an economical and efficient means of providing program information and 
training. SSA will broadcast a pre-retirement seminar via satellite and 
ask employers to provide information on the broadcast. The information 
collected by SSA will be used to determine employer interest in 
receiving information by satellite and to determine what issues should 
be covered; i.e., retirement, legislative updates, wage reporting 
training, etc. The respondents are employers who have received the 
satellite transmission.

Number of Respondents: 10,000
Frequency of Response: 1
Average Burden Per Response: 5 minutes
Estimated Annual Burden: 833 hours

    2. Modified Benefit Formula Questionnaire-Foreign Pension--0960-
NEW. The information collected on form SSA-308 is used by SSA to 
determine exactly how much (if any) of a foreign pension may be used to 
reduce the amount of Social Security retirement or disability benefits 
under the modified benefit formula. The respondents are applicants for 
Social Security retirement/disability benefits.

Number of Respondents: 50,000
Frequency of Response: 1
Average Burden Per Response: 10 minutes
Estimated Annual Burden: 8,333 hours

    Written comments and recommendations regarding these information 
collections should be sent within 30 days of the date of this 
publication. Comments may be directed to OMB and SSA 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, 
6401 Security Blvd, 1-A-21 Operations Bldg., Baltimore, MD 21235.

    Dated: June 24, 1996.
Judith T. Hasche,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 96-16695 Filed 7-3-96; 8:45 am]
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