[Federal Register Volume 66, Number 34 (Tuesday, February 20, 2001)]
[Notices]
[Pages 10928-10929]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-4110]


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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

[[Page 10929]]

Pub. L. 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 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 collection 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 Review of Hearing Decision/Order--0960-0277. The 
information collected on form HA-520 is needed to afford claimants 
their statutory right under the Social Security Act to request review 
of a hearing decision. The data will be used to determine the course of 
action appropriate to resolve each issue. The respondents are claimants 
denied or dissatisfied with a decision made regarding their claim.
    Number of Respondents: 100,500.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 16,750 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 on (410) 965-
4145, or by writing to him at the address listed above.
    1. Internet Social Security Benefits Applications (also known as 
ISBA)--0960-0618. The ISBA (formerly the Internet Retirement Insurance 
Benefit or IRIB application) is one application that the Commissioner 
of Social Security will prescribe to meet the requirement to file an 
application for retirement and/or spouse's benefits. The ISBA 
application will be available on the Social Security Administration 
Internet site and will enable individuals to complete the application 
electronically on their own and submit the application over the 
Internet. Until SSA develops an acceptable electronic signature 
process, applicants will also print, sign and mail the ISBA statement 
with the required evidence that supports their retirement application. 
The information that SSA collects will be used to determine entitlement 
to retirement insurance benefits. The respondents are individuals and 
their spouses, if applicable, who choose to apply for retirement 
insurance benefits over the Internet.
    Number of Respondents: 189,764.
    Frequency of Response: 1.
    Average Burden Per Response: 20 minutes.
    Estimated Annual Burden: 63,255 hours.
    2. Certificate of Responsibility for Welfare and Care of Child Not 
in Applicant's Custody--0960-0019. SSA uses the information collected 
on form SSA-781 to decide if ``in care'' requirements are met by non-
custodial parent(s), who is filing for benefits based on having a child 
in care. The respondents are non-custodial wage earners whose 
entitlement to benefits depends upon having an entitled child in care.
    Number of Respondents: 14,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 2,333 hours.
    3. Questionnaire for Children Claiming SSI Benefits--0960-0499. The 
information collected on form SSA-3881 is used by SSA to evaluate 
disability in children who apply for Supplemental Security Income (SSI) 
payments. The respondents are individuals who apply for SSI benefits 
for a disabled child.
    Number of Respondents: 272,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 136,000 hours.

    Dated: February 13, 2001.
Frederick W. Brickenkamp,
Reports Clearance Officer.
[FR Doc. 01-4110 Filed 2-16-01; 8:45 am]
BILLING CODE 4191-02-P