[Federal Register Volume 75, Number 148 (Tuesday, August 3, 2010)]
[Notices]
[Pages 45692-45693]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-19024]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request,
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes extensions 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 ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Director to the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, E-mail address: [email protected].
(SSA), Social Security Administration, DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, E-mail address: [email protected].
I. The information collection below is pending at SSA. SSA will
submit it to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
October 4, 2010. Individuals can obtain copies of the collection
instruments by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the above e-mail address.
Work History Report--20 CFR 404.1515, 404.1560, 404.1565, 416.960
and 416.965-0960-0578. Under certain circumstances, SSA asks
individuals about work they have performed in the past. Applicants use
Form SSA-3369 to provide detailed information about jobs held prior to
becoming unable to work. State Disability Determination Services
evaluate the information, together with medical evidence, to determine
eligibility for disability.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Collection method Number of Frequency of per response annual burden
respondents response (hours) hours
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SSA-3369 (Paper form)........................... 1,090,346 1 1 1,090,346
EDCS 3369....................................... 607,122 1 1 607,122
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Totals...................................... 1,697,468 .............. .............. 1,697,468
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II. SSA has submitted the information collections listed below to
OMB for clearance. Your comments on the information collections would
be most useful if OMB and SSA receive them within 30 days from the date
of this publication. To be sure we consider your comments, we must
receive them no later than September 2, 2010. You can obtain a copy of
the OMB clearance packages by calling the SSA Director for Reports
Clearance at 410-965-0454 or by writing to the above e-mail address.
Application for Child's Insurance Benefits--20 CFR 404.350-404.368,
404.603, & 416.350--0960-0010. SSA uses Form SSA-4-BK to determine if
[[Page 45693]]
children of living and deceased workers are entitled to their parents'
monthly Social Security payments. The respondents are guardians
completing the form on behalf of the children of living or deceased
workers, or the children of living or deceased workers.
Type of Request: Revision of an OMB-approved information
collection.
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Number of Frequency of Response time
Collection method respondents response (minutes) Burden (hours)
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Life claims (paper)............................. 8,052 1 12 1,610
Life Claims (MCS)............................... 152,983 1 12 30,597
Life Claims- Signature Proxy.................... 152,983 1 11 28,047
Death Claims (paper)............................ 19,061 1 12 3,812
Death Claims (MCS).............................. 362,150 1 12 72,430
Death Claims-Signature Proxy.................... 362,150 1 11 66,394
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Totals...................................... 1,057,379 .............. .............. 202,890
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Liz Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. 2010-19024 Filed 8-2-10; 8:45 am]
BILLING CODE 4191-02-P