[Federal Register Volume 64, Number 198 (Thursday, October 14, 1999)]
[Notices]
[Page 55797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-26729]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request

    In compliance with Public Law 104-13, the Paperwork Reduction Act 
of 1995, SSA is providing notice of its information collections that 
require submission to the Office of Management and Budget (OMB). 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.
    The information collections listed below will be submitted to OMB 
within 60 days from the date of this notice. Therefore, comments and 
recommendations regarding the information collections would be most 
useful if received by the Agency within 60 days from the date of this 
publication. Comments should be directed to the SSA Reports Clearance 
Officer at the address listed at the end of the notices. You can obtain 
a copy of the collection instruments by calling the SSA Reports 
Clearance Officer on (410) 965-4145, or by writing to him.
    1. Worker Compensation Letter, SSA-L1708; Worker Compensation 
Questionnaire, SSA-1708-0960-NEW. A review of SSA records revealed that 
beneficiaries receiving disability benefits, who were first placed in 
workers compensation offset, have an extremely high potential for 
payment error, because an increase in or expiration of workers 
compensation was not reported for/by such beneficiaries. Therefore, SSA 
is proposing to test a new form that collects information on changes in 
WC status. The information collected will be used to evaluate whether 
this is an effective method of detecting changes in workers 
compensation payments and determining payment accuracy. The respondents 
are a random sample of beneficiaries receiving disability benefits with 
workers compensation offset.
    Number of Respondents 200.
    Frequency of Response 1.
    Average Burden Per Response 10 minutes.
    Estimated Annual Burden 33 hours.
    2. Payee Interview, SSA-835; Beneficiary Interview, SSA-836; 
Custodian Interview, SSA-837-0960-0588. SSA is conducting a three-tier 
review process of the representative payee program. As part of this 
review process, SSA will conduct interviews with title II Disability 
Insurance and title XVI Supplemental Security Income recipients and 
their representative payees. The information obtained on the interview 
forms will be used to assess the effectiveness of the policies and 
procedures that govern the postentitlement selection and appointment of 
the approximately 7 million payees in the title II and title XVI 
programs.

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                                                                      SSA-835         SSA-836         SSA-837
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Number of Respondents...........................................           1,000             500             190
Frequency of Response...........................................               1               1               1
Average Burden Per Response (Minutes)...........................              20              15              10
Estimated Annual Burden (Hours).................................             333             125              32
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    Social Security Administration, DCFAM, Attn: Frederick W. 
Brickenkamp, 6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore, 
MD 21235.

    Dated: October 7, 1999.
Frederick W. Brickenkamp,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 99-26729 Filed 10-13-99; 8:45 am]
BILLING CODE 4191-02-P