[Federal Register: October 23, 1998 (Volume 63, Number 205)] [Notices] [Page 56962] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr23oc98-106] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION Information Collection Activities; Proposed Collection Requests and Comment Requests This notice lists information collection packages that will require submission to the Office of Management and Budget (OMB), as well as information collection packages submitted to OMB for clearance, in compliance with PL. 104-13 effective October 1, 1995, The Paperwork Reduction Act of 1995. I. The information collection(s) listed below require(s) extension(s) of the current OMB approval(s) or are proposed new collection(s): 1. Application for U.S. Benefits Under the Canada-U.S. International Agreement--0960--0371. The information collected on form SSA-1294 is used to determine entitlement to benefits. The respondents are individuals who live in Canada and file for U.S. Social Security Benefits. Number of Respondents: 1,000. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 250 hours. 2. Quarterly Statistical Report on Recipients and Payments Under State-Administered Assistance Programs for Aged, Blind and Disabled (Individuals and Couples) Recipients--0960-- 0130. The information collected on form SSA-9741 is used to provide statistical data on recipients and assistance payments under the SSI State-administered State supplementation program. These data collections are needed to complement the information available for the Federally administered programs under SSA, and to more fully explain the impact of the public income support programs on the needy, aged, blind and disabled. The respondents are State agencies who administer supplementary payment programs under SSI. Number of Respondents: 30. Frequency of Response: 4 times annually. Average Burden Per Response: 1 hour. Estimated Annual Burden: 120 hours. Written comments and recommendations regarding the information collection(s) 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: Frederick W. Brickenkamp, 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. II. The information collection(s) listed below have been submitted to OMB: 1. Work Activity Report (Self-Employed) 0960-NEW. The information collected on form SSA-820 is used by the Social Security Administration to help determine if an individual meets the disability provisions for entitlement to benefits. The respondents are claimants for initial or continuing entitlement to disability benefits who are or were engaging in substantial gainful activity. Number of Respondents: 100,000. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 50,000 hours. Written comments and recommendations regarding the information collection(s) should be directed within 30 days to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses: (OMB) Office of Management and Budget, OIRA, Attn: Desk Officer for SSA, New Executive Office Building, Room 10230, 725 17th St., NW, Washington, D.C. 20503 (SSA) Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 21235 To receive a copy of any of the forms or clearance packages, call the SSA Reports Clearance Officer on (410) 965-4145 or write to him at the address listed above. Dated: October 16, 1998. Frederick W. Brickenkamp, Reports Clearance Officer, Social Security Administration. [FR Doc. 98-28343 Filed 10-22-98; 8:45 am] BILLING CODE 4190-29-P