[Federal Register: June 30, 1999 (Volume 64, Number 125)] [Notices] [Page 35234-35235] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr30jn99-140] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed Request In compliance with Pub. L. 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. Disability Evaluation Study-0960-NEW The Social Security Administration is sponsoring the Disability Evaluation Study (DES); a national disability study of the civilian non-institutionalized population of working-age adults aged 18-69. The DES will provide a key source of data for disability program and policy goals of critical interest to SSA, Congress, and others. SSA will collect information from individuals, aged 18 to 69 years, and their medical providers. SSA will use the information to: Estimate and project the size of the potential pool of eligible persons, that is, severely impaired working age individuals who, but for work or other reasons, meet SSA's definition of disability; Determine what enables individuals with severe impairments to work; Construct self-reported disability measures to be included on national surveys to monitor future program changes and changes in the pool of eligible persons; Examine relationships between disability and retirement for older workers; Evaluate ways to improve the current disability decision process, such as use of additional objective performance measures. Following is a listing of the information that will be collected and the burden imposed on the public: ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Title of collection Number of Frequency of hours per annual burden respondents response response hours ---------------------------------------------------------------------------------------------------------------- Pilot Study ---------------------------------------------------------------------------------------------------------------- Focus groups, cognitive laboratory studies, and 100 1 2.00 200 pretest........................................ In-person canvassing for area probability sample 11,795 1 0.08 944 [[Page 35235]] Initial Screening............................... 11,882 1 0.50 5,941 Follow-up Screening, Comprehensive Survey 1,800 1 1.50 2,700 Interview, Forms for obtaining informed consent, release of medical records, and release of SSA records......................... Medical Examination............................. 1,000 1 2.00 2,000 Provide Medical Records......................... 2,000 1 0.50 1,000 --------------------------------------------------------------- Total (Pilot)............................... .............. .............. .............. 12,785 ---------------------------------------------------------------------------------------------------------------- Main Study ---------------------------------------------------------------------------------------------------------------- In-person canvassing for area probability sample 55,405 1 0.08 4,432 Initial Screening............................... 56,031 1 0.50 28,016 Follow-up Screening, Comprehensive Survey 10,000 1 1.50 15,000 Interview, Forms for obtaining informed consent, release of medical records, and release of SSA records......................... Medical Examination............................. 5,500 1 2.00 11,000 Provide Medical Records......................... 11,000 1 0.50 5,500 --------------------------------------------------------------- Total (Main)................................ .............. .............. .............. 63,948 =============================================================== Total (Overall)............................. .............. .............. .............. 76,733 ---------------------------------------------------------------------------------------------------------------- 2. Application for Supplemental Security Income-0960-0444 The information collected on the SSA-8001 is used by the Social Security Administration to determine whether applicants for SSI benefits meet all statutory and regulatory requirements for eligibility and, if so, the amount of benefits payable. The respondents are applicants for SSI benefits. Number of Respondents: 1,011,046. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 252,762 hours. (SSA Address) Social Security Administration, DCFAM, Attn: Frederick W. Brickenkamp, 6401 Security Blvd., 1-A-21 Operations Bldg., Baltimore, MD 21235. (OMB Address) Office of Management and Budget, OIRA, Attn: Lori Schack, New Executive Office Building, Room 10230, 725 17th St., NW, Washington, DC 20503. Dated: June 24, 1999. Frederick W. Brickenkamp, Reports Clearance Officer, Social Security Administration. [FR Doc. 99-16571 Filed 6-29-99; 8:45 am] BILLING CODE 4190-29-P