[Federal Register: October 14, 1999 (Volume 64, Number 198)] [Notices] [Page 55797] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr14oc99-139] ======================================================================= ----------------------------------------------------------------------- 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. ---------------------------------------------------------------------------------------------------------------- SSA-835 SSA-836 SSA-837 ---------------------------------------------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------------------------------------------- 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