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Notice

Agency Information Collection Activities: Proposed Collection Request Normally on Fridays, the Social Security Administration publishes a list of information collection packages that will require submission to the Office of Management and Budget (OMB) for clearance in compliance with Public Law 104-13 effective October 1, 1995, The Paperwork Reduction Act of 1995. Since the last list was published in the Federal Register on March 1, 1996, the information collections listed below have been proposed or will require extension of the current OMB approvals. (Call the SSA Reports Clearance Officer on (410) 965-4142 for a copy of the form(s) or package(s), or write to her at the address listed below the information collections.) 1. Annual Earnings Operations Direct Mail Followup0960-0369. The information collected on forms SSA-L9778, SSA-L9779, SSA-L9780 and SSA- L9781 will be used to determine if the recipients have underestimated their earnings for the current year. This will allow benefits to be withheld if necessary, and will thereby avoid many overpayments. The affected public is beneficiaries who are likely to underestimate their earnings. Number of Respondents: 400,000. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 66,667 hours. 2. Medical Report on Adult or Child With Allegation of Human Immunodeficiency Virus (HIV) Infection0960-0503. The information on forms SSA-4814 and SSA-4815 is used by the Social Security Administration to determine if an individual claiming to have HIV infection meets the requirements for presumptive disability benefits.

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