This information
collection is approved through 12/95 under the following
conditions: SSA will furnish to OMB a copy of the final report of
the 1994 Workload Impact Study as soon as it is available an a copy
of the final report of the follow-up study upon its
completion.
Inventory as of this Action
Requested
Previously Approved
12/31/1995
12/31/1995
10/31/1994
4,500
0
5,000
900
0
1,000
0
0
0
THE INFORMATION ON FORM SSA-7005 WILL
BE USED BY THE SOCIAL SECURITY ADMINISTRATION TO OBTAIN RECIPIENT
REACTION, OPINION, AND STATEMENT (PEBES). THE RESPONDENTS WILL BE
SELECTED RECIPIENTS OF PEBES WHO COMPLETE AND RETURN THIS
QUESTIONNAIRE.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.