Agency Information Collection Activities: Proposed Request and Comment Request, 13368-13369 [2014-05054]
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Federal Register / Vol. 79, No. 46 / Monday, March 10, 2014 / Notices
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for Web site viewing and
printing in the Commission’s Public
Reference Section, 100 F Street NE.,
Washington, DC 20549, on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of such
filing also will be available for
inspection and copying at the principal
office of OCC and on OCC’s Web site at
https://www.theocc.com/components/
docs/legal/rules_and_bylaws/sr_occ_14_
03.pdf. All comments received will be
posted without change; the Commission
does not edit personal identifying
information from submissions. You
should submit only information that
you wish to make available publicly. All
submissions should refer to File
Number SR–OCC–2014–03 and should
be submitted on or before March 31,
2014.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.16
Kevin M. O’Neill,
Deputy Secretary.
[FR Doc. 2014–05055 Filed 3–7–14; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
of OMB-approved information
collections.
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 ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–966–2830, Email address:
OR.Reports.Clearance@ssa.gov.
I. The information collections below
are pending at SSA. SSA will submit
them to OMB within 60 days from the
date of this notice. To be sure we
consider your comments, we must
receive them no later than May 9, 2014.
Individuals can obtain copies of the
collection instruments by writing to the
above email address.
1. Statement Regarding Marriage—20
CFR 404.726—0960–0017. According to
section 216(h)(1)(A) of the Social
Security Act (Act), SSA must apply state
law when determining an individual’s
marital status. Some state laws
recognize marriages without a ceremony
(i.e., common-law marriages). In such
cases, SSA provides the same spouse or
widow(er) benefits to common-law
spouses as it does to ceremonially
married spouses. To determine if
someone is a common-law spouse, SSA
must elicit information from blood
relatives or other persons who are
knowledgeable about the alleged
common-law relationship. SSA uses
Form SSA–753, Statement Regarding
Marriage, to collect information from
third parties to verify the applicant’s
statements about intent, cohabitation,
and holding out to the public as
married, which are the basic tenets of a
common-law marriage. SSA uses the
information to determine if a valid
marital relationship exists, and if the
common-law spouse is entitled to Social
Security spouse or widow(er) benefits.
The respondents are third parties who
can confirm or deny an alleged
common-law marriage.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–753 ..........................................................................................................
40,000
1
9
6,000
emcdonald on DSK67QTVN1PROD with NOTICES
2. Request for Review of Hearing
Decision/Order—20 CFR 404.967—
404.981, 416.1467–416.1481—0960–
0277. Claimants have a statutory right
under the Act and current regulations to
request review of an administrative law
judge’s (ALJ) hearing decision or
dismissal of a hearing request on Title
II and Title XVI claims. Claimants may
request Appeals Council review by
filing a written request using Form HA–
520. SSA uses the information to
establish the claimant filed the request
for review within the prescribed time
and to ensure the claimant completed
the requisite steps permitting the
Appeals Council review. The Appeals
Council uses the information to: (1)
Document the claimant’s reason(s) for
disagreeing with the ALJ’s decision or
dismissal; (2) determine whether the
claimant has additional evidence to
submit; and (3) determine whether the
claimant has a representative or wants
to appoint one. The respondents are
claimants requesting review of an ALJ’s
decision or dismissal of hearing.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
HA–520 ............................................................................................................
171,000
1
10
28,500
16 17
CFR 200.30–3(a)(12).
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13369
Federal Register / Vol. 79, No. 46 / Monday, March 10, 2014 / Notices
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding the
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
April 9, 2014. Individuals can obtain
copies of the OMB clearance packages
by writing to
OR.Reports.Clearance@ssa.gov.
1. State Mental Institution Policy
Review Booklet—20 CFR 404.2035,
404.2065, 416.635, & 416.665—0960–
0110. SSA uses Form SSA–9584–BK: (1)
To determine if the policies and
practices of a state mental institution
acting as a representative payee for SSA
beneficiaries conform to SSA’s
regulations in the use of benefits; (2) to
confirm institutions are performing
other duties and responsibilities
required of representative payees; and
(3) as the basis for conducting onsite
reviews of the institutions and
preparing subsequent reports of
findings. The respondents are state
mental institutions serving as
representative payees for Social Security
beneficiaries and Supplemental Security
Income (SSI) recipients.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–9584–BK .................................................................................................
78
1
60
78
2. Modified Benefit Formula
Questionnaire-Employer—20 CFR 401 &
402—0960–0477. Sections 215(a)(7) and
215(d)(3) of the Act require SSA to use
the Windfall Elimination Provision
(WEP), a modified benefit formula, to
compute Social Security retirement or
disability benefits for persons first
eligible (after 1985) for both a Social
Security benefit and a pension or
annuity, based on employment not
covered by Social Security. SSA
determines if the WEP is applicable and
when to apply it to a person’s benefit.
SSA uses Form SSA–58 to verify the
claimant’s allegations on Form SSA–150
(OMB No. 0960–0395, Modified Benefits
Formula Questionnaire). SSA sends the
SSA–58 to an employer for pensionrelated information, if the claimant is
unable to provide it. The respondents
are employers of people who are eligible
after 1985 for both Social Security
benefits and a pension based on work
not covered by SSA.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–58 ............................................................................................................
30,000
1
20
10,000
3. Employee Work Activity
Questionnaire—20 CFR 404.1574,
404.1592—0960–0483. Social Security
disability beneficiaries and SSI
recipients qualify for payments when a
verified physical or mental impairment
prevents them from working. If
disability claimants attempt to return to
work after receiving payments, but are
unable to continue working, they submit
the SSA–3033, Employee Work Activity
Questionnaire, so SSA can evaluate
their work attempt. SSA also uses this
form to evaluate unsuccessful subsidy
work and determine applicants’
continuing eligibility for disability
payments. The respondents are
employers of Social Security disability
beneficiaries and SSI recipients who
unsuccessfully attempted to return to
work.
This is a correction notice: SSA
published the incorrect burden
information for this collection at 78 FR
76378, on 12/17/13. We are correcting
this error here.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–3033 ........................................................................................................
15,000
1
15
3,750
emcdonald on DSK67QTVN1PROD with NOTICES
Date: March 5, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2014–05054 Filed 3–7–14; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 8652]
Culturally Significant Objects Imported
for Exhibition Determinations: ‘‘Decay
and Revolution, Art in Vienna, 1890–
1910’’
Notice is hereby given of the
following determinations: Pursuant to
the authority vested in me by the Act of
October 19, 1965 (79 Stat. 985; 22 U.S.C.
SUMMARY:
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2459), Executive Order 12047 of March
27, 1978, the Foreign Affairs Reform and
Restructuring Act of 1998 (112 Stat.
2681, et seq.; 22 U.S.C. 6501 note, et
seq.), Delegation of Authority No. 234 of
October 1, 1999, Delegation of Authority
No. 236–3 of August 28, 2000 (and, as
appropriate, Delegation of Authority No.
257 of April 15, 2003), I hereby
determine that the objects to be
included in the exhibition ‘‘Decay and
Revolution, Art in Vienna, 1890–1910,’’
E:\FR\FM\10MRN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 46 (Monday, March 10, 2014)]
[Notices]
[Pages 13368-13369]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-05054]
=======================================================================
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions of OMB-approved information collections.
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 ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, Email address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: OR.Reports.Clearance@ssa.gov.
I. The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than May
9, 2014. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Statement Regarding Marriage--20 CFR 404.726--0960-0017.
According to section 216(h)(1)(A) of the Social Security Act (Act), SSA
must apply state law when determining an individual's marital status.
Some state laws recognize marriages without a ceremony (i.e., common-
law marriages). In such cases, SSA provides the same spouse or
widow(er) benefits to common-law spouses as it does to ceremonially
married spouses. To determine if someone is a common-law spouse, SSA
must elicit information from blood relatives or other persons who are
knowledgeable about the alleged common-law relationship. SSA uses Form
SSA-753, Statement Regarding Marriage, to collect information from
third parties to verify the applicant's statements about intent,
cohabitation, and holding out to the public as married, which are the
basic tenets of a common-law marriage. SSA uses the information to
determine if a valid marital relationship exists, and if the common-law
spouse is entitled to Social Security spouse or widow(er) benefits. The
respondents are third parties who can confirm or deny an alleged
common-law marriage.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-753..................................... 40,000 1 9 6,000
----------------------------------------------------------------------------------------------------------------
2. Request for Review of Hearing Decision/Order--20 CFR 404.967--
404.981, 416.1467-416.1481--0960-0277. Claimants have a statutory right
under the Act and current regulations to request review of an
administrative law judge's (ALJ) hearing decision or dismissal of a
hearing request on Title II and Title XVI claims. Claimants may request
Appeals Council review by filing a written request using Form HA-520.
SSA uses the information to establish the claimant filed the request
for review within the prescribed time and to ensure the claimant
completed the requisite steps permitting the Appeals Council review.
The Appeals Council uses the information to: (1) Document the
claimant's reason(s) for disagreeing with the ALJ's decision or
dismissal; (2) determine whether the claimant has additional evidence
to submit; and (3) determine whether the claimant has a representative
or wants to appoint one. The respondents are claimants requesting
review of an ALJ's decision or dismissal of hearing.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-520...................................... 171,000 1 10 28,500
----------------------------------------------------------------------------------------------------------------
[[Page 13369]]
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding the information collections would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than April 9, 2014. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. State Mental Institution Policy Review Booklet--20 CFR 404.2035,
404.2065, 416.635, & 416.665--0960-0110. SSA uses Form SSA-9584-BK: (1)
To determine if the policies and practices of a state mental
institution acting as a representative payee for SSA beneficiaries
conform to SSA's regulations in the use of benefits; (2) to confirm
institutions are performing other duties and responsibilities required
of representative payees; and (3) as the basis for conducting onsite
reviews of the institutions and preparing subsequent reports of
findings. The respondents are state mental institutions serving as
representative payees for Social Security beneficiaries and
Supplemental Security Income (SSI) recipients.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9584-BK................................. 78 1 60 78
----------------------------------------------------------------------------------------------------------------
2. Modified Benefit Formula Questionnaire-Employer--20 CFR 401 &
402--0960-0477. Sections 215(a)(7) and 215(d)(3) of the Act require SSA
to use the Windfall Elimination Provision (WEP), a modified benefit
formula, to compute Social Security retirement or disability benefits
for persons first eligible (after 1985) for both a Social Security
benefit and a pension or annuity, based on employment not covered by
Social Security. SSA determines if the WEP is applicable and when to
apply it to a person's benefit. SSA uses Form SSA-58 to verify the
claimant's allegations on Form SSA-150 (OMB No. 0960-0395, Modified
Benefits Formula Questionnaire). SSA sends the SSA-58 to an employer
for pension-related information, if the claimant is unable to provide
it. The respondents are employers of people who are eligible after 1985
for both Social Security benefits and a pension based on work not
covered by SSA.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-58...................................... 30,000 1 20 10,000
----------------------------------------------------------------------------------------------------------------
3. Employee Work Activity Questionnaire--20 CFR 404.1574,
404.1592--0960-0483. Social Security disability beneficiaries and SSI
recipients qualify for payments when a verified physical or mental
impairment prevents them from working. If disability claimants attempt
to return to work after receiving payments, but are unable to continue
working, they submit the SSA-3033, Employee Work Activity
Questionnaire, so SSA can evaluate their work attempt. SSA also uses
this form to evaluate unsuccessful subsidy work and determine
applicants' continuing eligibility for disability payments. The
respondents are employers of Social Security disability beneficiaries
and SSI recipients who unsuccessfully attempted to return to work.
This is a correction notice: SSA published the incorrect burden
information for this collection at 78 FR 76378, on 12/17/13. We are
correcting this error here.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3033.................................... 15,000 1 15 3,750
----------------------------------------------------------------------------------------------------------------
Date: March 5, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-05054 Filed 3-7-14; 8:45 am]
BILLING CODE 4191-02-P
