30-Day Notice of Proposed Information Collection; Affidavit of Relationship, 38796-38797 [2015-16615]
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38796
Federal Register / Vol. 80, No. 129 / Tuesday, July 7, 2015 / Notices
information collections, as well as one
collection in use without an OMB
number.
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.
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2015–0043].
SSA submitted the information
collection below to OMB for clearance.
Your comments regarding the
information collection 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
August 6, 2015. Individuals can obtain
copies of the OMB clearance package by
writing to OR.Reports.Clearance@
ssa.gov.
1. Authorization for the Social
Security Administration to Obtain
Personal Information—20 CFR 404.704;
404.820—404.823; 404.1926; 416.203;
and 418.3001—0960—NEW. SSA
requests respondents fill out Form SSA–
8510, allowing SSA to contact a public
or private custodian of records on behalf
of an applicant or recipient of an SSA
program to request evidence
information, which may support a
benefit application or payment
continuation. We ask for evidence
information such as the following:
• Age requirements (e.g. birth
certificate, court documents)
• Insured status (e.g. earnings, employer
verification)
• Marriage or divorce information
• Pension offsets
• Wages verification
• Annuities
• Property information
Number of
respondents
Modality of completion
• Benefit verification from a State
agency or third party
• Immigration status (rare instances)
• Income verification from public
agencies or private individuals
• Unemployment benefits
• Insurance policies
If the custodian requires a signed
authorization from the individual(s)
whose information SSA requests, SSA
may provide the custodian with a copy
of the SSA–8510. Once the respondent
completes the SSA–8510, either using
the paper form, or using the Modernized
Supplemental Security Income Claims
System (MSSICS) version, SSA uses the
form as the authorization to obtain
personal information regarding the
respondent from third parties until the
authorizing person (respondent) revokes
the permission of its usage. The
collection is voluntary; however, failure
to verify the individuals’ eligibility can
prevent SSA from making an accurate
and timely decision for their benefits.
The respondents are individuals who
may file for, or currently receive, Social
Security benefits, SSI payments, or
Medicare part D subsidies.
Type of Request: Information
Collection in Use Without an OMB
Number.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
* SSA–8510—Medicare Subsidy Quality Review (paper version) .................
SSA–8510—Title II and Title XVI general evidence (paper version) ..............
** SSA–8510—Title II and Title XVI general evidence (MSSICS version) ....
3,500
19,800
140,145
1
1
1
5
5
5
292
1,650
11,679
Totals ........................................................................................................
163,445
........................
........................
13,621
* Currently in use under OMB Number 0960–0707.
** New information collection, which SSA will implement upon OMB approval.
Dated: July 1, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
information collection described below.
In accordance with the Paperwork
Reduction Act of 1995, we are
requesting comments on this collection
from all interested individuals and
organizations. The purpose of this
Notice is to allow 30 days for public
comment.
[FR Doc. 2015–16612 Filed 7–6–15; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
Submit comments directly to the
Office of Management and Budget
(OMB) up to August 6, 2015.
DATES:
[Public Notice: 9181]
tkelley on DSK3SPTVN1PROD with NOTICES
30-Day Notice of Proposed Information
Collection; Affidavit of Relationship
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
SUMMARY:
VerDate Sep<11>2014
21:24 Jul 06, 2015
Jkt 235001
Direct comments to the
Department of State Desk Officer in the
Office of Information and Regulatory
Affairs at the Office of Management and
Budget (OMB). You may submit
comments by the following methods:
• Email: oira_submission@
omb.eop.gov. You must include the DS
form number, information collection
ADDRESSES:
PO 00000
Frm 00136
Fmt 4703
Sfmt 4703
title, and the OMB control number in
the subject line of your message.
• Fax: 202–395–5806. Attention: Desk
Officer for Department of State.
FOR FURTHER INFORMATION CONTACT:
Direct requests for additional
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument and supporting documents,
to Sumitra Siram, Program Officer,
PRM/Office of Admissions, 2025 E
Street NW., Washington, DC 20522–
0908, who may be reached on 202–453–
9250 or at SiramS@state.gov.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Affidavit of Relationship.
• OMB Control Number: 1405–0206.
• Type of Request: Extension of a
Currently Approved Collection.
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07JYN1
Federal Register / Vol. 80, No. 129 / Tuesday, July 7, 2015 / Notices
• Originating Office: Office of
Admissions, Bureau of Population,
Refugees and Migration (PRM/A).
• Form Number: DS–7656.
• Respondents: Persons admitted to
the United States as refugees or granted
asylum in the United States who are
claiming a relationship with family
members overseas (spouse, unmarried
children under age 21, and/or parents)
in order to assist the U.S. Government
in determining whether those family
members are qualified to apply for
admission to the United States via the
U.S. Refugee Admissions Program under
the family reunification access priority.
• Estimated Number of Respondents:
2,500.
• Estimated Number of Responses:
2,500.
• Average Time per Response: 60
Minutes.
• Total Estimated Burden Time:
2,500.00 Hours.
• Frequency: On occasion.
• Obligation to Respond: Required to
Obtain or Retain a Benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
• Enhance the quality, utility, and
clarity of the information to be
collected.
• Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
Please note that comments submitted
in response to this Notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
tkelley on DSK3SPTVN1PROD with NOTICES
Abstract of Proposed Collection
The Affidavit of Relationship (AOR)
will be required by the Department of
State to establish qualifications for
access to the Priority–3 (P–3) Family
Reunification category of the United
States Refugee Admissions Program
(USRAP) by persons of certain
nationalities who are family members of
qualifying ‘‘anchors’’ (persons already
admitted to the U.S. as refugees or who
were granted asylum in the United
States., including persons who may now
be lawful permanent residents or U.S.
citizens). Qualifying family members of
U.S.-based anchors include spouse,
VerDate Sep<11>2014
20:31 Jul 06, 2015
Jkt 235001
unmarried children under age 21, and
parents. Eligible nationalities are
determined on an annual basis
following careful review of several
factors, including the United Nations
High Commissioner for Refugees’
annual assessment of refugees in need of
resettlement, prospective or ongoing
repatriation efforts, and U.S. foreign
policy interests. The P–3 category, along
with the other categories of cases that
have access to USRAP, is outlined in the
annual Proposed Refugee Admissions—
Report to Congress, which is submitted
on behalf of the President in fulfillment
of the requirements of section 207(d) of
the Immigration and Nationality Act (8
U.S.C. 1157), and authorized by the
annual Presidential Determination for
Refugee Admissions. Having an AOR
filed on a potential applicant’s behalf by
an eligible anchor relative will be one of
the criteria for access to this program.
The AOR also informs the anchor
relative that DNA evidence of all
claimed parent-child relationships
between the anchor relative and parents
and/or unmarried children under 21
will be required as a condition of access
to P–3 processing and that the costs will
be borne by the anchor relative or his/
her family members who may apply for
access to refugee processing, or their
derivative beneficiaries, as the case may
be. Successful applicants may be
eligible for reimbursement of DNA test
costs.
Methodology
This information collection currently
involves the limited use of electronic
techniques. Anchors in the United
States may visit any resettlement agency
throughout the United States to
complete the AOR. Resettlement
agencies are organizations that work
under a cooperative agreement with the
Department of State. In order to file an
AOR, an individual must be at least 18
years of age and have been admitted to
the United States as a refugee or granted
asylum in the United States no more
than five years prior to the filing of the
AOR. The DS–7656 form will be
available electronically and responses
will be completed electronically with
the aid of resettlement agency staff.
Completed AORs will be printed out for
ink signature by the respondents and
will be scanned and submitted
electronically to the Refugee Processing
Center (RPC) by the resettlement
agencies for downloading into the
Worldwide Refugee Admissions
Processing System (WRAPS) for data
entry and case processing. A signed
paper copy of the AOR will remain with
resettlement agencies.
PO 00000
Frm 00137
Fmt 4703
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38797
Dated: June 24, 2015.
Simon Henshaw,
Principal Deputy Assistant Secretary, Bureau
of Population, Refugees and Migration,
Department of State.
[FR Doc. 2015–16615 Filed 7–6–15; 8:45 am]
BILLING CODE 4710–33–P
DEPARTMENT OF STATE
[Public Notice: 9182]
Advisory Committee on International
Economic Policy; Notice of Open
Meeting
The Advisory Committee on
International Economic Policy (ACIEP)
will meet between 2:00 and 5:00 p.m.,
on Thursday, July 23, 2015, in Room
4477 of the Harry S Truman Building at
the U.S. Department of State, 2201 C
Street NW., Washington, DC. The
meeting will be hosted by the Assistant
Secretary of State for Economic and
Business Affairs, Charles H. Rivkin and
Committee Chair Paul R. Charron. The
ACIEP serves the U.S. government in a
solely advisory capacity, and provides
advice concerning topics in
international economic policy. It is
expected that the ACIEP subcommittees
will provide updates on their work.
This meeting is open to public
participation, though seating is limited.
Entry to the building is controlled. To
obtain pre-clearance for entry, members
of the public planning to attend should
no later than Tuesday, July 14, provide
their full name, professional affiliation,
valid government-issued ID number
(i.e., U.S. government ID, U.S. military
ID, passport [country], or driver’s
license [state]), date of birth, and
citizenship, to Melike Yetken by email:
YetkenMA@State.gov. All persons
wishing to attend the meeting must use
the 21st Street entrance on 21st Street
near Virginia Avenue. (Not the
‘‘jogger’s’’ entrance or the C Street
entrance) of the State Department.
Because of escorting requirements, nongovernment attendees should plan to
arrive no later than 15 minutes before
the meeting begins. Requests for
reasonable accommodation should be
made to Melike Yetken before Tuesday,
July 14. Requests made after that date
will be considered, but might not be
possible to fulfill.
Personal data is requested pursuant to
Public Law 99–399 (Omnibus
Diplomatic Security and Antiterrorism
Act of 1986), as amended; Public Law
107–56 (USA PATRIOT Act); and E.O.
13356. The purpose of the collection is
to validate the identity of individuals
who enter Department facilities. The
data will be entered into the Visitor
E:\FR\FM\07JYN1.SGM
07JYN1
Agencies
[Federal Register Volume 80, Number 129 (Tuesday, July 7, 2015)]
[Notices]
[Pages 38796-38797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-16615]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF STATE
[Public Notice: 9181]
30-Day Notice of Proposed Information Collection; Affidavit of
Relationship
ACTION: Notice of request for public comment and submission to OMB of
proposed collection of information.
-----------------------------------------------------------------------
SUMMARY: The Department of State is seeking Office of Management and
Budget (OMB) approval for the information collection described below.
In accordance with the Paperwork Reduction Act of 1995, we are
requesting comments on this collection from all interested individuals
and organizations. The purpose of this Notice is to allow 30 days for
public comment.
DATES: Submit comments directly to the Office of Management and Budget
(OMB) up to August 6, 2015.
ADDRESSES: Direct comments to the Department of State Desk Officer in
the Office of Information and Regulatory Affairs at the Office of
Management and Budget (OMB). You may submit comments by the following
methods:
Email: oira_submission@omb.eop.gov. You must include the
DS form number, information collection title, and the OMB control
number in the subject line of your message.
Fax: 202-395-5806. Attention: Desk Officer for Department
of State.
FOR FURTHER INFORMATION CONTACT: Direct requests for additional
information regarding the collection listed in this notice, including
requests for copies of the proposed collection instrument and
supporting documents, to Sumitra Siram, Program Officer, PRM/Office of
Admissions, 2025 E Street NW., Washington, DC 20522-0908, who may be
reached on 202-453-9250 or at SiramS@state.gov.
SUPPLEMENTARY INFORMATION:
Title of Information Collection: Affidavit of
Relationship.
OMB Control Number: 1405-0206.
Type of Request: Extension of a Currently Approved
Collection.
[[Page 38797]]
Originating Office: Office of Admissions, Bureau of
Population, Refugees and Migration (PRM/A).
Form Number: DS-7656.
Respondents: Persons admitted to the United States as
refugees or granted asylum in the United States who are claiming a
relationship with family members overseas (spouse, unmarried children
under age 21, and/or parents) in order to assist the U.S. Government in
determining whether those family members are qualified to apply for
admission to the United States via the U.S. Refugee Admissions Program
under the family reunification access priority.
Estimated Number of Respondents: 2,500.
Estimated Number of Responses: 2,500.
Average Time per Response: 60 Minutes.
Total Estimated Burden Time: 2,500.00 Hours.
Frequency: On occasion.
Obligation to Respond: Required to Obtain or Retain a
Benefit.
We are soliciting public comments to permit the Department to:
Evaluate whether the proposed information collection is
necessary for the proper functions of the Department.
Evaluate the accuracy of our estimate of the time and cost
burden for this proposed collection, including the validity of the
methodology and assumptions used.
Enhance the quality, utility, and clarity of the
information to be collected.
Minimize the reporting burden on those who are to respond,
including the use of automated collection techniques or other forms of
information technology.
Please note that comments submitted in response to this Notice are
public record. Before including any detailed personal information, you
should be aware that your comments as submitted, including your
personal information, will be available for public review.
Abstract of Proposed Collection
The Affidavit of Relationship (AOR) will be required by the
Department of State to establish qualifications for access to the
Priority-3 (P-3) Family Reunification category of the United States
Refugee Admissions Program (USRAP) by persons of certain nationalities
who are family members of qualifying ``anchors'' (persons already
admitted to the U.S. as refugees or who were granted asylum in the
United States., including persons who may now be lawful permanent
residents or U.S. citizens). Qualifying family members of U.S.-based
anchors include spouse, unmarried children under age 21, and parents.
Eligible nationalities are determined on an annual basis following
careful review of several factors, including the United Nations High
Commissioner for Refugees' annual assessment of refugees in need of
resettlement, prospective or ongoing repatriation efforts, and U.S.
foreign policy interests. The P-3 category, along with the other
categories of cases that have access to USRAP, is outlined in the
annual Proposed Refugee Admissions--Report to Congress, which is
submitted on behalf of the President in fulfillment of the requirements
of section 207(d) of the Immigration and Nationality Act (8 U.S.C.
1157), and authorized by the annual Presidential Determination for
Refugee Admissions. Having an AOR filed on a potential applicant's
behalf by an eligible anchor relative will be one of the criteria for
access to this program. The AOR also informs the anchor relative that
DNA evidence of all claimed parent-child relationships between the
anchor relative and parents and/or unmarried children under 21 will be
required as a condition of access to P-3 processing and that the costs
will be borne by the anchor relative or his/her family members who may
apply for access to refugee processing, or their derivative
beneficiaries, as the case may be. Successful applicants may be
eligible for reimbursement of DNA test costs.
Methodology
This information collection currently involves the limited use of
electronic techniques. Anchors in the United States may visit any
resettlement agency throughout the United States to complete the AOR.
Resettlement agencies are organizations that work under a cooperative
agreement with the Department of State. In order to file an AOR, an
individual must be at least 18 years of age and have been admitted to
the United States as a refugee or granted asylum in the United States
no more than five years prior to the filing of the AOR. The DS-7656
form will be available electronically and responses will be completed
electronically with the aid of resettlement agency staff. Completed
AORs will be printed out for ink signature by the respondents and will
be scanned and submitted electronically to the Refugee Processing
Center (RPC) by the resettlement agencies for downloading into the
Worldwide Refugee Admissions Processing System (WRAPS) for data entry
and case processing. A signed paper copy of the AOR will remain with
resettlement agencies.
Dated: June 24, 2015.
Simon Henshaw,
Principal Deputy Assistant Secretary, Bureau of Population, Refugees
and Migration, Department of State.
[FR Doc. 2015-16615 Filed 7-6-15; 8:45 am]
BILLING CODE 4710-33-P