Agency Information Collection Activities: Proposed Request and Comment Request, 31999-32001 [2016-11851]
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Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices
Paper Comments
• Send paper comments in triplicate
to Secretary, Securities and Exchange
Commission, 100 F Street NE.,
Washington, DC 20549–1090.
All submissions should refer to File
Number SR–FICC–2016–002. This file
number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
Internet Web site (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
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 Room, 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
filings also will be available for
inspection and copying at the principal
office of FICC and on DTCC’s Web site
at https://www.dtcc.com/legal/sec-rulefilings.aspx. 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–FICC–
2016–002 and should be submitted on
or before June 10, 2016.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.9
Robert W. Errett,
Deputy Secretary.
[FR Doc. 2016–11880 Filed 5–19–16; 8:45 am]
BILLING CODE 8011–01–P
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SECURITIES AND EXCHANGE
COMMISSION
Proposed Collection; Comment
Request
Upon Written Request Copies Available
From: Securities and Exchange
Commission, Office of FOIA Services,
100 F Street NE., Washington, DC
20549–2736.
Extension:
Schedule 13E–4F. SEC File No. 270–340,
OMB Control No. 3235–0375.
SOCIAL SECURITY ADMINISTRATION
Notice is hereby given that, pursuant
to the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.), the Securities
and Exchange Commission
(‘‘Commission’’) is soliciting comments
on the collection of information
summarized below. The Commission
plans to submit this existing collection
of information to the Office of
Management and Budget for extension
and approval.
Schedule 13E–4F (17 CFR 240.13e–
102) may be used by an issuer that is
incorporated or organized under the
laws of Canada to make a cash tender
or exchange offer for the issuer’s own
securities if less than 40 percent of the
class of such issuer’s securities
outstanding that are the subject of the
tender offer is held by U.S. holders. The
information collected must be filed with
the Commission and is publicly
available. We estimate that it takes
approximately 2 hours per response to
prepare Schedule 13E–4F and that the
information is filed by approximately 3
respondents for a total annual reporting
burden of 6 hours (2 hours per response
× 3 responses).
Written comments are invited on: (a)
Whether this proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information will have practical utility;
(b) the accuracy of the agency’s estimate
of the burden imposed by the collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information collected; and (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology. Consideration will be given
to comments and suggestions submitted
in writing within 60 days of this
publication.
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a currently valid
control number.
Please direct your written comment to
Pamela Dyson, Director/Chief
Information Officer, Securities and
Exchange Commission, c/o Remi PavlikSimon, 100 F Street NE., Washington,
DC 20549 or send an email to: PRA_
Mailbox@sec.gov.
Agency Information Collection
Activities: Proposed Request and
Comment Request
Dated: May 17, 2016.
Robert W. Errett,
Deputy Secretary.
[FR Doc. 2016–11958 Filed 5–19–16; 8:45 am]
9 17
CFR 200.30–3(a)(12).
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[Docket No: SSA–2016–0020]
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
and one extension 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
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2016–0020].
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 July 19, 2016.
Individuals can obtain copies of the
collection instruments by writing to the
above email address.
1. Application for Supplemental
Security Income—20 CFR 416.207 and
416.305–416.335, Subpart C—0960–
0229. The Supplemental Security
Income (SSI) program provides aged,
blind, and disabled individuals who
have little or no income, with funds for
food, clothing, and shelter. Individuals
complete Form SSA–8000–BK to apply
for SSI. SSA uses the information from
Form SSA–8000–BK and its electronic
Intranet counterpart, the Modernized
SSI Claims Systems (MSSICS), to
determine: (1) Whether SSI claimants
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20MYN1
32000
Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices
meet all statutory and regulatory
eligibility requirements; and (2) SSI
payment amounts. The respondents are
applicants for SSI or their representative
payees.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
SSA–8000–BK (Paper Version) ......................................................................
MSSICS/Signature Proxy ................................................................................
17,541
1,373,401
1
1
41
35
11,986
801,151
Totals ........................................................................................................
1,390,942
........................
........................
813,137
2. Application for Supplemental
Security Income—20 CFR 416.305–
416.335, Subpart C—0960–0444. SSA
uses Form SSA–8001–BK to determine
an applicant’s eligibility for SSI and SSI
payment amounts. SSA employees also
collect this information during
interviews with members of the public
who wish to file for SSI. SSA uses the
information for two purposes: (1) To
deny SSI formally, for non-medical
reasons when information the applicant
provides results in ineligibility; or (2) to
establish a disability claim, but defer the
Number of
respondents
Modality of completion
complete development of non-medical
issues until SSA approves the disability.
The respondents are applicants for SSI.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
MSSICS/Signature Proxy ................................................................................
SSA–8001–BK (Paper Version) ......................................................................
937,207
1,033
1
1
20
20
312,402
344
Totals ........................................................................................................
938,240
........................
........................
312,746
3. Function Report—Child (Birth to
1st Birthday, Age 1 to 3rd Birthday, Age
3 to 6th Birthday, Age 6 to 12th
Birthday, Age 12 to 18th Birthday)—20
CFR 416.912 and 416.924a(a)(2)—0960–
0542. As part of SSA’s disability
determination process, we use Forms
SSA–3375–BK through SSA–3379–BK
to request information from a child’s
parent or guardian for children applying
for SSI. The five different versions of the
form contain questions about the child’s
day-to-day functioning appropriate to a
particular age group; thus, respondents
use only one version of the form for
each child. The adjudicative team
(disability examiners and medical or
psychological consultants) of State
disability determination services offices
collect the information on the
appropriate version of this form (in
conjunction with medical and other
evidence) to form a complete picture of
the children’s ability to function and
their impairment-related limitations.
The adjudicative team uses the
completed profile to determine: (1) If
each child’s impairment(s) results in
marked and severe functional
limitations; and (2) whether each child
is disabled. The respondents are parents
and guardians of child applicants for
SSI.
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–3375; SSA–3376; SSA–3377; SSA–3378; SSA–3379 * ........................
532,000
1
20
177,333
mstockstill on DSK3G9T082PROD with NOTICES
* Respondents complete only one form per child.
4. Government-to-Government
Services Online Web site Registration;
Government-to-Government Services
Online Web site Account Modification/
Deletion Form—20 CFR 401.45—0960–
0757. The Government-to-Government
Services Online (GSO) Web site allows
various external organizations to submit
files to a variety of SSA systems and, in
some cases, receive files in return. The
SSA systems that process data
transferred via GSO include, but are not
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17:40 May 19, 2016
Jkt 238001
limited to, systems responsible for
disability processing and benefit
determination or termination. SSA uses
the information on Form SSA–159,
Government-to-Government Online Web
site Registration Form, to register the
requestor to use the GSO Web site. Once
we receive the SSA–159, SSA provides
the user with account information and
conducts a walkthrough of the GSO Web
site as necessary. Established
organizations may submit Form SSA–
PO 00000
Frm 00092
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159 to register additional users as well.
The established requesting
organizations can also complete Form
SSA–160, Government-to-Government
Online Web site Account Modification/
Deletion Form, to modify their online
accounts (e.g., address change).
Respondents are State and local
government agencies, and some private
sector business entities.
Type of Request: Revision of an OMBapproved information collection.
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Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
SSA–159 ..........................................................................................................
SSA–160 ..........................................................................................................
1,543
130
1
1
15
15
386
33
Totals ........................................................................................................
1,673
........................
........................
419
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 June
20, 2016. Individuals can obtain copies
of the OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Agency/Employer Government
Pension Offset Questionnaire—20 CFR
404.408(a)—0960–0470. When an
individual is concurrently receiving
Social Security spousal, or surviving
spousal, benefits and a government
pension, the individual may have the
amount of Social Security benefits
reduced by the government pension
amount. This is the Government
Pension Offset (GPO). SSA uses Form
SSA–L4163 to collect accurate pension
information from the Federal or State
government agency paying the pension
for purposes of applying the pension
offset provision. SSA uses this form
only when (1) the claimant does not
have the information; and (2) the
pension-paying agency has not
cooperated with the claimant.
Respondents are State government
agencies which have information SSA
needs to determine if the GPO applies
and the amount of offset.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–L4163 ......................................................................................................
1000
1
3
50
2. Real Property Current Market Value
Estimate—0960–0471. SSA considers an
individual’s resources when evaluating
eligibility for SSI payments. The value
of an individual’s resources, including
non-home real property, is one of the
eligibility requirements for SSI
payments. SSA obtains current market
value estimates of the claimant’s real
property through Form SSA–L2794. We
allow respondents to use readily
available records to complete the form,
or we can accept their best estimates.
We use this form as part of initial
applications and in post-entitlement
situations. The respondents are small
business operators in real estate; state
and local government employees tasked
with assessing real property values; and
other individuals knowledgeable about
local real estate values.
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–L2794 ......................................................................................................
250
1
20
83
Dated: May 16, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2016–11851 Filed 5–19–16; 8:45 am]
mstockstill on DSK3G9T082PROD with NOTICES
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 9574]
In the Matter of the Designation of ISILYemen, aka Islamic State of Iraq and
the Levant-Yemen, aka Islamic State
and the Levant in Yemen, aka Islamic
State in Yemen, aka ISIS in Yemen, aka
Wilayat al-Yemen, aka Province of
Yemen as a Specially Designated
Global Terrorist
Acting under the authority of and in
accordance with sec. 1(b) of Executive
Order 13224 of September 23, 2001, as
amended by Executive Order 13268 of
July 2, 2002, and Executive Order 13284
of January 23, 2003, I hereby determine
that the individual known as ISILYemen, also known as Islamic State of
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Iraq and the Levant-Yemen, also known
as Islamic State of Iraq and the Levant
in Yemen, also known as Islamic State
in Yemen, also known as ISIS in Yemen,
also known as Wilayat al-Yemen, also
known as Province of Yemen
committed, or poses a significant risk of
committing, acts of terrorism that
threaten the security of U.S. nationals or
the national security, foreign policy, or
economy of the United States.
Consistent with the determination in
sec. 10 of Executive Order 13224 that
‘‘prior notice to persons determined to
be subject to the Order who might have
a constitutional presence in the United
States would render ineffectual the
blocking and other measures authorized
in the Order because of the ability to
transfer funds instantaneously,’’ I
E:\FR\FM\20MYN1.SGM
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]]>Agencies
[Federal Register Volume 81, Number 98 (Friday, May 20, 2016)]
[Notices]
[Pages 31999-32001]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11851]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2016-0020]
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 and one extension 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
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2016-0020].
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 July
19, 2016. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. Application for Supplemental Security Income--20 CFR 416.207 and
416.305-416.335, Subpart C--0960-0229. The Supplemental Security Income
(SSI) program provides aged, blind, and disabled individuals who have
little or no income, with funds for food, clothing, and shelter.
Individuals complete Form SSA-8000-BK to apply for SSI. SSA uses the
information from Form SSA-8000-BK and its electronic Intranet
counterpart, the Modernized SSI Claims Systems (MSSICS), to determine:
(1) Whether SSI claimants
[[Page 32000]]
meet all statutory and regulatory eligibility requirements; and (2) SSI
payment amounts. The respondents are applicants for SSI or their
representative payees.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8000-BK (Paper Version)..................... 17,541 1 41 11,986
MSSICS/Signature Proxy.......................... 1,373,401 1 35 801,151
---------------------------------------------------------------
Totals...................................... 1,390,942 .............. .............. 813,137
----------------------------------------------------------------------------------------------------------------
2. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA uses Form SSA-8001-BK to determine
an applicant's eligibility for SSI and SSI payment amounts. SSA
employees also collect this information during interviews with members
of the public who wish to file for SSI. SSA uses the information for
two purposes: (1) To deny SSI formally, for non-medical reasons when
information the applicant provides results in ineligibility; or (2) to
establish a disability claim, but defer the complete development of
non-medical issues until SSA approves the disability. The respondents
are applicants for SSI.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
MSSICS/Signature Proxy.......................... 937,207 1 20 312,402
SSA-8001-BK (Paper Version)..................... 1,033 1 20 344
---------------------------------------------------------------
Totals...................................... 938,240 .............. .............. 312,746
----------------------------------------------------------------------------------------------------------------
3. Function Report--Child (Birth to 1st Birthday, Age 1 to 3rd
Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th
Birthday)--20 CFR 416.912 and 416.924a(a)(2)--0960-0542. As part of
SSA's disability determination process, we use Forms SSA-3375-BK
through SSA-3379-BK to request information from a child's parent or
guardian for children applying for SSI. The five different versions of
the form contain questions about the child's day-to-day functioning
appropriate to a particular age group; thus, respondents use only one
version of the form for each child. The adjudicative team (disability
examiners and medical or psychological consultants) of State disability
determination services offices collect the information on the
appropriate version of this form (in conjunction with medical and other
evidence) to form a complete picture of the children's ability to
function and their impairment-related limitations. The adjudicative
team uses the completed profile to determine: (1) If each child's
impairment(s) results in marked and severe functional limitations; and
(2) whether each child is disabled. The respondents are parents and
guardians of child applicants for SSI.
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-3375; SSA-3376; SSA-3377; SSA-3378; SSA- 532,000 1 20 177,333
3379 *.....................................
----------------------------------------------------------------------------------------------------------------
* Respondents complete only one form per child.
4. Government-to-Government Services Online Web site Registration;
Government-to-Government Services Online Web site Account Modification/
Deletion Form--20 CFR 401.45--0960-0757. The Government-to-Government
Services Online (GSO) Web site allows various external organizations to
submit files to a variety of SSA systems and, in some cases, receive
files in return. The SSA systems that process data transferred via GSO
include, but are not limited to, systems responsible for disability
processing and benefit determination or termination. SSA uses the
information on Form SSA-159, Government-to-Government Online Web site
Registration Form, to register the requestor to use the GSO Web site.
Once we receive the SSA-159, SSA provides the user with account
information and conducts a walkthrough of the GSO Web site as
necessary. Established organizations may submit Form SSA-159 to
register additional users as well. The established requesting
organizations can also complete Form SSA-160, Government-to-Government
Online Web site Account Modification/Deletion Form, to modify their
online accounts (e.g., address change). Respondents are State and local
government agencies, and some private sector business entities.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 32001]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-159......................................... 1,543 1 15 386
SSA-160......................................... 130 1 15 33
---------------------------------------------------------------
Totals...................................... 1,673 .............. .............. 419
----------------------------------------------------------------------------------------------------------------
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 June 20, 2016. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Agency/Employer Government Pension Offset Questionnaire--20 CFR
404.408(a)--0960-0470. When an individual is concurrently receiving
Social Security spousal, or surviving spousal, benefits and a
government pension, the individual may have the amount of Social
Security benefits reduced by the government pension amount. This is the
Government Pension Offset (GPO). SSA uses Form SSA-L4163 to collect
accurate pension information from the Federal or State government
agency paying the pension for purposes of applying the pension offset
provision. SSA uses this form only when (1) the claimant does not have
the information; and (2) the pension-paying agency has not cooperated
with the claimant. Respondents are State government agencies which have
information SSA needs to determine if the GPO applies and the amount of
offset.
Type of Request: Extension 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-L4163................................... 1000 1 3 50
----------------------------------------------------------------------------------------------------------------
2. Real Property Current Market Value Estimate--0960-0471. SSA
considers an individual's resources when evaluating eligibility for SSI
payments. The value of an individual's resources, including non-home
real property, is one of the eligibility requirements for SSI payments.
SSA obtains current market value estimates of the claimant's real
property through Form SSA-L2794. We allow respondents to use readily
available records to complete the form, or we can accept their best
estimates. We use this form as part of initial applications and in
post-entitlement situations. The respondents are small business
operators in real estate; state and local government employees tasked
with assessing real property values; and other individuals
knowledgeable about local real estate values.
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-L2794................................... 250 1 20 83
----------------------------------------------------------------------------------------------------------------
Dated: May 16, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-11851 Filed 5-19-16; 8:45 am]
BILLING CODE 4191-02-P
