Agency Information Collection Activities: Proposed Request and Comment Request, 68091-68093 [2016-23774]
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68091
Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices
initiate a request for reconsideration of
a denied claim. SSA uses the
information to document the request
and to determine an individual’s
eligibility or entitlement to Social
Security benefits (Title II); SSI payments
(Title XVI); Special Veterans Benefits
(Title VIII); Medicare (Title XVIII); and
for initial determinations regarding
Medicare Part B income-related
premium subsidy reductions. The
respondents are individuals filing for
reconsideration of a denied claim.
Number of
respondents
Modality of completion
This is a correction notice: SSA
published the incorrect burden
information for this collection at 81 FR
47845, on 7/22/49. We are correcting
this error here.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
SSA–561 and Modernized Claims System (MCS) ..........................................
I561 (Internet iAppeals) ...................................................................................
330,370
1,161,300
1
1
8
5
40,049
96,775
Totals ........................................................................................................
1,491,670
........................
........................
136,824
3. Request for Accommodation in
Communication Method—0960–0777.
SSA allows disabled or impaired Social
Security applicants, beneficiaries,
recipients, and representative payees to
choose one of seven alternative methods
of communication they want SSA to use
when we send them benefit notices and
other related communications. The
seven alternative methods we offer are:
(1) Standard print notice by first-class
mail; (2) standard print mail with a
follow-up telephone call; (3) certified
mail; (4) Braille; (5) Microsoft Word file
on data CD; (6) large print (18-point
font); or (7) audio CD. However,
respondents who want to receive
notices from SSA through a
communication method other than the
seven methods listed above must
explain their request to us. Those
respondents use Form SSA–9000 to: (1)
Describe the type of accommodation
they want; (2) disclose their condition
necessitating the need for a different
type of accommodation; and (3) explain
why none of the seven methods
described above are sufficient for their
needs. SSA uses Form SSA–9000 to
determine, based on applicable law and
regulation, whether to grant the
respondents’ requests for an
accommodation based on their
impairment or disability. SSA collects
this information electronically through
either an in-person interview or a
telephone interview during which the
SSA employee keys in the information
on our iAccommodate Intranet screens.
The respondents are disabled or
impaired Social Security applicants,
beneficiaries, recipients, and
representative payees who ask SSA to
send notices and other communications
in an alternative method besides the
seven modalities we currently offer.
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–9000/iAccommodate ...............................................................................
5,000
1
20
1,667
Dated: September 28, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2016–23773 Filed 9–30–16; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2016–0049]
sradovich on DSK3GMQ082PROD with NOTICES
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 extensions of OMB-approved
information collections.
VerDate Sep<11>2014
21:32 Sep 30, 2016
Jkt 241001
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
PO 00000
Frm 00136
Fmt 4703
Sfmt 4703
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2016–0049].
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 December 2,
2016. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Missing and Discrepant Wage
Reports Letter and Questionnaire—26
CFR 31.6051–2—0960–0432. Each year
employers report the wage amounts they
paid their employees to the Internal
Revenue Service (IRS) for tax purposes,
and separately to SSA for retirement
and disability coverage purposes.
Employers should report the same
figures to both SSA and the IRS;
however, each year some of the
employer wage reports SSA receives
show wage amounts lower than those
E:\FR\FM\03OCN1.SGM
03OCN1
68092
Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices
employers report to the IRS. SSA uses
Forms SSA–L93–SM, SSA–L94–SM,
SSA–95–SM, and SSA–97–SM to ensure
employees receive full credit for their
wages. Respondents are employers who
reported lower wage amounts to SSA
than they reported to the IRS.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Total
estimated
total annual
burden
(hours)
SSA–95–SM and SSA–97–SM (and accompanying cover letters SSA–L93,
L94) ..............................................................................................................
360,000
1
30
180,000
2. Incorporation by Reference of Oral
Findings of Fact and Rationale in
Wholly Favorable Written Decisions
(Bench Decision Regulation)—20 CFR
404.953 and 416.1453—0960–0694. If an
administrative law judge (ALJ) makes a
wholly favorable oral decision,
including all the findings and rationale
for the decision for a claimant of Title
II or Title XVI payments, at an
administrative appeals hearing, the ALJ
sends a Notice of Decision (Form HA–
82), as the records from the oral hearing
preclude the need for a written decision.
We call this the incorporation-byreference process. In addition, the
regulations for this process state that if
the involved parties want a record of the
oral decision, they may submit a written
request for these records. SSA collects
identifying information under the aegis
of Sections 20 CFR 404.953 and
416.1453 of the Code of Federal
Regulations to determine how to send
interested individuals written records of
a favorable incorporation-by-reference
oral decision made at an administrative
review hearing. Since there is no
prescribed form to request a written
record of the decision, the involved
parties send SSA their contact
information and reference the hearing
for which they would like a record. The
respondents are applicants for Disability
Insurance Benefits and SSI payments, or
their representatives, to whom SSA gave
a wholly favorable oral decision under
the regulations cited above.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Total
estimated
total annual
burden
(hours)
HA–82 ..............................................................................................................
2,500
1
5
208
3. Request for Waiver of Special
Veterans Benefits (SVB) Overpayment
Recovery or Change in Repayment
Rate—20 CFR 408.900–408.950—0960–
0698. Title VIII of the Social Security
Act (Act) requires SSA to pay a monthly
benefit to qualified World War II
veterans who reside outside the United
States. When an overpayment in this
SVB occurs, the beneficiary can request
a waiver of recovery of the overpayment
or a change in the repayment rate. SSA
uses the SSA–2032–BK to obtain the
information necessary to establish
whether the claimant meets the waiver
of recovery provisions of the
overpayment, and to determine the
repayment rate if we do not waive
repayment. Respondents are SVB
beneficiaries who have overpayments
on their Title VIII record and wish to
file a claim for waiver of recovery or
change in repayment rate.
Type of Request: Revision of an OMBapproved information collection.
Number of
responses
Frequency of
response
SSA–2032–BK .................................................................................................
sradovich on DSK3GMQ082PROD with NOTICES
Modality of completion
Average
burden per
response
(minutes)
450
1
120
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
November 2, 2016. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
VerDate Sep<11>2014
21:32 Sep 30, 2016
Jkt 241001
1. Travel Expense Reimbursement—
20 CFR 404.999(d) and 416.1499—
0960–0434. The Act provides for travel
expense reimbursement from Federal
and State agencies for claimant travel
incidental to medical examinations, and
to parties, their representatives, and all
reasonably necessary witnesses for
travel exceeding 75 miles to attend
medical examinations; reconsideration
interviews; and proceedings before an
administrative law judge.
PO 00000
Frm 00137
Fmt 4703
Sfmt 4703
Total
estimated
total
annual
burden
(hours)
900
Reimbursement procedures require the
claimant to provide: (1) A list of
expenses incurred, and (2) receipts of
such expenses. Federal and state
personnel review the listings and
receipts to verify the reimbursable
amount to the requestor. The
respondents are claimants for Title II
benefits and Title XVI payments, their
representatives, and witnesses.
Type of Request: Extension of an
OMB-approved information collection.
E:\FR\FM\03OCN1.SGM
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68093
Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minute)
Estimated
annual burden
(hours)
404.99(d) & 416.1499 ......................................................................................
60,000
1
10
10,000
2. Disability Report—Child—20 CFR
416.912—0960–0577. Sections 223
(d)(5)(A) and 1631(e)(1) of the Act
require Supplemental Security Income
(SSI) claimants to furnish medical and
other evidence to prove they are
disabled. SSA uses Form SSA–3820 to
collect various types of information
about a child’s condition from treating
sources or other medical sources of
evidence. The State Disability
Determination Services evaluators use
this information from Form SSA–3820
to develop medical and school
evidence, and to assess the alleged
disability. This information, together
Number of
respondents
Modality of completion
with medical evidence, forms the
evidentiary basis upon which SSA
makes its initial disability evaluation.
The respondents are claimants seeking
SSI childhood disability payments.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated total
annual burden
(hours)
SSA–3820 (Paper Form) .................................................................................
Electronic Disability Collection System ............................................................
i3820 (Internet) ................................................................................................
279,002
1,000
119,464
1
1
1
90
120
120
418,503
2,000
238,928
Totals ........................................................................................................
399,466
........................
........................
659,431
Dated: September 28, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2016–23774 Filed 9–30–16; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 9744]
Culturally Significant Objects Imported
for Exhibition Determinations:
‘‘Matisse/Diebenkorn’’ Exhibition
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.
2459), E.O. 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 ‘‘Matisse/
Diebenkorn,’’ imported from abroad for
temporary exhibition within the United
States, are of cultural significance. The
objects are imported pursuant to loan
agreements with the foreign owners or
custodians. I also determine that the
exhibition or display of the exhibit
objects at The Baltimore Museum of Art,
Baltimore, Maryland, from on or about
October 23, 2016, until on or about
January 29, 2017, at the San Francisco
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:56 Sep 30, 2016
Jkt 241001
Museum of Modern Art, San Francisco,
California, from on or about March 11,
2017, until on or about May 29, 2017,
and at possible additional exhibitions or
venues yet to be determined, is in the
national interest. I have ordered that
Public Notice of these Determinations
be published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: For
further information, including a list of
the imported objects, contact the Office
of Public Diplomacy and Public Affairs
in the Office of the Legal Adviser, U.S.
Department of State (telephone: 202–
632–6471; email: section2459@
state.gov). The mailing address is U.S.
Department of State, L/PD, SA–5, Suite
5H03, Washington, DC 20522–0505.
Dated: September 27, 2016.
Mark Taplin,
Principal Deputy Assistant Secretary, Bureau
of Educational and Cultural Affairs,
Department of State.
[FR Doc. 2016–23976 Filed 9–30–16; 8:45 am]
BILLING CODE 4710–05–P
SURFACE TRANSPORTATION BOARD
[Docket No. AB 507 (Sub-No. 2X)]
Florida Northern Railroad Company,
Inc.—Discontinuance of Service
Exemption—in Marion County, Fla.
Florida Northern Railroad Company,
Inc. (Florida Northern) 1 has filed a
1 Florida Northern is a wholly owned subsidiary
of Pinsly Railroad Company, a noncarrier holding
company, which also controls three other Class III
rail carriers in Florida and Massachusetts. See
PO 00000
Frm 00138
Fmt 4703
Sfmt 4703
verified notice of exemption under 49
CFR pt. 1152 subpart F—Exempt
Abandonments and Discontinuances of
Service to discontinue service over an
approximately 5.3-mile rail line from
milepost 756.8 in Lowell, to milepost
762.1 in Zuber, in Marion County, Fla.
(the Line).2 The Line traverses U.S.
Postal Service Zip Codes 34482, 32686,
and 34475.
Florida Northern has certified that: (1)
No local traffic has moved over the Line
for at least two years; (2) there is no
overhead traffic to be rerouted over
other lines; (3) no formal complaint
filed by a user of rail service on the Line
(or by a state or local government entity
acting on behalf of such user) regarding
cessation of service over the Line is
pending either with the Surface
Transportation Board (Board) or with
any U.S. District Court or has been
decided in favor of the complainant
within the two-year period; and (4) the
requirements at 49 CFR 1105.12
(newspaper publication) and 49 CFR
1152.50(d)(1) (notice to governmental
agencies) have been met.
As a condition to this exemption, any
employee adversely affected by the
discontinuance of service shall be
protected under Oregon Short Line
Pinsly R.R.—Continuance in Control Exemption—
Fla. N. R.R., FD 31369 (ICC served Dec. 21, 1988).
2 According to Florida Northern, it operates
‘‘approximately 88 miles of rail line’’ and
‘‘commenced operations in 1988 after acquiring two
lines (including a portion of the line over which
service is to be discontinued).’’ (Notice of
Exemption 2); see also Fla. N. R.R.—Acquis. &
Operation Exemption—Certain Rail Lines of CSX
Transp., Inc., FD 31368 (ICC served Dec. 21, 1988).
E:\FR\FM\03OCN1.SGM
03OCN1
]]>Agencies
[Federal Register Volume 81, Number 191 (Monday, October 3, 2016)]
[Notices]
[Pages 68091-68093]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-23774]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2016-0049]
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 extensions 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-2016-0049].
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
December 2, 2016. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Missing and Discrepant Wage Reports Letter and Questionnaire--26
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts
they paid their employees to the Internal Revenue Service (IRS) for tax
purposes, and separately to SSA for retirement and disability coverage
purposes. Employers should report the same figures to both SSA and the
IRS; however, each year some of the employer wage reports SSA receives
show wage amounts lower than those
[[Page 68092]]
employers report to the IRS. SSA uses Forms SSA-L93-SM, SSA-L94-SM,
SSA-95-SM, and SSA-97-SM to ensure employees receive full credit for
their wages. Respondents are employers who reported lower wage amounts
to SSA than they reported to the IRS.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Total estimated
Modality of completion Number of Frequency of per response total annual
responses response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-95-SM and SSA-97-SM (and accompanying 360,000 1 30 180,000
cover letters SSA-L93, L94)................
----------------------------------------------------------------------------------------------------------------
2. Incorporation by Reference of Oral Findings of Fact and
Rationale in Wholly Favorable Written Decisions (Bench Decision
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an
administrative law judge (ALJ) makes a wholly favorable oral decision,
including all the findings and rationale for the decision for a
claimant of Title II or Title XVI payments, at an administrative
appeals hearing, the ALJ sends a Notice of Decision (Form HA-82), as
the records from the oral hearing preclude the need for a written
decision. We call this the incorporation-by-reference process. In
addition, the regulations for this process state that if the involved
parties want a record of the oral decision, they may submit a written
request for these records. SSA collects identifying information under
the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of
Federal Regulations to determine how to send interested individuals
written records of a favorable incorporation-by-reference oral decision
made at an administrative review hearing. Since there is no prescribed
form to request a written record of the decision, the involved parties
send SSA their contact information and reference the hearing for which
they would like a record. The respondents are applicants for Disability
Insurance Benefits and SSI payments, or their representatives, to whom
SSA gave a wholly favorable oral decision under the regulations cited
above.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Total estimated
Modality of completion Number of Frequency of per response total annual
responses response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-82....................................... 2,500 1 5 208
----------------------------------------------------------------------------------------------------------------
3. Request for Waiver of Special Veterans Benefits (SVB)
Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900-
408.950--0960-0698. Title VIII of the Social Security Act (Act)
requires SSA to pay a monthly benefit to qualified World War II
veterans who reside outside the United States. When an overpayment in
this SVB occurs, the beneficiary can request a waiver of recovery of
the overpayment or a change in the repayment rate. SSA uses the SSA-
2032-BK to obtain the information necessary to establish whether the
claimant meets the waiver of recovery provisions of the overpayment,
and to determine the repayment rate if we do not waive repayment.
Respondents are SVB beneficiaries who have overpayments on their Title
VIII record and wish to file a claim for waiver of recovery or change
in repayment rate.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Total estimated
Modality of completion Number of Frequency of per response total annual
responses response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2032-BK................................. 450 1 120 900
----------------------------------------------------------------------------------------------------------------
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 November 2, 2016. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Travel Expense Reimbursement--20 CFR 404.999(d) and 416.1499--
0960-0434. The Act provides for travel expense reimbursement from
Federal and State agencies for claimant travel incidental to medical
examinations, and to parties, their representatives, and all reasonably
necessary witnesses for travel exceeding 75 miles to attend medical
examinations; reconsideration interviews; and proceedings before an
administrative law judge. Reimbursement procedures require the claimant
to provide: (1) A list of expenses incurred, and (2) receipts of such
expenses. Federal and state personnel review the listings and receipts
to verify the reimbursable amount to the requestor. The respondents are
claimants for Title II benefits and Title XVI payments, their
representatives, and witnesses.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 68093]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response annual burden
respondents response (minute) (hours)
----------------------------------------------------------------------------------------------------------------
404.99(d) & 416.1499........................ 60,000 1 10 10,000
----------------------------------------------------------------------------------------------------------------
2. Disability Report--Child--20 CFR 416.912--0960-0577. Sections
223 (d)(5)(A) and 1631(e)(1) of the Act require Supplemental Security
Income (SSI) claimants to furnish medical and other evidence to prove
they are disabled. SSA uses Form SSA-3820 to collect various types of
information about a child's condition from treating sources or other
medical sources of evidence. The State Disability Determination
Services evaluators use this information from Form SSA-3820 to develop
medical and school evidence, and to assess the alleged disability. This
information, together with medical evidence, forms the evidentiary
basis upon which SSA makes its initial disability evaluation. The
respondents are claimants seeking SSI childhood disability payments.
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-3820 (Paper Form)........................... 279,002 1 90 418,503
Electronic Disability Collection System......... 1,000 1 120 2,000
i3820 (Internet)................................ 119,464 1 120 238,928
---------------------------------------------------------------
Totals...................................... 399,466 .............. .............. 659,431
----------------------------------------------------------------------------------------------------------------
Dated: September 28, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-23774 Filed 9-30-16; 8:45 am]
BILLING CODE 4191-02-P
