Agency Information Collection Activities: Proposed Request and Comment Request, 2918-2921 [05-868]
Download as PDF
<![CDATA[
2918
Federal Register / Vol. 70, No. 11 / Tuesday, January 18, 2005 / Notices
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.10
Jill M. Peterson,
Assistant Secretary.
[FR Doc. E5–152 Filed 1–14–05; 8:45 am]
BILLING CODE 8010–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 34–51014; File No. SR–PCX–
2004–83]
Self-Regulatory Organizations; Order
Approving Proposed Rule Change, and
Amendment No. 1 Thereto, by the
Pacific Exchange, Inc. Relating To
Changing the Opening Time and the
Commencement of the Opening
Auction on the Archipelago Exchange
January 10, 2005.
On October 22, 2004, the Pacific
Exchange, Inc. (‘‘PCX’’ or ‘‘Exchange’’),
through its wholly owned subsidiary
PCX Equities, Inc. (‘‘PCXE’’) submitted
to the Securities and Exchange
Commission (‘‘Commission’’), pursuant
to Section 19(b)(1) of the Securities
Exchange Act of 1934 (‘‘Act’’) 1 and Rule
19b–4 thereunder,2 a proposed rule
change to change the opening time and
the commencement of the Opening
Auction of its facility, the Archipelago
Exchange (‘‘ArcaEx’’), from 5 a.m.
(Pacific time) to 1 a.m. (Pacific time)
and modify PCXE Rules 7.34 and 7.35,
respectively. On November 22, 2004, the
PCX submitted Amendment No. 1 to the
proposed rule change.3 The Federal
Register published the proposed rule
change for comment on December 6,
2004.4 The Commission received no
comments on the proposed rule change,
as amended.
After careful consideration, the
Commission finds that the proposed
rule change is consistent with the
requirements of the Act and the rules
and regulations thereunder that are
applicable to a national securities
exchange.5 In particular, the
Commission believes that the proposed
rule change is consistent with Section
6(b) of the Act,6 in general, and furthers
the objectives of Section 6(b)(5),7 in
10 17
CFR 200.30–3(a)(12).
U.S.C. 78s(b)(1).
2 17 CFR 240.19b–4.
3 Amendment No. 1 replaced and superceded the
original filing in its entirety.
4 Securities Exchange Act Release No. 50756
(November 30, 2004), 69 FR 70489.
5 In approving this rule, the Commission notes
that it has considered the proposed rule’s impact on
efficiency, competition, and capital formation. See
15 U.S.C. 78c(f).
6 15 U.S.C. 78f(b).
7 15 U.S.C. 78f(b)(5).
1 15
VerDate jul<14>2003
11:51 Jan 14, 2005
Jkt 205001
particular, because it is designed to
promote just and equitable principles of
trade, to foster cooperation and
coordination with persons engaged in
facilitating transactions in securities,
and to remove impediments and perfect
the mechanisms of a free and open
market and to protect investors and the
public interest. The Commission
believes that the proposed rule change
is reasonably designed to provide
additional liquidity for customers
seeking to participate in the Nasdaqlisted and exchange-listed markets by
extending the ArcaEx’s Opening
Auction during the hours before the
primary markets open for trading. The
Commission believes that having a PCX
Market Management staff member onsite at the ArcaEx facility beginning at
1 a.m. (Pacific time), in conjunction
with the Exchange’s employment of
third-party data vendors, should enable
the Exchange to coordinate its trading
halts with those that are instituted for
regulatory reasons by the primary
markets, including the foreign markets
with whom the PCX represents it is
establishing contacts. In addition, this
arrangement should permit the
Exchange to exercise its discretion to
institute a trading halt on ArcaEx when
the trading halt is for a non-regulatory
reason.
Further, the Commission recognizes
that the Exchange has represented that
the PCX Market Management staff
member will be able to monitor the
quoting and trading activity of its
Users 8 during that time period. In
addition, the Commission notes that the
Exchange has represented that it will
not begin trading at 1 a.m. (Pacific time)
until the Securities Information
Processors (‘‘SIPs’’ are ready to
accommodate quoting and trading
beginning at 1 a.m. (Pacific time) and
have provided ArcaEx with notification
that they are prepared to disseminate
quotes and trades at that time. The
Commission believes that this precondition to commencing trading a 1
a.m. (Pacific time) is appropriate
because the quote and trade data
disseminated by SIPs are fundamental
to market transparency.
It is therefore ordered, pursuant to
Section 19(b)(2) of the Act,9 that the
proposed rule change, as amended, (SR–
PCX–2004–83) be, and it hereby is,
approved.
PO 00000
BILLING CODE 8010–01–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 that will require
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. The information collection
packages that may be included in this
notice are for revisions to OMBapproved information collections and
extensions (no change) of OMBapproved 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 on ways
to minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Written
comments and recommendations
regarding the information collection(s)
should be submitted to the OMB Desk
Officer and the SSA Reports Clearance
Officer. The information can be mailed
and/or faxed to the individuals at the
addresses and fax numbers listed below:
(OMB) Office of Management and
Budget, Fax: 202–395–6974.
(SSA) Social Security Administration,
DCFAM, Attn: Reports Clearance
Officer, 1338 Annex Building, 6401
Security Blvd., Baltimore, MD 21235;
Fax: 410–965–6400.
I. The information collections listed
below are pending at SSA and will be
submitted to OMB within 60 days from
the date of this notice. Therefore, your
comments should be submitted to SSA
within 60 days from the date of this
publication. You can obtain copies of
the collection instruments by calling the
SSA Reports Clearance Officer at 410–
965–0454 or by writing to the address
listed above.
1. Report of Death by Funeral
Director—20 CFR 404.715, 404.720,
416.635—0960–0142. SSA uses the
information on form SSA–721 to make
timely and accurate decisions based on
8 See
9 15
PCXE Rule 1.1(yy).
U.S.C. 78s(b)(2).
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.10
Jill M. Peterson,
Assistant Secretary.
[FR Doc. E5–159 Filed 1–14–05; 8:45 am]
Frm 00082
Fmt 4703
Sfmt 4703
10 17
E:\FR\FM\18JAN1.SGM
CFR 200.30–3(a)(12).
18JAN1
Federal Register / Vol. 70, No. 11 / Tuesday, January 18, 2005 / Notices
the report of death including: (1)
Proving the death of an insured
individual, (2) learning of the death of
a beneficiary whose benefits should
terminate, and (3) determining who is
eligible for the Lump-Sum Death
Payment (LSDP) or may be eligible for
benefits. The respondents are funeral
directors with knowledge of the fact of
death.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 741,113.
Frequency of Response: 1.
Average Burden Per Response: 3.5
minutes.
Estimated Annual Burden: 43,231
hours.
2. Statement Regarding
Contributions—20 CFR 360–366 and
404.736—0960–0020. The determination
of one-half support or contributions to
support must be made to entitle certain
child applicants to Social Security
benefits. SSA uses form SSA–783 to
collect the information necessary to
make such a determination. The
respondents are persons giving
information about a child’s sources of
support for entitlement to child’s
benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 17
minutes.
Estimated Annual Burden: 8,500
hours.
3. Appointment of Representative—20
CFR 404.1707, 404.1720, 404.1725,
410.684 and 416.1507—0960–0527. The
information collected by SSA on form
SSA–1696–U4 is used to verify the
applicant’s appointment of a
representative. It allows SSA to inform
the representative of items which affect
the applicant’s claim. The affected
public consists of applicants who notify
SSA that they have appointed a person
to represent them in their dealings with
SSA when claiming a right to benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 91,920
hours.
4. Employee Work Activity
Questionnaire—20 CFR 404.1574,
404.1592—0960–0483. When a possible
unsuccessful work attempt or a subsidy
is involved, as described in regulations
20 CFR 404.1574(a)(1), (2) and (3), form
SSA–3033 is used to request a
description of the employee’s work
VerDate jul<14>2003
11:51 Jan 14, 2005
Jkt 205001
effort. The data is evaluated to
determine if the claimant meets the
disability requirements of the law. The
information is collected through form
SSA–3033 or by telephone contact, only
in cases where it cannot be obtained
through electronic data matches with
other Federal agencies and/or State
agencies.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 3,750
hours.
5. Petition To Obtain Approval of a
Fee for Representing a Claimant Before
the Social Security Administration—20
CFR Subpart R—404.1720, 404.1725,
Subpart F, 410.686b, Subpart O,
416.1520 and 416.1525—0960–0104. A
representative of a claimant for Social
Security benefits must file either a fee
petition or a fee agreement with SSA in
order to charge a fee for representing a
claimant in proceedings before SSA.
The representative uses form SSA–1560
to petition SSA for authorization to
charge and collect a fee. A claimant may
also use the form to agree or disagree
with the requested fee amount or other
information the representative provides
on the form. SSA uses the information
to determine a reasonable fee that a
representative may charge and collect
for his or her services. The respondents
are claimants, their attorneys and other
persons representing them.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 34,624.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 17,312
hours.
6. Authorization to Obtain Earnings
Data From the Social Security
Administration—0960–0602. The
information collected on form SSA–581
is used to verify the authorization of the
wage earner, or other party, to access the
correct earnings record and disposition
of the response. This access is required
in order to produce an itemized
statement for release to the proper third
party. The respondents are individuals,
and various private/public
organizations/agencies needing detailed
earnings information.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 2
minutes.
PO 00000
Frm 00083
Fmt 4703
Sfmt 4703
2919
Estimated Average Burden: 2,000
hours.
7. Statement Regarding the Inferred
Death of an Individual by Reason of
Continued and Unexplained Absence—
20 CFR 404.720 and 404.721—0960–
0002. SSA will use the information
collected on form SSA–723 in making
its determination that the missing
person may be presumed deceased and,
if so, to establish a date of presumed
death. The respondents are persons who
have knowledge about the
disappearance of the missing person.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 1,500
hours.
II. The information collections listed
below have been submitted to OMB for
clearance. Your comments on the
information collections would be most
useful if received by OMB and SSA
within 30 days from the date of this
publication. You can obtain a copy of
the OMB clearance package by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
1. Reporting Events–SSI—20 CFR
416.701–.732—0960–0128. SSA
administers Federal Supplemental
Security Income (SSI) benefits under
title XVI of the Social Security Act. SSI
is a public assistance program that
provides benefits to individuals who are
disabled, blind, or aged and who have
limited income and resources. To assure
proper administration of SSI benefits,
SSA periodically requests information
from individuals to reevaluate their
continuing SSI eligibility and payment
amount using Form SSA–8150–EV. The
form serves as a reminder to individuals
as to what they need to report in order
to retain their benefits. Form SSA–
8150–EV provides individuals with a
way to report changes in their
circumstances in writing. SSA uses the
reported changes to determine SSI
eligibility and correct payment amounts.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,180.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 2,515
hours.
2. Cessation or Continuance of
Disability or Blindness Determination
and Transmittal—20 CFR 404.1615, 20
CFR 404.1512, and 20 CFR 404.1588–
1599—0960–0442. Form SSA–833–C3/
E:\FR\FM\18JAN1.SGM
18JAN1
2920
Federal Register / Vol. 70, No. 11 / Tuesday, January 18, 2005 / Notices
U3 is used by Disability Determination
Services (DDS) to prepare continuance
and cessation determinations of
disability or blindness on Title II claims.
The information is used in the course of
the Federal SSA quality review of the
determination. Form SSA–833–C3/U3 is
also used to provide for SSA input on
automated systems controls, e.g.
establish and/or cancel diary controls,
to establish a permanent longitudinal
history of the claim, and to supply a
statistical base to provide aggregate
program information to SSA
administrators, Congress, and the
President.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 303,564.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 151,782
hours.
3. Application to Collect a Fee for
Payee Services—0960–NEW.
Information requested on form SSA–445
will be provided by the fee for payee
services applicant. SSA will be the only
user of this information. By using form
SSA–445, SSA will be able to determine
whether the applicant meets the
requirements to become a fee for service
organizational payee, and if the
applicant has provided all the
information and documentation
required. Based on the information
provided on form SSA–445, SSA will
issue a determination authorizing or
denying permission to collect fees for
payee services.
Type of Request: New information
collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 3
minutes.
Estimated Annual Burden: 5 hours.
4. Agreement to Sell Property—20
CFR 416.1240–1245—0960–0127.
Individuals or couples who are
otherwise eligible for SSI benefits, but
who’s resources exceed the allowable
limit, may receive conditional payments
if they agree to dispose of the excess
non-liquid resources and make
repayment. Form SSA–8060-U3 is used
to document this agreement and to
ensure that the individuals understand
their obligations. Respondents are
applicants and recipients of SSI
benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
VerDate jul<14>2003
11:51 Jan 14, 2005
Jkt 205001
Estimated Annual Burden: 3,333
hours.
5. Epidemiological Research
Request—20 CFR 401.165—0960–NEW.
Section 311 of the Social Security
Independence and Program
Improvements Act of 1994 directed SSA
to provide support to health researchers
involved in epidemiological research.
Specifically, when the study is
determined to contribute to a national
health interest, SSA will furnish
information regarding whether a study
subject is shown on the SSA
administrative records as being alive or
deceased (vital status). SSA will recoup
all expenses incurred in providing this
information. SSA collects information
from health researchers in order to
provide the data required and to collect
fees. Respondents are applicants for
vital status information.
Type of Request: Collection in use
without OMB number.
Number of Respondents: 25.
Frequency of Response: 1.
Average Burden Per Response: 120
minutes.
Estimated Annual Burden: 50 hours.
6. Student Reporting Form—20 CFR
404.367, 404.368, 404.415, 404.434,
404.452(b)(2)—0960–0088. Form SSA–
1383 is used by Social Security student
beneficiaries to report events or changes
that may affect continuing entitlement
to these benefits. The respondents are
Social Security student beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden Per Response: 6
minutes.
Estimated Annual Burden: 7,500
hours.
7. Electronic Benefit Verification
Information—20 CFR 401.40—0960–
0595. SSA provides verification of
benefits, when requested, to individuals
receiving Title II and/or Title XVI
benefits. In order to provide to the
public an easy and convenient means of
requesting benefit information, SSA has
developed an electronic request form
that will allow persons to request the
information through the Internet. The
information collected on the electronic
screens will be used by SSA to process
the request for a benefit verification
statement. To ensure appropriate
confidentiality, the statement will be
mailed to the recipient/beneficiary
address shown in SSA’s records. The
respondents are Title II and XVI
recipients/beneficiaries who request
benefit verification information using
the Internet.
Type of Request: Extension of an
approved OMB information collection.
PO 00000
Frm 00084
Fmt 4703
Sfmt 4703
Number of Respondents: 133,920.
Frequency of Response: 1.
Average Burden Per Response: 1⁄2
minute.
Estimated Annual Burden: 1,116
hours.
8. Listing of Impairments—Part 404,
Subpart P, Appendix I—0960–0642.
Background
The Listing of Impairments (the
listings), part 404, subpart P, appendix
I, describes for each of the major body
systems, impairments which are severe
enough to prevent an individual from
doing any gainful activity. As part of the
listings, we provide an introductory
text, which identifies specific
requirements that affect the body
system, such as documentation
requirements and other factors that must
be considered when evaluating
impairments within that body system.
These can include requirements for
medical and other evidence. This
clearance request covers sections in the
following listings that contain
information collection requirements:
The regulations for the musculoskeletal
body system contain reporting
requirements at sections 1.00B, 1.00C,
1.00D, 1.00E, 1.00H, 1.00I, 1.00J, 1.00K,
1.00P, 14.09A, 101.00B, 101.00C,
101.00D, 101.00E, 101.00H, 101.00I,
101.00J, 101.00P, and 114.09A. The
regulations for the cardiovascular body
system contain reporting requirements
at sections 4.00B, 4.00C, 4.00D, 4.00E,
4.00F, 4.00G, 4.02A, 104.00B, 104.00C,
104.00E, and 104.06. The regulations for
the genitourinary body system contain
reporting requirements at sections
6.00C, 6.00E, 6.00G, 106.00C, 106.00E,
and 106.00G. The regulations for the
skin body system contain reporting
requirements at sections 8.00C, 8.00D,
108.00B, 108.00C, and 108.00D. The
regulations for the multiple body system
contain reporting requirements at
sections 10.00B, 10.00C, 110.00B, and
110.00C. The regulations for
Amyotrophic Lateral Sclerosis (ALS)
contain reporting requirements at
sections 11.00G and 11.10. The
regulations for the malignant neoplastic
diseases contain reporting requirements
at 13.00B, 13.00D, 13.00E, 13.00G,
13.00K, 113.00B, 113.00D, 113.00E,
113.00G, and 113.00K.
The Information Collection
The medical evidence documentation
described in the listings is used by State
DDSs to assess the alleged disability.
The information, together with other
evidence, is used to determine if an
individual claiming disability benefits
has an impairment that meets severity
and duration requirements. The
E:\FR\FM\18JAN1.SGM
18JAN1
Federal Register / Vol. 70, No. 11 / Tuesday, January 18, 2005 / Notices
respondents are disability applicants
and other sources of evidence. SSA uses
various forms to collect the information
specified in the regulations. The public
reporting burden is accounted for in the
Information Collection Requests for
these forms. Consequently, we are
assigning a placeholder of 1-hour to the
specific reporting requirements in
theses listings so that we do not
duplicate the burden assigned to the
forms.
Type of Request: Extension of an
OMB-approved information collection.
9. Request for Review of Hearing
Decision/Order—20 CFR 404.967–.981,
20 CFR 416.1467–.1481—0960–0277.
SSA collects the information on form
HA–520 from each claimant for Social
Security or SSI benefits who is
dissatisfied with the hearing decision or
the dismissal of a hearing request and
wants to request review of the decision
by the Appeals Council. An individual
may request Appeals Council review by
filing a written request; however, a
completed HA–520 ensures that SSA
receives the information necessary to
establish that the claimant filed the
request for review within the prescribed
time, that the claimant is a proper party,
and that the claimant has completed the
requisite steps to permit review by the
Appeals Council. The Appeals Council
also uses the information provided by
the claimant to document the claimant’s
reason (s) for disagreeing with the ALJ
decision or dismissal, to determine
whether the claimant has additional
evidence to submit, and to determine
whether the claimant has a
representative or wants to appoint one.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 107,485.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 17,914
hours.
10. Non-Attorney Representative
Demonstration Project Application—
0960–NEW.
Section 303 of the Social Security
Protection Act of 2004 (SSPA) provides
for a 5-year demonstration project to be
conducted by SSA under which the
direct payment of SSA approved fees is
extended to certain non-attorney
claimant representatives. Under the
SSPA, to be eligible for direct payment
of fees, a non-attorney representative
must fulfill the following statutory
requirements: (1) Possess a bachelors
degree or have equivalent qualifications
derived from training and work
experience; (2) pass an examination that
tests knowledge of the relevant
VerDate jul<14>2003
11:51 Jan 14, 2005
Jkt 205001
provisions of the Social Security Act; (3)
secure professional liability insurance
or equivalent insurance; (4) pass a
criminal background check; and (5)
demonstrate completion of relevant
continuing education courses. Through
the services of a private contractor, SSA
must collect the requested information
to determine if a non-attorney
representative has met the statutory
requirements to be eligible for direct
payment of fees for his or her claimant
representation services. The information
collection is needed to comply with the
legislation. The respondents are nonattorney representatives who apply for
direct payment of fees.
Type of Request: New information
collection.
Number of Respondents: 500.
Frequency of Response: 1.
Average Burden Per Response: 60
minutes.
Estimated Annual Burden: 500 hours.
11. Disability Determination and
Transmittal—20 CFR 404.1615(e),
416.1015(f)—0960–0437. The
information collected on form SSA–
831–C3/U3 is used by SSA to document
the State agency determination as to
whether an individual who applies for
disability benefits is eligible for those
benefits based on his/her alleged
disability. SSA also uses form SSA–
831–C3/U3 for program management
and for evaluation. The respondents are
State DDSs adjudicating Title II and
Title XVI disability determinations for
SSA.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 3,155,120.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Average Burden: 788,780
hours.
12. State Mental Institution Policy
Review—20 CFR 416 Subpart U, 20 CFR
416 Subpart F, 20 CFR 404.2035 and
.2065, 20 CFR 416.635 and .665—0960–
0110. SSA sends form SSA–9584–BK to
State mental institutions that participate
in SSA’s representative payee onsite
review program. As a representative
payee, the State mental institution has
the responsibility to receive and
administer payments to beneficiaries
who have been determined by SSA to be
incapable of managing benefits. SSA is
required by law and regulations to
monitor representative payees’ use of
benefits. Under the onsite review
program, SSA conducts a triennial
review of State mental institutions in
order to determine whether the
institutions; policies and practices
conform with SSA’s regulations in the
PO 00000
Frm 00085
Fmt 4703
Sfmt 4703
2921
use of benefits, and the other duties and
responsibilities required of
representative payees.
The form obtains information needed
by the SSA review team (comprised of
representatives from SSA’s regional and
field offices), and provides a basis for
conducting the actual onsite review. In
addition, the information is used in the
preparation of the subsequent report of
findings and recommendations, which
is issued to the institutions.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 60
minutes.
Estimated Annual Burden: 100 hours.
Dated: January 11, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 05–868 Filed 1–14–05; 8:45 am]
BILLING CODE 4191–02–P
OFFICE OF THE UNITED STATES
TRADE REPRESENTATIVE
Andean Trade Preference Act (ATPA),
as Amended: Notice Regarding the
2003 and 2004 Annual Reviews
Office of the United States
Trade Representative.
ACTION: Notice.
AGENCY:
SUMMARY: The Office of the United
States Trade Representative (USTR)
received petitions in September 2004 to
review certain practices in certain
beneficiary developing countries to
determine whether such countries are in
compliance with the ATPA eligibility
criteria. In a November 15, 2004 notice,
USTR published a list of responsive
petitions that were accepted for review.
This notice specifies the results of the
preliminary review of those petitions as
well as the status of the petitions filed
in 2003 that have remained under
review.
FOR FURTHER INFORMATION CONTACT:
Bennett M. Harman, Deputy Assistant
U.S. Trade Representative for Latin
America, at (202) 395–9446.
SUPPLEMENTARY INFORMATION: The ATPA
(19 U.S.C. 3201 et seq.), as renewed and
amended by the Andean Trade
Promotion and Drug Eradication Act of
2002 (ATPDEA) in the Trade Act of
2002 (Public Law 107–210), provides
trade benefits for eligible Andean
countries. Pursuant to section 3103(d) of
the ATPDEA, USTR promulgated
regulations (15 CFR part 2016) (68 FR
43922) regarding the review of
E:\FR\FM\18JAN1.SGM
18JAN1
]]>Agencies
[Federal Register Volume 70, Number 11 (Tuesday, January 18, 2005)]
[Notices]
[Pages 2918-2921]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-868]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages that will require 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.
The information collection packages that may be included in this notice
are for revisions to OMB-approved information collections and
extensions (no change) 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed and/or faxed to the individuals
at the addresses and fax numbers listed below:
(OMB) Office of Management and Budget, Fax: 202-395-6974.
(SSA) Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1338 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235; Fax: 410-965-6400.
I. The information collections listed below are pending at SSA and
will be submitted to OMB within 60 days from the date of this notice.
Therefore, your comments should be submitted to SSA within 60 days from
the date of this publication. You can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
0454 or by writing to the address listed above.
1. Report of Death by Funeral Director--20 CFR 404.715, 404.720,
416.635--0960-0142. SSA uses the information on form SSA-721 to make
timely and accurate decisions based on
[[Page 2919]]
the report of death including: (1) Proving the death of an insured
individual, (2) learning of the death of a beneficiary whose benefits
should terminate, and (3) determining who is eligible for the Lump-Sum
Death Payment (LSDP) or may be eligible for benefits. The respondents
are funeral directors with knowledge of the fact of death.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 741,113.
Frequency of Response: 1.
Average Burden Per Response: 3.5 minutes.
Estimated Annual Burden: 43,231 hours.
2. Statement Regarding Contributions--20 CFR 360-366 and 404.736--
0960-0020. The determination of one-half support or contributions to
support must be made to entitle certain child applicants to Social
Security benefits. SSA uses form SSA-783 to collect the information
necessary to make such a determination. The respondents are persons
giving information about a child's sources of support for entitlement
to child's benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden Per Response: 17 minutes.
Estimated Annual Burden: 8,500 hours.
3. Appointment of Representative--20 CFR 404.1707, 404.1720,
404.1725, 410.684 and 416.1507--0960-0527. The information collected by
SSA on form SSA-1696-U4 is used to verify the applicant's appointment
of a representative. It allows SSA to inform the representative of
items which affect the applicant's claim. The affected public consists
of applicants who notify SSA that they have appointed a person to
represent them in their dealings with SSA when claiming a right to
benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 91,920 hours.
4. Employee Work Activity Questionnaire--20 CFR 404.1574,
404.1592--0960-0483. When a possible unsuccessful work attempt or a
subsidy is involved, as described in regulations 20 CFR 404.1574(a)(1),
(2) and (3), form SSA-3033 is used to request a description of the
employee's work effort. The data is evaluated to determine if the
claimant meets the disability requirements of the law. The information
is collected through form SSA-3033 or by telephone contact, only in
cases where it cannot be obtained through electronic data matches with
other Federal agencies and/or State agencies.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 3,750 hours.
5. Petition To Obtain Approval of a Fee for Representing a Claimant
Before the Social Security Administration--20 CFR Subpart R--404.1720,
404.1725, Subpart F, 410.686b, Subpart O, 416.1520 and 416.1525--0960-
0104. A representative of a claimant for Social Security benefits must
file either a fee petition or a fee agreement with SSA in order to
charge a fee for representing a claimant in proceedings before SSA. The
representative uses form SSA-1560 to petition SSA for authorization to
charge and collect a fee. A claimant may also use the form to agree or
disagree with the requested fee amount or other information the
representative provides on the form. SSA uses the information to
determine a reasonable fee that a representative may charge and collect
for his or her services. The respondents are claimants, their attorneys
and other persons representing them.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 34,624.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 17,312 hours.
6. Authorization to Obtain Earnings Data From the Social Security
Administration--0960-0602. The information collected on form SSA-581 is
used to verify the authorization of the wage earner, or other party, to
access the correct earnings record and disposition of the response.
This access is required in order to produce an itemized statement for
release to the proper third party. The respondents are individuals, and
various private/public organizations/agencies needing detailed earnings
information.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Average Burden: 2,000 hours.
7. Statement Regarding the Inferred Death of an Individual by
Reason of Continued and Unexplained Absence--20 CFR 404.720 and
404.721--0960-0002. SSA will use the information collected on form SSA-
723 in making its determination that the missing person may be presumed
deceased and, if so, to establish a date of presumed death. The
respondents are persons who have knowledge about the disappearance of
the missing person.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 1,500 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance package
by calling the SSA Reports Clearance Officer at 410-965-0454, or by
writing to the address listed above.
1. Reporting Events-SSI--20 CFR 416.701-.732--0960-0128. SSA
administers Federal Supplemental Security Income (SSI) benefits under
title XVI of the Social Security Act. SSI is a public assistance
program that provides benefits to individuals who are disabled, blind,
or aged and who have limited income and resources. To assure proper
administration of SSI benefits, SSA periodically requests information
from individuals to reevaluate their continuing SSI eligibility and
payment amount using Form SSA-8150-EV. The form serves as a reminder to
individuals as to what they need to report in order to retain their
benefits. Form SSA-8150-EV provides individuals with a way to report
changes in their circumstances in writing. SSA uses the reported
changes to determine SSI eligibility and correct payment amounts.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,180.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 2,515 hours.
2. Cessation or Continuance of Disability or Blindness
Determination and Transmittal--20 CFR 404.1615, 20 CFR 404.1512, and 20
CFR 404.1588-1599--0960-0442. Form SSA-833-C3/
[[Page 2920]]
U3 is used by Disability Determination Services (DDS) to prepare
continuance and cessation determinations of disability or blindness on
Title II claims. The information is used in the course of the Federal
SSA quality review of the determination. Form SSA-833-C3/U3 is also
used to provide for SSA input on automated systems controls, e.g.
establish and/or cancel diary controls, to establish a permanent
longitudinal history of the claim, and to supply a statistical base to
provide aggregate program information to SSA administrators, Congress,
and the President.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 303,564.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 151,782 hours.
3. Application to Collect a Fee for Payee Services--0960-NEW.
Information requested on form SSA-445 will be provided by the fee for
payee services applicant. SSA will be the only user of this
information. By using form SSA-445, SSA will be able to determine
whether the applicant meets the requirements to become a fee for
service organizational payee, and if the applicant has provided all the
information and documentation required. Based on the information
provided on form SSA-445, SSA will issue a determination authorizing or
denying permission to collect fees for payee services.
Type of Request: New information collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 5 hours.
4. Agreement to Sell Property--20 CFR 416.1240-1245--0960-0127.
Individuals or couples who are otherwise eligible for SSI benefits, but
who's resources exceed the allowable limit, may receive conditional
payments if they agree to dispose of the excess non-liquid resources
and make repayment. Form SSA-8060-U3 is used to document this agreement
and to ensure that the individuals understand their obligations.
Respondents are applicants and recipients of SSI benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 3,333 hours.
5. Epidemiological Research Request--20 CFR 401.165--0960-NEW.
Section 311 of the Social Security Independence and Program
Improvements Act of 1994 directed SSA to provide support to health
researchers involved in epidemiological research. Specifically, when
the study is determined to contribute to a national health interest,
SSA will furnish information regarding whether a study subject is shown
on the SSA administrative records as being alive or deceased (vital
status). SSA will recoup all expenses incurred in providing this
information. SSA collects information from health researchers in order
to provide the data required and to collect fees. Respondents are
applicants for vital status information.
Type of Request: Collection in use without OMB number.
Number of Respondents: 25.
Frequency of Response: 1.
Average Burden Per Response: 120 minutes.
Estimated Annual Burden: 50 hours.
6. Student Reporting Form--20 CFR 404.367, 404.368, 404.415,
404.434, 404.452(b)(2)--0960-0088. Form SSA-1383 is used by Social
Security student beneficiaries to report events or changes that may
affect continuing entitlement to these benefits. The respondents are
Social Security student beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden Per Response: 6 minutes.
Estimated Annual Burden: 7,500 hours.
7. Electronic Benefit Verification Information--20 CFR 401.40--
0960-0595. SSA provides verification of benefits, when requested, to
individuals receiving Title II and/or Title XVI benefits. In order to
provide to the public an easy and convenient means of requesting
benefit information, SSA has developed an electronic request form that
will allow persons to request the information through the Internet. The
information collected on the electronic screens will be used by SSA to
process the request for a benefit verification statement. To ensure
appropriate confidentiality, the statement will be mailed to the
recipient/beneficiary address shown in SSA's records. The respondents
are Title II and XVI recipients/beneficiaries who request benefit
verification information using the Internet.
Type of Request: Extension of an approved OMB information
collection.
Number of Respondents: 133,920.
Frequency of Response: 1.
Average Burden Per Response: \1/2\ minute.
Estimated Annual Burden: 1,116 hours.
8. Listing of Impairments--Part 404, Subpart P, Appendix I--0960-
0642.
Background
The Listing of Impairments (the listings), part 404, subpart P,
appendix I, describes for each of the major body systems, impairments
which are severe enough to prevent an individual from doing any gainful
activity. As part of the listings, we provide an introductory text,
which identifies specific requirements that affect the body system,
such as documentation requirements and other factors that must be
considered when evaluating impairments within that body system. These
can include requirements for medical and other evidence. This clearance
request covers sections in the following listings that contain
information collection requirements: The regulations for the
musculoskeletal body system contain reporting requirements at sections
1.00B, 1.00C, 1.00D, 1.00E, 1.00H, 1.00I, 1.00J, 1.00K, 1.00P, 14.09A,
101.00B, 101.00C, 101.00D, 101.00E, 101.00H, 101.00I, 101.00J, 101.00P,
and 114.09A. The regulations for the cardiovascular body system contain
reporting requirements at sections 4.00B, 4.00C, 4.00D, 4.00E, 4.00F,
4.00G, 4.02A, 104.00B, 104.00C, 104.00E, and 104.06. The regulations
for the genitourinary body system contain reporting requirements at
sections 6.00C, 6.00E, 6.00G, 106.00C, 106.00E, and 106.00G. The
regulations for the skin body system contain reporting requirements at
sections 8.00C, 8.00D, 108.00B, 108.00C, and 108.00D. The regulations
for the multiple body system contain reporting requirements at sections
10.00B, 10.00C, 110.00B, and 110.00C. The regulations for Amyotrophic
Lateral Sclerosis (ALS) contain reporting requirements at sections
11.00G and 11.10. The regulations for the malignant neoplastic diseases
contain reporting requirements at 13.00B, 13.00D, 13.00E, 13.00G,
13.00K, 113.00B, 113.00D, 113.00E, 113.00G, and 113.00K.
The Information Collection
The medical evidence documentation described in the listings is
used by State DDSs to assess the alleged disability. The information,
together with other evidence, is used to determine if an individual
claiming disability benefits has an impairment that meets severity and
duration requirements. The
[[Page 2921]]
respondents are disability applicants and other sources of evidence.
SSA uses various forms to collect the information specified in the
regulations. The public reporting burden is accounted for in the
Information Collection Requests for these forms. Consequently, we are
assigning a placeholder of 1-hour to the specific reporting
requirements in theses listings so that we do not duplicate the burden
assigned to the forms.
Type of Request: Extension of an OMB-approved information
collection.
9. Request for Review of Hearing Decision/Order--20 CFR
404.967-.981, 20 CFR 416.1467-.1481--0960-0277. SSA collects the
information on form HA-520 from each claimant for Social Security or
SSI benefits who is dissatisfied with the hearing decision or the
dismissal of a hearing request and wants to request review of the
decision by the Appeals Council. An individual may request Appeals
Council review by filing a written request; however, a completed HA-520
ensures that SSA receives the information necessary to establish that
the claimant filed the request for review within the prescribed time,
that the claimant is a proper party, and that the claimant has
completed the requisite steps to permit review by the Appeals Council.
The Appeals Council also uses the information provided by the claimant
to document the claimant's reason (s) for disagreeing with the ALJ
decision or dismissal, to determine whether the claimant has additional
evidence to submit, and to determine whether the claimant has a
representative or wants to appoint one.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 107,485.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 17,914 hours.
10. Non-Attorney Representative Demonstration Project Application--
0960-NEW.
Section 303 of the Social Security Protection Act of 2004 (SSPA)
provides for a 5-year demonstration project to be conducted by SSA
under which the direct payment of SSA approved fees is extended to
certain non-attorney claimant representatives. Under the SSPA, to be
eligible for direct payment of fees, a non-attorney representative must
fulfill the following statutory requirements: (1) Possess a bachelors
degree or have equivalent qualifications derived from training and work
experience; (2) pass an examination that tests knowledge of the
relevant provisions of the Social Security Act; (3) secure professional
liability insurance or equivalent insurance; (4) pass a criminal
background check; and (5) demonstrate completion of relevant continuing
education courses. Through the services of a private contractor, SSA
must collect the requested information to determine if a non-attorney
representative has met the statutory requirements to be eligible for
direct payment of fees for his or her claimant representation services.
The information collection is needed to comply with the legislation.
The respondents are non-attorney representatives who apply for direct
payment of fees.
Type of Request: New information collection.
Number of Respondents: 500.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 500 hours.
11. Disability Determination and Transmittal--20 CFR 404.1615(e),
416.1015(f)--0960-0437. The information collected on form SSA-831-C3/U3
is used by SSA to document the State agency determination as to whether
an individual who applies for disability benefits is eligible for those
benefits based on his/her alleged disability. SSA also uses form SSA-
831-C3/U3 for program management and for evaluation. The respondents
are State DDSs adjudicating Title II and Title XVI disability
determinations for SSA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 3,155,120.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Average Burden: 788,780 hours.
12. State Mental Institution Policy Review--20 CFR 416 Subpart U,
20 CFR 416 Subpart F, 20 CFR 404.2035 and .2065, 20 CFR 416.635 and
.665--0960-0110. SSA sends form SSA-9584-BK to State mental
institutions that participate in SSA's representative payee onsite
review program. As a representative payee, the State mental institution
has the responsibility to receive and administer payments to
beneficiaries who have been determined by SSA to be incapable of
managing benefits. SSA is required by law and regulations to monitor
representative payees' use of benefits. Under the onsite review
program, SSA conducts a triennial review of State mental institutions
in order to determine whether the institutions; policies and practices
conform with SSA's regulations in the use of benefits, and the other
duties and responsibilities required of representative payees.
The form obtains information needed by the SSA review team
(comprised of representatives from SSA's regional and field offices),
and provides a basis for conducting the actual onsite review. In
addition, the information is used in the preparation of the subsequent
report of findings and recommendations, which is issued to the
institutions.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 100.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 100 hours.
Dated: January 11, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-868 Filed 1-14-05; 8:45 am]
BILLING CODE 4191-02-P
