Agency Information Collection Activities: Proposed Request and Comment Request, 8125-8128 [05-3029]
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Federal Register / Vol. 70, No. 32 / Thursday, February 17, 2005 / Notices
Paper Comments
• Send paper comments in triplicate
to Jonathan G. Katz, Secretary,
Securities and Exchange Commission,
450 Fifth Street, NW., Washington, DC
20549–0609.
All submissions should refer to File
Number SR–PCX–2004–129. This file
number should be included on the
subject line if e-mail 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 inspection and copying in
the Commission’s Public Reference
Section, 450 Fifth Street, NW.,
Washington, DC 20549. Copies of such
filing also will be available for
inspection and copying at the principal
office of PCX. 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–PCX–
2004–129 and should be submitted on
or before March 10, 2005.
IV. Commission’s Findings and Order
Granting Accelerated Approval of
Proposed Rule Change
The Commission finds that the
proposed rule change, as amended, is
consistent with the requirements of the
Act and the rules and regulations
thereunder applicable to a national
securities exchange.9 In particular, the
Commission believes that the proposal
is consistent with Section 6(b)(5) of the
Act,10 which requires that the rules of
an exchange be designed to promote just
and equitable principles of trade and, in
general, to protect investors and the
public interest.
Simultaneous with this order, the
Commission is approving an exemption
until June 30, 2005, from Rules 11 Ac1–
9 In approving the proposed rule, the Commission
has considered the proposed rule’s impact on
efficiency, competition, and capital formation. See
15 U.S.C. 78c(f).
10 15 U.S.C. 78f(b)(5).
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1, 11 Ac1–2, and 11 Ac1–4 under the
Act 11 that permits ArcaEx, ETP Holders
of ArcaEx, and vendors that disseminate
ArcaEx quote information to enter,
execute, and report quotations in
exchange-listed, NNM, and SmallCap
securities in increments less than $0.01,
although such quotations will be
disseminated in rounded, penny
increments without a rounding
identifier.12 The changes to
Commentary .05 to PCXE Rule 7.6(a)
incorporate the terms of that
Commission exemption into PCXE’s
rules. The changes to Commentary .01
to PCXE Rule 6.16 provide that an ETP
Holder must price-improve an incoming
marketable order by at least $0.01 when
holding an unexecuted customer limit
order otherwise due an execution
pursuant to PCXE Rule 6.16(a). This is
an important investor protection
because an ETP Holder will be
prohibited from stepping ahead of a
customer limit order by a sub-penny
amount even though sub-penny orders
generally may be entered on ArcaEx.
The Commission notes that it previously
has approved an identical price
improvement standard on other
exchanges.13
The Commission finds good cause for
approving this proposal before the
thirtieth day after the publication of
notice thereof in the Federal Register.
Accelerated approval will provide
protection for customer limit orders
simultaneous with the effectiveness of
the Commission exemption that permits
sub-penny quoting, for a limited period,
on ArcaEx.
V. Conclusion
It Is Therefore Ordered, pursuant to
Section 19(b)(2) of the Act,14 that the
proposed rule change, as amended (SR–
PCX–2004–129), is hereby approved on
an accelerated basis.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.15
Margaret H. McFarland,
Deputy Secretary.
[FR Doc. E5–654 Filed 2–16–05; 8:45 am]
BILLING CODE 8010–01–P
11 17 CFR 240.11 Ac1–1, 240.11 Ac1–2, and
240.11 Ac1–4.
12 See letter from David S. Shillman, Associate
Director, Division, Commission, to Mai S. Shiver,
Director of Regulatory Policy, PCX, dated February
10, 2005.
13 See Securities Exchange Act Release No. 44164
(April 6, 2001), 66 FR 19263 (April 13, 2001)
(approving penny price improvement increment on
Chicago Stock Exchange); Securities Exchange Act
Release No. 46274 (July 29, 2002), 67 FR 50743
(August 5, 2002) (same for Cincinnati—now
National—Stock Exchange).
14 15 U.S.C. 78s(b)(2).
15 17 CFR.200.30–3(a)(12).
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8125
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
Pub. L. 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 new information
collections, 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, Attn: Desk Officer for SSA, New
Executive Building, Room 10235, 725
17th St., NW., Washington, DC 20503,
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. Railroad Employment
Questionnaire—20 CFR 404.1401,
404.1406–.1408—0960–0078. SSA uses
form SSA–671 to secure sufficient
information to effect the required
coordination with the Railroad
Retirement Board for Social Security
claims processing. It is completed
whenever claimants give indications of
having been employed in the railroad
industry. The respondents are
applicants for Social Security benefits,
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who have had railroad employment, or
dependents of railroad workers.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 125,000.
Frequency of Response: 1.
Average Burden per Response: 5
minutes.
Estimated Annual Burden: 10,417
hours.
2. Government Pension
Questionnaire—20 CFR 404.408a—
0960–0160. The Social Security Act and
regulations provide that an individual
receiving spouse’s benefits and
concurrently receiving a Government
pension, based on the individual’s own
earnings, may have the Social Security
benefit amount reduced by two-thirds of
the pension amount. The data collected
on form SSA–3885 is used by SSA to
determine if the individual’s Social
Security benefit will be reduced, the
amount of the reduction, and if one of
the exceptions in 20 CFR 404.408a
applies. The respondents are
individuals who are receiving, or will
receive, Social Security spouse’s
benefits and also receive their own
Government pension.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 76,000.
Frequency of Response: 1.
Average Burden per Response: 12.5
minutes.
Estimated Annual Burden: 15,833
hours.
3. Teacher Questionnaire (SSA–5665–
BK); Request for Administrative
Information (SSA–5666–BK)—20 CFR
416.924a and 20 CFR 404.1520—0960–
0646. If an individual who is claiming
disability under title XVI or title II is
currently, or has recently been, in an
education program, SSA must obtain
information about his or her functioning
from teachers, instructors, and other
education personnel who have the
opportunity to observe the individual
on a day-to-day basis. Educational
programs are an important source of
evidence and often provide formal
assessment results and other kinds of
information from a variety of
disciplines. Evidence obtained from
educational programs varies a great
deal, however, in format, content,
reliability, and usefulness. The need
exists, therefore, for an information
collection instrument that will assure a
degree of uniformity and consistency in
the quantity and quality of information
received about a claimant’s (or
beneficiary’s/recipient’s) impairmentrelated limitations.
SSA–5665–BK
Type of Request: Revision of OMBapproved information collection.
Number of Respondents: 557,000.
Frequency of Response: 1.
Average Burden per Response: 20
minutes.
Estimated Annual Burden: 185,667
hours.
SSA–5666
Type of Request: Revision of OMBapproved information collection.
Number of Respondents: 555,000.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 138,750
hours.
4. Statement Regarding Date of Birth
and Citizenship—20 CFR 404.716—
0960–0016. Form SSA–702 collects
information needed when preferred or
other evidence is not available to prove
age or citizenship for an individual
applying for Social Security benefits.
SSA uses this form for individuals who
must establish age as a factor of
entitlement or U.S. citizenship as a
payment factor. Respondents are
applicants for one or more Social
Security benefits who need to establish
their dates of birth as a factor of
entitlement or U.S. citizenship as a
factor of payment.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 1,200.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 200 hours.
5. The Ticket to Work and SelfSufficiency Program—20 CFR 411.160–
.730—0960–0644. The Ticket to Work
and Self-Sufficiency program allows
individuals with disabilities who are
receiving SSA payments to work
towards decreased dependence on
government cash benefits programs
without jeopardizing their benefits
during the transition period to
employment. The program allows
disability payment recipients to choose
a provider from an employment network
(EN), who will guide these beneficiaries
in obtaining, regaining, and maintaining
self-supporting employment. 20 CFR
411.160–.730 discusses the regulations
governing this program. The
respondents are individuals entitled to
Social Security benefits based on
disability or individuals entitled to SSI;
Program Managers; EN contractors; and
VRAs.
Type of Request: Extension of an
OMB-approved information collection.
CFR sections
Number of
respondents
Frequency of response
Average burden per response
(minutes)
411.140(c) [X-refer sections 411.145, 411.150,
411.325(a), (b), (c), & (d), 411.320(f)].
411.325(e) [X-refer section 411.395(b)] ......................
411.325(f) [X-refer section 411.395(a)] .......................
411.190 (a) [X-refer section 411.195] .........................
411.220(a)(1) ...............................................................
441.245(b)(1) ...............................................................
411.325(d) ...................................................................
411.365 ........................................................................
411.575 [X-refer section 411.500] ...............................
411.605(b) [X-refer section 411.610] ..........................
411.435(c) ...................................................................
411.615 ........................................................................
411.625 ........................................................................
411.210(b) ...................................................................
411.590(b) ...................................................................
411.655 ........................................................................
411.200 ........................................................................
70,000 ..........
2/year ...............................
60 .....................................
140,000.
70,000 ..........
60,000 ..........
250 ...............
55 .................
12,000 ..........
25 .................
82 .................
6,000 ............
27,000 ..........
100 ...............
1,000 ............
50 .................
2,000 ............
100 ...............
1 ...................
150 ...............
12/year .............................
1/year ...............................
1/year ...............................
Varies ...............................
1 .......................................
1 .......................................
1 .......................................
1 .......................................
Varies ...............................
Once ................................
Once ................................
Once ................................
Once ................................
Once ................................
Once/year ........................
12/year .............................
60 .....................................
5 .......................................
30 .....................................
30 .....................................
1 .......................................
480 ...................................
240 ...................................
30 .....................................
5 .......................................
60 .....................................
60 .....................................
60 .....................................
30 .....................................
60 .....................................
120 ...................................
15 .....................................
840,000.
5,000.
125.
28.
200.
200.
328.
3,000.
2,250.
100.
1,000.
50.
1,000.
100.
2.
450.
Total annual respondents ....................................
248,813 ........
..........................................
Total Annual Burden
Hours.
993,833.
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Estimated annual burden
(hours)
Federal Register / Vol. 70, No. 32 / Thursday, February 17, 2005 / Notices
Total Estimated Annual Burden:
993,833 hours.
6. Help America Vote Act—0960–
NEW.
Background
On October 29, 2002, President
George W. Bush signed into law H.R.
3295, the Help America Vote Act
(HAVA) of 2002, which mandates the
verification of newly registered voters.
HAVA places certain requirements upon
SSA in terms of verifying information to
be used for each State’s voter
registration process.
SSA’s role in HAVA is defined in
Section 303 of the law. Section 303
requires each State to implement a
computerized statewide voter
registration list and to verify voter
information with the State motor
vehicle administration (MVA) records,
or if none exist, with SSA records.
HAVA Information Collection
Individuals registering to vote must
provide their driver’s license number to
the State election agency. If they have
no driver’s license or State-issued
identity card they must supply the last
four digits of the Social Security number
(SSN). The State election agency will
forward the new registrant name, date of
birth (DOB), and the last four digits of
the SSN to the State MVA.
SSA requires State MVAs to use the
American Association of Motor Vehicle
Administrations (AAMVA) as a
consolidation point for data transfer as
is currently done for SSN verification of
a driver’s license applicant. The data, as
input by the MVA, routes the
applicant’s information to the AAMVA
network hub. AAMVA forwards the
transaction to SSA’s HAVA verification
system. The result will be returned from
SSA to the AAMVA hub for distribution
to the State MVA. The respondents to
the HAVA collection are the various
State MVAs responsible under the act
for verifying voter registration
information.
Type of Request: New Information
Collection.
Number of Respondents: 50 State
MVAs.
Total Annual Responses: *1,000,000.
Average Burden per Response: 2
minutes.
Estimated Annual Burden: 33,333
hours.
*The actual number of responses per state
will vary based on population. Therefore, the
total number of responses is based on data of
new voter applications received by all 50
States in 1999–2000.
7. Public Understanding Measurement
System (PUMS)—0960–0612.
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As required by Section 2(b) of the
Government Performance and Results
Act (GPRA), which provides that
Agencies establish the means for
measuring their progress in achieving
agency-level goals, SSA established the
PUMS in 1998 as a tool for measuring
its performance in meeting its strategic
objectives in the area of public
knowledge about and understanding of
the Social Security program. The
instrument used in PUMS is a national
phone survey of adult Americans (age
18 and over) conducted annually for
SSA by a professional polling
organization.
The PUMS survey instrument is
designed to collect knowledge data from
key populations toward which SSA has
targeted education and outreach
programs. Additionally, the survey is
intended to assure a valid knowledge
measure for key populations at the
national level. This information is a
crucial step in making SSA more
focused and effective in its
communication programs. The
respondents are randomly selected
adults residing in the United States.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 1,400.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 350 hours.
8. Statement of Income and
Resources—20 CFR 416.207, 416.301–
.310, 416.704 and 416.708—0960–0124.
The information collected on form SSA–
8010–BK is used in Supplemental
Security Income (SSI) claims and
redeterminations to obtain information
about the income and resources of:
Ineligible spouses, parents/spouses of
parents, and children living in the
claimant’s/beneficiary’s household;
essential persons; and sponsors of aliens
(including spouses of sponsors who live
with the sponsor). The information is
needed to make initial or continuing
eligibility determinations for SSI
claimants/beneficiaries who are subject
to deeming. If eligible, the information
is used to determine the amount of the
SSI payment. The respondents are
persons whose income and resources
must be considered in determining the
eligibility of SSI claimants or
beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden per Response: 26
minutes.
Estimated Annual Burden: 147,767
hours.
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8127
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 packages by calling
the SSA Reports Clearance Officer at
(410) 965–0454, or by writing to the
address listed above.
1. Advance Notice of Termination of
Child’s Benefits and Student’s
Statement Regarding School
Attendance—20 CFR 404.350–404.352,
404.367–404.368—0960–0105. The
information collected on Form SSA–
1372 is needed to determine whether
children of an insured worker are
eligible for student benefits. The data
allows SSA to determine student
entitlement and whether entitlement
will end. The respondents are student
claimants for Social Security benefits,
their respective schools and, in some
cases, their payees.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 33,333
hours.
2. Statement Regarding Marriage—20
CFR 404.726—0960–0017. Form SSA–
753 elicits information from third
parties to verify the applicant’s
statement about intent, cohabitation,
and holding out to the public as
married, which are basic tenets of a
common-law marriage. The responses
are used by SSA to determine if a valid
marital relationship exists and to make
an accurate determination regarding
entitlement to spouse/widow(er)
benefits. The respondents are
individuals who are familiar with and
can provide confirmation of an
applicant’s common-law marriage.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 40,000.
Frequency of Response: 1.
Average Burden per Response: 9
minutes.
Estimated Annual Burden: 6,000
hours.
3. Request for Address Information
From Motor Vehicles Records; Request
for Address Information From
Employment Commissions Records—4
CFR 104.2—0960–0341. SSA sends the
SSA–L711 to State Motor Vehicle
Administrations to obtain the last
known address from driver’s license and
registration records. SSA sends the
SSA–L712 to State Employment
Commissions to obtain the last known
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address from State unemployment/
employment wage records. SSA uses the
information to locate debtors to arrange
for payment of debts owed to SSA. The
respondents are State Motor Vehicle
Administrations and State Employment
Commissions.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 2,400.
Frequency of Response: 1.
Average Burden per Response: 2
minutes.
Estimated Annual Burden: 80 hours.
4. General Request for Social Security
Records, eFOIA—20 CFR 402.130—
0960–NEW. SSA uses the information
collected on this electronic request for
Social Security records to respond to the
public’s request for information under
the rights provided by the Freedom of
Information Act (FOIA), and to track
those requests by amount received, type
of request, fees charged and responses
sent within the required 20 days.
Respondents are individuals or agencies
requesting documents under FOIA.
Type of Request: New information
collection.
Number of Respondents: 300,000.
Frequency of Response: 1.
Average Burden per Response: 3
minutes.
Estimated Annual Burden: 15,000
hours.
5. Social Security Number
Verification Service (SSNVS)—0960–
0660.
Background
Under Internal Revenue Service
regulations, employers are obligated to
provide wage and tax data to SSA using
form W–2, Wage and Tax Statement or
its electronic equivalent. As part of this
process, the employer must furnish the
employee’s name and their SSN. This
information must match SSA’s records
in order for the employee’s wage and tax
data to be properly posted to their
Earnings Record. Information that is
incorrectly provided to the Agency must
be corrected by the employer using an
amended reporting form, which is a
labor-intensive and time-consuming
process for both SSA and the employer.
Therefore, to help ensure that employers
provide accurate name and SSN
information, SSA piloted SSNVS with
100 employers and now plans to
implement the service nationally.
SSNVS Collection. SSNVS is an
optional free and secure Internet service
for employers that allows them to
perform advance verification of their
employees’ name and SSN information
against SSA records. SSA will use the
information collected through the
SSNVS to verify that employee name
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and SSN information, provided by
employers, matches SSA records. SSA
will respond to the employer informing
them only of matches and mismatches
of submitted information. Respondents
are employers who provide wage and
tax data to SSA and elect to use the
service.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 200,000.
Frequency of Response: 120.
Average Burden per Response: 5
minutes.
Estimated Annual Burden: 2,000,000
hours.
6. Application for SSI—20 CFR
416.305–335—0960–0229. SSA uses the
information collected on form SSA–
8000–BK or its electronic equivalent,
the Modernized SSI Claims System
(MSSICS), to determine eligibility for
SSI and the amount of benefits payable
to the applicant. During the personal
interview process the MSSICS system
takes less time to complete because the
system propagates like information and
only asks relevant questions of the
applicant. Approximately 97% of SSI
applications are taken via MSSICS. The
respondents are applicants for SSI
payments.
Type of Request: Revision of an OMBapproved information collection.
Form SSA–8000
Number of Respondents: 33,851.
Frequency of Response: 1.
Average Burden per Response: 41
minutes.
Estimated Annual Burden: 23,132
hours.
MSSICS
Number of Respondents: 1,094,523.
Frequency of Response: 1.
Average Burden per Response: 36
minutes.
Estimated Annual Burden: 656,714
hours.
Total Burden Hours: 679,846.
Dated: February 10, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 05–3029 Filed 2–16–05; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 4994]
Bureau of Educational and Cultural
Affairs (ECA) Request for Grant
Proposals: Junior Faculty
Development Program
Announcement Type: New
Cooperative Agreement.
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Funding Opportunity Number: ECA/
A/E/EUR–05–05.
Catalog of Federal Domestic
Assistance Number: 00.000.
Key Dates: Application Deadline:
April 15, 2005.
Executive Summary: The Office of
Academic Exchange Programs/European
Programs Branch of the Bureau of
Educational and Cultural Affairs (ECA/
A/E) announces an open competition for
the Junior Faculty Development
Program (JFDP). Public and private nonprofit organizations meeting the
provisions described in Internal
Revenue Code section 26 U.S.C. 501 (c)
(3) may submit proposals to place
visiting faculty from Albania, Armenia,
Azerbaijan, Bosnia and Herzegovina,
Croatia, Georgia, Kazakhstan, Kosovo,
Kyrgyzstan, Macedonia, Serbia and
Montenegro, Tajikistan, Turkmenistan,
and Uzbekistan at U.S. universities for
a one academic semester (five months)
program. The grantee organization for
this program will support and oversee
the activities of the faculty throughout
their stay in the United States. In
addition, the grantee organization will
recruit and select candidates for the
JFDP in Albania, Armenia, Azerbaijan,
Bosnia and Herzegovina, Croatia,
Georgia, Kazakhstan, Kosovo,
Kyrgyzstan, Macedonia, Serbia and
Montenegro, Tajikistan, Turkmenistan,
and Uzbekistan to begin the program in
the United States in January 2006.
I. Funding Opportunity Description
Authority: Overall grant making
authority for this program is contained
in the Mutual Educational and Cultural
Exchange Act of 1961, Public Law 87–
256, as amended, also known as the
Fulbright-Hays Act. The purpose of the
Act is ‘‘to enable the Government of the
United States to increase mutual
understanding between the people of
the United States and the people of
other countries * * *; to strengthen the
ties which unite us with other nations
by demonstrating the educational and
cultural interests, developments, and
achievements of the people of the
United States and other nations * * *
and thus to assist in the development of
friendly, sympathetic and peaceful
relations between the United States and
the other countries of the world.’’ The
funding authority for the program above
is provided through legislation.
Purpose: The Junior Faculty
Development Program (JFDP) will offer
full fellowships to university instructors
from participating countries. Selected
through an open, merit-based
competition, JFDP Fellows will attend
U.S. universities for one academic
semester to work with faculty mentors
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Agencies
[Federal Register Volume 70, Number 32 (Thursday, February 17, 2005)]
[Notices]
[Pages 8125-8128]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3029]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages that will require clearance by the
Office of Management and Budget (OMB) in compliance with Pub. L. 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 new information collections, 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, Attn: Desk Officer for SSA,
New Executive Building, Room 10235, 725 17th St., NW., Washington, DC
20503, 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. Railroad Employment Questionnaire--20 CFR 404.1401,
404.1406-.1408--0960-0078. SSA uses form SSA-671 to secure sufficient
information to effect the required coordination with the Railroad
Retirement Board for Social Security claims processing. It is completed
whenever claimants give indications of having been employed in the
railroad industry. The respondents are applicants for Social Security
benefits,
[[Page 8126]]
who have had railroad employment, or dependents of railroad workers.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 125,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 10,417 hours.
2. Government Pension Questionnaire--20 CFR 404.408a--0960-0160.
The Social Security Act and regulations provide that an individual
receiving spouse's benefits and concurrently receiving a Government
pension, based on the individual's own earnings, may have the Social
Security benefit amount reduced by two-thirds of the pension amount.
The data collected on form SSA-3885 is used by SSA to determine if the
individual's Social Security benefit will be reduced, the amount of the
reduction, and if one of the exceptions in 20 CFR 404.408a applies. The
respondents are individuals who are receiving, or will receive, Social
Security spouse's benefits and also receive their own Government
pension.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 76,000.
Frequency of Response: 1.
Average Burden per Response: 12.5 minutes.
Estimated Annual Burden: 15,833 hours.
3. Teacher Questionnaire (SSA-5665-BK); Request for Administrative
Information (SSA-5666-BK)--20 CFR 416.924a and 20 CFR 404.1520--0960-
0646. If an individual who is claiming disability under title XVI or
title II is currently, or has recently been, in an education program,
SSA must obtain information about his or her functioning from teachers,
instructors, and other education personnel who have the opportunity to
observe the individual on a day-to-day basis. Educational programs are
an important source of evidence and often provide formal assessment
results and other kinds of information from a variety of disciplines.
Evidence obtained from educational programs varies a great deal,
however, in format, content, reliability, and usefulness. The need
exists, therefore, for an information collection instrument that will
assure a degree of uniformity and consistency in the quantity and
quality of information received about a claimant's (or beneficiary's/
recipient's) impairment-related limitations.
SSA-5665-BK
Type of Request: Revision of OMB-approved information collection.
Number of Respondents: 557,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 185,667 hours.
SSA-5666
Type of Request: Revision of OMB-approved information collection.
Number of Respondents: 555,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 138,750 hours.
4. Statement Regarding Date of Birth and Citizenship--20 CFR
404.716--0960-0016. Form SSA-702 collects information needed when
preferred or other evidence is not available to prove age or
citizenship for an individual applying for Social Security benefits.
SSA uses this form for individuals who must establish age as a factor
of entitlement or U.S. citizenship as a payment factor. Respondents are
applicants for one or more Social Security benefits who need to
establish their dates of birth as a factor of entitlement or U.S.
citizenship as a factor of payment.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 1,200.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 200 hours.
5. The Ticket to Work and Self-Sufficiency Program--20 CFR
411.160-.730--0960-0644. The Ticket to Work and Self-Sufficiency
program allows individuals with disabilities who are receiving SSA
payments to work towards decreased dependence on government cash
benefits programs without jeopardizing their benefits during the
transition period to employment. The program allows disability payment
recipients to choose a provider from an employment network (EN), who
will guide these beneficiaries in obtaining, regaining, and maintaining
self-supporting employment. 20 CFR 411.160-.730 discusses the
regulations governing this program. The respondents are individuals
entitled to Social Security benefits based on disability or individuals
entitled to SSI; Program Managers; EN contractors; and VRAs.
Type of Request: Extension of an OMB-approved information
collection.
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Number of Frequency of Average burden per Estimated annual
CFR sections respondents response response (minutes) burden (hours)
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411.140(c) [X-refer sections 70,000 2/year.............. 60.................. 140,000
411.145, 411.150, 411.325(a),
(b), (c), & (d), 411.320(f)].
411.325(e) [X-refer section 70,000 12/year............. 60.................. 840,000
411.395(b)].
411.325(f) [X-refer section 60,000 1/year.............. 5................... 5,000
411.395(a)].
411.190 (a) [X-refer section 250 1/year.............. 30.................. 125
411.195].
411.220(a)(1)..................... 55 Varies.............. 30.................. 28
441.245(b)(1)..................... 12,000 1................... 1................... 200
411.325(d)........................ 25 1................... 480................. 200
411.365........................... 82 1................... 240................. 328
411.575 [X-refer section 411.500]. 6,000 1................... 30.................. 3,000
411.605(b) [X-refer section 27,000 Varies.............. 5................... 2,250
411.610].
411.435(c)........................ 100 Once................ 60.................. 100
411.615........................... 1,000 Once................ 60.................. 1,000
411.625........................... 50 Once................ 60.................. 50
411.210(b)........................ 2,000 Once................ 30.................. 1,000
411.590(b)........................ 100 Once................ 60.................. 100
411.655........................... 1 Once/year........... 120................. 2
411.200........................... 150 12/year............. 15.................. 450
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Total annual respondents...... 248,813 .................... Total Annual Burden 993,833
Hours.
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[[Page 8127]]
Total Estimated Annual Burden: 993,833 hours.
6. Help America Vote Act--0960-NEW.
Background
On October 29, 2002, President George W. Bush signed into law H.R.
3295, the Help America Vote Act (HAVA) of 2002, which mandates the
verification of newly registered voters. HAVA places certain
requirements upon SSA in terms of verifying information to be used for
each State's voter registration process.
SSA's role in HAVA is defined in Section 303 of the law. Section
303 requires each State to implement a computerized statewide voter
registration list and to verify voter information with the State motor
vehicle administration (MVA) records, or if none exist, with SSA
records.
HAVA Information Collection
Individuals registering to vote must provide their driver's license
number to the State election agency. If they have no driver's license
or State-issued identity card they must supply the last four digits of
the Social Security number (SSN). The State election agency will
forward the new registrant name, date of birth (DOB), and the last four
digits of the SSN to the State MVA.
SSA requires State MVAs to use the American Association of Motor
Vehicle Administrations (AAMVA) as a consolidation point for data
transfer as is currently done for SSN verification of a driver's
license applicant. The data, as input by the MVA, routes the
applicant's information to the AAMVA network hub. AAMVA forwards the
transaction to SSA's HAVA verification system. The result will be
returned from SSA to the AAMVA hub for distribution to the State MVA.
The respondents to the HAVA collection are the various State MVAs
responsible under the act for verifying voter registration information.
Type of Request: New Information Collection.
Number of Respondents: 50 State MVAs.
Total Annual Responses: *1,000,000.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 33,333 hours.
*The actual number of responses per state will vary based on
population. Therefore, the total number of responses is based on
data of new voter applications received by all 50 States in 1999-
2000.
7. Public Understanding Measurement System (PUMS)--0960-0612.
As required by Section 2(b) of the Government Performance and
Results Act (GPRA), which provides that Agencies establish the means
for measuring their progress in achieving agency-level goals, SSA
established the PUMS in 1998 as a tool for measuring its performance in
meeting its strategic objectives in the area of public knowledge about
and understanding of the Social Security program. The instrument used
in PUMS is a national phone survey of adult Americans (age 18 and over)
conducted annually for SSA by a professional polling organization.
The PUMS survey instrument is designed to collect knowledge data
from key populations toward which SSA has targeted education and
outreach programs. Additionally, the survey is intended to assure a
valid knowledge measure for key populations at the national level. This
information is a crucial step in making SSA more focused and effective
in its communication programs. The respondents are randomly selected
adults residing in the United States.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 1,400.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 350 hours.
8. Statement of Income and Resources--20 CFR 416.207, 416.301-.310,
416.704 and 416.708--0960-0124. The information collected on form SSA-
8010-BK is used in Supplemental Security Income (SSI) claims and
redeterminations to obtain information about the income and resources
of: Ineligible spouses, parents/spouses of parents, and children living
in the claimant's/beneficiary's household; essential persons; and
sponsors of aliens (including spouses of sponsors who live with the
sponsor). The information is needed to make initial or continuing
eligibility determinations for SSI claimants/beneficiaries who are
subject to deeming. If eligible, the information is used to determine
the amount of the SSI payment. The respondents are persons whose income
and resources must be considered in determining the eligibility of SSI
claimants or beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden per Response: 26 minutes.
Estimated Annual Burden: 147,767 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
packages by calling the SSA Reports Clearance Officer at (410) 965-
0454, or by writing to the address listed above.
1. Advance Notice of Termination of Child's Benefits and Student's
Statement Regarding School Attendance--20 CFR 404.350-404.352, 404.367-
404.368--0960-0105. The information collected on Form SSA-1372 is
needed to determine whether children of an insured worker are eligible
for student benefits. The data allows SSA to determine student
entitlement and whether entitlement will end. The respondents are
student claimants for Social Security benefits, their respective
schools and, in some cases, their payees.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 33,333 hours.
2. Statement Regarding Marriage--20 CFR 404.726--0960-0017. Form
SSA-753 elicits information from third parties to verify the
applicant's statement about intent, cohabitation, and holding out to
the public as married, which are basic tenets of a common-law marriage.
The responses are used by SSA to determine if a valid marital
relationship exists and to make an accurate determination regarding
entitlement to spouse/widow(er) benefits. The respondents are
individuals who are familiar with and can provide confirmation of an
applicant's common-law marriage.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 40,000.
Frequency of Response: 1.
Average Burden per Response: 9 minutes.
Estimated Annual Burden: 6,000 hours.
3. Request for Address Information From Motor Vehicles Records;
Request for Address Information From Employment Commissions Records--4
CFR 104.2--0960-0341. SSA sends the SSA-L711 to State Motor Vehicle
Administrations to obtain the last known address from driver's license
and registration records. SSA sends the SSA-L712 to State Employment
Commissions to obtain the last known
[[Page 8128]]
address from State unemployment/employment wage records. SSA uses the
information to locate debtors to arrange for payment of debts owed to
SSA. The respondents are State Motor Vehicle Administrations and State
Employment Commissions.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 2,400.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 80 hours.
4. General Request for Social Security Records, eFOIA--20 CFR
402.130--0960-NEW. SSA uses the information collected on this
electronic request for Social Security records to respond to the
public's request for information under the rights provided by the
Freedom of Information Act (FOIA), and to track those requests by
amount received, type of request, fees charged and responses sent
within the required 20 days. Respondents are individuals or agencies
requesting documents under FOIA.
Type of Request: New information collection.
Number of Respondents: 300,000.
Frequency of Response: 1.
Average Burden per Response: 3 minutes.
Estimated Annual Burden: 15,000 hours.
5. Social Security Number Verification Service (SSNVS)--0960-0660.
Background
Under Internal Revenue Service regulations, employers are obligated
to provide wage and tax data to SSA using form W-2, Wage and Tax
Statement or its electronic equivalent. As part of this process, the
employer must furnish the employee's name and their SSN. This
information must match SSA's records in order for the employee's wage
and tax data to be properly posted to their Earnings Record.
Information that is incorrectly provided to the Agency must be
corrected by the employer using an amended reporting form, which is a
labor-intensive and time-consuming process for both SSA and the
employer. Therefore, to help ensure that employers provide accurate
name and SSN information, SSA piloted SSNVS with 100 employers and now
plans to implement the service nationally.
SSNVS Collection. SSNVS is an optional free and secure Internet
service for employers that allows them to perform advance verification
of their employees' name and SSN information against SSA records. SSA
will use the information collected through the SSNVS to verify that
employee name and SSN information, provided by employers, matches SSA
records. SSA will respond to the employer informing them only of
matches and mismatches of submitted information. Respondents are
employers who provide wage and tax data to SSA and elect to use the
service.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 200,000.
Frequency of Response: 120.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 2,000,000 hours.
6. Application for SSI--20 CFR 416.305-335--0960-0229. SSA uses the
information collected on form SSA-8000-BK or its electronic equivalent,
the Modernized SSI Claims System (MSSICS), to determine eligibility for
SSI and the amount of benefits payable to the applicant. During the
personal interview process the MSSICS system takes less time to
complete because the system propagates like information and only asks
relevant questions of the applicant. Approximately 97% of SSI
applications are taken via MSSICS. The respondents are applicants for
SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
Form SSA-8000
Number of Respondents: 33,851.
Frequency of Response: 1.
Average Burden per Response: 41 minutes.
Estimated Annual Burden: 23,132 hours.
MSSICS
Number of Respondents: 1,094,523.
Frequency of Response: 1.
Average Burden per Response: 36 minutes.
Estimated Annual Burden: 656,714 hours.
Total Burden Hours: 679,846.
Dated: February 10, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-3029 Filed 2-16-05; 8:45 am]
BILLING CODE 4191-02-P