Agency Information Collection Activities: Proposed Request and Comment Request, 36454-36455 [05-12286]
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36454
Federal Register / Vol. 70, No. 120 / Thursday, June 23, 2005 / Notices
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, approval of existing
information collections, revisions to
OMB-approved 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, 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, 1333 Annex Building,
6401 Security Blvd., Baltimore, MD
21235; Fax: 410–965–6400.
I. The information collection listed
below is 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 a copy of
the collection instrument by calling the
SSA Reports Clearance Officer at 410–
965–0454 or by writing to the address
listed above.
Credit Card Payment
Acknowledgement Form—0960–0648.
SSA will use the information collected
on Form SSA–1414 to process payments
from former employees and vendors
who have outstanding debts owed to the
agency. This form has been developed
as a convenient method for respondents
to satisfy such debts.
VerDate jul<14>2003
18:40 Jun 22, 2005
Jkt 205001
The respondents are former
employees and vendors who have debts
still owed to the agency.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 500.
Frequency of Response: 12.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 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 packages by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
1. State Agency Ticket Assignment
Form: Ticket to Work and Self
Sufficiency Program—0960–0641. SSA
uses the information collected on Form
SSA–1365 to determine proper
assignment under the Ticket to Work
program and to monitor services. This
will be done through the contracted
Program Manager. The State Vocational
Rehabilitation Agency (VRA) completes
the form and the beneficiary reviews the
data. The beneficiary will sign the Form
to acknowledge the assignment of their
ticket to that agency. Respondents are
the State VRAs.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 82.
Frequency of Response: 50.
Average Burden Per Response: 3
minutes.
Estimated Annual Burden: 205 hours.
2. Farm Arrangement Questionnaire—
20 CFR 404.1082(c)—0960–0064. SSA
uses the information collected on the
SSA–7157–F4 to determine if farm
rental income may be considered selfemployment income for Social Security
benefits coverage purposes. The
respondents are individuals alleging
self-employment income for the renting
of land for farming activities.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 38,000.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 19,000
hours.
3. Application for Benefits under a
U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0448. The information collected on the
SSA–2490–BK is required to determine
entitlement to old-age, survivors or
disability benefits from the United
States or from a country that has entered
PO 00000
Frm 00088
Fmt 4703
Sfmt 4703
into a Social Security agreement with
the United States. The respondents are
individuals who are applying for
benefits from the U.S. or from a
totalization agreement country.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 23,200.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Average Burden: 11,600
hours.
4. Letter to Landlord Requesting
Rental Information—20 CFR
416.1130(b)—0960–0454. Form SSA–
L5061 provides a nationally uniform
vehicle for collecting information from
landlords for use in making rental
subsidy determinations in the
Supplemental Security Income (SSI)
program. The information is used in
deciding whether income limits are met
for SSI eligibility. Respondents are
landlords who provide subsidized rental
arrangements to SSI applicants and
recipients.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 8,167
hours.
5. Plan for Achieving Self-Support—
20 CFR 416.1180–1182, 416.1225–1227,
416.110(e)—0960–0559. The
information on form SSA–545 is
collected by SSA when an SSI
applicant/recipient desires to use
available income and resources to
obtain education and/or training in
order to become self-supporting. The
information is used to evaluate the
recipient’s plan for achieving selfsupport to determine whether the plan
may be approved under the provisions
of the SSI program. The respondents are
SSI applicants/recipients who are blind
or disabled.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden Per Response: 2
hours.
Estimated Annual Burden: 14,000
hours.
6. Disability Update Report—20 CFR
404.1589–404.1595, 20 CFR 416.988–
416.996–0960–0511. Forms SSA–455
and SSA–455–OCR–SM are used by
SSA to collect information when the
continuing disability review diary of a
recipient of SSA-administered benefits,
based on disability, has matured or
there is an indication of possible
medical improvement. The information
E:\FR\FM\23JNN1.SGM
23JNN1
Federal Register / Vol. 70, No. 120 / Thursday, June 23, 2005 / Notices
collected from beneficiaries is reviewed
by specialists in the evaluation of work
and earnings and in disability
adjudication. The respondents are
recipients of benefits, based on
disability, under title II and/or XVI of
the Social Security Act.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 981,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 245,250
hours.
Dated: June 16, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 05–12286 Filed 6–22–05; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 5070]
Cultural Property: Nicaragua; PreHispanic Archaeological Material, U.S.
Import Restrictions, Memorandum of
Understanding
Notice of Proposal to Extend the
Memorandum of Understanding
Between the Government of the United
States of America and the Government
of the Republic of Nicaragua Concerning
the Imposition of Import Restrictions on
Archaeological Material from the PreHispanic Cultures of the Republic of
Nicaragua.
The Government of the Republic of
Nicaragua has informed the Government
of the United States of its interest in an
extension of the Memorandum of
Understanding Between the
Government of the United States of
America and the Government of the
Republic of Nicaragua Concerning the
Imposition of Import Restrictions on
Archaeological Material from the PreHispanic Cultures of the Republic of
Nicaragua, which entered into force on
October 20, 2000.
Pursuant to the authority vested in the
Assistant Secretary for Educational and
Cultural Affairs, and pursuant to the
requirement under 19 U.S.C. 2602(f)(1),
an extension of this Memorandum of
Understanding is hereby proposed.
Pursuant to 19 U.S.C. 2602(f)(2), the
views and recommendations of the
Cultural Property Advisory Committee
regarding this proposal will be
requested.
A copy of this Memorandum of
Understanding, the designated list of
restricted categories of material, and
related information can be found at the
VerDate jul<14>2003
18:40 Jun 22, 2005
Jkt 205001
following Web site: https://
exchanges.state.gov/culprop.
Dated: June 8, 2005.
Patricia S. Harrison,
Assistant Secretary for Educational and
Cultural Affairs, Department of State.
[FR Doc. 05–12457 Filed 6–22–05; 8:45 am]
BILLING CODE 4710–05–P
DEPARTMENT OF STATE
[Public Notice 5071]
Notice of Meeting of the Cultural
Property Advisory Committee
In accordance with the provisions of
the Convention on Cultural Property
Implementation Act (19 U.S.C. 2601 et
seq.), there will be a meeting of the
Cultural Property Advisory Committee
on Wednesday, July 13, 2005, from
approximately 9 a.m. to 5 p.m., and on
Thursday, July 14, from approximately
9 a.m. to 2 p.m., at the Department of
State, Annex 44, Room 840, 301 4th St.,
SW., Washington, DC. During its
meeting the Committee will review a
proposal to extend the Memorandum of
Understanding Between the
Government of the United States of
America and the Government of the
Republic of Nicaragua Concerning the
Imposition of Import Restrictions on
Archaeological Material from the PreHispanic Cultures of the Republic of
Nicaragua. The Government of the
Republic of Nicaragua has notified the
Government of the United States of
America of its interest in such an
extension.
The Committee’s responsibilities are
carried out in accordance with
provisions of the Convention on
Cultural Property Implementation Act
(19 U.S.C. 2601 et seq.). The text of the
Act and subject Memorandum of
Understanding, as well as related
information may be found at https://
exchanges.state.gov/culprop. Portions of
the meeting on July 13 and 14 will be
closed pursuant to 5 U.S.C.
552b(c)(9)(B) and 19 U.S.C. 2605(h).
However, on July 13, the Committee
will hold an open session from
approximately 10:30 a.m. to 11:30 a.m.,
to receive oral public comment on the
proposal to extend. Persons wishing to
attend this open session should notify
the Cultural Heritage Center of the
Department of State at (202) 619–6612
by Wednesday, July 6, 2005, 3 p.m.
(E.D.T.) to arrange for admission, as
seating is limited.
Those who wish to make oral
presentations should request to be
scheduled and submit a written text of
the oral comments by June 30 to allow
PO 00000
Frm 00089
Fmt 4703
Sfmt 4703
36455
time for distribution to Committee
members prior to the meeting. Oral
comments will be limited to five
minutes each to allow time for questions
from members of the Committee and
must specifically address the
determinations under Section 303(a)(1)
of the Convention on Cultural Property
Implementation Act, 19 U.S.C. 2602,
pursuant to which the Committee must
make findings. This citation for the
determinations can be found at the web
site noted above.
The Committee also invites written
comments and asks that they be
submitted no later than June 30. All
written materials, including the written
texts of oral statements, should be faxed
to (202) 260–4893. If five pages or more,
20 duplicates of written materials
should be sent by express mail to:
Cultural Heritage Center, Department of
State, Annex 44, 301 4th Street, SW.,
Washington, DC 20547; tel: (202) 619–
6612.
Dated: June 8, 2005.
Patricia S. Harrison,
Assistant Secretary for Educational and
Cultural Affairs, Department of State.
[FR Doc. 05–12458 Filed 6–22–05; 8:45 am]
BILLING CODE 4710–05–P
DEPARTMENT OF TRANSPORTATION
Office of the Secretary
Aviation Proceedings, Agreements
Filed the Week Ending June 10, 2005
The following Agreements were filed
with the Department of Transportation
under the provisions of 49 U.S.C.
Sections 412 and 414. Answers may be
filed within 21 days after the filing of
the application.
Docket Number OST–2005–21465.
Date Filed June 7, 2005.
Parties Members of the International
Air Transport Association.
Subject 27th IATA CSC held in
Lisbon, Portugal on 10 March, 2005.
CSC/27/Meet/007/2005 dated 2 June,
2005, Finally Adopted Resolution 600a
and Recommended Practice 1606.
Intended effective date: 1 October 2005.
Docket Number OST–2005–21466.
Date Filed June 7, 2005.
Parties Members of the International
Air Transport Association.
Subject CAC/33/Meet/006/05 dated 1
June, 2005. Normal Resolutions 803/
833/833a/851/853/871 (Minutes
relevant to the Resolutions are included
in CAC/33/Meet/05/05 dated 1 June
2005). Intended effective date: 1 October
2005.
Docket Number OST–2005–21503.
E:\FR\FM\23JNN1.SGM
23JNN1
]]>Agencies
[Federal Register Volume 70, Number 120 (Thursday, June 23, 2005)]
[Notices]
[Pages 36454-36455]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-12286]
[[Page 36454]]
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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, approval of existing 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, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235; Fax: 410-965-6400.
I. The information collection listed below is 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 a copy of the collection
instrument by calling the SSA Reports Clearance Officer at 410-965-0454
or by writing to the address listed above.
Credit Card Payment Acknowledgement Form--0960-0648. SSA will use
the information collected on Form SSA-1414 to process payments from
former employees and vendors who have outstanding debts owed to the
agency. This form has been developed as a convenient method for
respondents to satisfy such debts.
The respondents are former employees and vendors who have debts
still owed to the agency.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 500.
Frequency of Response: 12.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 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
packages by calling the SSA Reports Clearance Officer at 410-965-0454,
or by writing to the address listed above.
1. State Agency Ticket Assignment Form: Ticket to Work and Self
Sufficiency Program--0960-0641. SSA uses the information collected on
Form SSA-1365 to determine proper assignment under the Ticket to Work
program and to monitor services. This will be done through the
contracted Program Manager. The State Vocational Rehabilitation Agency
(VRA) completes the form and the beneficiary reviews the data. The
beneficiary will sign the Form to acknowledge the assignment of their
ticket to that agency. Respondents are the State VRAs.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 82.
Frequency of Response: 50.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 205 hours.
2. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064.
SSA uses the information collected on the SSA-7157-F4 to determine if
farm rental income may be considered self-employment income for Social
Security benefits coverage purposes. The respondents are individuals
alleging self-employment income for the renting of land for farming
activities.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 38,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 19,000 hours.
3. Application for Benefits under a U.S. International Social
Security Agreement--20 CFR 404.1925--0960-0448. The information
collected on the SSA-2490-BK is required to determine entitlement to
old-age, survivors or disability benefits from the United States or
from a country that has entered into a Social Security agreement with
the United States. The respondents are individuals who are applying for
benefits from the U.S. or from a totalization agreement country.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 23,200.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Average Burden: 11,600 hours.
4. Letter to Landlord Requesting Rental Information--20 CFR
416.1130(b)--0960-0454. Form SSA-L5061 provides a nationally uniform
vehicle for collecting information from landlords for use in making
rental subsidy determinations in the Supplemental Security Income (SSI)
program. The information is used in deciding whether income limits are
met for SSI eligibility. Respondents are landlords who provide
subsidized rental arrangements to SSI applicants and recipients.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 49,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 8,167 hours.
5. Plan for Achieving Self-Support--20 CFR 416.1180-1182, 416.1225-
1227, 416.110(e)--0960-0559. The information on form SSA-545 is
collected by SSA when an SSI applicant/recipient desires to use
available income and resources to obtain education and/or training in
order to become self-supporting. The information is used to evaluate
the recipient's plan for achieving self-support to determine whether
the plan may be approved under the provisions of the SSI program. The
respondents are SSI applicants/recipients who are blind or disabled.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 7,000.
Frequency of Response: 1.
Average Burden Per Response: 2 hours.
Estimated Annual Burden: 14,000 hours.
6. Disability Update Report--20 CFR 404.1589-404.1595, 20 CFR
416.988-416.996-0960-0511. Forms SSA-455 and SSA-455-OCR-SM are used by
SSA to collect information when the continuing disability review diary
of a recipient of SSA-administered benefits, based on disability, has
matured or there is an indication of possible medical improvement. The
information
[[Page 36455]]
collected from beneficiaries is reviewed by specialists in the
evaluation of work and earnings and in disability adjudication. The
respondents are recipients of benefits, based on disability, under
title II and/or XVI of the Social Security Act.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 981,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 245,250 hours.
Dated: June 16, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-12286 Filed 6-22-05; 8:45 am]
BILLING CODE 4191-02-P
