Agency Information Collection Activities: Proposed Request and Comment Request, 58774-58775 [05-20158]

Download as PDF 58774 Federal Register / Vol. 70, No. 194 / Friday, October 7, 2005 / Notices Exchange has not received any unsolicited written comments from members or other interested parties. III. Date of Effectiveness of the Proposed Rule Change and Timing for Commission Action Within 35 days of the date of publication of this notice in the Federal Register or within such longer period (i) as the Commission may designate up to 90 days of such date if it finds such longer period to be appropriate and publishes its reasons for so finding or (ii) as to which the PCX consents, the Commission will: (A) By order approve such proposed rule change, or (B) Institute proceedings to determine whether the proposed rule change should be disapproved. IV. Solicitation of Comments Interested persons are invited to submit written data, views, and arguments concerning the foregoing, including whether the proposed rule change, as amended, is consistent with the Act. Comments may be submitted by any of the following methods: Room. Copies of the filing also will be available for inspection and copying at the principal office of the 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–2005–85 and should be submitted on or before October 28, 2005. For the Commission, by the Division of Market Regulation, pursuant to delegated authority.9 Jonathan G. Katz, Secretary. [FR Doc. E5–5525 Filed 10–6–05; 8:45 am] 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 Electronic Comments clearance by the Office of Management • Use the Commission’s Internet and Budget (OMB) in compliance with comment form (https://www.sec.gov/ Public Law 104–13, the Paperwork rules/sro.shtml); or Reduction Act of 1995, effective October • Send an e-mail to rule1, 1995. The information collection comments@sec.gov. Please include File packages that may be included in this Number SR–PCX–2005–85 on the notice are for new information subject line. collections, approval of existing information collections, revisions to Paper Comments OMB-approved information collections, • Send paper comments in triplicate and extensions (no change) of OMBto Jonathan G. Katz, Secretary, approved information collections. Securities and Exchange Commission, SSA is soliciting comments on the 100 F Street, NE., Washington, DC accuracy of the agency’s burden 20549–9303. estimate; the need for the information; All submissions should refer to File its practical utility; ways to enhance its Number SR–PCX–2005–85. This file quality, utility, and clarity; and on ways number should be included on the to minimize burden on respondents, subject line if e-mail is used. To help the including the use of automated Commission process and review your collection techniques or other forms of comments more efficiently, please use information technology. Written only one method. The Commission will comments and recommendations post all comments on the Commission’s regarding the information collection(s) Internet Web site (https://www.sec.gov/ should be submitted to the OMB Desk rules/sro.shtml). Copies of the Officer and the SSA Reports Clearance submission, all subsequent Officer. The information can be mailed amendments, all written statements and/or faxed to the individuals at the with respect to the proposed rule addresses and fax numbers listed below: change that are filed with the (OMB), Office of Management and Commission, and all written Budget, Attn: Desk Officer for SSA, New communications relating to the Executive Building, Room 10235, 725 proposed rule change between the 17th St., NW., Washington, DC 20503, Commission and any person, other than Fax: 202–395–6974. those that may be withheld from the (SSA), Social Security public in accordance with the Administration, DCFAM, Attn: Reports provisions of 5 U.S.C. 552, will be Clearance Officer, 1333 Annex Building, available for inspection and copying in 9 17 CFR 200.30–3(a)(12). the Commission’s Public Reference VerDate Aug<31>2005 18:27 Oct 06, 2005 Jkt 208001 PO 00000 Frm 00113 Fmt 4703 Sfmt 4703 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. Application for Mother’s or Father’s Insurance Benefits—20 CFR 404.339– 404.342, 20 CFR 404.601–404.603— 0960–0003. SSA collects the information on the SSA–5–F6 to entitle an individual to his/her mother’s and father’s insurance benefits. The respondents are individuals who apply for entitlement to their mothers’ or fathers’ benefits. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 50,000. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 12,500 hours. 2. Missing and Discrepant Wage Reports Letter and Questionnaire—26 CFR 31.6051–2—0960–0432. Each year employers report the wage amounts they paid their employees to IRS for tax purposes, and, separately, to SSA for retirement and disability coverage purposes. These amounts should be the same, however, each year many employer wage reports received by SSA are less than those reported to IRS. Through Forms SSA–L93, 95, and 97, SSA attempts to reconcile the amounts to ensure employees receive full credit. The respondents are employers who reported less wage amounts to SSA than they did to IRS. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 359,999. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 180,000 hours. 3. Information Collection Requirements for Title VIII of the Social Security Act—20 CFR 408.202(d), 408.210, 408.230(a), 408.232(a), 408.320, 408.305, 408.310, 408.315, 408.340, 408.345, 408.351(d) and (f), 408.355(a), 408.360(a), 408.404(c), 408.410, 408.412, 408.420(a) and (b), 408.430, 408.432, 408.435(a) and (b), 408.437(b), (c) and (d)—0960–0658. Section 251 of the ‘‘Foster Care Independence Act of 1999’’ added Title VIII to the Social Security Act (Special E:\FR\FM\07OCN1.SGM 07OCN1 58775 Federal Register / Vol. 70, No. 194 / Friday, October 7, 2005 / Notices Benefits for Certain World War II Veterans). Title VIII allows, under certain circumstances, the payment of a monthly benefit by the Commissioner of Social Security to a qualified World War II veteran who resides outside the United States. The accompanying regulations set out the requirements an individual must meet in order to qualify for and become entitled to Special Veterans Benefits (SVB). The 4. Application for Supplemental Security Income—20 CFR 416.305– 416.335—0960–0444. The information collected on the SSA–8001–BK is needed and used to determine eligibility for Supplemental Security Income (SSI), and the amount of SSI benefits payable to the applicant. Respondents are applicants for SSI benefits. Type of Request: Revision of an OMBapproved information collection. respondents are individuals who are applying for benefits under Title VIII of the Social Security Act. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 762. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 381 hours. Number of respondents Frequency of response Average burden per response (minutes) Estimated annual burden (hours) Paper Form ...................................................................................................... Electronic Form (MSSICS) .............................................................................. 34,643 1,120,117 1 1 19 16 10,970 298,698 Total Annual Burden: ................................................................................ 1,154,760 ........................ ........................ 309,668 5. Marital Relationship Questionnaire—20 CFR 416.1826— 0960–0460. Form SSA–4178 provides a nationally uniform vehicle for collection of information to determine for Supplemental Security Income (SSI) purposes whether unrelated individuals of the opposite sex who live together are holding themselves out to the public as husband and wife. The information is necessary to determine whether correct payment is being made to SSI couples and individuals. The respondents are applicants for, and recipients of, SSI benefits. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 5,100. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 425 hours. 6. Public Information Campaign— 0960–0544. SSA sends public information materials (e.g.: public service announcements, news releases, educational tapes) to public broadcasting systems so these media sources can inform the general public about the Agency’s various programs and activities. To track media usage of these materials, SSA conducts the Public Information Campaign, a biannual solicitation of feedback from the target public media sources via business reply cards. The respondents are public broadcasting systems who are sent information about various SSA programs to disseminate to the public. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 8,000. Frequency of Response: 2. Average Burden Per Response: 1 minute. Estimated Annual Burden: 267 hours. VerDate Aug<31>2005 18:27 Oct 06, 2005 Jkt 208001 7. Application for a Social Security Card—20 CFR 422.103–.110—0960– 0066. Forms SS–5 (used in the United States) and SS–5–FS (used outside the United States) are used to apply for original and replacement Social Security cards. Changes are being made to these forms to reflect new statutory limits on the number of allowable replacement cards. The respondents are requestors of new or replacement Social Security cards. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 13,600,000. Frequency of Response: 1. Average Burden Per Response: 9 minutes. Estimated Annual Burden: 2,040,000 hours. 8. Private Printing and Modification of Prescribed Applications and Other Forms—20 CFR 422.527—0960–0663. This regulation mandates that nongovernment persons or organizations who wish to reproduce, duplicate, or privately print any application or other form owned by SSA must receive written authorization from the Agency to do so. Moreover, these persons or organizations may not charge the public a fee for any SSA applications, forms, or publications unless authorized by SSA under the circumstances described in these regulations. The respondents are private persons or groups who wish to reproduce, duplicate, privately print, or charge a fee for an SSA application, form, or publication. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 9. Frequency of Response: 36. Average Burden Per Response: 8 minutes. Estimated Annual Burden: 43 hours. PO 00000 Frm 00114 Fmt 4703 Sfmt 4703 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. 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. Dated: October 3, 2005. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. 05–20158 Filed 10–6–05; 8:45 am] BILLING CODE 4191–02–P E:\FR\FM\07OCN1.SGM 07OCN1

Agencies

Social Security Administration

[Federal Register Volume 70, Number 194 (Friday, October 7, 2005)]
[Notices]
[Pages 58774-58775]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-20158]

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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 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 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 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. Application for Mother's or Father's Insurance Benefits--20 CFR
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. SSA collects the
information on the SSA-5-F6 to entitle an individual to his/her
mother's and father's insurance benefits. The respondents are
individuals who apply for entitlement to their mothers' or fathers'
benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 12,500 hours.
2. Missing and Discrepant Wage Reports Letter and Questionnaire--26
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts
they paid their employees to IRS for tax purposes, and, separately, to
SSA for retirement and disability coverage purposes. These amounts
should be the same, however, each year many employer wage reports
received by SSA are less than those reported to IRS. Through Forms SSA-
L93, 95, and 97, SSA attempts to reconcile the amounts to ensure
employees receive full credit. The respondents are employers who
reported less wage amounts to SSA than they did to IRS.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 359,999.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
3. Information Collection Requirements for Title VIII of the Social
Security Act--20 CFR 408.202(d), 408.210, 408.230(a), 408.232(a),
408.320, 408.305, 408.310, 408.315, 408.340, 408.345, 408.351(d) and
(f), 408.355(a), 408.360(a), 408.404(c), 408.410, 408.412, 408.420(a)
and (b), 408.430, 408.432, 408.435(a) and (b), 408.437(b), (c) and
(d)--0960-0658. Section 251 of the ``Foster Care Independence Act of
1999'' added Title VIII to the Social Security Act (Special

[[Page 58775]]

Benefits for Certain World War II Veterans). Title VIII allows, under
certain circumstances, the payment of a monthly benefit by the
Commissioner of Social Security to a qualified World War II veteran who
resides outside the United States. The accompanying regulations set out
the requirements an individual must meet in order to qualify for and
become entitled to Special Veterans Benefits (SVB). The respondents are
individuals who are applying for benefits under Title VIII of the
Social Security Act.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 762.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 381 hours.
4. Application for Supplemental Security Income--20 CFR 416.305-
416.335--0960-0444. The information collected on the SSA-8001-BK is
needed and used to determine eligibility for Supplemental Security
Income (SSI), and the amount of SSI benefits payable to the applicant.
Respondents are applicants for SSI benefits.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Form...................................... 34,643 1 19 10,970
Electronic Form (MSSICS)........................ 1,120,117 1 16 298,698
-----------------
Total Annual Burden:........................ 1,154,760 .............. .............. 309,668
----------------------------------------------------------------------------------------------------------------

5. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460.
Form SSA-4178 provides a nationally uniform vehicle for collection of
information to determine for Supplemental Security Income (SSI)
purposes whether unrelated individuals of the opposite sex who live
together are holding themselves out to the public as husband and wife.
The information is necessary to determine whether correct payment is
being made to SSI couples and individuals. The respondents are
applicants for, and recipients of, SSI benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 5,100.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 425 hours.
6. Public Information Campaign--0960-0544. SSA sends public
information materials (e.g.: public service announcements, news
releases, educational tapes) to public broadcasting systems so these
media sources can inform the general public about the Agency's various
programs and activities. To track media usage of these materials, SSA
conducts the Public Information Campaign, a bi-annual solicitation of
feedback from the target public media sources via business reply cards.
The respondents are public broadcasting systems who are sent
information about various SSA programs to disseminate to the public.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 8,000.
Frequency of Response: 2.
Average Burden Per Response: 1 minute.
Estimated Annual Burden: 267 hours.
7. Application for a Social Security Card--20 CFR 422.103-.110--
0960-0066. Forms SS-5 (used in the United States) and SS-5-FS (used
outside the United States) are used to apply for original and
replacement Social Security cards. Changes are being made to these
forms to reflect new statutory limits on the number of allowable
replacement cards. The respondents are requestors of new or replacement
Social Security cards.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 13,600,000.
Frequency of Response: 1.
Average Burden Per Response: 9 minutes.
Estimated Annual Burden: 2,040,000 hours.
8. Private Printing and Modification of Prescribed Applications and
Other Forms--20 CFR 422.527--0960-0663. This regulation mandates that
non-government persons or organizations who wish to reproduce,
duplicate, or privately print any application or other form owned by
SSA must receive written authorization from the Agency to do so.
Moreover, these persons or organizations may not charge the public a
fee for any SSA applications, forms, or publications unless authorized
by SSA under the circumstances described in these regulations. The
respondents are private persons or groups who wish to reproduce,
duplicate, privately print, or charge a fee for an SSA application,
form, or publication.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 9.
Frequency of Response: 36.
Average Burden Per Response: 8 minutes.
Estimated Annual Burden: 43 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. 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.

Dated: October 3, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-20158 Filed 10-6-05; 8:45 am]
BILLING CODE 4191-02-P

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