Agency Information Collection Activities: Proposed Request and Comment Request, 75526-75527 [E5-7514]

Download as PDF 75526 Federal Register / Vol. 70, No. 243 / Tuesday, December 20, 2005 / Notices Rule 19b–4(f)(2) 8 thereunder because it establishes or changes a due, fee, or other charge imposed by the Exchange. At any time within 60 days of the filing of the proposed rule change, the Commission may summarily abrogate such rule change if it appears to the Commission that such action is necessary or appropriate in the public interest, for the protection of investors, or otherwise in furtherance of the purposes of the Act. should submit only information that you wish to make available publicly. All submissions should refer to File Number SR–PCX–2005–127 and should be submitted on or before January 10, 2006. IV. Solicitation of Comments Interested persons are invited to submit written data, views, and arguments concerning the foregoing, including whether the proposed rule change is consistent with the Act. Comments may be submitted by any of the following methods: BILLING CODE 8010–01–P For the Commission, by the Division of Market Regulation, pursuant to delegated authority.9 Jonathan G. Katz, Secretary. [FR Doc. E5–7524 Filed 12–19–05; 8:45 am] 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 Paper Comments notice are for new information collections, approval of existing • Send paper comments in triplicate information collections, revisions to to Jonathan G. Katz, Secretary, OMB-approved information collections, Securities and Exchange Commission, and extensions (no change) of OMBStation Place, 100 F Street, NE., approved information collections. Washington, DC 20549–9303. SSA is soliciting comments on the All submissions should refer to File accuracy of the agency’s burden Number SR–PCX–2005–127. This file estimate; the need for the information; number should be included on the subject line if e-mail is used. To help the its practical utility; ways to enhance its quality, utility, and clarity; and on ways Commission process and review your to minimize burden on respondents, comments more efficiently, please use only one method. The Commission will including the use of automated collection techniques or other forms of post all comments on the Commissions information technology. Written Internet Web site (https://www.sec.gov/ comments and recommendations rules/sro.shtml). Copies of the regarding the information collection(s) submission, all subsequent should be submitted to the OMB Desk amendments, all written statements Officer and the SSA Reports Clearance with respect to the proposed rule Officer. The information can be mailed change that are filed with the and/or faxed to the individuals at the Commission, and all written addresses and fax numbers listed below: communications relating to the (OMB), Office of Management and proposed rule change between the Budget, Attn: Desk Officer for SSA, Commission and any person, other than Fax: 202–395–6974. those that may be withheld from the (SSA), Social Security Administration, public in accordance with the DCFAM, Attn: Reports Clearance provisions of 5 U.S.C. 552, will be Officer, 1333 Annex Building, 6401 available for inspection and copying in Security Blvd., Baltimore, MD 21235, the Commission’s Public Reference Fax: 410–965–6400. Room. Copies of the filing also will be I. The information collections listed available for inspection and copying at below are pending at SSA and will be the principal office of PCX. All submitted to OMB within 60 days from comments received will be posted the date of this notice. Therefore, your without change; the Commission does comments should be submitted to SSA not edit personal identifying within 60 days from the date of this information from submissions. You Electronic Comments • Use the Commission’s Internet comment form (https://www.sec.gov/ rules/sro.shtml); or • Send an e-mail to rulecomments@sec.gov. Please include File No. SR–PCX–2005–127 on the subject line. 8 17 CFR 240.19b–4(f)(2). VerDate Aug<31>2005 19:23 Dec 19, 2005 9 17 Jkt 208001 PO 00000 CFR 200.30–3(a)(12). Frm 00082 Fmt 4703 Sfmt 4703 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. Reporting Changes that Affect Your Social Security Payment—20 CFR 404.301–305, .310–311, .330–.333, .335– .341, .350–.352, .370–.371, .401–.402, .408(a), .421–.425, .428–.430, .434–.437, .439–.441, .446–.447, .450–.455, .468— 0960–0073. SSA uses the information collected on Form SSA–1425 to determine continuing entitlement to Title II Social Security benefits and to determine the proper benefit amount. The respondents are Title II beneficiaries receiving SSA retirement, disability or survivor’s auxiliary benefits who need to report an event that could affect payments. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 36,000. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 3,000 hours. 2. Workers’ Compensation/Public Disability Questionnaire—20 CFR 404.408—0960–0247. Section 224 of the Social Security Act provides for the reduction of disability insurance benefits (DIB) when the combination of DIB and any workers’ compensation (WC) and/or certain Federal, State or local public disability benefits (PDB) exceeds 80% of the worker’s predisability earnings. Form SSA–546 is used to collect the data necessary to determine whether or not the worker’s receipt of WC/PDB payments will cause a reduction of DIB. The respondents are applicants for the Title II DIB. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 100,000. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 25,000 hours. 3. Medicaid Use Report—20 CFR 416.268—0960–0267. The information required by this regulation is used by SSA to determine if an individual is entitled to special Title XVI Supplemental Security Income (SSI) payments and, consequently, to Medicaid benefits. The respondents are SSI recipients whose payments were stopped based on earnings. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 60,000. Frequency of Response: 1. Average Burden Per Response: 3 minutes. E:\FR\FM\20DEN1.SGM 20DEN1 Federal Register / Vol. 70, No. 243 / Tuesday, December 20, 2005 / Notices Estimated Annual Burden: 3,000 hours. 4. Supplemental Security Income Claim Information Notice—20 CFR 416.210—0960–0324. Form SSA– L8050–U3 is used by SSA to ensure that all sources of potential income that can be used to provide for an SSI beneficiary’s own support and maintenance are utilized. SSI is intended to supplement other income an individual has available. Respondents are businesses and applicants/recipients of SSI who may be eligible for benefits from public or private programs. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 7,500. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 1,250 hours. 5. Application Statement for Child’s Insurance Benefits—20 CFR 404.350– 0368, 404.603, and 416.350—0960– 0010. Title II of the Social Security Act provides for the payment of monthly benefits to the children of an insured retired, disabled, or deceased worker, if certain conditions are met. Form SSA– 4–BK is used by SSA to collect information needed to determine whether the child or children are entitled to benefits. The respondents are children of the worker or individuals who complete this form on their behalf. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 1,740,000. Frequency of Respondents: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 435,000 hours. 6. National Employment Activity and Disability Survey—0960–0666 Background The Ticket to Work (TTW) program was established by the Ticket to Work and Work Incentives Improvement Act of 1999. The program will provide eligible Social Security Disability Insurance (SSDI) and SSI disability beneficiaries with a Ticket, which can be used to obtain vocational rehabilitation (VR) or employment services through participating providers, called Employment Networks (ENs). The goal of the TTW program is to assist participants in returning to work at a level above the Substantial Gainful Activity (SGA) level. The program is expected to increase beneficiary demand for employment-related services and activities. It is also expected to increase the number and VerDate Aug<31>2005 19:23 Dec 19, 2005 Jkt 208001 diversity of providers in response to the less restrictive participation requirements and increased consumer demand for services. The National Employment Activity and Disability Survey The National Employment Activity and Disability Survey will collect data on the work-related activities of SSI and SSDI beneficiaries as the TTW program, and other initiatives designed to improve beneficiary employment outcomes, are implemented. The TTW Survey is specifically designed to be a significant resource for the formal evaluation of TTW, but SSA anticipates that the survey will provide useful information for a variety of evaluation and policy analysis purposes, especially related to current efforts that attempt to improve return to work. The survey questionnaire focuses on information about beneficiaries and their workrelated activities that cannot be obtained from SSA’s administrative records. The survey will provide information about: (1) Beneficiaries who assign their Tickets to ENs, and their experience in the program; (2) beneficiaries who do not assign their Tickets, and the reasons why they do not, including involuntary non-participants; (3) the employment outcomes of Ticket users and other beneficiaries; and (4) the use of employment services by Ticket users and other beneficiaries. The respondents will be selected from SSI and SSDI disabled beneficiaries who meet the Ticket to Work program eligibility requirements. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 5,538. Frequency of Response: 1. Average Burden Per Response: 47 minutes. Estimated Annual Burden: 4,338 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. 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 PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 75527 to do so. The respondents are private persons or groups who wish to reproduce, duplicate, or privately print an SSA application or form. 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. 2. 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. Note: Please note that this collection was accidentally allowed to expire by OMB. 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. Dated: December 13, 2005. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E5–7514 Filed 12–19–05; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Agency Information Collection Activity Under OMB Review, Request for Comments; Approval of a New Information Collection Activity, Pilot Training and Experience With Transport Category Rudder Control Systems Federal Aviation Administration (FAA), DOT. ACTION: Notice and request for comments. AGENCY: SUMMARY: The FAA invites public comments about our intention to request the Office of Management and Budget’s (OMB) approval for a new information collection. The FAA has undertaken an effort to improve aviation safety by E:\FR\FM\20DEN1.SGM 20DEN1

Agencies

[Federal Register Volume 70, Number 243 (Tuesday, December 20, 2005)]
[Notices]
[Pages 75526-75527]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-7514]


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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, 
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. Reporting Changes that Affect Your Social Security Payment--20 
CFR 404.301-305, .310-311, .330-.333, .335-.341, .350-.352, .370-.371, 
.401-.402, .408(a), .421-.425, .428-.430, .434-.437, .439-.441, 
.446-.447, .450-.455, .468--0960-0073. SSA uses the information 
collected on Form SSA-1425 to determine continuing entitlement to Title 
II Social Security benefits and to determine the proper benefit amount. 
The respondents are Title II beneficiaries receiving SSA retirement, 
disability or survivor's auxiliary benefits who need to report an event 
that could affect payments.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 36,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 3,000 hours.
    2. Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act provides for 
the reduction of disability insurance benefits (DIB) when the 
combination of DIB and any workers' compensation (WC) and/or certain 
Federal, State or local public disability benefits (PDB) exceeds 80% of 
the worker's predisability earnings. Form SSA-546 is used to collect 
the data necessary to determine whether or not the worker's receipt of 
WC/PDB payments will cause a reduction of DIB. The respondents are 
applicants for the Title II DIB.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 25,000 hours.
    3. Medicaid Use Report--20 CFR 416.268--0960-0267. The information 
required by this regulation is used by SSA to determine if an 
individual is entitled to special Title XVI Supplemental Security 
Income (SSI) payments and, consequently, to Medicaid benefits. The 
respondents are SSI recipients whose payments were stopped based on 
earnings.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 60,000.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.

[[Page 75527]]

    Estimated Annual Burden: 3,000 hours.
    4. Supplemental Security Income Claim Information Notice--20 CFR 
416.210--0960-0324. Form SSA-L8050-U3 is used by SSA to ensure that all 
sources of potential income that can be used to provide for an SSI 
beneficiary's own support and maintenance are utilized. SSI is intended 
to supplement other income an individual has available. Respondents are 
businesses and applicants/recipients of SSI who may be eligible for 
benefits from public or private programs.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 7,500.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 1,250 hours.
    5. Application Statement for Child's Insurance Benefits--20 CFR 
404.350-0368, 404.603, and 416.350--0960-0010. Title II of the Social 
Security Act provides for the payment of monthly benefits to the 
children of an insured retired, disabled, or deceased worker, if 
certain conditions are met. Form SSA-4-BK is used by SSA to collect 
information needed to determine whether the child or children are 
entitled to benefits. The respondents are children of the worker or 
individuals who complete this form on their behalf.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 1,740,000.
    Frequency of Respondents: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 435,000 hours.
    6. National Employment Activity and Disability Survey--0960-0666

Background

    The Ticket to Work (TTW) program was established by the Ticket to 
Work and Work Incentives Improvement Act of 1999. The program will 
provide eligible Social Security Disability Insurance (SSDI) and SSI 
disability beneficiaries with a Ticket, which can be used to obtain 
vocational rehabilitation (VR) or employment services through 
participating providers, called Employment Networks (ENs). The goal of 
the TTW program is to assist participants in returning to work at a 
level above the Substantial Gainful Activity (SGA) level. The program 
is expected to increase beneficiary demand for employment-related 
services and activities. It is also expected to increase the number and 
diversity of providers in response to the less restrictive 
participation requirements and increased consumer demand for services.

The National Employment Activity and Disability Survey

    The National Employment Activity and Disability Survey will collect 
data on the work-related activities of SSI and SSDI beneficiaries as 
the TTW program, and other initiatives designed to improve beneficiary 
employment outcomes, are implemented. The TTW Survey is specifically 
designed to be a significant resource for the formal evaluation of TTW, 
but SSA anticipates that the survey will provide useful information for 
a variety of evaluation and policy analysis purposes, especially 
related to current efforts that attempt to improve return to work. The 
survey questionnaire focuses on information about beneficiaries and 
their work-related activities that cannot be obtained from SSA's 
administrative records. The survey will provide information about: (1) 
Beneficiaries who assign their Tickets to ENs, and their experience in 
the program; (2) beneficiaries who do not assign their Tickets, and the 
reasons why they do not, including involuntary non-participants; (3) 
the employment outcomes of Ticket users and other beneficiaries; and 
(4) the use of employment services by Ticket users and other 
beneficiaries. The respondents will be selected from SSI and SSDI 
disabled beneficiaries who meet the Ticket to Work program eligibility 
requirements.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 5,538.
    Frequency of Response: 1.
    Average Burden Per Response: 47 minutes.
    Estimated Annual Burden: 4,338 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. 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. The 
respondents are private persons or groups who wish to reproduce, 
duplicate, or privately print an SSA application or form.
    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.
    2. 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. 
Note: Please note that this collection was accidentally allowed to 
expire by OMB.
    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.

    Dated: December 13, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
 [FR Doc. E5-7514 Filed 12-19-05; 8:45 am]
BILLING CODE 4191-02-P
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