Agency Information Collection Activities: Proposed Request and Comment Request, 8880-8882 [E6-2397]

Download as PDF 8880 Federal Register / Vol. 71, No. 34 / Tuesday, February 21, 2006 / Notices existing operation of its Pilot until July 31, 2006. The Commission notes that proper surveillance is an essential component of any telephone access policy to an exchange trading floor. Surveillance procedures should help to ensure that Floor brokers and RCMMs use portable phones as authorized by NYSE Rule 36 26 and that orders are being handled in compliance with NYSE rules. The Commission expects the Exchange to actively review these procedures and address any potential concerns that have arisen during the Pilot. In this regard, the Commission notes that the Exchange should address whether telephone records are adequate for surveillance purposes. The Commission also requests that the Exchange report any problems, surveillance, or enforcement matters associated with the Floor brokers’ and RCMMs’ use of an Exchange authorized and provided portable telephone on the Exchange Floor. As stated in the Original Order, the NYSE should also address whether additional surveillance would be needed because of the derivative nature of the ETFs. Furthermore, in any future additional filings on the Pilot, the Commission would expect that the NYSE submit information documenting the usage of the phones, any problems that have occurred, including, among other things, any regulatory actions or concerns, and any advantages or disadvantages that have resulted.27 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: 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 Number SR–NYSE–2006–03 on the subject line. rmajette on PROD1PC67 with NOTICES1 Paper Comments • Send paper comments in triplicate to Nancy M. Morris, Secretary, Securities and Exchange Commission, 26 See note 11 supra and accompanying text for other NYSE requirements that Floor brokers be properly qualified before doing public customer business. 27 In the future, the Commission expects the information to distinguish between Floor brokers’ and RCMMs’ usage of the phones. VerDate Aug<31>2005 13:48 Feb 17, 2006 Jkt 208001 Station Place, 100 F Street, NE., Washington, DC 20549–1090. All submissions should refer to File Number SR–NYSE–2006–03. 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 Room. Copies of such filing also will be available for inspection and copying at the principal office of the NYSE. 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–NYSE–2006–03 and should be submitted on or before March 14, 2006. For the Commission, by the Division of Market Regulation, pursuant to delegated authority.28 Nancy M. Morris, Secretary. [FR Doc. E6–2367 Filed 2–17–06; 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 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, 28 17 PO 00000 CFR 200.30–3(a)(12). Frm 00048 Fmt 4703 Sfmt 4703 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. 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. Letter to Employer Requesting Wage Information—20 CFR 404.726— 0960–0138. The information collected on Form SSA–L4201 is used by SSA to collect wage information from employers to establish and/or verify wage information for Supplemental Security Income (SSI) claimants and beneficiaries. Form SSA–L4201 is also used to determine eligibility and proper payment for SSI applicants/recipients. The respondents are employers of applicants and recipients of SSI payments. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 133,000. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 66,500 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 E:\FR\FM\21FEN1.SGM 21FEN1 rmajette on PROD1PC67 with NOTICES1 Federal Register / Vol. 71, No. 34 / Tuesday, February 21, 2006 / Notices 410–965–0454, or by writing to the address listed above. 1. 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. 2. 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. Estimated Annual Burden: 3,000 hours. 6. Supplemental Security System (SSI) 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. VerDate Aug<31>2005 13:48 Feb 17, 2006 Jkt 208001 Estimated Annual Burden: 1,250 hours. 7. Certification of Low Birth Weight for SSI Eligibility—20 CFR 416.931, 416.926a (m)(7) & (8) and 416.924– 0960–NEW. Form SSA–3830 is designed to assist hospitals and claimants who file on behalf of low birth weight infants in providing local field offices (FOs) and Disability Determination Services (DDSs) with medical information for determining disability of low birth weight infants. FOs use the forms as protective filing statements, and the medical information for making presumptive disability findings, which allow expedited payment to eligible claimants. DDSs use the medical information to formally determine disability and to establish the most appropriate continuing disability review diaries. The respondents are hospitals that have information identifying low birth weight babies and medical conditions those babies may have. We estimate it will take 10 to 15 minutes to complete the form. Below, we use the higher number for our public burden computation. Type of Request: New information collection. Number of Respondents: 24,000. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 6,000 hours. 8. 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 Social Security 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: 70,000. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 5,833 hours. 9. National Employment Activity and Disability Survey—0960–0666. PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 8881 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 workrelated 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. E:\FR\FM\21FEN1.SGM 21FEN1 8882 Federal Register / Vol. 71, No. 34 / Tuesday, February 21, 2006 / Notices BENEFICIARY SURVEY DATA COLLECTION Respondents Survey activity Frequency of response Average time (minutes) Total burden hours National Beneficiary Sample ........................................................................................... TTW Participant Sample (Baseline) ................................................................................ TTW Participant Sample (Follow-up) .............................................................................. 2,400 2,000 1,772 .................... .................... .................... 45 55 45 1,800 1,833 1,329 Total for Survey Data ............................................................................................... 6,172 .................... .................... 4,962 Site Visits ......................................................................................................................... Focus Groups .................................................................................................................. Phone Interviews ............................................................................................................. 10 12 130 .................... .................... .................... 6 40 2 60 480 260 Total for Qualitative Data ......................................................................................... 152 .................... .................... 800 Total Burden Hours for all Collection Activities ........................................................ .................... .................... .................... 5,762 Service Provider Qualitative Collection Dated: February 14, 2006. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E6–2397 Filed 2–17–06; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 5314] rmajette on PROD1PC67 with NOTICES1 Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Tempo! Tempo!: The Bauhaus Photomontages of Marianne Brandt’’ SUMMARY: Notice is hereby given of the following determinations: Pursuant to the authority vested in me by the Act of October 19, 1965 (79 Stat. 985; 22 U.S.C. 2459), Executive Order 12047 of March 27, 1978, the Foreign Affairs Reform and Restructuring Act of 1998 (112 Stat. 2681, et seq.; 22 U.S.C. 6501 note, et seq.), Delegation of Authority No. 234 of October 1, 1999, Delegation of Authority No. 236 of October 19, 1999, as amended, and Delegation of Authority No. 257 of April 15, 2003 [68 FR 19875], I hereby determine that the objects to be included in the exhibition ‘‘Tempo! Tempo!: The Bauhaus Photomontages of Marianne Brandt,’’ imported from abroad for temporary exhibition within the United States, are of cultural significance. The objects are imported pursuant to loan agreements with the foreign owners or custodians. I also determine that the exhibition or display of the exhibit objects at the BuschReising Museum at Harvard University, Cambridge, MA, from on or about March 11, 2006, until on or about May 21, 2006, and at the International Canter for Photography, New York, NY, from on or about June 9, 2006, until on or about August 27, 2006, and at possible VerDate Aug<31>2005 13:48 Feb 17, 2006 Jkt 208001 additional venues yet to be determined, is in the national interest. Public Notice of these Determinations is ordered to be published in the Federal Register. FOR FURTHER INFORMATION CONTACT: For further information, including a list of the exhibit objects, contact Paul Manning, Attorney-Adviser, Office of the Legal Adviser, U.S. Department of State (telephone: 202/453–8052). The address is U.S. Department of State, SA– 44, 301 4th Street, SW. Room 700, Washington, DC 20547–0001. Dated: February 10, 2006. C. Miller Crouch, Principal Deputy Assistant Secretary for Educational and Cultural Affairs, Department of State. [FR Doc. E6–2412 Filed 2–17–06; 8:45 am] BILLING CODE 4710–05–P DEPARTMENT OF STATE [Public Notice 5317] State-14 Foreign Service Institute Records SUMMARY: Notice is hereby given that the Department of State proposes to alter an existing system of records, STATE–14, pursuant to the Provisions of the Privacy Act of 1974, as amended (5 U.S.C.(r)), and the Office of Management and Budget Circular No. A–130, Appendix I. The Department’s report was filed with the Office of Management and Budget on February 9, 2006. It is proposed that the current system will retain the name ‘‘Foreign Service Institute Records.’’ It is also proposed that due to the expanded scope of the current system, the altered system description will include revisions and/ or additions to the following sections: System Location; Categories of PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 Individuals Covered by the System; Authority for Maintenance of the System; and Routine Uses of Records Maintained in the System, Including Categories of Users and Purposes of such Uses. Changes to the existing system description are proposed in order to reflect more accurately the Foreign Service Institute’s recordkeeping system, the Authority establishing its existence and responsibilities, and the uses and users of the system. Any persons interested in commenting on the altered system of records may do so by submitting comments in writing to Margaret P. Grafeld, Director; Office of Information Programs and Services; A/RPS/IPS; Department of State, SA–2; Washington, DC 20522–8100. This system of records will be effective 40 days from the date of publication, unless we receive comments that will result in a contrary determination. The altered system description, ‘‘Foreign Service Institute Records,’’ will read as set forth below. Dated: February 8, 2006. Frank Coulter, Acting Assistant Secretary for the Bureau of Administration, Department of State. STATE–14 SYSTEM NAME: Foreign Service Institute Records. SECURITY CLASSIFICATION: Unclassified. SYSTEM LOCATION: The George P. Shultz National Foreign Affairs Training Center, 4000 Arlington Boulevard, Arlington, VA; Warrenton Training Center, Warrenton, VA; Tunis Field School, American Embassy Tunis, Tunisia; Yokohama Field School, E:\FR\FM\21FEN1.SGM 21FEN1

Agencies

[Federal Register Volume 71, Number 34 (Tuesday, February 21, 2006)]
[Notices]
[Pages 8880-8882]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-2397]


=======================================================================
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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. 
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. Letter to Employer Requesting Wage Information--20 CFR 404.726--
0960-0138. The information collected on Form SSA-L4201 is used by SSA 
to collect wage information from employers to establish and/or verify 
wage information for Supplemental Security Income (SSI) claimants and 
beneficiaries. Form SSA-L4201 is also used to determine eligibility and 
proper payment for SSI applicants/recipients. The respondents are 
employers of applicants and recipients of SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 133,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 66,500 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

[[Page 8881]]

410-965-0454, or by writing to the address listed above.
    1. 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.
    2. 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.
    Estimated Annual Burden: 3,000 hours.
    6. Supplemental Security System (SSI) 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.
    7. Certification of Low Birth Weight for SSI Eligibility--20 CFR 
416.931, 416.926a (m)(7) & (8) and 416.924-0960-NEW. Form SSA-3830 is 
designed to assist hospitals and claimants who file on behalf of low 
birth weight infants in providing local field offices (FOs) and 
Disability Determination Services (DDSs) with medical information for 
determining disability of low birth weight infants. FOs use the forms 
as protective filing statements, and the medical information for making 
presumptive disability findings, which allow expedited payment to 
eligible claimants. DDSs use the medical information to formally 
determine disability and to establish the most appropriate continuing 
disability review diaries. The respondents are hospitals that have 
information identifying low birth weight babies and medical conditions 
those babies may have. We estimate it will take 10 to 15 minutes to 
complete the form. Below, we use the higher number for our public 
burden computation.
    Type of Request: New information collection.
    Number of Respondents: 24,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 6,000 hours.
    8. 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 Social Security 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: 70,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 5,833 hours.
    9. 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.

[[Page 8882]]



                                       Beneficiary Survey Data Collection
----------------------------------------------------------------------------------------------------------------
                                                                                          Average       Total
                       Survey activity                        Respondents   Frequency       time        burden
                                                                           of response   (minutes)      hours
----------------------------------------------------------------------------------------------------------------
National Beneficiary Sample.................................        2,400  ...........           45        1,800
TTW Participant Sample (Baseline)...........................        2,000  ...........           55        1,833
TTW Participant Sample (Follow-up)..........................        1,772  ...........           45        1,329
                                                             --------------
    Total for Survey Data...................................        6,172  ...........  ...........        4,962
-------------------------------------------------------------
                                     Service Provider Qualitative Collection
----------------------------------------------------------------------------------------------------------------
Site Visits.................................................           10  ...........            6           60
Focus Groups................................................           12  ...........           40          480
Phone Interviews............................................          130  ...........            2          260
                                                             --------------
    Total for Qualitative Data..............................          152  ...........  ...........          800
                                                             ==============
    Total Burden Hours for all Collection Activities........  ...........  ...........  ...........        5,762
----------------------------------------------------------------------------------------------------------------


    Dated: February 14, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-2397 Filed 2-17-06; 8:45 am]
BILLING CODE 4191-02-P
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