Agency Information Collection Activities: Proposed Request, Comment Request, Notice of Office of Management and Budget Approval, 34180-34181 [E6-9146]
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34180
Federal Register / Vol. 71, No. 113 / Tuesday, June 13, 2006 / Notices
you wish to make available publicly. All
submissions should refer to File No.
SR–Phlx–2006–36 and should be
submitted on or before July 5, 2006.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.15
Jill M. Peterson,
Assistant Secretary.
[FR Doc. E6–9155 Filed 6–12–06; 8:45 am]
BILLING CODE 8010–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request,
Comment Request, Notice of Office of
Management and Budget Approval
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 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
thispublication. 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 Widow’s or
Widower’s Insurance Benefits—20 CFR
404.335–404.338, 404.603—0960–0004.
SSA uses the information collected on
the SSA–10–BK to determine whether
the applicant meets the statutory and
regulatory conditions for entitlement to
widow(er)’s Social Security Title II
benefits. The respondents are applicants
for widow’s or widower’s insurance
benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Collection method
Estimated completion time
Burden hours
324,482
17,078
14–15 minutes .......
15 minutes .............
78,416
4,270
Totals ............................................................................................................................
jlentini on PROD1PC65 with NOTICES
Personal Interview (Modernized Claims System) ...............................................................
Paper ...................................................................................................................................
341,560
................................
82,686
2. Waiver of Right to AppearDisability Hearing—20 CFR 404.913–
404.914, 404.916(b)(5), 416.1413–
416.1414, 416.1416(b)(5)—0960–0534.
The SSA–773–U4 is used by claimants
or their representatives to officially
waive the right to appear at a disability
hearing. The disability hearing officer
uses the signed form as a basis for not
holding a hearing and for preparing a
written decision based solely on the
evidence of the record. The respondents
are claimants for disability under Titles
II and XVI of the Social Security Act, or
their representatives, who wish to
officially waive their right to appear at
a disability hearing.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden per Response: 3
minutes.
Estimated Annual Burden: 10 hours.
3. Childhood Disability Evaluation
Form—20 CFR 416.924(g)—0960–0568.
The information collected on the SSA–
538–F6 is used by SSA and the State
Disability Determination Services
15 17
(DDSs) to record medical and functional
findings concerning the severity of
impairments of children claiming
Supplemental Security Income (SSI)
benefits based on disability. The SSA–
538–F6 is used for initial
determinations of SSI eligibility;
appeals; and in initial continuing
disability reviews. The respondents are
DDSs which make disability
determinations on behalf of SSA under
Title XVI of the Social Security Act.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 750,000.
Frequency of Response: 1.
Average Burden per Response: 25
minutes.
Estimated Annual Burden: 312,500
hours.
4. Medical Consultant’s Review of
Physical Residual Functional Capacity
Assessment—20 CFR 404.1545–.1546,
404.1640, 404.1643, 404.1645, 416.945–
.946—0960–0680. The SSA–392 is used
by SSA’s regional review component to
facilitate the medical consultant’s
review of the Physical Residual
Functional Capacity Assessment form
(RFC). The SSA–392 records the
reviewing medical consultant’s
assessment of the RFC prepared by the
adjudicating component. The medical
consultant only completes an SSA–392
when the adjudicating component’s RFC
is in the claims file. The SSA–392 is
required for each RFC completed.
Respondents are medical consultants
who review the adjudicating
component’s completion of the RFC for
quality purposes.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 256.
Frequency of Response: 359.
Number of Responses: 91,904.
Average Burden per Response: 12
minutes.
Estimated Annual Burden: 18,380
hours.
5. You Can Make Your Payment By
Credit Card—0960–0462. The SSA–4588
and SSA–4589 are used by SSA to
update an individual’s record to reflect
that a payment has been made on their
overpayment and to effectuate payment
through the appropriate credit card
company. The SSA–4588 is sent to
CFR 200.30–3(a)(12).
VerDate Aug<31>2005
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Federal Register / Vol. 71, No. 113 / Tuesday, June 13, 2006 / Notices
overpaid individuals with an initial
notice of overpayment, and the SSA–
4589 is sent to overpaid individuals
who have been previously notified of
their debt. The SSA–4588 is sent out
only once to the debtor, with the official
first notice of overpayment, while the
SSA–4589 is sent on a monthly basis
until the debt is repaid. Respondents are
Title II beneficiaries and Title XVI
recipients who have outstanding
overpayments.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 5
minutes.
Estimated Annual Burden: 5,000
hours.
6. Continuing Education Information
Collection under Non-Attorney
Demonstration Project—0960–NEW.
Section 303 of the Social Security
Protection Act of 2004 (SSPA) provides
for a 5-year demonstration project to be
conducted by SSA under which the
direct payment of SSA approved fees is
extended to certain non-attorney
claimant representatives. Under the
demonstration project, to be eligible for
direct payment of fees, a non-attorney
representative must fulfill a series of
statutory requirements. One of these
steps is to demonstrate completion of
relevant continuing education courses.
Through the services of a private
contractor, SSA must collect the
requested information to determine if a
non-attorney representative has met this
statutory requirement to be eligible for
direct payment of fees for his or her
claimant representation services. The
information collection is needed to
comply with the legislation. The
respondents are non-attorney
representatives who apply for direct
payment of fees.
Type of Request: Collection in use
without OMB number.
Number of Respondents: 300.
Frequency of Response: 1.
Average Burden Per Response: 30
minutes.
Estimated Annual Burden: 150 hours.
II. The information collection listed
below has been submitted to OMB for
clearance. Your comments on the
information collection 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 package by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
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Jkt 208001
Instructions for Completion of Federal
Assistance Application—0960–0184.
The information on Form SSA–96 will
be used to assist SSA in selecting grant
proposals for funding based on their
technical merits. The information will
also assist in evaluating the soundness
of the design of the proposed activities,
the possibilities of obtaining productive
results, the adequacy of resources to
conduct the activities and the
relationship to other similar activities
that have been or are being conducted.
The respondents are State and local
governments, State-designated
protection and advocacy groups,
colleges and universities and profit and
nonprofit private organizations.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 400.
Frequency of Response: 2.
Average Burden Per Response: 14
hours.
Estimated Annual Burden: 11,200
hours.
III. Notice of Office of Management
and Budget Approval
Administrative Review Process for
Adjudicating Disability, Parts 404, 405,
416 and 422. As required by the
Paperwork Reduction Act, SSA is
providing notice of the Office of
Management and Budget’s approval of
the information collections contained in
20 CFR parts, 404, 416 and 422. The
OMB number for this collection is
0960–0710, expiring March 31, 2009.
Dated: June 6, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E6–9146 Filed 6–12–06; 8:45 am]
BILLING CODE 4191–02–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,
PO 00000
Frm 00130
Fmt 4703
Sfmt 4703
34181
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. Special Benefits for Certain World
War II Veterans—20 CFR 408, Subparts
G, H, I, J & L—0960–0683. Title VIII of
the Social Security Act, Special Benefits
for Certain World War II Veterans (SVB),
allows, under certain circumstances, the
payment of SVB to qualified veterans
who reside outside the United States.
The accompanying regulations set out
the requirements an individual must
meet in order to establish continuing
eligibility to, and insure correct
payment amount of, SVB and/or State
recognition payments.
Additionally, they provide
requirements that a State must meet in
order to elect, modify, or terminate a
Federal agreement. The respondents are
individuals who receive Title VIII SVB,
and/or States that elect Federal
administration of their recognition
payments.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 60.
Estimated Annual Burden: 22 hours.
E:\FR\FM\13JNN1.SGM
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]]>Agencies
[Federal Register Volume 71, Number 113 (Tuesday, June 13, 2006)]
[Notices]
[Pages 34180-34181]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-9146]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request,
Comment Request, Notice of Office of Management and Budget Approval
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 thispublication. 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 Widow's or Widower's Insurance Benefits--20 CFR
404.335-404.338, 404.603--0960-0004. SSA uses the information collected
on the SSA-10-BK to determine whether the applicant meets the statutory
and regulatory conditions for entitlement to widow(er)'s Social
Security Title II benefits. The respondents are applicants for widow's
or widower's insurance benefits.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
Personal Interview (Modernized Claims 324,482 14-15 minutes........................ 78,416
System).
Paper.................................... 17,078 15 minutes........................... 4,270
----------------------------------------------------------------------
Totals............................... 341,560 ..................................... 82,686
----------------------------------------------------------------------------------------------------------------
2. Waiver of Right to Appear-Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534.
The SSA-773-U4 is used by claimants or their representatives to
officially waive the right to appear at a disability hearing. The
disability hearing officer uses the signed form as a basis for not
holding a hearing and for preparing a written decision based solely on
the evidence of the record. The respondents are claimants for
disability under Titles II and XVI of the Social Security Act, or their
representatives, who wish to officially waive their right to appear at
a disability hearing.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden per Response: 3 minutes.
Estimated Annual Burden: 10 hours.
3. Childhood Disability Evaluation Form--20 CFR 416.924(g)--0960-
0568. The information collected on the SSA-538-F6 is used by SSA and
the State Disability Determination Services (DDSs) to record medical
and functional findings concerning the severity of impairments of
children claiming Supplemental Security Income (SSI) benefits based on
disability. The SSA-538-F6 is used for initial determinations of SSI
eligibility; appeals; and in initial continuing disability reviews. The
respondents are DDSs which make disability determinations on behalf of
SSA under Title XVI of the Social Security Act.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 750,000.
Frequency of Response: 1.
Average Burden per Response: 25 minutes.
Estimated Annual Burden: 312,500 hours.
4. Medical Consultant's Review of Physical Residual Functional
Capacity Assessment--20 CFR 404.1545-.1546, 404.1640, 404.1643,
404.1645, 416.945-.946--0960-0680. The SSA-392 is used by SSA's
regional review component to facilitate the medical consultant's review
of the Physical Residual Functional Capacity Assessment form (RFC). The
SSA-392 records the reviewing medical consultant's assessment of the
RFC prepared by the adjudicating component. The medical consultant only
completes an SSA-392 when the adjudicating component's RFC is in the
claims file. The SSA-392 is required for each RFC completed.
Respondents are medical consultants who review the adjudicating
component's completion of the RFC for quality purposes.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 256.
Frequency of Response: 359.
Number of Responses: 91,904.
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 18,380 hours.
5. You Can Make Your Payment By Credit Card--0960-0462. The SSA-
4588 and SSA-4589 are used by SSA to update an individual's record to
reflect that a payment has been made on their overpayment and to
effectuate payment through the appropriate credit card company. The
SSA-4588 is sent to
[[Page 34181]]
overpaid individuals with an initial notice of overpayment, and the
SSA-4589 is sent to overpaid individuals who have been previously
notified of their debt. The SSA-4588 is sent out only once to the
debtor, with the official first notice of overpayment, while the SSA-
4589 is sent on a monthly basis until the debt is repaid. Respondents
are Title II beneficiaries and Title XVI recipients who have
outstanding overpayments.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
6. Continuing Education Information Collection under Non-Attorney
Demonstration Project--0960-NEW. Section 303 of the Social Security
Protection Act of 2004 (SSPA) provides for a 5-year demonstration
project to be conducted by SSA under which the direct payment of SSA
approved fees is extended to certain non-attorney claimant
representatives. Under the demonstration project, to be eligible for
direct payment of fees, a non-attorney representative must fulfill a
series of statutory requirements. One of these steps is to demonstrate
completion of relevant continuing education courses. Through the
services of a private contractor, SSA must collect the requested
information to determine if a non-attorney representative has met this
statutory requirement to be eligible for direct payment of fees for his
or her claimant representation services. The information collection is
needed to comply with the legislation. The respondents are non-attorney
representatives who apply for direct payment of fees.
Type of Request: Collection in use without OMB number.
Number of Respondents: 300.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 150 hours.
II. The information collection listed below has been submitted to
OMB for clearance. Your comments on the information collection 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 package by
calling the SSA Reports Clearance Officer at 410-965-0454, or by
writing to the address listed above.
Instructions for Completion of Federal Assistance Application--
0960-0184. The information on Form SSA-96 will be used to assist SSA in
selecting grant proposals for funding based on their technical merits.
The information will also assist in evaluating the soundness of the
design of the proposed activities, the possibilities of obtaining
productive results, the adequacy of resources to conduct the activities
and the relationship to other similar activities that have been or are
being conducted. The respondents are State and local governments,
State-designated protection and advocacy groups, colleges and
universities and profit and nonprofit private organizations.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 400.
Frequency of Response: 2.
Average Burden Per Response: 14 hours.
Estimated Annual Burden: 11,200 hours.
III. Notice of Office of Management and Budget Approval
Administrative Review Process for Adjudicating Disability, Parts
404, 405, 416 and 422. As required by the Paperwork Reduction Act, SSA
is providing notice of the Office of Management and Budget's approval
of the information collections contained in 20 CFR parts, 404, 416 and
422. The OMB number for this collection is 0960-0710, expiring March
31, 2009.
Dated: June 6, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-9146 Filed 6-12-06; 8:45 am]
BILLING CODE 4191-02-P
