Agency Information Collection Activities: Proposed Request and Comment Request, 54705-54708 [E6-15281]
Download as PDF
Federal Register / Vol. 71, No. 180 / Monday, September 18, 2006 / Notices
include the following areas as adversely
affected by the disaster:
Primary Counties:
Otero
Contiguous Counties:
New Mexico
Chaves, Eddy, Lincoln
Texas
Culberson, Hudspeth
All other information in the original
declaration remains unchanged.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
Herbert L. Mitchell,
Associate Administrator for Disaster
Assistance.
[FR Doc. E6–15369 Filed 9–15–06; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Audit and Financial Management
Advisory (AFMAC) Committee Public
Meeting
The U.S. Small Business
Administration, Audit and Financial
Management Advisory Committee
(AFMAC) will host a public meeting on
Monday, September 25, 2006 at 9 a.m.
The meeting will take place at the U.S.
Small Business Administration, 409 3rd
Street, SW., Office of the Chief Financial
Officer Conference Room, 6th Floor,
Washington, DC 20416. The purpose of
the meeting is to discuss the SBA’s FY
2006 Financial Reporting, the FY 2006
Audit/KPMG and OMB Circular A–123.
The AFMAC was established by the
Administrator of the SBA to provide
recommendation and advice regarding
the Agency’s financial management,
including the financial reporting
process, systems of internal controls,
audit process and process for
monitoring compliance with relevant
laws and regulations.
Anyone wishing to attend must
contact Jennifer Main in writing or by
fax. Jennifer Main, Chief Financial
Officer, 409 3rd Street, SW., 6th Floor,
Washington, DC 20416, phone: (202)
205–6449, fax: (202) 205–6969, e-mail:
Jennifer.main@sba.gov.
Joel Szabat,
Chief of Staff.
[FR Doc. E6–15361 Filed 9–15–06; 8:45 am]
cprice-sewell on PROD1PC66 with NOTICES
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Public Federal Regulatory
Enforcement Fairness Hearing; Region
IX Regulatory Fairness Board
The U.S. Small Business
Administration (SBA) Region IX
VerDate Aug<31>2005
17:18 Sep 15, 2006
Jkt 208001
Regulatory Fairness Board and the SBA
Office of the National Ombudsman will
hold a public hearing on Friday,
September 29, 2006, at 9 a.m. The
meeting will take place at the
Sacramento Convention Center, 1401 J
Street, Room 101, Sacramento, CA
95814–2918. The purpose of the
meeting is to receive comments and
testimony from small business owners,
small government entities, and small
non-profit organizations concerning
regulatory enforcement and compliance
actions taken by Federal agencies.
Anyone wishing to attend or to make
a presentation must contact Mary
Conway-Jepsen, in writing or by fax, in
order to be placed on the agenda. Mary
Conway-Jepsen, Business Development
Specialist, SBA, Sacramento District
Office, 650 Capitol Mall, Suite 7–500,
Sacramento, CA 95814–2918, phone
(916) 930–3718 and fax (916) 930–3737,
e-mail: Mary.conway-jepsen@sba.gov.
For more information, see our Web
site at https://www.sba.gov/ombudsman.
Thomas M. Dryer,
Acting Committee Management Officer.
[FR Doc. E6–15362 Filed 9–15–06; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Regional Small Business Regulatory
Fairness Boards; Training and Public
Meeting
The U.S. Small Business
Administration (SBA), Regulatory
Fairness Board and the SBA Office of
the National Ombudsman will hold a
public meeting and training conference
on Thursday and Friday, September 14–
15, 2006, at 9 a.m. The meeting will take
place at the U.S. Small Business
Administration Headquarters,
Eisenhower Conference Room, 2nd
Floor, 409 3rd Street, SW., Washington,
DC 20416. The meeting was originally
scheduled to be a training session only
but the format has been changed to
include a discussion of Board business.
The purpose of the meeting is to advise
the National Ombudsman on matters of
concern to small businesses relating to
the enforcement activities of federal
agencies and to orient new Board
Members. Any member of the public
who wishes to participate should
´ ´
contact Jose Mendez, Event Coordinator,
SBA, 409 3rd Street, SW., Suite 7125,
Washington, DC 20416, phone (202)
205–6178 and fax (202) 481–2707, email: jose.mendez@sba.gov.
PO 00000
Frm 00098
Fmt 4703
Sfmt 4703
54705
For more information, see our Web
site at https://www.sba.gov/ombudsman.
Thomas M. Dryer,
Acting Committee Management Officer.
[FR Doc. E6–15370 Filed 9–15–06; 8:45 am]
BILLING CODE 8025–01–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,
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. Application for Lump Sum Death
Payment—20 CFR 404.390–404.392—
0960–0013. The Social Security
Administration (SSA) needs the
E:\FR\FM\18SEN1.SGM
18SEN1
54706
Federal Register / Vol. 71, No. 180 / Monday, September 18, 2006 / Notices
information collected on Form SSA–8–
F4 to authorize payment of the lumpsum death payment (LSDP) to a widow,
widower, or children as defined in
Section 202(i) of the Act. Respondents
are applicants for LSDP.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Collection method
Number of Respondents: 587,000.
Estimated Annual Burden: 93,187
hours.
Estimated completion time
Burden hours
Personal Interview (Modernized Claims System) ........
Paper ............................................................................
557,650
29,350
9–10 minutes ................................................................
10 minutes ....................................................................
88,2950
4,892
Totals .....................................................................
587,000
.......................................................................................
93,187
2. Pre-1957 Military Service—Federal
Benefit Questionnaire—20 CFR
404.1301–404.1371—0960–0120.
Sections 217(a) through (e) of the Social
Security Act provide for the crediting of
military service before 1957 to the wage
earner’s record. Form SSA–2512 collects
specific information about other
Federal, military or civilian benefits the
wage earner may receive when the
applicant indicates both pre-1957
military service and the receipt of
Federal benefits. This data is then used
in the claims adjudication process to
grant gratuitous military wage credits
when applicable. This form is used to
solicit sufficient information to make a
determination of eligibility.
Respondents are applicants for Social
Security benefits on a record where the
wage earner has pre-1957 military
service.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 5,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 833 hours.
3. Prisoner Matching Agreements—20
CFR 404.468 and 20 CFR 416.211
—0960–NEW.
cprice-sewell on PROD1PC66 with NOTICES
Collection Background
Section 202(x) of the Social Security
Act (the Act) and regulations at 20 CFR
404.468 preclude a person from
receiving a benefit under title II for any
month during which such individual is
confined in a jail, prison, or other penal
institution or correctional facility
pursuant to his conviction of a criminal
offense or because he/she is not-guilty
by reason of insanity. Accordingly,
Section 1611(e) of the Social Security
Act and regulations at 20 CFR 416.211,
provide that no person shall be an
eligible individual or eligible spouse for
title XVI with respect to any month if
throughout such month he is an inmate
of a public institution.
Prisoner Matching Collection Activity
To enforce these provisions of the
Act, SSA has entered into agreements
VerDate Aug<31>2005
16:07 Sep 15, 2006
Jkt 208001
with the Federal Bureau of Prisons,
along with State and local correctional
facilities and certain mental health
institutions, to submit monthly prisoner
reports to SSA. SSA matches these
reports against our files to identify
incarcerated individuals receiving
Social Security and Supplemental
Security Income (SSI) payments and
take action to suspend their payments.
SSA uses the reports of confinement as
the basis for stopping payments under
titles II & XVI. The respondents to the
collection are State and local
correctional facilities, the Federal
Bureau of Prisons and certain mental
health institutions that have entered
into prisoner matching agreements with
SSA.
Type of Request: Collection in use
without OMB Control Number.
Number of Respondents: 3,000.
Frequency of Response: 12.
Average Burden per Response: 60
minutes.
Estimated Annual Burden: 36,000
hours.
4. Fugitive Felon Matching
Agreements—20 CFR 404.471 and
416.1339—0960–NEW.
Collection Background
Sections 202(x) and 1611(e)(4) of the
Social Security Act provides that a
person may not receive a benefit under
title II and will not be eligible under
title XVI for any month he or she is
avoiding prosecution for a felony, is
avoiding confinement or conviction of a
felony, or is violating a condition of
probation or parole. In jurisdictions that
do not define crimes as felonies this
nonpayment/ineligibility applies to any
crime that is punishable by death or
imprisonment for more than one year,
regardless of the actual sentence
imposed.
Fugitive Felon Matching Collection
Activity
To enforce these provisions of the
Act, SSA has entered agreements with
the FBI’s National Crime Information
Center (NCIC), the U.S. Marshall
Service, 21 individual States,
PO 00000
Frm 00099
Fmt 4703
Sfmt 4703
Washington DC, and four metropolitan
law enforcement agencies under which
these law enforcement agencies submit
outstanding felony and parole/probation
violator warrants to SSA. SSA uses the
reports of outstanding warrants as the
basis for stopping payments under titles
II & XVI. The respondents to the
collection are the Federal, State and
local law enforcement agencies that
have entered into Fugitive Felon
matching agreements with SSA.
Type of Request: Collection in use
without OMB Control Number.
Number of Respondents: 28.
Frequency of Response: * 7.
Average Burden per Response: 60
minutes.
Estimated Annual Burden: 196 hours.
* Please Note: Seven responses per
respondent is the average frequency of
reporting. The actual response rate per
respondent varies based on the individual
need to report.
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. 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: 341,560.
Estimated Annual Burden: 82,686
hours.
E:\FR\FM\18SEN1.SGM
18SEN1
54707
Federal Register / Vol. 71, No. 180 / Monday, September 18, 2006 / Notices
Number of
respondents
Collection method
Estimated completion time
Burden hours
Personal Interview (Modernized Claims System) ........
Paper ............................................................................
324,482
17,078
14–15 minutes ..............................................................
15 minutes ....................................................................
78,416
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
wave 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.
Number of
responses
Section No.
4. Uniform Administrative
Requirements for Grants and
Agreements with Institutions of Higher
Learning, Hospitals and Other NonProfit Organizations—20 CFR 435—
0960–0616. The information contained
in 20 CFR 435 of the Code of Federal
Regulations provides SSA’s standards in
the administration of grants and
agreements awarded to institutions of
higher learning, hospitals, other nonprofit and/or commercial organizations.
It provides administrative guidelines
and reporting, recordkeeping and
disclosure requirements for applicable
recipients of grants and agreements.
Respondents are applicants and
recipients for grants and agreements
with SSA.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 196.
Number of Responses: 697.
Estimated Annual Burden: 12,871
hours.
Average
burden per
response
(hours)
Frequency of
response
Estimated
annual burden
(hours)
Rec-kp .................................................
Rec-kp .................................................
Rpt ......................................................
Rpt ......................................................
Rpt ......................................................
Rpt ......................................................
Rec-kp .................................................
Rpt ......................................................
Rpt ......................................................
1
143
157
1
1
196
196
1
1
N/A .................................................................
Quarterly (4) ...................................................
Biannually (2) .................................................
Annually (1) ....................................................
Annually (1) ....................................................
Quarterly (4) ...................................................
Annually (1) ....................................................
Annually (1) ....................................................
Annually (1) ....................................................
40
1
4
1
2
12
8
16
8
40
572
1,256
1
2
9,408
1,568
16
8
Total .........................................................
cprice-sewell on PROD1PC66 with NOTICES
435.21
435.23
435.25
435.33
435.44
435.51
435.53
435.81
435.82
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 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.
697
.........................................................................
........................
12,871
5. 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
(PRFC). The SSA–392 records the
reviewing medical consultant’s
assessment of the PRFC 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 PRFC completed.
VerDate Aug<31>2005
16:07 Sep 15, 2006
Jkt 208001
Respondents are medical consultants
who review the adjudicating
component’s completion of the PRFC 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.
6. 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
PO 00000
Frm 00100
Fmt 4703
Sfmt 4703
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
E:\FR\FM\18SEN1.SGM
18SEN1
54708
Federal Register / Vol. 71, No. 180 / Monday, September 18, 2006 / Notices
Federal administration of their
recognition payments.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Section No.
§ 408.704–.714 ..............................................................................................
§ 408.802(b) ...................................................................................................
§ 408.814 .......................................................................................................
§ 408.820(c) ...................................................................................................
§ 408.923(b) ...................................................................................................
§ 408.931(b) & § 408.932(d) ..........................................................................
§ 408.932(c) ...................................................................................................
§ 408.932(e) ...................................................................................................
§ 408.941(b) & § 408.942 ...............................................................................
§ 408.944(a) ...................................................................................................
§ 408.1000(a) .................................................................................................
§ 408.1007; § 408.1009(a)–(b) .......................................................................
§ 408.1009(c) .................................................................................................
§ 408.1210(c)–(d) ...........................................................................................
§ 408.1215 .....................................................................................................
§ 408.1230 .....................................................................................................
Average
burden per
response
(minutes)
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Maritime Administration
[Docket Number 2006 25814]
Requested Administrative Waiver of
the Coastwise Trade Laws
Maritime Administration,
Department of Transportation.
ACTION: Invitation for public comments
on a requested administrative waiver of
the Coastwise Trade Laws for the vessel
BRIER PATCH.
SUMMARY: As authorized by Public Law
105–383 and Public Law 107–295, the
Secretary of Transportation, as
represented by the Maritime
Administration (MARAD), is authorized
to grant waivers of the U.S.-build
requirement of the coastwise laws under
certain circumstances. A request for
such a waiver has been received by
MARAD. The vessel, and a brief
description of the proposed service, is
listed below. The complete application
is given in DOT docket 2006–25814 at
https://dms.dot.gov. Interested parties
may comment on the effect this action
may have on U.S. vessel builders or
businesses in the U.S. that use U.S.-flag
vessels. If MARAD determines, in
accordance with Public Law 105–383
and MARAD’s regulations at 46 CFR
16:07 Sep 15, 2006
Jkt 208001
Submit comments on or before
October 18, 2006.
60
15
15
15
60
60
15
15
15
30
60
60
60
120
15
15
1
1.25
1.25
1.25
1
1
.50
.50
.50
1
1
1
1
2
2.50
5.00
22
As
described by the applicant the intended
service of the vessel BRIER PATCH is:
Intended Use: ‘‘Day charter. Possible
over nite to local areas.’’
Geographic Region: Southern
California, U.S. Virgin Islands, Florida.
SUPPLEMENTARY INFORMATION:
Dated: September 8, 2006.
By order of the Maritime Administrator.
Joel C. Richard,
Secretary, Maritime Administration.
[FR Doc. E6–15373 Filed 9–15–06; 8:45 am]
BILLING CODE 4910–81–P
DATES:
AGENCY:
VerDate Aug<31>2005
part 388 (68 FR 23084; April 30, 2003),
that the issuance of the waiver will have
an unduly adverse effect on a U.S.vessel builder or a business that uses
U.S.-flag vessels in that business, a
waiver will not be granted. Comments
should refer to the docket number of
this notice and the vessel name in order
for MARAD to properly consider the
comments. Comments should also state
the commenter’s interest in the waiver
application, and address the waiver
criteria given in § 388.4 of MARAD’s
regulations at 46 CFR part 388.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Estimated
annual burden
60
Dated: September 11, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E6–15281 Filed 9–15–06; 8:45 am]
cprice-sewell on PROD1PC66 with NOTICES
Frequency of
response
1
5
5
5
1
1
2
2
2
2
1
1
1
1
10
20
Totals ......................................................................................................
Estimated Annual Burden: 22 hours.
Comments should refer to
docket number MARAD–2006 25814.
Written comments may be submitted by
hand or by mail to the Docket Clerk,
U.S. DOT Dockets, Room PL–401,
Department of Transportation, 400 7th
St., SW., Washington, DC 20590–0001.
You may also send comments
electronically via the Internet at https://
dmses.dot.gov/submit/. All comments
will become part of this docket and will
be available for inspection and copying
at the above address between 10 a.m.
and 5 p.m., E.T., Monday through
Friday, except Federal holidays. An
electronic version of this document and
all documents entered into this docket
is available on the World Wide Web at
https://dms.dot.gov.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Joann Spittle, U.S. Department of
Transportation, Maritime
Administration, MAR–830 Room 7201,
400 Seventh Street, SW., Washington,
DC 20590. Telephone 202–366–5979.
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
DEPARTMENT OF TRANSPORTATION
Maritime Administration
[Docket Number 2006 25815]
Requested Administrative Waiver of
the Coastwise Trade Laws
Maritime Administration,
Department of Transportation.
ACTION: Invitation for public comments
on a requested administrative waiver of
the Coastwise Trade Laws for the vessel
´
NAMASTE.
AGENCY:
SUMMARY: As authorized by Public Law
105–383 and Public Law 107–295, the
Secretary of Transportation, as
represented by the Maritime
Administration (MARAD), is authorized
to grant waivers of the U.S.-build
requirement of the coastwise laws under
certain circumstances. A request for
such a waiver has been received by
MARAD. The vessel, and a brief
description of the proposed service, is
listed below. The complete application
is given in DOT docket 2006–25815 at
E:\FR\FM\18SEN1.SGM
18SEN1
Agencies
[Federal Register Volume 71, Number 180 (Monday, September 18, 2006)]
[Notices]
[Pages 54705-54708]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-15281]
=======================================================================
-----------------------------------------------------------------------
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. Application for Lump Sum Death Payment--20 CFR 404.390-404.392--
0960-0013. The Social Security Administration (SSA) needs the
[[Page 54706]]
information collected on Form SSA-8-F4 to authorize payment of the
lump-sum death payment (LSDP) to a widow, widower, or children as
defined in Section 202(i) of the Act. Respondents are applicants for
LSDP.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 587,000.
Estimated Annual Burden: 93,187 hours.
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
Personal Interview (Modernized Claims System). 557,650 9-10 minutes.................... 88,2950
Paper......................................... 29,350 10 minutes...................... 4,892
---------------- ---------------
Totals.................................... 587,000 ................................ 93,187
----------------------------------------------------------------------------------------------------------------
2. Pre-1957 Military Service--Federal Benefit Questionnaire--20 CFR
404.1301-404.1371--0960-0120. Sections 217(a) through (e) of the Social
Security Act provide for the crediting of military service before 1957
to the wage earner's record. Form SSA-2512 collects specific
information about other Federal, military or civilian benefits the wage
earner may receive when the applicant indicates both pre-1957 military
service and the receipt of Federal benefits. This data is then used in
the claims adjudication process to grant gratuitous military wage
credits when applicable. This form is used to solicit sufficient
information to make a determination of eligibility. Respondents are
applicants for Social Security benefits on a record where the wage
earner has pre-1957 military service.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 5,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 833 hours.
3. Prisoner Matching Agreements--20 CFR 404.468 and 20 CFR 416.211
--0960-NEW.
Collection Background
Section 202(x) of the Social Security Act (the Act) and regulations
at 20 CFR 404.468 preclude a person from receiving a benefit under
title II for any month during which such individual is confined in a
jail, prison, or other penal institution or correctional facility
pursuant to his conviction of a criminal offense or because he/she is
not-guilty by reason of insanity. Accordingly, Section 1611(e) of the
Social Security Act and regulations at 20 CFR 416.211, provide that no
person shall be an eligible individual or eligible spouse for title XVI
with respect to any month if throughout such month he is an inmate of a
public institution.
Prisoner Matching Collection Activity
To enforce these provisions of the Act, SSA has entered into
agreements with the Federal Bureau of Prisons, along with State and
local correctional facilities and certain mental health institutions,
to submit monthly prisoner reports to SSA. SSA matches these reports
against our files to identify incarcerated individuals receiving Social
Security and Supplemental Security Income (SSI) payments and take
action to suspend their payments. SSA uses the reports of confinement
as the basis for stopping payments under titles II & XVI. The
respondents to the collection are State and local correctional
facilities, the Federal Bureau of Prisons and certain mental health
institutions that have entered into prisoner matching agreements with
SSA.
Type of Request: Collection in use without OMB Control Number.
Number of Respondents: 3,000.
Frequency of Response: 12.
Average Burden per Response: 60 minutes.
Estimated Annual Burden: 36,000 hours.
4. Fugitive Felon Matching Agreements--20 CFR 404.471 and
416.1339--0960-NEW.
Collection Background
Sections 202(x) and 1611(e)(4) of the Social Security Act provides
that a person may not receive a benefit under title II and will not be
eligible under title XVI for any month he or she is avoiding
prosecution for a felony, is avoiding confinement or conviction of a
felony, or is violating a condition of probation or parole. In
jurisdictions that do not define crimes as felonies this nonpayment/
ineligibility applies to any crime that is punishable by death or
imprisonment for more than one year, regardless of the actual sentence
imposed.
Fugitive Felon Matching Collection Activity
To enforce these provisions of the Act, SSA has entered agreements
with the FBI's National Crime Information Center (NCIC), the U.S.
Marshall Service, 21 individual States, Washington DC, and four
metropolitan law enforcement agencies under which these law enforcement
agencies submit outstanding felony and parole/probation violator
warrants to SSA. SSA uses the reports of outstanding warrants as the
basis for stopping payments under titles II & XVI. The respondents to
the collection are the Federal, State and local law enforcement
agencies that have entered into Fugitive Felon matching agreements with
SSA.
Type of Request: Collection in use without OMB Control Number.
Number of Respondents: 28.
Frequency of Response: * 7.
Average Burden per Response: 60 minutes.
Estimated Annual Burden: 196 hours.
* Please Note: Seven responses per respondent is the average
frequency of reporting. The actual response rate per respondent
varies based on the individual need to report.
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. 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: 341,560.
Estimated Annual Burden: 82,686 hours.
[[Page 54707]]
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
Personal Interview (Modernized Claims System). 324,482 14-15 minutes................... 78,416
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 wave 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 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. Uniform Administrative Requirements for Grants and Agreements
with Institutions of Higher Learning, Hospitals and Other Non-Profit
Organizations--20 CFR 435--0960-0616. The information contained in 20
CFR 435 of the Code of Federal Regulations provides SSA's standards in
the administration of grants and agreements awarded to institutions of
higher learning, hospitals, other non-profit and/or commercial
organizations. It provides administrative guidelines and reporting,
recordkeeping and disclosure requirements for applicable recipients of
grants and agreements. Respondents are applicants and recipients for
grants and agreements with SSA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 196.
Number of Responses: 697.
Estimated Annual Burden: 12,871 hours.
----------------------------------------------------------------------------------------------------------------
Average
Number of burden per Estimated
Section No. responses Frequency of response response annual burden
(hours) (hours)
----------------------------------------------------------------------------------------------------------------
435.21 Rec-kp......................... 1 N/A..................... 40 40
435.23 Rec-kp......................... 143 Quarterly (4)........... 1 572
435.25 Rpt............................ 157 Biannually (2).......... 4 1,256
435.33 Rpt............................ 1 Annually (1)............ 1 1
435.44 Rpt............................ 1 Annually (1)............ 2 2
435.51 Rpt............................ 196 Quarterly (4)........... 12 9,408
435.53 Rec-kp......................... 196 Annually (1)............ 8 1,568
435.81 Rpt............................ 1 Annually (1)............ 16 16
435.82 Rpt............................ 1 Annually (1)............ 8 8
---------------- -------------------------------
Total............................. 697 ........................ .............. 12,871
----------------------------------------------------------------------------------------------------------------
5. 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 (PRFC).
The SSA-392 records the reviewing medical consultant's assessment of
the PRFC 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 PRFC completed.
Respondents are medical consultants who review the adjudicating
component's completion of the PRFC 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.
6. 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
[[Page 54708]]
Federal administration of their recognition payments.
Type of Request: Extension of an OMB-approved information
collection.
Estimated Annual Burden: 22 hours.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Section No. respondents response response annual burden
(minutes)
----------------------------------------------------------------------------------------------------------------
Sec. 408.704-.714............................. 1 1 60 1
Sec. 408.802(b)............................... 5 1 15 1.25
Sec. 408.814.................................. 5 1 15 1.25
Sec. 408.820(c)............................... 5 1 15 1.25
Sec. 408.923(b)............................... 1 1 60 1
Sec. 408.931(b) & Sec. 408.932(d)........... 1 1 60 1
Sec. 408.932(c)............................... 2 1 15 .50
Sec. 408.932(e)............................... 2 1 15 .50
Sec. 408.941(b) & Sec. 408.942.............. 2 1 15 .50
Sec. 408.944(a)............................... 2 1 30 1
Sec. 408.1000(a).............................. 1 1 60 1
Sec. 408.1007; Sec. 408.1009(a)-(b)......... 1 1 60 1
Sec. 408.1009(c).............................. 1 1 60 1
Sec. 408.1210(c)-(d).......................... 1 1 120 2
Sec. 408.1215................................. 10 1 15 2.50
Sec. 408.1230................................. 20 1 15 5.00
---------------- ---------------
Totals...................................... 60 22
----------------------------------------------------------------------------------------------------------------
Dated: September 11, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-15281 Filed 9-15-06; 8:45 am]
BILLING CODE 4191-02-P