Agency Information Collection Activities: Proposed Request and Comment Request, 7809-7811 [E7-2662]
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Federal Register / Vol. 72, No. 33 / Tuesday, February 20, 2007 / Notices
Commission may summarily abrogate
such rule change if it appears to the
Commission that such action is
necessary or appropriate in the public
interest, for the protection of investors,
or otherwise in furtherance of the
purposes of the Act.21
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:
be submitted on or before March 13,
2007.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.22
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E7–2843 Filed 2–16–07; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
Electronic Comments
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
P.L. 104–13, the Paperwork Reduction
Act of 1995, effective October 1, 1995.
The information collection packages
that may be included in this notice are
Paper Comments
for new information collections,
approval of existing information
• Send paper comments in triplicate
collections, revisions to OMB-approved
to Nancy M. Morris, Secretary,
information collections, and extensions
Securities and Exchange Commission,
(no change) of OMB-approved
100 F Street, NE., Washington, DC
information collections.
20549–1090.
SSA is soliciting comments on the
All submissions should refer to File
accuracy of the agency’s burden
Number SR–Phlx–2007–11. This file
estimate; the need for the information;
number should be included on the
its practical utility; ways to enhance its
subject line if e-mail is used. To help the quality, utility, and clarity; and on ways
Commission process and review your
to minimize burden on respondents,
comments more efficiently, please use
including the use of automated
only one method. The Commission will collection techniques or other forms of
post all comments on the Commission’s information technology. Written
Internet Web site (https://www.sec.gov/
comments and recommendations
rules/sro.shtml). Copies of the
regarding the information collection(s)
submission, all subsequent
should be submitted to the OMB Desk
amendments, all written statements
Officer and the SSA Reports Clearance
with respect to the proposed rule
Officer. The information can be mailed,
change that are filed with the
faxed or e-mailed to the individuals at
Commission, and all written
the addresses and fax numbers listed
communications relating to the
below:
proposed rule change between the
(OMB) Office of Management and
Commission and any person, other than Budget, Attn: Desk Officer for SSA, Fax:
those that may be withheld from the
202–395–6974, E-mail address:
public in accordance with the
OIRA_Submission@omb.eop.gov.
provisions of 5 U.S.C. 552, will be
(SSA) Social Security Administration,
available for inspection and copying in
DCFAM, Attn: Reports Clearance
the Commission’s Public Reference
Officer, 1333 Annex Building, 6401
Room. Copies of the filing also will be
Security Blvd., Baltimore, MD 21235,
available for inspection and copying at
Fax: 410–965–6400, E-mail address:
the principal office of the Phlx. All
OPLM.RCO@ssa.gov.
comments received will be posted
I. The information collections listed
without change; the Commission does
below are pending at SSA and will be
not edit personal identifying
submitted to OMB within 60 days from
information from submissions. You
the date of this notice. Therefore, your
should submit only information that
comments should be submitted to SSA
you wish to make available publicly. All within 60 days from the date of this
submissions should refer to File
publication. You can obtain copies of
Number SR–Phlx–2007–11 and should
the collection instruments by calling the
hsrobinson on PROD1PC76 with NOTICES
• 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-Phlx-2007–11 on the subject
line.
21 See
15 U.S.C. 78s(b)(3)(C).
VerDate Aug<31>2005
16:14 Feb 16, 2007
22 17
Jkt 211001
PO 00000
CFR 200.30–3(a)(12).
Frm 00047
Fmt 4703
Sfmt 4703
7809
SSA Reports Clearance Officer at 410–
965–0454 or by writing to the address
listed above.
1. Application for Benefits under the
Italy-U.S. International Social Security
Agreement—0960–0445—20 CFR
404.1925. The United States and Italy
entered into an agreement on November
1, 1978. Article 19.2 of that agreement
provides that an applicant for benefits
can file his application with either
country. Article 4.3 of the Protocol to
the Agreement provides that the country
that receives the application will
forward agreed upon forms and
applications to the other country. Form
SSA–2528 is the form agreed upon that
is completed by individuals who file an
application for U.S. benefits directly
with one of the Italian Social Security
Agencies. The information collected on
Form SSA–2528 is required by SSA in
order to determine entitlement to
benefits. The respondents are applicants
for old-age, survivors or disability
benefits, who reside in Italy.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden Per Response: 20
minutes.
Estimated Annual Burden: 67 hours.
2. Social Security Benefits
Applications—20 CFR Subpart D,
404.310–404.311 and 20 CFR Subpart F,
404.601–401.603—0960–0618. One of
the requirements for obtaining Social
Security benefits is the filing of an
application so that a determination may
be made on the applicant’s eligibility for
monthly benefits. In addition to the
traditional paper application, SSA has
developed various options for the public
to add convenience and operational
efficiency to the application process.
The total estimated number of
respondents to all application
collections formats is 3,843,369 with a
cumulative total of 995,457 burden
hours. The respondents are applicants
for retirement insurance benefits (RIB),
disability insurance benefits (DIB), and/
or spouses’ benefits.
Type of Request: Extension of an
OMB-approved information collection.
Internet Social Security Benefits
Application (ISBA)
ISBA, which is available through
SSA’s Internet site, is one method that
an individual can choose to file an
application for benefits. Individuals can
use ISBA to apply for retirement
insurance benefits RIB, DIB and
spouse’s insurance benefits based on
age. SSA gathers only information
relevant to the individual applicant’s
circumstances and will use the
E:\FR\FM\20FEN1.SGM
20FEN1
7810
Federal Register / Vol. 72, No. 33 / Tuesday, February 20, 2007 / Notices
information collected by ISBA to entitle
individuals to RIB, DIB, and/or spouses’
benefits. The respondents are applicants
for RIB, DIB, and/or spouses benefits.
Number of Respondents: 169,000.
Frequency of Response: 1.
Average Burden Per Response: 21.4
minutes.
Estimated Annual Burden: 60,277
hours.
Paper Application Forms
Application for Retirement Insurance
Benefits (SSA–1)
The SSA–1 is used by SSA to
determine an individual’s entitlement to
retirement insurance benefits. In order
to receive Social Security retirement
insurance benefits, an individual must
file an application with the SSA. The
SSA–1 is one application that the
Commissioner of Social Security
prescribes to meet this requirement. The
Number of
respondents
Collection method
information that SSA collects will be
used to determine entitlement to
retirement benefits. The respondents are
individuals who choose to apply for
Social Security retirement insurance.
Approximately 1,460,692 respondents
complete the SSA–1 annually. Of this
total 97% (1,416,871) are completed
through SSA’s Modernized Claims
System (MCS) and 50% of the MCS
respondents will use Signature Proxy
(708,435.5). The breakdown is displayed
on the following chart.
Estimated completion time
Burden hours
MCS ...........................................................................................................
MCS/Signature Proxy ................................................................................
Paper .........................................................................................................
708,436
708,435
43,821
10.5 minutes ....................................
9.5 minutes ......................................
10.5 minutes ....................................
123,976
112,169
7,669
Totals ..................................................................................................
1,460,692
..........................................................
243,814
Application for Wife’s or Husband’s
Insurance Benefits (SSA–2)
SSA uses the information collected on
Form SSA–2 to determine if an
applicant (including a divorced
applicant) can be entitled to benefits as
the spouse of the worker and the
amount of the spouse’s benefits. The
respondents are applicants for wife’s or
husband’s benefits, including those who
are divorced. Approximately 700,000
Number of
respondents
Collection method
respondents complete the SSA–2
annually. Of this total 95% (665,000) are
completed through MCS and 50% of the
MCS respondents will use Signature
Proxy (332,500). The breakdown is
displayed on the following chart:
Estimated completion time
Burden hours
MCS ...........................................................................................................
MCS/Signature Proxy ................................................................................
Paper .........................................................................................................
332,500
332,500
35,000
15 minutes .......................................
14 minutes .......................................
15 minutes .......................................
83,125
77,583
8,750
Totals ..................................................................................................
700,000
..........................................................
169,458
Application for Disability Insurance
Benefits (SSA–16)
Form SSA–16–F6 obtains the
information necessary to determine
whether the provisions of the Act have
been satisfied with respect to an
applicant for disability benefits, and
detects whether the applicant has
dependents who would qualify for
benefits on his or her earnings record.
The information collected on form SSA–
16 helps to determine eligibility for
Social Security disability benefits. The
respondents are applicants for Social
Security disability benefits.
Number of
respondents
Collection method
Approximately 1,513,677 respondents
complete the SSA–16 annually. Of this
total 97% (1,468,267) are completed
through SSA’s Modernized Claims
System (MCS) and 50% of the MCS
respondents will use Signature Proxy
(734,133.5). The breakdown is displayed
on the following chart:
Estimated completion time
Burden hours
734,134
734,133
45,410
20 minutes .......................................
19 minutes .......................................
20 minutes .......................................
244,711
232,476
15,137
Totals ..................................................................................................
hsrobinson on PROD1PC76 with NOTICES
MCS ...........................................................................................................
MCS/Signature Proxy ................................................................................
Paper .........................................................................................................
1,513,677
..........................................................
492,324
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
VerDate Aug<31>2005
16:14 Feb 16, 2007
Jkt 211001
410–965–0454, or by writing to the
address listed above.
1. Pain Report Child—20 CFR 416.912
and 416.1512—0960–0540. The
information collected by form SSA–
3371–BK will be used to obtain the
types of information specified in SSA’s
regulations, and to provide disability
interviewers (and applicants/claimants
in self-help situations) with a
PO 00000
Frm 00048
Fmt 4703
Sfmt 4703
convenient means of recording the
information. This information is used by
the State disability determination
services (DDS) adjudicators and
administrative law judges to assess the
effects of symptoms on functionality for
determining disability under the Social
Security Act. The respondents are
applicants for Supplemental Security
Income (SSI) benefits.
E:\FR\FM\20FEN1.SGM
20FEN1
7811
Federal Register / Vol. 72, No. 33 / Tuesday, February 20, 2007 / Notices
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 250,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 62,500
hours.
2. Request for Hearing by
Administrative Law Judge—20 CFR
404.929, 404.933, 416.1429, 404.1433,
405.722, 418.1350—0960–0269. SSA
uses form HA–501 to document when
applicants for Social Security benefits
have their claims denied and want to
request an administrative hearing to
appeal SSA’s decision. The scope of this
form is now being expanded to include
people who wish to appeal the decision
that has been made regarding their
obligation to pay a new Income-Related
Monthly Adjustment Amount (IRMAA)
for Medicare Part B, as per the
requirements of the Medicare
Modernization Act of 2003. Although
this information will be collected by
SSA, the actual hearings will take place
before administrative law judges (ALJ)
who are employed by the Department of
Health and Human Services (HHS). The
current respondents include applicants
for various Social Security benefits
programs who want to request a hearing
where they can appeal their denial; the
new additional respondents are
Medicare Part B recipients whom SSA
has determined will have to pay the
new Medicare Part B IRMAA and who
wish to appeal this decision at a hearing
before an HHS ALJ.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 669,469.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 111,578
hours.
3. Request to Resolve Questionable
Quarters of Coverage (QC); Request for
Number of
respondents
Collections
QC History Based on Relationship—
0960–0575. Form SSA–512 is used by
states to request clarification from SSA
on questionable QC information. The
Personal Responsibility and Work
Opportunity Reconciliation Act states
that aliens admitted for lawful residence
that have worked and earned 40
qualifying QCs for Social Security
purposes can generally receive state
benefits. Form SSA–513 is used by
states to request QC information for an
alien’s spouse or child in cases where
the alien does not sign a consent form
giving permission to access his/her
Social Security records. QCs can also be
allocated to a spouse and/or to a child
under age 18, if needed, to obtain 40
qualifying QCs for the alien. The
respondents are state agencies that
require QC information in order to
determine eligibility for benefits.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Average
burden per
response
(minute)
Estimated
annual burden
(hours)
SSA–512 ..........................................................................................................
SSA–513 ..........................................................................................................
200,000
350,000
1
1
2
2
6,667
11,667
Totals ........................................................................................................
550,000
........................
........................
18,334
Dated: February 9, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E7–2662 Filed 2–16–07; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 5698]
Debarment Involving Henry L. Lavery
III and Security Assistance
International, Inc.
hsrobinson on PROD1PC76 with NOTICES
ACTION:
Notice.
SUMMARY: Notice is hereby given that
the Department of State has imposed an
administrative debarment against Henry
L. Lavery III and Security Assistance
International, Inc. pursuant to a
December 12, 2006 Consent Agreement
and other authority based upon section
127.7(a) and (b)(2) of the International
Traffic in Arms Regulations (ITAR) (22
CFR sections 120 to 130).
EFFECTIVE DATE: December 12, 2006.
FOR FURTHER INFORMATION CONTACT:
David Trimble, Director, Office of
Defense Trade Controls Compliance,
VerDate Aug<31>2005
16:14 Feb 16, 2007
Jkt 211001
Bureau of Political-Military Affairs,
Department of State (202) 663–2700.
SUPPLEMENTARY INFORMATION: Section
127.7 of the ITAR authorizes the
Assistant Secretary of State for PoliticalMilitary Affairs to debar any person
who has been found pursuant to Section
128 of the ITAR to have committed a
violation of the Arms Export Control
Act (AECA) or the ITAR of such
character as to provide a reasonable
basis for the Office of Defense Trade
Controls Compliance to believe that the
violator cannot be relied upon to
comply with the AECA or ITAR in the
future. Such debarment prohibits the
subject from participating directly or
indirectly in the export of defense
articles or defense services for which a
license or approval is required by the
ITAR.
Debarred persons are generally
ineligible to participate in activity
regulated under the ITAR (see e.g.,
sections 120.1(c) and (d), 126.7,
127.1(c), and 127.11(a)). The
Department of State will not consider
applications for licenses or requests for
approvals that involve any debarred
person.
Henry L. Lavery III doing business as
Security Assistance International, Inc.,
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
(SAI) was under a Consent Agreement
dated June 3, 1999, as a result of a
Proposed Charging Letter alleging
numerous ITAR violations between
April 1993 and April 1999. Mr. Lavery
and his company, SAI, were cited for
submitting export applications on behalf
of clients containing falsified applicant
signatures; failing to maintain records as
required under the ITAR; obtaining
export licenses for firms whose
registrations expired or who were never
registered; and brokering without being
registered and without authorization.
Under the June 3, 1999, Consent
Agreement, Mr. Lavery was required to
pay a $10,000 penalty, register as a
broker, reconstruct export records, cease
participating directly or indirectly in
exports of defense articles and/or
defense services and implement a
compliance program outlining SAI’s
operating procedures and internal
controls for adherence to the ITAR. On
or about August 1, 2001, Mr. Lavery
completed the requirements of the
Consent Agreement and his export
privileges were reinstated by the
Department.
On July 11, 2005, the Office of
Defense Trade Controls Compliance
conducted a review of SAI’s ITAR
E:\FR\FM\20FEN1.SGM
20FEN1
]]>Agencies
[Federal Register Volume 72, Number 33 (Tuesday, February 20, 2007)]
[Notices]
[Pages 7809-7811]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-2662]
=======================================================================
-----------------------------------------------------------------------
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 P.L. 104-13,
the Paperwork Reduction Act of 1995, effective October 1, 1995. The
information collection packages that may be included in this notice are
for new information collections, approval of existing information
collections, revisions to OMB-approved information collections, and
extensions (no change) of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed or e-mailed 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, E-mail address: OIRA--Submission@omb.eop.gov.
(SSA) Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
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 Benefits under the Italy-U.S. International
Social Security Agreement--0960-0445--20 CFR 404.1925. The United
States and Italy entered into an agreement on November 1, 1978. Article
19.2 of that agreement provides that an applicant for benefits can file
his application with either country. Article 4.3 of the Protocol to the
Agreement provides that the country that receives the application will
forward agreed upon forms and applications to the other country. Form
SSA-2528 is the form agreed upon that is completed by individuals who
file an application for U.S. benefits directly with one of the Italian
Social Security Agencies. The information collected on Form SSA-2528 is
required by SSA in order to determine entitlement to benefits. The
respondents are applicants for old-age, survivors or disability
benefits, who reside in Italy.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden Per Response: 20 minutes.
Estimated Annual Burden: 67 hours.
2. Social Security Benefits Applications--20 CFR Subpart D,
404.310-404.311 and 20 CFR Subpart F, 404.601-401.603--0960-0618. One
of the requirements for obtaining Social Security benefits is the
filing of an application so that a determination may be made on the
applicant's eligibility for monthly benefits. In addition to the
traditional paper application, SSA has developed various options for
the public to add convenience and operational efficiency to the
application process. The total estimated number of respondents to all
application collections formats is 3,843,369 with a cumulative total of
995,457 burden hours. The respondents are applicants for retirement
insurance benefits (RIB), disability insurance benefits (DIB), and/or
spouses' benefits.
Type of Request: Extension of an OMB-approved information
collection.
Internet Social Security Benefits Application (ISBA)
ISBA, which is available through SSA's Internet site, is one method
that an individual can choose to file an application for benefits.
Individuals can use ISBA to apply for retirement insurance benefits
RIB, DIB and spouse's insurance benefits based on age. SSA gathers only
information relevant to the individual applicant's circumstances and
will use the
[[Page 7810]]
information collected by ISBA to entitle individuals to RIB, DIB, and/
or spouses' benefits. The respondents are applicants for RIB, DIB, and/
or spouses benefits.
Number of Respondents: 169,000.
Frequency of Response: 1.
Average Burden Per Response: 21.4 minutes.
Estimated Annual Burden: 60,277 hours.
Paper Application Forms
Application for Retirement Insurance Benefits (SSA-1)
The SSA-1 is used by SSA to determine an individual's entitlement
to retirement insurance benefits. In order to receive Social Security
retirement insurance benefits, an individual must file an application
with the SSA. The SSA-1 is one application that the Commissioner of
Social Security prescribes to meet this requirement. The information
that SSA collects will be used to determine entitlement to retirement
benefits. The respondents are individuals who choose to apply for
Social Security retirement insurance.
Approximately 1,460,692 respondents complete the SSA-1 annually. Of
this total 97% (1,416,871) are completed through SSA's Modernized
Claims System (MCS) and 50% of the MCS respondents will use Signature
Proxy (708,435.5). The breakdown is displayed on the following chart.
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
MCS........................................... 708,436 10.5 minutes.................... 123,976
MCS/Signature Proxy........................... 708,435 9.5 minutes..................... 112,169
Paper......................................... 43,821 10.5 minutes.................... 7,669
-----------------------------------------------------------------
Totals.................................... 1,460,692 ................................ 243,814
----------------------------------------------------------------------------------------------------------------
Application for Wife's or Husband's Insurance Benefits (SSA-2)
SSA uses the information collected on Form SSA-2 to determine if an
applicant (including a divorced applicant) can be entitled to benefits
as the spouse of the worker and the amount of the spouse's benefits.
The respondents are applicants for wife's or husband's benefits,
including those who are divorced. Approximately 700,000 respondents
complete the SSA-2 annually. Of this total 95% (665,000) are completed
through MCS and 50% of the MCS respondents will use Signature Proxy
(332,500). The breakdown is displayed on the following chart:
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
MCS........................................... 332,500 15 minutes...................... 83,125
MCS/Signature Proxy........................... 332,500 14 minutes...................... 77,583
Paper......................................... 35,000 15 minutes...................... 8,750
-----------------------------------------------------------------
Totals.................................... 700,000 ................................ 169,458
----------------------------------------------------------------------------------------------------------------
Application for Disability Insurance Benefits (SSA-16)
Form SSA-16-F6 obtains the information necessary to determine
whether the provisions of the Act have been satisfied with respect to
an applicant for disability benefits, and detects whether the applicant
has dependents who would qualify for benefits on his or her earnings
record. The information collected on form SSA-16 helps to determine
eligibility for Social Security disability benefits. The respondents
are applicants for Social Security disability benefits.
Approximately 1,513,677 respondents complete the SSA-16 annually.
Of this total 97% (1,468,267) are completed through SSA's Modernized
Claims System (MCS) and 50% of the MCS respondents will use Signature
Proxy (734,133.5). The breakdown is displayed on the following chart:
----------------------------------------------------------------------------------------------------------------
Number of
Collection method respondents Estimated completion time Burden hours
----------------------------------------------------------------------------------------------------------------
MCS........................................... 734,134 20 minutes...................... 244,711
MCS/Signature Proxy........................... 734,133 19 minutes...................... 232,476
Paper......................................... 45,410 20 minutes...................... 15,137
-----------------------------------------------------------------
Totals.................................... 1,513,677 ................................ 492,324
----------------------------------------------------------------------------------------------------------------
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. Pain Report Child--20 CFR 416.912 and 416.1512--0960-0540. The
information collected by form SSA-3371-BK will be used to obtain the
types of information specified in SSA's regulations, and to provide
disability interviewers (and applicants/claimants in self-help
situations) with a convenient means of recording the information. This
information is used by the State disability determination services
(DDS) adjudicators and administrative law judges to assess the effects
of symptoms on functionality for determining disability under the
Social Security Act. The respondents are applicants for Supplemental
Security Income (SSI) benefits.
[[Page 7811]]
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 250,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 62,500 hours.
2. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 405.722, 418.1350--0960-0269. SSA uses
form HA-501 to document when applicants for Social Security benefits
have their claims denied and want to request an administrative hearing
to appeal SSA's decision. The scope of this form is now being expanded
to include people who wish to appeal the decision that has been made
regarding their obligation to pay a new Income-Related Monthly
Adjustment Amount (IRMAA) for Medicare Part B, as per the requirements
of the Medicare Modernization Act of 2003. Although this information
will be collected by SSA, the actual hearings will take place before
administrative law judges (ALJ) who are employed by the Department of
Health and Human Services (HHS). The current respondents include
applicants for various Social Security benefits programs who want to
request a hearing where they can appeal their denial; the new
additional respondents are Medicare Part B recipients whom SSA has
determined will have to pay the new Medicare Part B IRMAA and who wish
to appeal this decision at a hearing before an HHS ALJ.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 669,469.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 111,578 hours.
3. Request to Resolve Questionable Quarters of Coverage (QC);
Request for QC History Based on Relationship--0960-0575. Form SSA-512
is used by states to request clarification from SSA on questionable QC
information. The Personal Responsibility and Work Opportunity
Reconciliation Act states that aliens admitted for lawful residence
that have worked and earned 40 qualifying QCs for Social Security
purposes can generally receive state benefits. Form SSA-513 is used by
states to request QC information for an alien's spouse or child in
cases where the alien does not sign a consent form giving permission to
access his/her Social Security records. QCs can also be allocated to a
spouse and/or to a child under age 18, if needed, to obtain 40
qualifying QCs for the alien. The respondents are state agencies that
require QC information in order to determine eligibility for benefits.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Collections respondents response response annual burden
(minute) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-512......................................... 200,000 1 2 6,667
SSA-513......................................... 350,000 1 2 11,667
---------------------------------------------------------------
Totals...................................... 550,000 .............. .............. 18,334
----------------------------------------------------------------------------------------------------------------
Dated: February 9, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-2662 Filed 2-16-07; 8:45 am]
BILLING CODE 4191-02-P
