Agency Information Collection Activities: Proposed Request and Comment Request, 28543-28544 [E7-9726]

Download as PDF 28543 Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices 4. Claimant Travel Reimbursement Request—20 CFR 404.999a–d—0960– NEW SOCIAL SECURITY ADMINISTRATION The claimants have the right to be reimbursed for their travel expenses to and from a consultative examination (CE). In order to be reimbursed, the claimants must submit an itemized list of what they spent to travel round trip to the CE. The SSA–104 is sent to the claimants with the CE appointment notice. If the claimants want to be reimbursed for their travel expenses, they must complete, sign and return the SSA–104 to SSA. SSA uses the information collected on this form to determine the amount of reimbursement. Respondents are applicants for disability claims. Type of Request: Collection in Use without an OMB Number. Number of Respondents: 11,092. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 1,849 hours. Dated: May 15, 2007. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E7–9712 Filed 5–18–07; 8:45 am] BILLING CODE 4191–02–P Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages that will require clearance by the Office of Management and Budget (OMB) in compliance with Pub. L. 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that included in this notice are for new information collections and revisions to existing 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 emailed 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 Number of respondents Form number and name SSA–9301 (Medicare Subsidy Quality Review Case Analysis Questionnaire) SSA–9302 (Notice of Quality Review Acknowledgement Form for those with Phones) ........................................................................................................ SSA–9303 (Notice of Quality Review Acknowledgement Form for those without Phones) ........................................................................................... SSA–9304 (Checklist of Required Information; burden accounted for with forms SSA–9302, SSA–9303). SSA–9308 (Request for Information) .............................................................. SSA–9310 (Request for Documents) .............................................................. SSA–9309 (Life Insurance Verification Form) ................................................. SSA–8510 (Authorization to the Social Security Administration to Obtain Personal Information) ................................................................................... SSA–9313 (Notice of Appointment Quality Review Acknowledgement Form)* .......................................................................................................... SSA–9314 (Notice of Quality Review Acknowledgement Form (unknown phone numbers)* .......................................................................................... pwalker on PROD1PC71 with NOTICES Total .......................................................................................................... Security Blvd., Baltimore, MD 21235. Fax: 410–965–6400. E-mail address: OPLM.RCO@ssa.gov. I. The information collection listed below is 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 instrument by calling the SSA Reports Clearance Officer at 410– 965–0454 or by writing to the address listed above. Medicare Quality Review Forms—20 CFR 418(b)(5)—0960–0707. The Social Security Administration (SSA) uses the Medicare Quality Review Forms collection to verify the information reported on Medicare Part D Subsidy applications (OMB No. 0960–0696) for a selected number of applicants. SSA is planning to expand the scope of this collection by conducting Quality Reviews with some current recipients of Medicare Part D subsidies who have recently undergone the redetermination process (OMB No. 0960–0723). This ICR is for two new appointment letters (forms SSA–9313 and SSA–9314) that such beneficiaries will complete to schedule an appointment for their Quality Review. The respondents are current recipients of Medicare Part D subsidies who have recently undergone a redetermination and who were selected for a Quality Review. Type of Request: Revision to an existing OMB-approved information collection. Average burden per response (minutes) Frequency of response Estimated annual burden (hours) 10,000 1 35 5,833 10,000 1 15 2,500 1,000 1 15 250 20,000 10,000 8,000 1 1 1 15 5 15 5,000 833 2,000 10,000 1 5 833 4,500 1 15 1,125 500 1 15 125 ........................ ........................ ........................ 18,499 * These are the two new forms being cleared in the current ICR for this collection. II. The information collection listed below has been submitted to OMB for VerDate Aug<31>2005 15:57 May 18, 2007 Jkt 211001 clearance. Your comments on the information collection would be most PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 useful if received by OMB and SSA within 30 days from the date of this E:\FR\FM\21MYN1.SGM 21MYN1 28544 Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices 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. Electronic Records Express—0960— NEW. Electronic Records Express (ERE) is a new Internet-based platform which facilitates the electronic submission of medical and school records needed for the disability process. These records are currently mailed as hard paper copies to SSA and state Disability Determination Services (DDSs) under the aegis of OMB No. 0960–0555, the Clearance of Information Collections Conducted by State Disability Determination Services on Behalf of SSA. While SSA and the DDSs will continue to accept paper copies, ERE offers respondents the opportunity to submit these records electronically. The revised burden for the actual document submission will continue to be covered under 0960– 0555; this new collection covers the ERE registration and user training process. The respondents are medical providers and school professionals who submit information to SSA on behalf of disability applicants or beneficiaries. Type of Request: New information collection. Number of Respondents: 20,000. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 1,667 hours. Dated: May 15, 2007. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E7–9726 Filed 5–18–07; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 5799] 60-Day Notice of Proposed Information Collection: DS–156, Nonimmigrant Visa Application, OMB Control Number 1405–0018 Notice of request for public comments. pwalker on PROD1PC71 with NOTICES ACTION: SUMMARY: The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. • Title of Information Collection: Nonimmigrant Visa Application. VerDate Aug<31>2005 15:57 May 18, 2007 Jkt 211001 • OMB Control Number: 1405–0018. • Type of Request: Extension of a Currently Approved Collection. • Originating Office: Bureau of Consular Affairs (CA/VO). • Form Number: DS–156. • Respondents: Nonimmigrant visa applicants. • Estimated Number of Respondents: 12,000,000. • Estimated Number of Responses: 12,000,000. • Average Hours Per Response: 1 hour. • Total Estimated Burden: 12,000,000 hours per year. • Frequency: Once per respondent. • Obligation to Respond: Required to Obtain or Retain a Benefit. DATES: The Department will accept comments from the public up to 60 days from May 21, 2007. ADDRESSES: You may submit comments by any of the following methods: • E-mail: VisaRegs@state.gov (Subject line must read DS–156 Reauthorization). • Mail (paper, disk, or CD–ROM submissions): Chief, Legislation and Regulation Division, Visa Services—DS– 156 Reauthorization, 2401 E Street, NW., Washington DC 20520–30106. You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence. FOR FURTHER INFORMATION CONTACT: Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed information collection and supporting documents, to Lauren Prosnik of the Office of Visa Services, U.S. Department of State, 2401 E Street, NW., L–603, Washington, DC 20522, who may be reached at (202) 663–2951 or prosnikla@state.gov. SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary for the proper performance of our functions. • Evaluate the accuracy of our estimate of the burden of the proposed collection, including the validity of the methodology and assumptions used. • Enhance the quality, utility, and clarity of the information to be collected. • Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of technology. Abstract of proposed collection: Form DS–156 is completed by aliens seeking nonimmigrant visas to the U.S. The Department will use the DS–156 to PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 elicit information necessary to determine an applicant’s visa eligibility. Methodology: The DS–156 is completed by applicants online or, in exceptional circumstances, applicants may submit a paper application to posts abroad. The applicant prints the application and a 2–D barcode. When the applicant appears at the interview the barcode is scanned and the information electronically received. Dated: April 23, 2007. Stephen A. Edson, Deputy Assistant Secretary, Bureau of Consular Affairs, Department of State. [FR Doc. E7–9746 Filed 5–18–07; 8:45 am] BILLING CODE 4710–06–P DEPARTMENT OF STATE [Public Notice 5800] Determination and Certification Under Section 40A of the Arms Export Control Act Pursuant to section 40A of the Arms Export Control Act (22 U.S.C. 2781), and Executive Order 11958, as amended, I hereby determine and certify to the Congress that the following countries are not cooperating fully with United States antiterrorism efforts: Cuba, Iran, North Korea, Syria, Venezuela. This determination and certification shall be transmitted to the Congress and published in the Federal Register. Dated: May 14, 2007. John D. Negroponte, Deputy Secretary of State, Department of State. [FR Doc. E7–9727 Filed 5–18–07; 8:45 am] BILLING CODE 4710–10–P DEPARTMENT OF STATE [Delegation of Authority 301] Delegation by the Secretary of State to Henrietta Fore Authorities Normally Vested in the Director of Foreign Assistance By virtue of the authority vested in me as Secretary of State by the laws of the United States, including the Foreign Assistance Act of 1961, as amended (22 U.S.C. 2151 et seq.), Executive Order 12163 of September 29, 1979, as amended (44 FR 56673), the Migration and Refugee Assistance Act of 1962 (22 U.S.C. 2601) the United Nations Participation Act of 1945, as amended (22 U.S.C. 287 et seq.) Executive Order 10206 of January 19, 1951, the President’s Memorandum Delegation of Authority dated February 16, 1995, the E:\FR\FM\21MYN1.SGM 21MYN1

Agencies

[Federal Register Volume 72, Number 97 (Monday, May 21, 2007)]
[Notices]
[Pages 28543-28544]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-9726]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages that will require clearance by the 
Office of Management and Budget (OMB) in compliance with Pub. L. 104-
13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The 
information collection packages that included in this notice are for 
new information collections and revisions to existing 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 emailed 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 collection listed below is 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 
instrument by calling the SSA Reports Clearance Officer at 410-965-0454 
or by writing to the address listed above.
    Medicare Quality Review Forms--20 CFR 418(b)(5)--0960-0707. The 
Social Security Administration (SSA) uses the Medicare Quality Review 
Forms collection to verify the information reported on Medicare Part D 
Subsidy applications (OMB No. 0960-0696) for a selected number of 
applicants. SSA is planning to expand the scope of this collection by 
conducting Quality Reviews with some current recipients of Medicare 
Part D subsidies who have recently undergone the redetermination 
process (OMB No. 0960-0723). This ICR is for two new appointment 
letters (forms SSA-9313 and SSA-9314) that such beneficiaries will 
complete to schedule an appointment for their Quality Review. The 
respondents are current recipients of Medicare Part D subsidies who 
have recently undergone a redetermination and who were selected for a 
Quality Review.
    Type of Request: Revision to an existing OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Form number and name                  respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case            10,000               1              35           5,833
 Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review                        10,000               1              15           2,500
 Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review                         1,000               1              15             250
 Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information;
 burden accounted for with forms SSA-9302, SSA-
 9303)..........................................
SSA-9308 (Request for Information)..............          20,000               1              15           5,000
SSA-9310 (Request for Documents)................          10,000               1               5             833
SSA-9309 (Life Insurance Verification Form).....           8,000               1              15           2,000
SSA-8510 (Authorization to the Social Security            10,000               1               5             833
 Administration to Obtain Personal Information).
SSA-9313 (Notice of Appointment Quality Review             4,500               1              15           1,125
 Acknowledgement Form)*.........................
SSA-9314 (Notice of Quality Review                           500               1              15             125
 Acknowledgement Form (unknown phone numbers)*..
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............         18,499
----------------------------------------------------------------------------------------------------------------
* These are the two new forms being cleared in the current ICR for this collection.

    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

[[Page 28544]]

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.
    Electronic Records Express--0960--NEW. Electronic Records Express 
(ERE) is a new Internet-based platform which facilitates the electronic 
submission of medical and school records needed for the disability 
process. These records are currently mailed as hard paper copies to SSA 
and state Disability Determination Services (DDSs) under the aegis of 
OMB No. 0960-0555, the Clearance of Information Collections Conducted 
by State Disability Determination Services on Behalf of SSA. While SSA 
and the DDSs will continue to accept paper copies, ERE offers 
respondents the opportunity to submit these records electronically. The 
revised burden for the actual document submission will continue to be 
covered under 0960-0555; this new collection covers the ERE 
registration and user training process. The respondents are medical 
providers and school professionals who submit information to SSA on 
behalf of disability applicants or beneficiaries.
    Type of Request: New information collection.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 1,667 hours.

    Dated: May 15, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-9726 Filed 5-18-07; 8:45 am]
BILLING CODE 4191-02-P