Agency Information Collection Activities: Proposed Request and Comment Request, 35293-35296 [E7-12357]
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Federal Register / Vol. 72, No. 123 / Wednesday, June 27, 2007 / Notices
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STANS will be applied, but each class
of CDBOs and CDOs will be treated as
a separate portfolio and will not be
included within the entire portfolio of a
particular account. An exception to this
will be in the case where a firm has a
net long position in CDBO or CDO
contracts that are not required to be
segregated and the risk computed under
this methodology is less than 100% of
the premium value of the net long
position, the excess long value will be
used to cover requirements associated
with other cleared contracts. This
margin methodology will result in a
more conservative risk estimate than if
the contracts were fully integrated in
STANS since offsets in the risk
calculation between these products and
others will not be recognized except to
the extent of any excess long value.
Ultimately, CDBOs will be incorporated
into the STANS system and will be
valued and margined on a risk basis.
OCC does not propose to accept
escrow deposits in lieu of clearing
margin for CDBOs. Therefore, Rule 1506
states that Rule 610, which otherwise
would permit such deposits, does not
apply to CDBOs.
7. Acceleration of Expiration Date—Rule
1507
This provision would accelerate the
expiration date of a single payout CDBO
when the option is deemed to have been
automatically exercised on any day
prior to the expiration date and to
accelerate the expiration date of a
multiple payout CDBO when the option
is deemed to have been automatically
exercised with respect to every
reference entity underlying such option
prior to the expiration date.
The proposed changes to OCC’s ByLaws and Rules are consistent with the
purposes and requirements of Section
17A of the Act, as amended, because
they are designed to promote the
prompt and accurate clearance and
settlement of transactions in, including
exercises of, credit default basket
options, to foster cooperation and
coordination with persons engaged in
the clearance and settlement of such
transactions, to remove impediments to
and perfect the mechanism of a national
system for the prompt and accurate
clearance and settlement of such
transactions, and in general to protect
investors and the public interest. They
accomplish these purposes by applying
substantially the same rules and
procedures to these transactions as OCC
applies to similar transactions in other
cash-settled options except to the extent
that special rules and procedures are
required in order to accommodate
unique features of CDBOs. Other than as
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15:50 Jun 26, 2007
Jkt 211001
described in this Item II, the proposed
rule change is not inconsistent with the
existing rules of OCC, including rules
proposed to be amended.
B. Self-Regulatory Organization’s
Statement on Burden on Competition
OCC does not believe that the
proposed rule change would impose any
burden on competition.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
Written comments were not and are
not intended to be solicited with respect
to the proposed rule change, and none
have been received.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
Within thirty-five days of the date of
publication of this notice in the Federal
Register or within such longer period:
(i) As the Commission may designate up
to ninety days of such date if it finds
such longer period to be appropriate
and publishes its reasons for so finding
or (ii) as to which the self-regulatory
organization consents, the Commission
will:
(A) By order approve such proposed
rule change or
(B) Institute proceedings to determine
whether the proposed rule change
should be disapproved.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
Electronic Comments
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml) or
• Send an e-mail to rulecomments@sec.gov. Please include File
Number SR–OCC–2007–06 on the
subject line.
35293
only one method. The Commission will
post all comments on the Commission’s
Internet Web site (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for inspection and copying in
the Commission’s Public Reference
Room, 100 F Street, NE., Washington,
DC 20549, on official business days
between the hours of 10 a.m. and 3 p.m.
Copies of such filing also will be
available for inspection and copying at
the principal office of OCC and on
OCC’s Web site at https://
www.theocc.com/publications/rules/
proposed_changes/sr_occ_07_06.pdf.
All comments received will be posted
without change; the Commission does
not edit personal identifying
information from submissions. You
should submit only information that
you wish to make available publicly. All
submissions should refer to File
Number SR–OCC–2007–06 and should
be submitted on or before July 12, 2007.
For the Commission by the Division of
Market Regulation, pursuant to delegated
authority.6
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E7–12425 Filed 6–26–07; 8:45 am]
BILLING CODE 8010–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages that will require
clearance by the Office of Management
and Budget (OMB) in compliance with
Pub. L. 104–13, the Paperwork
Reduction Act of 1995, effective October
Paper Comments
1, 1995. The information collection
• Send paper comments in triplicate
packages that may be included in this
to Nancy M. Morris, Secretary,
notice are for new information
Securities and Exchange Commission,
collections, approval of existing
100 F Street, NE., Washington, DC
information collections, revisions to
20549–1090.
OMB-approved information collections,
All submissions should refer to File
and extensions (no change) of OMBNumber SR–OCC–2007–06. This file
approved information collections.
number should be included on the
SSA is soliciting comments on the
subject line if e-mail is used. To help the accuracy of the agency’s burden
Commission process and review your
6 17 CFR 200.30–3(a)(12).
comments more efficiently, please use
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35294
Federal Register / Vol. 72, No. 123 / Wednesday, June 27, 2007 / Notices
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,
DCBFM, 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.
Missing and Discrepant Wage Reports
Letter and Questionnaire—26 CFR
31.6051–2–0960–0432. Each year
employers report the wage amounts they
paid their employees to the IRS for tax
purposes, and separately to SSA for
retirement and disability coverage
purposes. These reported amounts
should equal each other; however, each
year some of the employer wage reports
that SSA receives are less than the wage
amounts reported to the IRS. SSA
attempts to ensure that employees
receive full credit for the wages that
they have earned through the use of the
forms SSA–L93–SM; SSA–L94–SM;
SSA–95–SM and SSA–97–SM.
Respondents are employers who
reported less wage amounts to SSA than
they reported to the IRS.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden per Response: 30
minutes.
Estimated Annual Burden: 180,000
hours.
II. The information collections listed
below have been submitted to OMB for
clearance. Your comments on the
information collections would be most
useful if received by OMB and SSA
within 30 days from the date of this
publication. You can obtain a copy of
the OMB clearance packages by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
1. Certificate of Responsibility for
Welfare and Care of Child Not in
Applicant’s Custody—20 CFR 404.330,
404.339–341 and 404.348–404.349–
0960–0019. SSA uses the information to
determine if a non-custodial parent who
Number of
respondents
Reason for completing form
is filing for Spouse’s or Mother’s and
Father’s benefits based on having a
child in care meets the in-care
requirements. Respondents are
applicants for Spouse and/or Mother’s
and Father’s benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 14,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 2,333
hours.
2. Request for Waiver of Overpayment
Recovery or Change in Repayment
Notice—20 CFR 404.502–.513, 404.515
and 20 CFR 416.550–.570, 416.572—
0960–0037. The SSA–632–BK is used by
a beneficiary/claimant to request a
waiver of recovery of an overpayment
by explaining why they feel they are
without fault in causing the
overpayment and to provide financial
circumstances so that SSA can
determine whether recovery would
cause financial hardship. It is also used
to request a different rate of recovery. In
those cases the financial information
must be provided for SSA to determine
how much the overpaid person can
afford to repay each month.
Respondents are overpaid beneficiaries
or claimants who are requesting a
waiver of recovery for overpayment or a
lesser rate of withholding.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 500,000.
Estimated Annual Burden: 875,000
hours.
Frequency of
response
Average
burden per
response
Total annual
burden
400,000
100,000
1
1
2 hours ........
45 minutes ..
800,000
75,000
Totals ..........................................................................................................
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Request Waiver ..................................................................................................
Request Change ................................................................................................
500,000
........................
.....................
875,000
3. Supplemental Statement Regarding
Farming Activities of Person Living
Outside the U.S.A.—0960–0103. Form
SSA–7163A is used whenever a
beneficiary or claimant reports work on
a farm outside the United States (U.S.).
It is designed to obtain sufficient
information to determine whether or not
foreign work deductions are applicable
to the claimant’s benefits. Respondents
are beneficiaries or claimants for Social
Security benefits who are engaged in
farming activity outside the U.S.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 1,000.
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15:50 Jun 26, 2007
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Frequency of Response: 1.
Average Burden per Response: 1 hour.
Estimated Annual Burden: 1,000
hours.
4. Disability Report-Appeal—20 CFR
404.1512, 416.912, 404.916(c),
416.1416(c), 405 Subpart C, 422.140—
0960–0144. The SSA–3441–BK is used
to secure updated medical and other
information since the claimant’s last
disability determination from claimants
who are appealing an unfavorable
disability determination. This
information may be used for
reconsideration or request for federal
reviewing official review of initial
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disability determinations and
continuing disability reviews as well as
a request for a hearing. This information
assists the State Disability
Determination Services, federal
reviewing officials, and administrative
law judges in preparing for appeals and
hearings and in issuing a decision.
Respondents are individuals who
appeal denial of Social Security
disability income and Supplemental
Security Income (SSI) benefits, cessation
of benefits, or who are requesting a
hearing.
Type of Request: Revision of an OMBapproved information collection.
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Estimated Annual Burden: 1,296,190
hours.
Number of
respondents
Collection method
Frequency of
response
Average
burden per
response
(min)
Estimated
annual burden
hours
SSA–3441 (Paper Form) .................................................................................
Electronic Disability Collect System (EDCS) ...................................................
I3441 (Internet Form) .......................................................................................
21,282
1,284,019
158,607
1
1
1
45
45
120
15,962
963,014
317,214
Totals ........................................................................................................
1,463,908
........................
........................
1,296,190
5. Request for Hearing by
Administrative Law Judge—20 CFR
404.929, 404.933, 416.1429, 404.1433,
405.722, 418.1350—0960–0269. The
information collected on Form HA–501–
U5 is used by SSA to document and
initiate the Administrative Law Judge
(ALJ) hearing process for determining
eligibility or entitlement to Social
Security benefits (Title II),
Supplemental Security Income
payments (Title XVI), Special Veterans
Benefits (Title VIII), Medicare (Title
XVIII), and of initial determinations
regarding Medicare Part B incomerelated premium subsidy reductions.
The methods for filing a request for an
ALJ hearing are being expanded to
include the internet. If an individual
receives a notice of denial of his/her
disability claim and the notice provides
rights to an ALJ hearing, he/she will
have the option of filing for the ALJ
hearing over the internet. The
individual will complete the
appropriate appeal screens and submit
the appeal to SSA for processing. The
respondents are individuals filing for an
ALJ hearing.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 669,469.
Estimated Annual Burden: 178,525
hours.
Number of
respondents
Collection method
Frequency of
response
Estimated
completion
time
(min)
Total burden
hours
334,735
334,734
1
1
10
22
55,789
122,736
Totals ........................................................................................................
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Paper & Modernized Claims System ...............................................................
i501 ..................................................................................................................
669,469
........................
........................
178,525
6. Request for Earnings and Benefit
Estimate Statement—20 CFR 404.810–
0960–0466. SSA uses the information
the requestor provides on Form SSA–
7004 to identify his or her Social
Security earnings record, extract posted
earnings information, calculate potential
benefit estimates, produce the resulting
Social Security Statement and mail it to
the requestor. Respondents are Social
Security number holders requesting
information about their Social Security
earnings records and estimates of their
potential benefits.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 545,000.
Frequency of Response: 1.
Average Burden per Response: 5
minutes.
Estimated Average Burden: 45,417
hours.
7. Employer Verification of Earnings
After Death—20 CFR 404.821 and
404.822–0960–0472. The information
collected on Form SSAL4112 is used by
SSA to determine whether wages
reported by an employer are correct and
should be credited to the employee’s
Social Security number when SSA
records indicate that the wage earner is
deceased. The respondents are
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employers who report wages for a
deceased employee.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 8,333
hours.
8. Appointment of Representative—20
CFR 404.1707, 404.1720, 404.1725,
410.684 and 416.1507–0960–0527. A
person claiming a right or benefit under
the Social Security Act must notify SSA
in writing if he or she appoints an
individual to represent him or her in
dealing with SSA. The information
collected by SSA on form SSA–1696–U4
is used to verify the applicant’s
appointment of a representative. It
allows SSA to inform the representative
of items which affect the applicant’s
claim, and it also allows the claimant to
give permission to their appointed
representative to designate a person to
copy claims files. Respondents are
applicants who notify SSA that they
have appointed a person to represent
them in their dealings with SSA when
claiming a right to benefits and
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Fmt 4703
Sfmt 4703
representatives of claimants for Social
Security benefits.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 91,920
hours.
9. Request for Reconsideration—20
CFR 404.907–404.921, 416.1407–
416.1421, 408.1009–0960–0622. The
information collected on Form SSA–
561–U2 is used by SSA to document
and initiate the reconsideration process
for determining eligibility or entitlement
to Social Security benefits (Title II),
Supplemental Security Income
payments (Title XVI), Special Veterans
Benefits (Title VIII), Medicare (Title
XVIII), and of initial determinations
regarding Medicare Part B incomerelated premium subsidy reductions.
The methods for filing a request for
reconsideration are being expanded to
include the internet. If an individual
receives a notice of denial of his/her
disability claim and the notice provides
the right to reconsideration, he/she will
have the option of filing for the
reconsideration over the internet. The
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individual will complete the
appropriate appeal screens and submit
the appeal to SSA for processing. The
respondents are individuals filing for
reconsideration.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Collection method
Number of Respondents: 1,461,700.
Estimated Annual Burden: 341,064
hours.
Frequency of
response
Estimated
completion
time
(min)
Total burden
hours
Paper & Modernized Claims System ...............................................................
i561 ..................................................................................................................
730,850
730,850
1
1
8
20
97,447
243,617
Totals ........................................................................................................
1,461,700
........................
........................
341,064
10. Statement for Determining
Continuing Eligibility for Supplemental
Security Income Payments—Adult,
Form SSA–3988; Statement for
Determining Continuing Eligibility for
Supplemental Security Income
Payments—Child, Form SSA–3989—20
CFR Subpart B—416.204–0960–NEW.
Forms SSA–3988 and SSA–3989 will be
used to determine whether SSI
recipients have met and continue to
meet all statutory and regulatory
nonmedical requirements for SSI
eligibility, and whether they have been
and are still receiving the correct
payment amount. The SSA–3988 and
SSA–3989 are designed as self-help
forms that will be mailed to recipients
Collection instrument
Respondents
or to their representative payees for
completion and return to SSA. The
respondents are recipients of SSI
payments or their representatives.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 60,000.
Estimated Annual Burden: 26,000
hours.
Frequency of
response
Average
burden per
response
(min)
Estimated
annual burden
(hours)
30,000
30,000
1
1
26
26
13,000
13,000
Totals ........................................................................................................
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SSA–3988 ........................................................................................................
SSA–3989 ........................................................................................................
60,000
........................
........................
26,000
11. Request for Program
Consultation—20 CFR 404.1601–1661–
0960 New.
The Disability Determination Services
(DDS) offices are staffed by State
employees who perform disability
determinations for applicants for Social
Security disability benefits under Title
II and Title XVI of the Social Security
Act. SSA’s federal regional quality
assurance office has the authority to
review DDS determinations, to assess
errors, and to return cases for corrective
action by the DDS.
The information collected on the
Request for Program Consultation (RPC)
will be used by the DDS’s that request
a review of the regional quality
assurance evaluations. The DDS’s use
the RPC to present their rationale that
supports their determinations. The
information collected includes a short
rationale and policy citations
supporting their rebuttal. The RPC team
will use the information to reassess their
initial determination. The respondents
are DDS’s who request a review of the
regional quality assurance
determination.
Type of Request: Request for a new
information collection.
Number of Respondents: 4,500.
Frequency of Response: 1.
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15:50 Jun 26, 2007
Jkt 211001
Average Burden per Response: 30
minutes.
Estimated Annual Burden: 2,250
hours.*
*SSA inadvertently cited an incorrect
burden hour in the first FRN dated April 23,
2007 and the second FRN dated June 13,
2007. This notice serves as a correction.
Dated: June 21, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E7–12357 Filed 6–26–07; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 5851]
30-Day Notice of Proposed Information
Collection: DS–2031, Shrimp
Exporter’s/Importer’s Declaration,
OMB Control Number 1405–0095
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
SUMMARY: The Department of State has
submitted the following information
collection request to the Office of
Management and Budget (OMB) for
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Sfmt 4703
approval in accordance with the
Paperwork Reduction Act of 1995.
• Title of Information Collection:
Shrimp Exporter’s/Importer’s
Declaration.
• OMB Control Number: 1405–0095.
• Type of Request: Extension of a
Currently Approved Collection.
• Originating Office: Bureau of
Oceans and International Environmental
and Scientific Affairs, Office of Marine
Conservation (OES/OMC).
• Form Number: DS–2031.
• Respondents: Business or other forprofit.
• Estimated Number of Respondents:
3,000.
• Estimated Number of Responses:
10,000.
• Average Hours per Response: 10
min.
• Total Estimated Burden: 1,666.
• Frequency: On Occasion.
• Obligation to Respond: Mandatory.
DATES: Submit comments to the Office
of Management and Budget (OMB) up to
July 27, 2007.
ADDRESSES: Direct comments and
questions to Katherine Astrich, the
Department of State Desk Officer in the
Office of Information and Regulatory
Affairs at the Office of Management and
Budget (OMB), who may be reached at
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]]>Agencies
[Federal Register Volume 72, Number 123 (Wednesday, June 27, 2007)]
[Notices]
[Pages 35293-35296]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-12357]
=======================================================================
-----------------------------------------------------------------------
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 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
[[Page 35294]]
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, DCBFM, 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.
Missing and Discrepant Wage Reports Letter and Questionnaire--26
CFR 31.6051-2-0960-0432. Each year employers report the wage amounts
they paid their employees to the IRS for tax purposes, and separately
to SSA for retirement and disability coverage purposes. These reported
amounts should equal each other; however, each year some of the
employer wage reports that SSA receives are less than the wage amounts
reported to the IRS. SSA attempts to ensure that employees receive full
credit for the wages that they have earned through the use of the forms
SSA-L93-SM; SSA-L94-SM; SSA-95-SM and SSA-97-SM. Respondents are
employers who reported less wage amounts to SSA than they reported to
the IRS.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 410-965-0454,
or by writing to the address listed above.
1. Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody--20 CFR 404.330, 404.339-341 and 404.348-
404.349-0960-0019. SSA uses the information to determine if a non-
custodial parent who is filing for Spouse's or Mother's and Father's
benefits based on having a child in care meets the in-care
requirements. Respondents are applicants for Spouse and/or Mother's and
Father's benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 14,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 2,333 hours.
2. Request for Waiver of Overpayment Recovery or Change in
Repayment Notice--20 CFR 404.502-.513, 404.515 and 20 CFR 416.550-.570,
416.572--0960-0037. The SSA-632-BK is used by a beneficiary/claimant to
request a waiver of recovery of an overpayment by explaining why they
feel they are without fault in causing the overpayment and to provide
financial circumstances so that SSA can determine whether recovery
would cause financial hardship. It is also used to request a different
rate of recovery. In those cases the financial information must be
provided for SSA to determine how much the overpaid person can afford
to repay each month. Respondents are overpaid beneficiaries or
claimants who are requesting a waiver of recovery for overpayment or a
lesser rate of withholding.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 500,000.
Estimated Annual Burden: 875,000 hours.
----------------------------------------------------------------------------------------------------------------
Number of Frequency of Average burden per Total annual
Reason for completing form respondents response response burden
----------------------------------------------------------------------------------------------------------------
Request Waiver....................... 400,000 1 2 hours.................. 800,000
Request Change....................... 100,000 1 45 minutes............... 75,000
--------------------------------------------------------------------------
Totals........................... 500,000 .............. ......................... 875,000
----------------------------------------------------------------------------------------------------------------
3. Supplemental Statement Regarding Farming Activities of Person
Living Outside the U.S.A.--0960-0103. Form SSA-7163A is used whenever a
beneficiary or claimant reports work on a farm outside the United
States (U.S.). It is designed to obtain sufficient information to
determine whether or not foreign work deductions are applicable to the
claimant's benefits. Respondents are beneficiaries or claimants for
Social Security benefits who are engaged in farming activity outside
the U.S.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden per Response: 1 hour.
Estimated Annual Burden: 1,000 hours.
4. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 405 Subpart C, 422.140--0960-0144. The SSA-3441-BK is used
to secure updated medical and other information since the claimant's
last disability determination from claimants who are appealing an
unfavorable disability determination. This information may be used for
reconsideration or request for federal reviewing official review of
initial disability determinations and continuing disability reviews as
well as a request for a hearing. This information assists the State
Disability Determination Services, federal reviewing officials, and
administrative law judges in preparing for appeals and hearings and in
issuing a decision. Respondents are individuals who appeal denial of
Social Security disability income and Supplemental Security Income
(SSI) benefits, cessation of benefits, or who are requesting a hearing.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 35295]]
Estimated Annual Burden: 1,296,190 hours.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Collection method respondents response response annual burden
(min) hours
----------------------------------------------------------------------------------------------------------------
SSA-3441 (Paper Form)........................... 21,282 1 45 15,962
Electronic Disability Collect System (EDCS)..... 1,284,019 1 45 963,014
I3441 (Internet Form)........................... 158,607 1 120 317,214
---------------------------------------------------------------
Totals...................................... 1,463,908 .............. .............. 1,296,190
----------------------------------------------------------------------------------------------------------------
5. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 405.722, 418.1350--0960-0269. The
information collected on Form HA-501-U5 is used by SSA to document and
initiate the Administrative Law Judge (ALJ) hearing process for
determining eligibility or entitlement to Social Security benefits
(Title II), Supplemental Security Income payments (Title XVI), Special
Veterans Benefits (Title VIII), Medicare (Title XVIII), and of initial
determinations regarding Medicare Part B income-related premium subsidy
reductions. The methods for filing a request for an ALJ hearing are
being expanded to include the internet. If an individual receives a
notice of denial of his/her disability claim and the notice provides
rights to an ALJ hearing, he/she will have the option of filing for the
ALJ hearing over the internet. The individual will complete the
appropriate appeal screens and submit the appeal to SSA for processing.
The respondents are individuals filing for an ALJ hearing.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 669,469.
Estimated Annual Burden: 178,525 hours.
----------------------------------------------------------------------------------------------------------------
Estimated
Collection method Number of Frequency of completion Total burden
respondents response time (min) hours
----------------------------------------------------------------------------------------------------------------
Paper & Modernized Claims System................ 334,735 1 10 55,789
i501............................................ 334,734 1 22 122,736
---------------------------------------------------------------
Totals...................................... 669,469 .............. .............. 178,525
----------------------------------------------------------------------------------------------------------------
6. Request for Earnings and Benefit Estimate Statement--20 CFR
404.810-0960-0466. SSA uses the information the requestor provides on
Form SSA-7004 to identify his or her Social Security earnings record,
extract posted earnings information, calculate potential benefit
estimates, produce the resulting Social Security Statement and mail it
to the requestor. Respondents are Social Security number holders
requesting information about their Social Security earnings records and
estimates of their potential benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 545,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Average Burden: 45,417 hours.
7. Employer Verification of Earnings After Death--20 CFR 404.821
and 404.822-0960-0472. The information collected on Form SSAL4112 is
used by SSA to determine whether wages reported by an employer are
correct and should be credited to the employee's Social Security number
when SSA records indicate that the wage earner is deceased. The
respondents are employers who report wages for a deceased employee.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 8,333 hours.
8. Appointment of Representative--20 CFR 404.1707, 404.1720,
404.1725, 410.684 and 416.1507-0960-0527. A person claiming a right or
benefit under the Social Security Act must notify SSA in writing if he
or she appoints an individual to represent him or her in dealing with
SSA. The information collected by SSA on form SSA-1696-U4 is used to
verify the applicant's appointment of a representative. It allows SSA
to inform the representative of items which affect the applicant's
claim, and it also allows the claimant to give permission to their
appointed representative to designate a person to copy claims files.
Respondents are applicants who notify SSA that they have appointed a
person to represent them in their dealings with SSA when claiming a
right to benefits and representatives of claimants for Social Security
benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 551,520.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 91,920 hours.
9. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009-0960-0622. The information collected on Form SSA-
561-U2 is used by SSA to document and initiate the reconsideration
process for determining eligibility or entitlement to Social Security
benefits (Title II), Supplemental Security Income payments (Title XVI),
Special Veterans Benefits (Title VIII), Medicare (Title XVIII), and of
initial determinations regarding Medicare Part B income-related premium
subsidy reductions. The methods for filing a request for
reconsideration are being expanded to include the internet. If an
individual receives a notice of denial of his/her disability claim and
the notice provides the right to reconsideration, he/she will have the
option of filing for the reconsideration over the internet. The
[[Page 35296]]
individual will complete the appropriate appeal screens and submit the
appeal to SSA for processing. The respondents are individuals filing
for reconsideration.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,461,700.
Estimated Annual Burden: 341,064 hours.
----------------------------------------------------------------------------------------------------------------
Estimated
Collection method Number of Frequency of completion Total burden
respondents response time (min) hours
----------------------------------------------------------------------------------------------------------------
Paper & Modernized Claims System................ 730,850 1 8 97,447
i561............................................ 730,850 1 20 243,617
---------------------------------------------------------------
Totals...................................... 1,461,700 .............. .............. 341,064
----------------------------------------------------------------------------------------------------------------
10. Statement for Determining Continuing Eligibility for
Supplemental Security Income Payments--Adult, Form SSA-3988; Statement
for Determining Continuing Eligibility for Supplemental Security Income
Payments--Child, Form SSA-3989--20 CFR Subpart B--416.204-0960-NEW.
Forms SSA-3988 and SSA-3989 will be used to determine whether SSI
recipients have met and continue to meet all statutory and regulatory
nonmedical requirements for SSI eligibility, and whether they have been
and are still receiving the correct payment amount. The SSA-3988 and
SSA-3989 are designed as self-help forms that will be mailed to
recipients or to their representative payees for completion and return
to SSA. The respondents are recipients of SSI payments or their
representatives.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 60,000.
Estimated Annual Burden: 26,000 hours.
----------------------------------------------------------------------------------------------------------------
Average
Frequency of burden per Estimated
Collection instrument Respondents response response annual burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3988........................................ 30,000 1 26 13,000
SSA-3989........................................ 30,000 1 26 13,000
---------------------------------------------------------------
Totals...................................... 60,000 .............. .............. 26,000
----------------------------------------------------------------------------------------------------------------
11. Request for Program Consultation--20 CFR 404.1601-1661-0960
New.
The Disability Determination Services (DDS) offices are staffed by
State employees who perform disability determinations for applicants
for Social Security disability benefits under Title II and Title XVI of
the Social Security Act. SSA's federal regional quality assurance
office has the authority to review DDS determinations, to assess
errors, and to return cases for corrective action by the DDS.
The information collected on the Request for Program Consultation
(RPC) will be used by the DDS's that request a review of the regional
quality assurance evaluations. The DDS's use the RPC to present their
rationale that supports their determinations. The information collected
includes a short rationale and policy citations supporting their
rebuttal. The RPC team will use the information to reassess their
initial determination. The respondents are DDS's who request a review
of the regional quality assurance determination.
Type of Request: Request for a new information collection.
Number of Respondents: 4,500.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 2,250 hours.*
*SSA inadvertently cited an incorrect burden hour in the first
FRN dated April 23, 2007 and the second FRN dated June 13, 2007.
This notice serves as a correction.
Dated: June 21, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-12357 Filed 6-26-07; 8:45 am]
BILLING CODE 4191-02-P
