Agency Information Collection Activities; Proposed Request and Comment Request, 40353-40355 [E7-14147]

Download as PDF 40353 Federal Register / Vol. 72, No. 141 / Tuesday, July 24, 2007 / Notices Internet Web site (http://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, on official business days between the hours of 10 a.m. and 3 p.m. Copies of the filing also will be available for inspection and copying at the principal office of the Exchange. 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–NYSE– 2007–63 and should be submitted on or before August 14, 2007. For the Commission, by the Division of Market Regulation, pursuant to delegated authority.15 Florence E. Harmon, Deputy Secretary. [FR Doc. E7–14249 Filed 7–23–07; 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 Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that may be included in this notice are for new information collections, approval of existing information collections, revisions to OMB-approved information collections, and extensions (no change) of OMBapproved information collections. SSA is soliciting comments on the accuracy of the agency’s burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and on ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Written comments and recommendations regarding the information collection(s) should be submitted to the OMB Desk Officer and the SSA Reports Clearance Officer. The information can be mailed, 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) Number of respondents Form number 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. 1. Statement of Agricultural Employer (Year Prior to 1988; and 1988 and later)—20 CFR 404.702, 404.802, 404.1056—0960–0036. The information from forms SSA–1002–F3 and SSA– 1003–F3 is used by SSA to resolve discrepancies when farm workers allege their employers did not report their wages, or reported the wages incorrectly. If an agricultural employer has incorrectly reported wages, or failed to report any wages for an employee, SSA must attempt to correct its records by contacting the employer to obtain convincing evidence of the wages paid. The respondents are agricultural employers having knowledge of wages paid to agricultural employees. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 125,000. Estimated Annual Burden: 62,500 hours. Frequency of response Average burden per response (minutes) Total annual burden 75,000 50,000 1 1 30 30 37,500 25,000 Total .......................................................................................................... mstockstill on PROD1PC66 with NOTICES SSA–1002 ........................................................................................................ SSA–1003 ........................................................................................................ 125,000 ........................ ........................ 62,500 2. Medical Report (General)—20 CFR 404.1512–404.1515, 416.912–416.915— 0960–0052. SSA, through its agents, the disability determination services, uses form SSA–3826–F4 to collect medical information needed to make disability determinations. The information is used in determining the claimant’s physical and mental status prior to making a disability determination, and to document the disability claims folder with the medical evidence. Thus, it provides disability adjudicators and reviewers with a narrative record and history of the alleged disability and with 15 17 the objective medical findings necessary to make a disability determination. SSA uses the medical evidence provided on this form in making a determination of whether an individual’s impairment meets the severity and duration requirements required for disability benefits. The respondents are members of the medical community including individual and hospital physicians, medical records librarians, and other medical sources. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 150,000. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 75,000 hours. 3. Request for Correction of Earnings Record—20 CFR 404.820 and 422.125– 0960–0029. Form SSA–7008 is used by individual wage earners to request SSA review and, if necessary, correct its master record of their earnings. The respondents are individuals who question SSA’s record of their earnings. Type of Request: Extension of an OMB-approved information collection. CFR 200.30–3(a)(12). VerDate Aug<31>2005 17:50 Jul 23, 2007 Jkt 211001 PO 00000 Frm 00084 Fmt 4703 Sfmt 4703 E:\FR\FM\24JYN1.SGM 24JYN1 40354 Federal Register / Vol. 72, No. 141 / Tuesday, July 24, 2007 / Notices Number of Respondents: 375,000. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 62,500 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 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 to an existing OMB-approved information collection. 410–965–0454, or by writing to the address listed above. 1. 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—0960–0643. Forms SSA–3988 and SSA–3989 will be used to determine whether Supplemental Security Income (SSI) recipients have met and continue to Number of respondents Collection instrument Frequency of response Average burden per response (minutes) Estimated annual burden (hours) SSA–3988 ........................................................................................................ SSA–3989 ........................................................................................................ 30,000 30,000 1 1 26 26 13,000 13,000 Totals ........................................................................................................ 60,000 ........................ ........................ 26,000 2. eData Registration/Account Modification—20 CFR 401.45—0960– NEW. Collection Background Section 5 U.S.C. 552a, (e) (10) of the Privacy Act of 1974 requires agencies to establish appropriate administrative, technical, and physical safeguards to ensure the security and confidentiality of records. Also, Section (f) (2) & (3) requires agencies to establish requirements for identifying an individual who requests a record or information pertaining to that individual and to establish procedures for disclosure of personal information. SSA promulgated Privacy Act rules in the Code of Federal Regulations, exclusively to maintain the identity of the requester within eData. The requestor is already a known entity to a sponsor within SSA. The SSA sponsor collects the information on the registration form and submits it for internal processing. Once this is completed, SSA provides the requestor with their new password and conducts a walkthrough of the eData Web site as necessary. The organization also can make modifications to their online account (e.g., address change) by completing an online form, SSA–119 (Government to Government Service Online Web site Account Modification/ Deletion Form). Type of Request: Collection in use without OMB Control Number. Subpart B. Procedures for verifying identity are at 20 CFR 401.45. Collection Description The eData Services Web site allows various external organizations to submit files to a variety of SSA systems and in some cases receive return files. The users include state/local government agencies, other federal agencies, and some nongovernmental business entities. The SSA systems that process data transferred via eData include, but are not limited to, systems responsible for disability processing and benefit determination or termination. The information collected on form SSA–118 (Government to Government Services Online Web site Registration Form) to register organizations is used Number of respondents Collection instrument Frequency of response Average burden per response (minutes) Estimated annual burden (hours) 925 1,575 1 1 15 15 231 394 Totals ........................................................................................................ mstockstill on PROD1PC66 with NOTICES SSA–118 .......................................................................................................... SSA–119 .......................................................................................................... 2,500 ........................ ........................ 625 3. Certificate of Election for Reduced Widow(er)’s Benefits—20 CFR, Subpart D, 404.335—0960–NEW. Section 202(q) of the Social Security Act provides for the authority to reduce benefits under certain conditions when elected by a beneficiary. However, reduced benefits are not payable to an already entitled spouse (or divorced spouse) who: • Is at least age 62 and under full retirement age in the month of the number holder’s death; and VerDate Aug<31>2005 17:50 Jul 23, 2007 Jkt 211001 • Is receiving both reduced spouse’s (or divorced spouse’s) benefits and either retirement or disability benefits in the month before the month of the number holder’s death. In order to elect reduced widow(er) benefits, a beneficiary must complete form SSA–4111. SSA uses the information collected on form SSA– 4111 to determine eligibility for and pay a qualified dually entitled widow(er) (or surviving divorced spouse) reduced PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 benefits. The respondents are qualified dually entitled widow(er) (or surviving divorced spouse) who elects to receive a reduced widow(er) benefit. Type of Request: Collection in use without OMB Control Number. Number of Respondents: 30,000. Frequency of Response: 1. Average Burden Per Response: 2 minutes. Estimated Annual Burden: 1,000 hours. E:\FR\FM\24JYN1.SGM 24JYN1 40355 Federal Register / Vol. 72, No. 141 / Tuesday, July 24, 2007 / Notices 4. Work History Report—20 CFR 404.1512 and 416.912— 0960–0578. The information collected by form SSA– 3369 is needed to determine disability by the State Disability Determination Services (DDS). The information will be used to document an individual’s past work history. The respondents are applicants for Supplemental Security Income (SSI) disability payments and Social Security disability benefits. Type of Request: Extension of an OMB-approved information collection. Number of respondents Collection method Frequency of response Average burden per response (hours) Estimated annual burden (hours) SSA–3369 (Paper form) .................................................................................. EDCS 3369 ...................................................................................................... 21,000 428,500 1 1 1 1 21,000 428,500 Totals ........................................................................................................ 449,500 ........................ ........................ 449,500 SSA published a 60-day notice on March 15, 2007 at 72 FR 12244 and a 30-day notice on May 9, 2007 at 72 FR 26443. We are publishing a correction to these notices, reducing the number of respondents from 1,000,000 and correcting the average burden per response from 30 minutes. Dated: July 17, 2007. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E7–14147 Filed 7–23–07; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Approval of Noise Compatibility Program for Flagstaff Pulliam Airport, Flagstaff, AZ Federal Aviation Administration, DOT. ACTION: Notice. mstockstill on PROD1PC66 with NOTICES AGENCY: SUMMARY: The Federal Aviation Administration (FAA) announces its findings on the noise compatibility program submitted by the City of Flagstaff under the provisions of Title I of the Aviation Safety and Noise Abatement Act, as amended, (Pub. L. 96–193) (hereinafter referred to as ‘‘the Act’’) and 14 CFR part 150. These findings are made in recognition of the description of Federal and nonfederal responsibilities in Senate Report No. 96–52 (1980). On April 7, 2005, the FAA determined that the noise exposure maps submitted by the City of Flagstaff under part 150 were in compliance with applicable requirements. EFFECTIVE DATES: The effective date of the FAA’s approval of the Noise Compatibility Program for Flagstaff Pulliam Airport is June 25, 2007. FOR FURTHER INFORMATION CONTACT: Michelle Simmons, Environmental Protection Specialist, Los Angeles VerDate Aug<31>2005 20:28 Jul 23, 2007 Jkt 211001 Airports District Office, Airports Division, Western-Pacific Region, Federal Aviation Administration, mailing address: P.O. Box 92007, Los Angeles, California, 90009–2007; Telephone: 310/725–3614. Documents reflecting this FAA action may be reviewed at this same location. SUPPLEMENTARY INFORMATION: This notice announces that the FAA has given its overall approval to the Noise Compatibility Program for Flagstaff Pulliam Airport, effective June 25, 2007. Under section 104(a) of the Aviation Safety and Noise Abatement Act of 1979, as amended (herein after referred to as the ‘‘Act’’) [recodified as 49 U.S.C. 47504], as airport operator who has previously submitted as Noise Exposure Map may submit to the FAA a Noise Compatibility Program which sets forth the measures taken or proposed by the airport operator for the reduction of existing non-compatible land uses and prevention of additional non-compatible land uses within the area covered by the Noise Exposure Maps. The Act requires such programs to be developed in consultation with interested and affected parties including local communities, government agencies, airport users, and FAA personnel. Each airport noise compatibility program developed in accordance with Federal Aviation Regulations (FAR) Part 150 is a local program, not a Federal program. The FAA does not substitute its judgment for that of the airport proprietor with respect to which measures should be recommended for action. The FAA’s approval or disapproval of FAR Part 150 program recommendations is measured according to the standards expressed in Part 150 and the Act and is limited to the following determinations: a. The Noise Compatibility Program was developed in accordance with the provisions and procedures of FAR Part 150; b. Program measures are reasonably consistent with achieving the goals of PO 00000 Frm 00086 Fmt 4703 Sfmt 4703 reducing existing non-compatible land uses around in airport and preventing the introduction of additional noncompatible land uses; c. Program measurs would not create an undue burden on interstate or foreign commerce, unjustly discriminate against types or classes or aeronatucial uses, violate the terms of airport grant agreements, or intrude into areas preempted by the Federal Government; and d. Program measures relating to the use of flight procedures can be implemented within the period covered by the program without derogating safety, adversely affecting the efficient use and management of the navigable airspace and air traffic control systems, or adversely affecting other powers and responsibilities of the Administrator prescribed by law. Specific limitation with respect to FAA’s approval of an airport noise compatibility program are delineated in FAR Part 150, section 150.5. Approval is not a determination concerning the acceptability of land uses under Federal, state, or local law. Approval does not by itself constitute an FAA implementing action. A request for Federal action or approval to implement specific noise compatibility measures may be required, and an FAA decision on the request may require an environmental assessment of the proposed action. Approval does not constitute a commitment by the FAA to financially assist in the implementation of the program nor a determination that all measures covered by the program are eligible for grant-in-aid funding from the FAA under the Airport and Airway Improvement Act of 1982, as amended. Where federal funding is sought, requests for project grants must be submitted to the FAA Airports District Office in Hawthorne, California. The City of Flagstaff submitted to the FAA on July 21, 2004, the Noise Exposure Maps, descriptions, and other documentation produced during the noise compatibility planning study E:\FR\FM\24JYN1.SGM 24JYN1

Agencies

[Federal Register Volume 72, Number 141 (Tuesday, July 24, 2007)]
[Notices]
[Pages 40353-40355]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-14147]


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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 Public Law 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
The information collection packages that may be included in this notice 
are for new information collections, approval of existing information 
collections, revisions to OMB-approved information collections, and 
extensions (no change) of OMB-approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and on ways to minimize 
burden on respondents, including the use of automated collection 
techniques or other forms of information technology. Written comments 
and recommendations regarding the information collection(s) should be 
submitted to the OMB Desk Officer and the SSA Reports Clearance 
Officer. The information can be mailed, 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.
    1. Statement of Agricultural Employer (Year Prior to 1988; and 1988 
and later)--20 CFR 404.702, 404.802, 404.1056--0960-0036. The 
information from forms SSA-1002-F3 and SSA-1003-F3 is used by SSA to 
resolve discrepancies when farm workers allege their employers did not 
report their wages, or reported the wages incorrectly. If an 
agricultural employer has incorrectly reported wages, or failed to 
report any wages for an employee, SSA must attempt to correct its 
records by contacting the employer to obtain convincing evidence of the 
wages paid. The respondents are agricultural employers having knowledge 
of wages paid to agricultural employees.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 125,000.
    Estimated Annual Burden: 62,500 hours.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                   Form number                      respondents      response        response         burden
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-1002........................................          75,000               1              30          37,500
SSA-1003........................................          50,000               1              30          25,000
                                                 ---------------------------------------------------------------
    Total.......................................         125,000  ..............  ..............          62,500
----------------------------------------------------------------------------------------------------------------

    2. Medical Report (General)--20 CFR 404.1512-404.1515, 416.912-
416.915--0960-0052. SSA, through its agents, the disability 
determination services, uses form SSA-3826-F4 to collect medical 
information needed to make disability determinations. The information 
is used in determining the claimant's physical and mental status prior 
to making a disability determination, and to document the disability 
claims folder with the medical evidence. Thus, it provides disability 
adjudicators and reviewers with a narrative record and history of the 
alleged disability and with the objective medical findings necessary to 
make a disability determination. SSA uses the medical evidence provided 
on this form in making a determination of whether an individual's 
impairment meets the severity and duration requirements required for 
disability benefits. The respondents are members of the medical 
community including individual and hospital physicians, medical records 
librarians, and other medical sources.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 150,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 75,000 hours.
    3. Request for Correction of Earnings Record--20 CFR 404.820 and 
422.125-0960-0029. Form SSA-7008 is used by individual wage earners to 
request SSA review and, if necessary, correct its master record of 
their earnings. The respondents are individuals who question SSA's 
record of their earnings.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 40354]]

    Number of Respondents: 375,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 62,500 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. 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--0960-0643. 
Forms SSA-3988 and SSA-3989 will be used to determine whether 
Supplemental Security Income (SSI) recipients have met and continue to 
meet all statutory and regulatory non-medical 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 to an existing OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Collection instrument                 respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3988........................................          30,000               1              26          13,000
SSA-3989........................................          30,000               1              26          13,000
                                                 ---------------------------------------------------------------
    Totals......................................          60,000  ..............  ..............          26,000
----------------------------------------------------------------------------------------------------------------

    2. eData Registration/Account Modification--20 CFR 401.45--0960-
NEW.

Collection Background

    Section 5 U.S.C. 552a, (e) (10) of the Privacy Act of 1974 requires 
agencies to establish appropriate administrative, technical, and 
physical safeguards to ensure the security and confidentiality of 
records. Also, Section (f) (2) & (3) requires agencies to establish 
requirements for identifying an individual who requests a record or 
information pertaining to that individual and to establish procedures 
for disclosure of personal information. SSA promulgated Privacy Act 
rules in the Code of Federal Regulations, Subpart B. Procedures for 
verifying identity are at 20 CFR 401.45.

Collection Description

    The eData Services Web site allows various external organizations 
to submit files to a variety of SSA systems and in some cases receive 
return files. The users include state/local government agencies, other 
federal agencies, and some nongovernmental business entities. The SSA 
systems that process data transferred via eData include, but are not 
limited to, systems responsible for disability processing and benefit 
determination or termination. The information collected on form SSA-118 
(Government to Government Services Online Web site Registration Form) 
to register organizations is used exclusively to maintain the identity 
of the requester within eData. The requestor is already a known entity 
to a sponsor within SSA. The SSA sponsor collects the information on 
the registration form and submits it for internal processing. Once this 
is completed, SSA provides the requestor with their new password and 
conducts a walkthrough of the eData Web site as necessary. The 
organization also can make modifications to their online account (e.g., 
address change) by completing an online form, SSA-119 (Government to 
Government Service Online Web site Account Modification/Deletion Form).
    Type of Request: Collection in use without OMB Control Number.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Collection instrument                 respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-118.........................................             925               1              15             231
SSA-119.........................................           1,575               1              15             394
                                                 ---------------------------------------------------------------
    Totals......................................           2,500  ..............  ..............             625
----------------------------------------------------------------------------------------------------------------

    3. Certificate of Election for Reduced Widow(er)'s Benefits--20 
CFR, Subpart D, 404.335--0960-NEW. Section 202(q) of the Social 
Security Act provides for the authority to reduce benefits under 
certain conditions when elected by a beneficiary. However, reduced 
benefits are not payable to an already entitled spouse (or divorced 
spouse) who:
     Is at least age 62 and under full retirement age in the 
month of the number holder's death; and
     Is receiving both reduced spouse's (or divorced spouse's) 
benefits and either retirement or disability benefits in the month 
before the month of the number holder's death.
    In order to elect reduced widow(er) benefits, a beneficiary must 
complete form SSA-4111. SSA uses the information collected on form SSA-
4111 to determine eligibility for and pay a qualified dually entitled 
widow(er) (or surviving divorced spouse) reduced benefits. The 
respondents are qualified dually entitled widow(er) (or surviving 
divorced spouse) who elects to receive a reduced widow(er) benefit.
    Type of Request: Collection in use without OMB Control Number.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 1,000 hours.

[[Page 40355]]

    4. Work History Report--20 CFR 404.1512 and 416.912-- 0960-0578. 
The information collected by form SSA-3369 is needed to determine 
disability by the State Disability Determination Services (DDS). The 
information will be used to document an individual's past work history. 
The respondents are applicants for Supplemental Security Income (SSI) 
disability payments and Social Security disability benefits.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                Collection method                   respondents      response        response      annual burden
                                                                                      (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3369 (Paper form)...........................          21,000               1               1          21,000
EDCS 3369.......................................         428,500               1               1         428,500
                                                 ---------------------------------------------------------------
    Totals......................................         449,500  ..............  ..............         449,500
----------------------------------------------------------------------------------------------------------------

    SSA published a 60-day notice on March 15, 2007 at 72 FR 12244 and 
a 30-day notice on May 9, 2007 at 72 FR 26443. We are publishing a 
correction to these notices, reducing the number of respondents from 
1,000,000 and correcting the average burden per response from 30 
minutes.

    Dated: July 17, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-14147 Filed 7-23-07; 8:45 am]
BILLING CODE 4191-02-P