Agency Information Collection Activities; Proposed Request and Comment Request, 40353-40355 [E7-14147]
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<![CDATA[
40353
Federal Register / Vol. 72, No. 141 / Tuesday, July 24, 2007 / Notices
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, 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
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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]
=======================================================================
-----------------------------------------------------------------------
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
