Agency Information Collection Activities: Proposed Request and Comment Request, 44211-44212 [E7-15153]

Download as PDF 44211 Federal Register / Vol. 72, No. 151 / Tuesday, August 7, 2007 / Notices SMALL BUSINESS ADMINISTRATION Public Federal Regulatory Enforcement Fairness Hearing; Region I Regulatory Fairness Board The U.S. Small Business Administration (SBA) Region I Regulatory Fairness Board and the SBA Office of the National Ombudsman will hold a National Regulatory Fairness Hearing on Thursday, August 16, 2007, at 10 a.m. The forum will take place at the Portland SCORE Office, 100 Middle Street, 2nd Floor, Portland, ME 04101. The purpose of the meeting is for Business Organizations, Trade Associations, Chambers of Commerce and related organizations serving small business concerns to report experiences regarding unfair or excessive Federal regulatory enforcement issues affecting their members. Anyone wishing to attend or to make a presentation must contact Bonnie Erickson, in writing or by fax in order to be placed on the agenda. Bonnie Erickson, Public Information Officer, SBA, Augusta District Office, 68 Sewall Street, Room 512, Augusta, ME 04330, phone (207) 622–8275 and fax (207) 622–8277, e-mail: Bonnie.erickson@sba.gov. For more information, see our Web site at http://www.sba.gov/ombudsman. Matthew Teague, Committee Management Officer. [FR Doc. E7–15315 Filed 8–6–07; 8:45 am] BILLING CODE 8025–01–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), 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. Number of respondents 1. Authorization for SSA to Disclose Tax Information for Your Appeal of Your Medicare Part B Income-Related Monthly Adjustment Premium Amount—20 CFR 418.1350—NEW. Medicare Part B beneficiaries who wish to appeal SSA’s reconsideration of their Income-Related Monthly Adjustment Amount (IRMAA) must ensure that the relevant Internal Revenue Service (IRS) income tax data is made available to the Health and Human Services Administrative Law Judge (ALJ) who will consider their appeal. Currently, SSA is using IRS Form–8821 to obtain beneficiary authorization to disclose the IRS beneficiary tax data to the ALJ. With IRS’s permission, SSA has developed its own form for this purpose, the SSA–54. The respondents are Medicare Part B recipients who want to appeal SSA’s reconsideration of their IRMAA amount. Type of Request: New information collection. Number of Respondents: 6,000. Frequency of Response: 1. Average Burden per Response: 15 minutes. Estimated Annual Burden: 1,500 hours. 2. Request for Corrections of Earnings Record—20 CFR 404.820 & 20 CFR 422.125—0960–0029. The information collected by Form SSA–7008 is needed when an individual alleges his/her earnings record is inaccurate. The information is used to check against the record maintained by SSA and, as necessary, initiate development to resolve the issue. The respondents are individuals who request correction of earnings posted to their Social Security earnings record. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 375,000. Estimated Annual Burden: 62,500 hours. Frequency of response Estimated burden per response (minutes) Estimated annual burden (hours) 37,500 337,500 1 1 10 10 6,250. 56,250. Total .......................................................................................................... jlentini on PROD1PC65 with NOTICES Paper Version .................................................................................................. In-person or telephone interview ..................................................................... 375,000 ........................ ........................ 62,500. 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 VerDate Aug<31>2005 17:20 Aug 06, 2007 Jkt 211001 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. PO 00000 Frm 00136 Fmt 4703 Sfmt 4703 1. Electronic Records Express ThirdParty Registration Form—0960–NEW. ERE (Electronic Records Express) is an online system which enables medical providers and various third parties to submit disability claimant information E:\FR\FM\07AUN1.SGM 07AUN1 jlentini on PROD1PC65 with NOTICES 44212 Federal Register / Vol. 72, No. 151 / Tuesday, August 7, 2007 / Notices electronically to SSA as part of the disability application process. Third parties who wish to use this system must complete a unique registration process so the Agency can ensure they are authorized to access a claimant’s electronic disability folder. This request is for the Third-Party Registration Form. The respondents are third-party representatives of disability applicants or recipients who want to use ERE to electronically access beneficiary folders and submit information to SSA. Type of Request: New information collection. Number of Respondents: 75,784. Frequency of Response: 1. Average Burden per Response: 3 minutes. Estimated Annual Burden: 3,789 hours. 2. Representative Payee Evaluation Report—20 CFR 404.2065 & 416.665— 0960–0069. Sections 205(j) and 1631(a)(2) of the Social Security Act provide that a representative payee may be appointed to receive benefits on behalf of an individual entitled to Title II and/or Title XVI benefits when that individual is unable to manage or direct the management of those funds him/ herself. The representative payee is required to report to SSA at least once per year on how those funds received have been used or conserved. When a representative payee fails to adequately report to SSA as required, SSA will conduct a face-to-face interview with the payee to complete an SSA–624, Representative Payee Evaluation Report, in order to determine the continued suitability of the representative payee to serve as a payee. The respondents are individuals and organizations who act as representative payees for Title II and Title XVI benefits who fail to comply with SSA’s statutory annual reporting requirement. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 252,000. Frequency of Response: 1. Average Burden per Response: 30 minutes. Estimated Annual Burden: 126,000 hours. 3. Request for Change in Time/Place of Disability Hearing—20 CFR 404.914(c)(2) and 416.1414(c)(2)—0960– 0348. The information on Form SSA– 769 is used by SSA and the State Disability Determination Services to provide claimants with a structured format to exercise their right to request a change in time or place of a scheduled disability hearing. The information will be used as a basis for granting or denying requests for changes and for rescheduling disability hearings. VerDate Aug<31>2005 15:56 Aug 06, 2007 Jkt 211001 Respondents are claimants who wish to request a change in the time and/or place of their hearing. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 7,483. Frequency of Response: 1. Average Burden per Response: 8 minutes. Estimated Annual Burden: 998 hours. 4. Agency/Employer Government Pension Offset Questionnaire—20 CFR 404.408(a)—0960–0470. The information collected by form SSA– 4163 will provide SSA with accurate information from the agency paying the pension, for purposes of applying the pension-offset provision. The form will be used only when (1) The claimant does not have the information and (2) the pension-paying agency has not cooperated with the claimant. Respondents are Federal and State Government agencies which have information needed by SSA to determine if the GPO applies and the amount of offset. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 1,000. Frequency of Response: 1. Average Burden per Response: 3 minutes. Estimated Annual Burden: 50 hours. Dated: July 31, 2007. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. E7–15153 Filed 8–3–07; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No. SSA–2007–0055] The Ticket to Work and Work Incentives Advisory Panel Meeting AGENCY: Social Security Administration (SSA). ACTION: Notice of teleconference. August 23, 2007—2 p.m. to 4 p.m. Eastern Daylight Savings Time; Ticket to Work and Work Incentives Advisory Panel Conference Call; Call-in number: 1–888–790–4158; Pass code: PANEL TELECONFERENCE; Leader/ Host: Berthy De la Rosa-Aponte. SUPPLEMENTARY INFORMATION: Type of meeting: On August 23, 2007, the Ticket to Work and Work Incentives Advisory Panel (the ‘‘Panel’’) will hold a teleconference. This teleconference meeting is open to the public. Purpose: In accordance with section 10(a)(2) of the Federal Advisory Committee Act, the Social Security DATES: PO 00000 Frm 00137 Fmt 4703 Sfmt 4703 Administration (SSA) announces this teleconference meeting of the Ticket to Work and Work Incentives Advisory Panel. Section 101(f) of Public Law 106– 170 establishes the Panel to advise the President, the Congress, and the Commissioner of Social Security on issues related to work incentive programs, planning, and assistance for individuals with disabilities as provided under section 101(f)(2)(A) of the Act. The Panel is also to advise the Commissioner on matters specified in section 101(f)(2)(B) of the Act, including certain issues related to the Ticket to Work and Self-Sufficiency Program established under section 101(a). The interested public is invited to listen to the teleconference by calling the phone number listed above. Public testimony will be taken from 3:30 p.m. until 4 p.m. Eastern Standard Time. You must be registered to give public comment. Contact information is given at the end of this notice. Agenda: The full agenda for the meeting will be posted on the Internet at http://www.ssa.gov/work/panel at least one week before the starting date or can be received, in advance, electronically or by fax upon request. Contact Information: Records are kept of all proceedings and will be available for public inspection by appointment at the Panel office. Anyone requiring information regarding the Panel should contact the staff by: • Mail addressed to the Social Security Administration, Ticket to Work and Work Incentives Advisory Panel Staff, 400 Virginia Avenue, SW., Suite 700, Washington, DC 20024. Telephone contact with Debra Tidwell-Peters at (202) 358–6126. • Fax at (202) 358–6440. • E-mail to TWWIIAPanel@ssa.gov. • To register for the public comment portion of the meeting please contact Debra Tidwell-Peters by calling (202) 358–6126, or by e-mail to debra.tidwellpeters@ssa.gov. Dated: July 27, 2007. Chris Silanskis, Designated Federal Officer. [FR Doc. E7–15252 Filed 8–6–07; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 5876] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Inspiring Impressionism’’ SUMMARY: Notice is hereby given of the following determinations: Pursuant to the authority vested in me by the Act of E:\FR\FM\07AUN1.SGM 07AUN1

Agencies

[Federal Register Volume 72, Number 151 (Tuesday, August 7, 2007)]
[Notices]
[Pages 44211-44212]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-15153]


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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. Authorization for SSA to Disclose Tax Information for Your 
Appeal of Your Medicare Part B Income-Related Monthly Adjustment 
Premium Amount--20 CFR 418.1350--NEW. Medicare Part B beneficiaries who 
wish to appeal SSA's reconsideration of their Income-Related Monthly 
Adjustment Amount (IRMAA) must ensure that the relevant Internal 
Revenue Service (IRS) income tax data is made available to the Health 
and Human Services Administrative Law Judge (ALJ) who will consider 
their appeal. Currently, SSA is using IRS Form-8821 to obtain 
beneficiary authorization to disclose the IRS beneficiary tax data to 
the ALJ. With IRS's permission, SSA has developed its own form for this 
purpose, the SSA-54. The respondents are Medicare Part B recipients who 
want to appeal SSA's reconsideration of their IRMAA amount.
    Type of Request: New information collection.
    Number of Respondents: 6,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 1,500 hours.
    2. Request for Corrections of Earnings Record--20 CFR 404.820 & 20 
CFR 422.125--0960-0029. The information collected by Form SSA-7008 is 
needed when an individual alleges his/her earnings record is 
inaccurate. The information is used to check against the record 
maintained by SSA and, as necessary, initiate development to resolve 
the issue. The respondents are individuals who request correction of 
earnings posted to their Social Security earnings record.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 375,000.
    Estimated Annual Burden: 62,500 hours.

----------------------------------------------------------------------------------------------------------------
                                                                                     Estimated
                                                     Number of     Frequency of     burden  per      Estimated
                                                    respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Paper Version...................................          37,500               1              10          6,250.
In-person or telephone interview................         337,500               1              10         56,250.
                                                 ---------------------------------------------------------------
    Total.......................................         375,000  ..............  ..............         62,500.
----------------------------------------------------------------------------------------------------------------

    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. Electronic Records Express Third-Party Registration Form--0960-
NEW. ERE (Electronic Records Express) is an online system which enables 
medical providers and various third parties to submit disability 
claimant information

[[Page 44212]]

electronically to SSA as part of the disability application process. 
Third parties who wish to use this system must complete a unique 
registration process so the Agency can ensure they are authorized to 
access a claimant's electronic disability folder. This request is for 
the Third-Party Registration Form. The respondents are third-party 
representatives of disability applicants or recipients who want to use 
ERE to electronically access beneficiary folders and submit information 
to SSA.
    Type of Request: New information collection.
    Number of Respondents: 75,784.
    Frequency of Response: 1.
    Average Burden per Response: 3 minutes.
    Estimated Annual Burden: 3,789 hours.
    2. Representative Payee Evaluation Report--20 CFR 404.2065 & 
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Social 
Security Act provide that a representative payee may be appointed to 
receive benefits on behalf of an individual entitled to Title II and/or 
Title XVI benefits when that individual is unable to manage or direct 
the management of those funds him/herself. The representative payee is 
required to report to SSA at least once per year on how those funds 
received have been used or conserved. When a representative payee fails 
to adequately report to SSA as required, SSA will conduct a face-to-
face interview with the payee to complete an SSA-624, Representative 
Payee Evaluation Report, in order to determine the continued 
suitability of the representative payee to serve as a payee. The 
respondents are individuals and organizations who act as representative 
payees for Title II and Title XVI benefits who fail to comply with 
SSA's statutory annual reporting requirement.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 252,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 126,000 hours.
    3. Request for Change in Time/Place of Disability Hearing--20 CFR 
404.914(c)(2) and 416.1414(c)(2)--0960-0348. The information on Form 
SSA-769 is used by SSA and the State Disability Determination Services 
to provide claimants with a structured format to exercise their right 
to request a change in time or place of a scheduled disability hearing. 
The information will be used as a basis for granting or denying 
requests for changes and for rescheduling disability hearings. 
Respondents are claimants who wish to request a change in the time and/
or place of their hearing.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 7,483.
    Frequency of Response: 1.
    Average Burden per Response: 8 minutes.
    Estimated Annual Burden: 998 hours.
    4. Agency/Employer Government Pension Offset Questionnaire--20 CFR 
404.408(a)--0960-0470. The information collected by form SSA-4163 will 
provide SSA with accurate information from the agency paying the 
pension, for purposes of applying the pension-offset provision. The 
form will be used only when (1) The claimant does not have the 
information and (2) the pension-paying agency has not cooperated with 
the claimant. Respondents are Federal and State Government agencies 
which have information needed by SSA to determine if the GPO applies 
and the amount of offset.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 1,000.
    Frequency of Response: 1.
    Average Burden per Response: 3 minutes.
    Estimated Annual Burden: 50 hours.

    Dated: July 31, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-15153 Filed 8-3-07; 8:45 am]
BILLING CODE 4191-02-P