Agency Information Collection Activities: Proposed Request and Comment Request, 52594-52596 [E7-18104]
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52594
Federal Register / Vol. 72, No. 178 / Friday, September 14, 2007 / Notices
Incident: Colby Block Fire.
Incident Period: 05/07/2007.
DATES: Effective Date: 09/06/2007.
EIDL Loan Application Deadline Date:
06/06/2008.
ADDRESSES: Submit completed loan
applications to: U.S. Small Business
Administration, Processing And
Disbursement Center, 14925 Kingsport
Road, Fort Worth, TX 76155.
FOR FURTHER INFORMATION CONTACT: A.
Escobar, Office of Disaster Assistance,
U.S. Small Business Administration,
409 3rd Street, SW., Suite 6050,
Washington, DC 20416.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that as a result of the
Administrator’s EIDL declaration,
applications for economic injury
disaster loans may be filed at the
address listed above or other locally
announced locations.
The following areas have been
determined to be adversely affected by
the disaster:
Primary Counties:
Orange.
Contiguous Counties:
Vermont: Addison, Caledonia, Washington,
Windsor.
New Hampshire: Grafton.
The Interest Rate is: 4.000.
The number assigned to this disaster for
economic injury is 110250.
The States which received an EIDL
Declaration # are Vermont; New Hampshire.
(Catalog of Federal Domestic Assistance
Number 59002)
Steven C. Preston,
Administrator.
[FR Doc. E7–18126 Filed 9–13–07; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Disaster Declaration #11010 and
#11011; Wisconsin Disaster Number
WI–00010
U.S. Small Business
Administration.
ACTION: Amendment 2.
rmajette on PROD1PC64 with NOTICES
AGENCY:
SUMMARY: This is an amendment of the
Presidential declaration of a major
disaster for the State of Wisconsin
(FEMA–1719–DR), dated 08/26/2007.
Incident: Severe Storms and Flooding.
Incident Period: 08/18/2007 through
08/31/2007.
DATES: Effective Date: 09/06/2007.
Physical Loan Application Deadline
Date: 10/25/2007.
EIDL Loan Application Deadline Date:
05/26/2008.
ADDRESSES: Submit completed loan
applications to: U.S. Small Business
VerDate Aug<31>2005
15:44 Sep 13, 2007
Jkt 211001
Administration, Processing and
Disbursement Center, 14925 Kingsport
Road, Fort Worth, TX 76155.
FOR FURTHER INFORMATION CONTACT: A.
Escobar, Office of Disaster Assistance,
U.S. Small Business Administration,
409 3rd Street, SW., Suite 6050,
Washington, DC 20416.
SUPPLEMENTARY INFORMATION: The notice
of the Presidential disaster declaration
for the State of Wisconsin, dated 08/26/
2007 is hereby amended to include the
following areas as adversely affected by
the disaster:
Primary Counties:
Columbia, Dane, Grant, Green, Iowa,
Jefferson, Kenosha, Racine, Rock.
Contiguous Counties:
Wisconsin: Dodge, Green Lake, Lafayette,
Marquette, Milwaukee, Walworth,
Waukesha.
Illinois: Boone, Jo Daviess, Lake, McHenry,
Stephenson, Winnebago.
Iowa: Dubuque.
All other information in the original
declaration remains unchanged.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
James E. Rivera,
Acting Associate Administrator for Disaster
Assistance.
[FR Doc. E7–18133 Filed 9–13–07; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Office of the National Ombudsman;
Regulatory Fairness Boards Annual
Meeting
The U.S. Small Business
Administration (SBA), Office of the
National Ombudsman is announcing the
annual board meeting of the ten
Regional Regulatory Fairness Boards on
Thursday and Friday, September 13–14,
2007, beginning at 9 a.m. As mandated
by the Small Business Regulatory
Enforcement Fairness Act (Pub. L. 104–
121), Section 222 the purpose of this
meeting is for the Regulatory Fairness
Boards to advise the National
Ombudsman on matters of concern to
small businesses relating to enforcement
activities of agencies and to report on
substantiated instances of excessive
enforcement against small business
concerns, including any findings or
recommendations of the Board as to
agency enforcement practice or policy.
The meeting will be at the SBA
Headquarters, 409 3rd Street, SW.,
Washington, DC 20416, in the
Eisenhower Conference Room, 2nd
Floor. For further information, please
´ ´
direct inquiries to Jose Mendez, Event
Coordinator, Office of the National
Ombudsman, 409 3rd Street, Suite 7125,
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
Washington, DC 20416, phone (202)
205–6178, fax (202) 401–2707, e-mail
Jose.mendez@sba.gov.
For more information on the Office of
the National Ombudsman, see our Web
site at https://www.sba.gov/ombudsman.
Matthew Teague,
Committee Management Officer.
[FR Doc. E7–18124 Filed 9–13–07; 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 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 included in this notice are for
extensions of and revisions to 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.
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 e-mailing
the Reports Clearance Officer at
oplm.rco@ssa.gov.
E:\FR\FM\14SEN1.SGM
14SEN1
52595
Federal Register / Vol. 72, No. 178 / Friday, September 14, 2007 / Notices
1. Application for Help with Medicare
Prescription Drug Plan Costs—20 CFR
418.3101—0960–0696. Medicare Part D,
codified in 20 CFR 418, provides
voluntary prescription drug coverage of
premium, deductible, and co-payment
costs for certain low-income
individuals. As per 20 CFR 418.3101,
beneficiaries who meet eligibility
criteria may receive help with these
Medicare Part D costs. The Social
Security Administration, which helps to
administer the subsidy program, uses
form SSA–1020 (the Application for
Help with Medicare Prescription Drug
Plan Costs) and its online equivalent,
Number of
respondents
the i1020, to collect information that
will be used to make Medicare Part D
subsidy determinations. The
respondents are eligible beneficiaries
who want to apply for help with
Medicare Part D costs.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
SSA–1020 (paper application form) ................................................................
i1020 (online equivalent) .................................................................................
2,545,716
380,394
1
1
35
45
1,485,001
285,296
Totals ...............................................................................................................
2,926,110
........................
........................
1,770,297
2. Appeal of Determination for Help
with Medicare Prescription Drug Plan
Costs—0960–0695. The Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (Pub. L. 108–
173; MMA) established a new Medicare
Part D program for voluntary
prescription drug coverage for premium,
deductible and cost-sharing subsidies
for certain low-income individuals. The
MMA stipulates that subsidies must be
available for individuals who are
eligible for the program and who meet
eligibility criteria for help with
premium, deductible, and/or copayment costs. Form SSA–1021, the
Appeal of Determination for Help with
Medicare Prescription Drug Plan Costs,
was developed to obtain information
from individuals who appeal SSA’s
decisions regarding eligibility or
continuing eligibility for a Medicare
Part D subsidy. The respondents are
applicants who are appealing SSA’s
eligibility or continuing eligibility
decisions.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 12,500
hours.
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
emailing OPLM.RCO@ssa.gov.
1. Correction Notice: This 30-day
Federal Register Notice published on
August 10, 2007, at 72 FR 45079. At the
time, we inadvertently omitted two
notices which are part of this collection.
The revised burden chart below now
contains these notices.
Medicare Quality Review Forms—20
CFR 418(b)(5)—0960–0707. The Social
Number of
respondents
rmajette on PROD1PC64 with NOTICES
Form No. and name
SSA–9301 (Medicare Subsidy Quality Review Case Analysis Questionnaire)
SSA–9302 (Notice of Quality Review Acknowledgement Form for those with
Phones) ........................................................................................................
SSA–9303 (Notice of Quality Review Acknowledgement Form for those
without Phones) ...........................................................................................
SSA–9304 (Checklist of Required Information; burden accounted for with
forms SSA–9302, SSA–9303) .....................................................................
SSA–9308 (Request for Information) ..............................................................
SSA–9310 (Request for Documents) ..............................................................
SSA–9309 (Life Insurance Verification Form) .................................................
SSA–9311 (Notice of Appointment—Denial—Reviewer Will Call) ..................
SSA–9312 (Notice of Appointment—Denial—Please Call Reviewer) .............
SSA–8510 (Authorization to the Social Security Administration to Obtain
Personal Information) ...................................................................................
SSA–9313 (Notice of Appointment Quality Review Acknowledgement
Form)* ..........................................................................................................
SSA–9314 (Notice of Quality Review Acknowledgement Form (unknown
phone numbers)* ..........................................................................................
VerDate Aug<31>2005
15:44 Sep 13, 2007
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PO 00000
Frm 00058
Fmt 4703
Security Administration (SSA) uses the
Medicare Quality Review Forms
collection to verify the information
reported on Medicare Part D Subsidy
applications (OMB No. 0960–0696) for a
selected number of applicants. SSA is
planning to expand the scope of this
collection by conducting Quality
Reviews with some current recipients of
Medicare Part D subsidies who have
recently undergone the redetermination
process (OMB No. 0960–0723). This ICR
is for two new appointment letters
(forms SSA–9313 and SSA–9314) that
such beneficiaries will complete to
schedule an appointment for their
Quality Review. The respondents are
current recipients of Medicare Part D
subsidies who have recently undergone
a redetermination and who were
selected for a Quality Review.
Type of Request: Revision to an
existing OMB-approved information
collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
10,000
1
35
5,833
10,000
1
15
2,500
1,000
1
15
250
........................
20,000
10,000
8,000
450
50
........................
1
1
1
1
1
........................
15
5
15
15
15
........................
5,000
833
2,000
113
13
10,000
1
5
833
4,500
1
15
1,125
500
1
15
125
Sfmt 4703
E:\FR\FM\14SEN1.SGM
14SEN1
52596
Federal Register / Vol. 72, No. 178 / Friday, September 14, 2007 / Notices
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
........................
........................
........................
Form No. and name
Total ..........................................................................................................
Estimated
annual burden
(hours)
18,625
* These are the two new forms being cleared in the current ICR for this collection.
2. Correction Notice: This 30-day
notice published on August 7, 2007, at
72 FR 44211. It has since been decided
to allow other types of respondents
(other third-parties besides
representatives) to use this form.
Revised burden information is provided
below.
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
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: 78,344.
Frequency of Response: 1.
Average Burden per Response: 3
minutes.
Estimated Annual Burden: 3,917
hours.
Dated: September 10, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E7–18104 Filed 9–13–07; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 5936]
seq.), Delegation of Authority No. 234 of
October 1, 1999, Delegation of Authority
No. 236 of October 19, 1999, as
amended, and Delegation of Authority
No. 257 of April 15, 2003 [68 FR 19875],
I hereby determine that the objects to be
included in the exhibition ‘‘A New
World: England’s First View of
America,’’ imported from abroad for
temporary exhibition within the United
States, are of cultural significance. The
objects are imported pursuant to loan
agreements with the foreign owner or
custodian. I also determine that the
exhibition or display of the exhibit
objects at the North Carolina Museum of
History, Raleigh, North Carolina,
beginning on or about October 20, 2007,
until on or about January 13, 2008, Yale
Center for British Art, New Haven,
Connecticut, beginning on or about
March 6, 2008, until on or about June
1, 2008; Jamestown-Yorktown
Foundation, Williamsburg, Virginia,
beginning on or about July 15, 2008,
until on or about October 15, 2008 and
at possible additional exhibitions or
venues yet to be determined, is in the
national interest. Public Notice of these
Determinations is ordered to be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: For
further information, including a list of
the exhibit objects, contact Julie
Simpson, Attorney-Adviser, Office of
the Legal Adviser, U.S. Department of
State (telephone: (202–453–8050). The
address is U.S. Department of State, SA–
44, 301 4th Street, SW., Room 700,
Washington, DC 20547–0001.
Dated: September 4, 2007.
C. Miller Crouch,
Principal Deputy Assistant Secretary for
Educational and Cultural Affairs, Department
of State.
[FR Doc. E7–18170 Filed 9–13–07; 8:45 am]
October 19, 1965 (79 Stat. 985; 22 U.S.C.
2459), Executive Order 12047 of March
27, 1978, the Foreign Affairs Reform and
Restructuring Act of 1998 (112 Stat.
2681, et seq.; 22 U.S.C. 6501 note, et
seq.), Delegation of Authority No. 234 of
October 1, 1999, Delegation of Authority
No. 236 of October 19, 1999, as
amended, and Delegation of Authority
No. 257 of April 15, 2003 [68 FR 19875],
I hereby determine that the object to be
included in the exhibition ‘‘Sir Anthony
van Dyck: Portrait of an Old Man’’,
imported from abroad for temporary
exhibition within the United States, is
of cultural significance. The object is
imported pursuant to a loan agreement
with the foreign owner or custodian. I
also determine that the exhibition or
display of the exhibit object at the
Dayton Art Institute, Dayton, OH, from
on or about September 21, 2007, until
on or about January 27, 2008, and at
possible additional exhibitions or
venues yet to be determined, is in the
national interest. Public Notice of these
Determinations is ordered to be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: For
further information, including a list of
the exhibit object, contact Richard
Lahne, Attorney-Adviser, Office of the
Legal Adviser, U.S. Department of State
(telephone: 202/453–8058). The address
is U.S. Department of State, SA–44, 301
4th Street, SW., Room 700, Washington,
DC 20547–0001.
Dated: September 10, 2007.
C. Miller Crouch,
Principal Deputy Assistant Secretary, for
Educational and Cultural Affairs, Department
of State.
[FR Doc. E7–18171 Filed 9–13–07; 8:45 am]
BILLING CODE 4710–05–P
BILLING CODE 4710–05–P
Culturally Significant Objects Imported
for Exhibition Determinations: ‘‘A New
World: England’s First View of
America’’
Notice is hereby given of the
following determinations: Pursuant to
the authority vested in me by the Act of
October 19, 1965 (79 Stat. 985; 22 U.S.C.
2459), Executive Order 12047 of March
27, 1978, the Foreign Affairs Reform and
Restructuring Act of 1998 (112 Stat.
2681, et seq.; 22 U.S.C. 6501 note, et
rmajette on PROD1PC64 with NOTICES
SUMMARY:
VerDate Aug<31>2005
15:44 Sep 13, 2007
Jkt 211001
TENNESSEE VALLEY AUTHORITY
DEPARTMENT OF STATE
Bear Creek Dam Leakage Resolution
Project, Franklin County, AL
[Public Notice 5935]
SUMMARY: Notice is hereby given of the
following determinations: Pursuant to
the authority vested in me by the Act of
PO 00000
Frm 00059
Fmt 4703
Tennessee Valley Authority
(TVA).
ACTION: Issuance of Record of Decision.
AGENCY:
Culturally Significant Objects Imported
for Exhibition Determinations: ‘‘Sir
Anthony van Dyck: Portrait of an Old
Man’’
Sfmt 4703
SUMMARY: This notice is provided in
accordance with the Council on
Environmental Quality’s regulations (40
CFR parts 1500 to 1508) and TVA’s
procedures implementing the National
E:\FR\FM\14SEN1.SGM
14SEN1
Agencies
[Federal Register Volume 72, Number 178 (Friday, September 14, 2007)]
[Notices]
[Pages 52594-52596]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-18104]
=======================================================================
-----------------------------------------------------------------------
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 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 included in this notice are for
extensions of and revisions to 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.
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 e-mailing the Reports Clearance Officer at
oplm.rco@ssa.gov.
[[Page 52595]]
1. Application for Help with Medicare Prescription Drug Plan
Costs--20 CFR 418.3101--0960-0696. Medicare Part D, codified in 20 CFR
418, provides voluntary prescription drug coverage of premium,
deductible, and co-payment costs for certain low-income individuals. As
per 20 CFR 418.3101, beneficiaries who meet eligibility criteria may
receive help with these Medicare Part D costs. The Social Security
Administration, which helps to administer the subsidy program, uses
form SSA-1020 (the Application for Help with Medicare Prescription Drug
Plan Costs) and its online equivalent, the i1020, to collect
information that will be used to make Medicare Part D subsidy
determinations. The respondents are eligible beneficiaries who want to
apply for help with Medicare Part D costs.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1020 (paper application form)............... 2,545,716 1 35 1,485,001
i1020 (online equivalent)....................... 380,394 1 45 285,296
---------------------------------------------------------------
Totals.......................................... 2,926,110 .............. .............. 1,770,297
----------------------------------------------------------------------------------------------------------------
2. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Pub. L. 108-173; MMA) established a new
Medicare Part D program for voluntary prescription drug coverage for
premium, deductible and cost-sharing subsidies for certain low-income
individuals. The MMA stipulates that subsidies must be available for
individuals who are eligible for the program and who meet eligibility
criteria for help with premium, deductible, and/or co-payment costs.
Form SSA-1021, the Appeal of Determination for Help with Medicare
Prescription Drug Plan Costs, was developed to obtain information from
individuals who appeal SSA's decisions regarding eligibility or
continuing eligibility for a Medicare Part D subsidy. The respondents
are applicants who are appealing SSA's eligibility or continuing
eligibility decisions.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 12,500 hours.
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 emailing OPLM.RCO@ssa.gov.
1. Correction Notice: This 30-day Federal Register Notice published
on August 10, 2007, at 72 FR 45079. At the time, we inadvertently
omitted two notices which are part of this collection. The revised
burden chart below now contains these notices.
Medicare Quality Review Forms--20 CFR 418(b)(5)--0960-0707. The
Social Security Administration (SSA) uses the Medicare Quality Review
Forms collection to verify the information reported on Medicare Part D
Subsidy applications (OMB No. 0960-0696) for a selected number of
applicants. SSA is planning to expand the scope of this collection by
conducting Quality Reviews with some current recipients of Medicare
Part D subsidies who have recently undergone the redetermination
process (OMB No. 0960-0723). This ICR is for two new appointment
letters (forms SSA-9313 and SSA-9314) that such beneficiaries will
complete to schedule an appointment for their Quality Review. The
respondents are current recipients of Medicare Part D subsidies who
have recently undergone a redetermination and who were selected for a
Quality Review.
Type of Request: Revision to an existing OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Form No. and name respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case 10,000 1 35 5,833
Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review 10,000 1 15 2,500
Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review 1,000 1 15 250
Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information; .............. .............. .............. ..............
burden accounted for with forms SSA-9302, SSA-
9303)..........................................
SSA-9308 (Request for Information).............. 20,000 1 15 5,000
SSA-9310 (Request for Documents)................ 10,000 1 5 833
SSA-9309 (Life Insurance Verification Form)..... 8,000 1 15 2,000
SSA-9311 (Notice of Appointment--Denial-- 450 1 15 113
Reviewer Will Call)............................
SSA-9312 (Notice of Appointment--Denial--Please 50 1 15 13
Call Reviewer).................................
SSA-8510 (Authorization to the Social Security 10,000 1 5 833
Administration to Obtain Personal Information).
SSA-9313 (Notice of Appointment Quality Review 4,500 1 15 1,125
Acknowledgement Form)*.........................
SSA-9314 (Notice of Quality Review 500 1 15 125
Acknowledgement Form (unknown phone numbers)*..
---------------------------------------------------------------
[[Page 52596]]
Total....................................... .............. .............. .............. 18,625
----------------------------------------------------------------------------------------------------------------
* These are the two new forms being cleared in the current ICR for this collection.
2. Correction Notice: This 30-day notice published on August 7,
2007, at 72 FR 44211. It has since been decided to allow other types of
respondents (other third-parties besides representatives) to use this
form. Revised burden information is provided below.
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 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: 78,344.
Frequency of Response: 1.
Average Burden per Response: 3 minutes.
Estimated Annual Burden: 3,917 hours.
Dated: September 10, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-18104 Filed 9-13-07; 8:45 am]
BILLING CODE 4191-02-P