Agency Information Collection Activities: Proposed Request, 63761-63762 [E8-25531]

Download as PDF Federal Register / Vol. 73, No. 208 / Monday, October 27, 2008 / Notices SMALL BUSINESS ADMINISTRATION [Disaster Declaration #11488] Herbert L. Mitchell, Associate Administrator for Disaster Assistance. [FR Doc. E8–25495 Filed 10–24–08; 8:45 am] Texas Disaster #TX–00312 U.S. Small Business Administration. ACTION: Notice. AGENCY: BILLING CODE 8025–01–P SUMMARY: This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Texas (FEMA–1791–DR), dated 09/13/2008. Incident: Hurricane Ike. Incident Period: 09/07/2008 through 10/02/2008. Effective Date: 09/13/2008. Physical Loan Application Deadline Date: 11/12/2008. Economic Injury (EIDL) Loan Application Deadline Date: 06/15/2009. 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 President’s major disaster declaration on 09/13/2008, Private Non-Profit organizations that provide essential services of governmental nature may file disaster loan applications 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: Angelina, Aransas, Austin, Brazoria, Burleson, Chambers, Cherokee, Fort Bend, Galveston, Grimes, Hardin, Harris, Houston, Jasper, Jefferson, Liberty, Madison, Matagorda, Montgomery, Nacogdoches, Newton, Nueces, Orange, Polk, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, Shelby, Trinity, Tyler, Walker, Waller, Washington. The Interest Rates are: mstockstill on PROD1PC66 with NOTICES Percent Other (Including Non-Profit Organizations) With Credit Available Elsewhere ................................. Businesses and Non-Profit Organizations Without Credit Available Elsewhere ......................... 5.250 4.000 The number assigned to this disaster for physical damage and economic injury is 11488. VerDate Aug<31>2005 17:13 Oct 24, 2008 (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) Jkt 217001 SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law (Pub. L.) 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes a revision to an OMB-approved information collection. 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 ways to minimize the burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, e-mail, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and the SSA Reports Clearance Officer to the addresses or fax numbers listed below. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202–395–6974m, e-mail address: OIRA_Submission@omb.eop.gov. 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 collection below is pending at SSA. SSA will submit it to OMB within 60 days from the date of this notice. Therefore, your comments would be most helpful if you submit them to SSA within 60 days from the date of this publication. Individuals can obtain copies of the collection instrument by calling the SSA Reports Clearance Officer at 410–965–0454 or by writing to the e-mail address listed above. 1. Application for Mother’s or Father’s Insurance Benefits—20 CFR 404.339– 404.342, 20 CFR 404.601–404.603— 0960–0003. The Social Security Act provides for the payment of monthly benefits to the widow or widower of an insured individual if the surviving PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 63761 spouse is caring for the deceased worker’s child who is entitled to Social Security benefits. SSA uses the information collected on Form SSA–5– F6 to entitle an individual to mother’s or father’s insurance benefits. The respondents are individuals applying for mother’s or father’s insurance benefits under the Old Age, Survivors, and Disability Insurance (OASDI) program. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 53,700. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Average Burden: 12,992 hours. 2. Statement of Marital Relationship (By one of the parties)—20 CFR 404. 726—0960–0038. Where no formal marriage documentation exists, SSA uses information collected on Form SSA–754–F4 to determine whether an individual applying for spousal benefits meets the criteria of common-law marriage under State law. The respondents are applicants for spouse’s Social Security or Supplemental Security Income (SSI) benefits. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 30,000. Frequency of Response: 1. Average Burden Per Response: 30 minutes. Estimated Annual Burden: 15,000 hours. 3. Public Information Campaign— 0960–0544. Periodically, SSA sends various public information materials, including public service announcements, news releases, and educational tapes, to public broadcasting systems so they can inform the public about various programs and activities conducted by SSA. SSA will frequently send follow-up business reply cards for these public information materials to obtain suggestions for improving them. The respondents are media sources (e.g., broadcast television and radio media sources) who have received public information campaign materials. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 6,000. Frequency of Response: 2. Average Burden Per Response: 1 minute. Estimated Annual Burden: 200 hours. 4. Medical Source Statement of Ability To Do Work Related Activities (Physical and Mental)—20 CFR 404.1512–404.1513, 404.912–404.913, 404.1517, 416.917—0960–0662. SSA uses the Forms HA–1151 and HA–1152 E:\FR\FM\27OCN1.SGM 27OCN1 mstockstill on PROD1PC66 with NOTICES 63762 Federal Register / Vol. 73, No. 208 / Monday, October 27, 2008 / Notices to collect data that is required to determine the residual functional capacity (RFC) of individuals who are appealing denied claims for benefits based on disability. The RFC of an individual must be determined in cases where SSA cannot make a determination on a claim for benefits based on current work activity or on medical facts alone. The respondents are medical sources paid by SSA to provide reports either based on existing medical evidence or on consultative examinations conducted for the purposes of the report. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 10,000. Frequency of Response: 20. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 50,000 hours. II. SSA has submitted the information collections listed below 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 above listed address. 1. Marriage Certification—20 CFR 404.725—0960–0009. SSA uses Form SSA–3 to collect information to determine if the spouse claimant has the necessary relationship to the number holder (i.e., the worker) to qualify for OASDI benefits. The respondents are applicants for spouse’s OASDI benefits. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 180,000. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 15,000 hours. 2. Claimant’s Work Background—20 CFR 404.1565(b), 20 CFR 416.965(b)— 0960–0300. Form HA–4633 collects information SSA needs to assess an individual’s degree of disability within the meaning of the Social Security Act (the Act). SSA uses the information in cases where an individual requests a hearing before an administrative law judge (ALJ) on the issue of disability. The completed HA–4633 provides an updated summary of the individual’s relevant work history. The ALJ requires this information in assessing the claimant’s degree of disability within the meaning of the Act. The respondents are members of the public who have filed for disability benefits under Title VerDate Aug<31>2005 17:13 Oct 24, 2008 Jkt 217001 II and/or Title XVI and have requested a hearing before an ALJ. Note: SSA listed this information collection as an extension of an OMBapproved information collection in the 60Day Federal Register Notice published on September 17, 2008; it is a revision of an OMB-approved information collection. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 151,000. Frequency of Response: 1. Average Burden Per Response: 15 minutes. Estimated Annual Burden: 37,750 hours. 3. Letter to Landlord Requesting Rental Information—20 CFR 416.1130 (b)—0960–0454. SSA collects information on Form SSA–L5061 to identify rental subsidy arrangements involving applicants for, and recipients of, SSI payments. SSA uses the information to determine an income value for these subsidies, eligibility for payments, and the correct amount payable. The respondents are landlords of SSI claimants. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 49,000. Frequency of Response: 1. Average Burden Per Response: 10 minutes. Estimated Annual Burden: 8,167 hours. Dated: October 21, 2008. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration [FR Doc. E8–25531 Filed 10–24–08; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION Federal Highway Administration Environmental Impact Statement: Outagamie County, WI Federal Highway Administration (FHWA), DOT. ACTION: Notice of intent to prepare an Environmental Impact Statement. AGENCY: SUMMARY: The FHWA is issuing this notice to advise the public that an Environmental Impact Statement is being prepared for a proposed highway improvement project on State Trunk Highway 15 in Outagamie County, Wisconsin, to be conducted by the Wisconsin Department of Transportation. The Notice of Intent (NOI) was originally prepared in 2003 but was inadvertently overlooked for submittal to the Federal Register for publication. Environmental activities, PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 including involvement of state and federal agencies and other stakeholders, proceeded since the initiation of the project in 2003. Over five years have passed, and the process is now at the final Environmental Impact Statement stage. FHWA acknowledges the oversight and has now begun activities to recover from the inadvertent omission. The Environmental process will be brought up to date and made compliant with the 2005 SAFETEA–LU Environmental Review process, including development of a coordination plan and impact assessment methodologies. In the event other items in the process need to be updated to comply with SAFETEA-LU, the FHWA and the Wisconsin Department of Transportation will ensure those items are revised, as well. FOR FURTHER INFORMATION CONTACT: Mark Chandler, FHWA, Suite 8000, 525 Junction Road, Madison, WI 53717; telephone: (608) 829–7514. The Federal Highway Administration (FHWA), in cooperation with the Wisconsin Department of Transportation (WisDOT) is preparing an Environmental Impact Statement on a proposed highway improvement project on STH 15 in Outagamie County, Wisconsin. The proposed improvements may consist of adding two lanes of roadway adjacent to the existing facility, constructing two lanes as a bypass of the Village of Hortonville, constructing four lanes on a new location, or a combination thereof. The proposed project begins southeast of the City of New London, near the intersection of CTH D and the USH 45 Bypass of New London. Existing STH 15 travels approximately 10.5 miles southeast through the Village of Hortonville, with the end terminus west of the Town of Greenville, entirely in Outagamie County. The completion of such a proposed highway facility on STH 15 would implement the recommendations of the long-term corridor preservation study completed in 2001. The ‘‘STH 15/USH 45 Corridor Preservation Report’’ was completed in 2001 and documents the need for the STH 15 expansion. These recommendations include addressing the facility deficiencies, providing for additional capacity, accommodating local and through traffic, improving safety and operations, providing adequate regional mobility, allowing adequate access to current and future growth and development, and being capable of supporting a suburbanizing area. SUPPLEMENTARY INFORMATION: E:\FR\FM\27OCN1.SGM 27OCN1

Agencies

[Federal Register Volume 73, Number 208 (Monday, October 27, 2008)]
[Notices]
[Pages 63761-63762]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-25531]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law (Pub. L.) 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
This notice includes a revision to an OMB-approved information 
collection.
    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 ways to minimize the 
burden on respondents, including the use of automated collection 
techniques or other forms of information technology. Mail, e-mail, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Reports Clearance Officer to the 
addresses or fax numbers listed below.

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974m, e-mail address: OIRA_Submission@omb.eop.gov.
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 collection below is pending at SSA. SSA will 
submit it to OMB within 60 days from the date of this notice. 
Therefore, your comments would be most helpful if you submit them to 
SSA within 60 days from the date of this publication. Individuals can 
obtain copies of the collection instrument by calling the SSA Reports 
Clearance Officer at 410-965-0454 or by writing to the e-mail address 
listed above.
    1. Application for Mother's or Father's Insurance Benefits--20 CFR 
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. The Social Security 
Act provides for the payment of monthly benefits to the widow or 
widower of an insured individual if the surviving spouse is caring for 
the deceased worker's child who is entitled to Social Security 
benefits. SSA uses the information collected on Form SSA-5-F6 to 
entitle an individual to mother's or father's insurance benefits. The 
respondents are individuals applying for mother's or father's insurance 
benefits under the Old Age, Survivors, and Disability Insurance (OASDI) 
program.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 53,700.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Average Burden: 12,992 hours.
    2. Statement of Marital Relationship (By one of the parties)--20 
CFR 404. 726--0960-0038. Where no formal marriage documentation exists, 
SSA uses information collected on Form SSA-754-F4 to determine whether 
an individual applying for spousal benefits meets the criteria of 
common-law marriage under State law. The respondents are applicants for 
spouse's Social Security or Supplemental Security Income (SSI) 
benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 15,000 hours.
    3. Public Information Campaign--0960-0544. Periodically, SSA sends 
various public information materials, including public service 
announcements, news releases, and educational tapes, to public 
broadcasting systems so they can inform the public about various 
programs and activities conducted by SSA. SSA will frequently send 
follow-up business reply cards for these public information materials 
to obtain suggestions for improving them. The respondents are media 
sources (e.g., broadcast television and radio media sources) who have 
received public information campaign materials.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 6,000.
    Frequency of Response: 2.
    Average Burden Per Response: 1 minute.
    Estimated Annual Burden: 200 hours.
    4. Medical Source Statement of Ability To Do Work Related 
Activities (Physical and Mental)--20 CFR 404.1512-404.1513, 404.912-
404.913, 404.1517, 416.917--0960-0662. SSA uses the Forms HA-1151 and 
HA-1152

[[Page 63762]]

to collect data that is required to determine the residual functional 
capacity (RFC) of individuals who are appealing denied claims for 
benefits based on disability. The RFC of an individual must be 
determined in cases where SSA cannot make a determination on a claim 
for benefits based on current work activity or on medical facts alone. 
The respondents are medical sources paid by SSA to provide reports 
either based on existing medical evidence or on consultative 
examinations conducted for the purposes of the report.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 10,000.
    Frequency of Response: 20.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 50,000 hours.
    II. SSA has submitted the information collections listed below 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 above listed address.
    1. Marriage Certification--20 CFR 404.725--0960-0009. SSA uses Form 
SSA-3 to collect information to determine if the spouse claimant has 
the necessary relationship to the number holder (i.e., the worker) to 
qualify for OASDI benefits. The respondents are applicants for spouse's 
OASDI benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 180,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 15,000 hours.
    2. Claimant's Work Background--20 CFR 404.1565(b), 20 CFR 
416.965(b)--0960-0300. Form HA-4633 collects information SSA needs to 
assess an individual's degree of disability within the meaning of the 
Social Security Act (the Act). SSA uses the information in cases where 
an individual requests a hearing before an administrative law judge 
(ALJ) on the issue of disability. The completed HA-4633 provides an 
updated summary of the individual's relevant work history. The ALJ 
requires this information in assessing the claimant's degree of 
disability within the meaning of the Act. The respondents are members 
of the public who have filed for disability benefits under Title II 
and/or Title XVI and have requested a hearing before an ALJ.

    Note: SSA listed this information collection as an extension of 
an OMB-approved information collection in the 60-Day Federal 
Register Notice published on September 17, 2008; it is a revision of 
an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 151,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 37,750 hours.
    3. Letter to Landlord Requesting Rental Information--20 CFR 
416.1130 (b)--0960-0454. SSA collects information on Form SSA-L5061 to 
identify rental subsidy arrangements involving applicants for, and 
recipients of, SSI payments. SSA uses the information to determine an 
income value for these subsidies, eligibility for payments, and the 
correct amount payable. The respondents are landlords of SSI claimants.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 8,167 hours.

    Dated: October 21, 2008.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration
 [FR Doc. E8-25531 Filed 10-24-08; 8:45 am]
BILLING CODE 4191-02-P