Agency Information Collection Activities: Comment Request, 79537-79538 [E8-30801]
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79537
Federal Register / Vol. 73, No. 249 / Monday, December 29, 2008 / Notices
The table should appear as follows:
If your leverageable capital is:
Then your maximum leverage is:
(1)
(2)
(3)
(4)
300 percent of Leverageable Capital.
$68,400,000 + [2 x (Leverageable Capital ¥$22,800,000)].
$114,200,000 + (Leverageable Capital ¥$45,700,000).
$137,100,000.
Not over $22,800,000 .........................................................................
Over $22,800,000 but not over $45,700,000 .....................................
Over $45,700,000 but not over $68,600,000 .....................................
Over $68,600,000 ...............................................................................
[FR Doc. Z8–29027 Filed 12–24–08; 8:45 am]
BILLING CODE 1505–01–D
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Comment 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 revisions to existing 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 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:
202–395–6974, E-mail address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security
Administration, DCBFM, Attn: Reports
Clearance Officer, 1332 Annex Building,
6401 Security Blvd., Baltimore, MD
21235, Fax: 410–965–6400, E-mail
address: OPLM.RCO@ssa.gov.
The information collections below are
pending at SSA. SSA will submit them
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 these collection
instruments by calling the SSA Reports
Clearance Officer at 410–965–0454 or by
writing to the e-mail address listed
above.
1. Application for EXTRA Help with
Medicare Prescription Drug Plan
Number of
respondents
Form type
Costs—20 CFR 418.3101—0960–0696.
The Medicare Modernization Act of
2003 mandated the creation of the
Medicare Part D prescription drug
coverage program and provided for
certain subsidies for eligible Medicare
beneficiaries to help pay for the costs of
prescription drugs. SSA uses Form
SSA–1020 (and the i1020, its electronic
counterpart), the Application for Extra
Help with Medicare Prescription Drug
Plan Costs, to collect information to
make Part D subsidy eligibility
determinations.
In compliance with Public Law 110–
275, beginning in January 2010, SSA
will use a new version of Form SSA–
1020. In this new version, SSA will
eliminate questions about the value of
life insurance policies and in-kind
support and maintenance, and we will
ask applicants about their interest in
applying for the Medicare Savings
Program. This information collection
request (ICR) is for the new version we
will use in 2010. The respondents are
Medicare beneficiaries who are applying
for the Medicare Part D subsidy.
Frequency of
response
Average burden per
response
(minutes)
Estimated
annual burden
(hours)
SSA–1020 (paper application form) ................................................................
i1020 (online application) .................................................................................
Field office interview ........................................................................................
560,000
240,000
200,000
1
1
1
30
40
30
280,000
160,000
100,000
Totals ........................................................................................................
1,000,000
........................
........................
540,000
dwashington3 on PROD1PC60 with NOTICES
2. Medicare Subsidy Quality Review
Forms—20 CFR 418(b)(5)—0960–0707.
The Medicare Modernization Act of
2003 mandated the creation of the
Medicare Part D prescription drug
coverage program and provided for
certain subsidies for eligible Medicare
beneficiaries to help pay for the costs of
prescription drugs. As part of its
stewardship duties of the Medicare Part
D subsidy program, SSA must conduct
periodic quality review checks of the
information Medicare beneficiaries
report on their subsidy applications
(Form SSA–1020). SSA uses the
Medicare Quality Review program to
conduct these checks.
Beginning in January 2010, SSA will
revise the Medicare Quality Review
system to comply with Public Law 110–
275. Specifically, we will: (1) Eliminate
the use of Form SSA–9309, the Life
Number of
respondents
Form number and name
SSA–9301 (Medicare Subsidy Quality Review Case Analysis Questionnaire)
VerDate Aug<31>2005
13:19 Dec 24, 2008
Jkt 217001
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
Insurance Verification form; and (2)
remove any questions about life
insurance policy values and in-kind
support and maintenance from the other
forms in the collection. This ICR is for
the revised Medicare Quality Review
System, which we will not use until
January 2010. The respondents are
applicants for the Medicare Part D
subsidy whom we have chosen to
undergo a Quality Review.
Frequency of
response
5,000
E:\FR\FM\29DEN1.SGM
1
29DEN1
Average
burden per
response
(minutes)
30
Estimated
annual burden
(hours)
2,500
79538
Federal Register / Vol. 73, No. 249 / Monday, December 29, 2008 / Notices
Number of
respondents
Form number and name
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–9311, SSA–9314) ...............................
SSA–9308 (Request for Information) ..............................................................
SSA–9310 (Request for Documents) ..............................................................
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 Quality Review Acknowledgement Form for those with
Phones) ........................................................................................................
SSA–9314 (Notice of Quality Review Acknowledgement Form for those
without Phones) ...........................................................................................
Totals ........................................................................................................
3. Redetermination of Eligibility for
Help with Medicare Prescription Drug
Plan Costs—0960–0723. As required by
the Medicare Modernization Act of 2003
(Pub. L. 108–173), SSA conducts lowincome subsidy eligibility
redeterminations for Medicare
beneficiaries who filed for the subsidy
and were determined by SSA to be
eligible. SSA will conduct subsidy
eligibility redeterminations under two
circumstances: (1) When an individual
completes Form SSA–1026–OCR–SM–
SCE to report a subsidy-changing event
Frequency of
response
Estimated
annual burden
(hours)
5,000
1
15
1,250
500
1
15
125
........................
10,000
5,000
450
50
........................
1
1
1
1
........................
15
5
15
15
........................
2,500
417
113
13
5,000
1
5
417
2,500
1
15
625
500
1
15
125
34,000
........................
........................
8,085
(marriage, separation from a spouse,
separated spouses resume living
together, divorce, annulment, or death);
and (2) When SSA uses Form SSA–
1026–OCR–SM–REDE to conduct an
annual review of individuals who
became entitled during the prior 12
months, an annual review of a
percentage of individuals who are
eligible for more than 12 months, and a
review of individuals who report a
change in income, resources, or
household size that may affect the
subsidy amount.
In compliance with Public Law 110–
275, SSA will use a new version of
Form SSA–1026 beginning in January
2010. In this new version, SSA will
eliminate questions about the value of
life insurance policies and in-kind
support and maintenance. The
respondents are current recipients of the
Medicare Part D low-income subsidy
who will undergo an eligibility
redetermination for one of the reasons
mentioned above.
Frequency of
response
(per year)
Number of
respondents
Form
Average
burden per
response
(minutes)
Average
burden per
response
(in minutes)
Estimated
annual burden
(in hours)
SSA–1026–OCR–SM–SCE .............................................................................
SSA–1026–OCR–SM–REDE or SSA–1026–B ...............................................
249,652
11,984
1
1
20
20
83,217
3,995
Total ..........................................................................................................
261,636
........................
........................
87,212
Dated: December 19, 2008.
John Biles,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. E8–30801 Filed 12–24–08; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
dwashington3 on PROD1PC60 with NOTICES
[Public Notice 6471]
Culturally Significant Objects Imported
for Exhibition Determinations:
‘‘Inventing Marcel Duchamp: The
Dynamics of Portraiture’’
SUMMARY: 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.
VerDate Aug<31>2005
13:19 Dec 24, 2008
Jkt 217001
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 objects to be
included in the exhibition ‘‘Inventing
Marcel Duchamp: The Dynamics of
Portraiture,’’ 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 owners or
custodians. I also determine that the
exhibition or display of the exhibit
objects at the National Portrait Gallery,
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
Washington, DC, from on or about
March 27, 2009, until on or about
August 2, 2009, 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 Carol B.
Epstein, Attorney-Adviser, Office of the
Legal Adviser, U.S. Department of State
(telephone: 202/453–8048). The address
is U.S. Department of State, SA–44, 301
4th Street, SW., Room 700, Washington,
DC 20547–0001.
E:\FR\FM\29DEN1.SGM
29DEN1
]]>Agencies
[Federal Register Volume 73, Number 249 (Monday, December 29, 2008)]
[Notices]
[Pages 79537-79538]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-30801]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Comment 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 revisions to existing 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 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: 202-395-6974, E-mail address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, DCBFM, Attn: Reports
Clearance Officer, 1332 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
The information collections below are pending at SSA. SSA will
submit them 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 these collection instruments by calling the SSA
Reports Clearance Officer at 410-965-0454 or by writing to the e-mail
address listed above.
1. Application for EXTRA Help with Medicare Prescription Drug Plan
Costs--20 CFR 418.3101--0960-0696. The Medicare Modernization Act of
2003 mandated the creation of the Medicare Part D prescription drug
coverage program and provided for certain subsidies for eligible
Medicare beneficiaries to help pay for the costs of prescription drugs.
SSA uses Form SSA-1020 (and the i1020, its electronic counterpart), the
Application for Extra Help with Medicare Prescription Drug Plan Costs,
to collect information to make Part D subsidy eligibility
determinations.
In compliance with Public Law 110-275, beginning in January 2010,
SSA will use a new version of Form SSA-1020. In this new version, SSA
will eliminate questions about the value of life insurance policies and
in-kind support and maintenance, and we will ask applicants about their
interest in applying for the Medicare Savings Program. This information
collection request (ICR) is for the new version we will use in 2010.
The respondents are Medicare beneficiaries who are applying for the
Medicare Part D subsidy.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Form type Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1020 (paper application form)............... 560,000 1 30 280,000
i1020 (online application)...................... 240,000 1 40 160,000
Field office interview.......................... 200,000 1 30 100,000
---------------------------------------------------------------
Totals...................................... 1,000,000 .............. .............. 540,000
----------------------------------------------------------------------------------------------------------------
2. Medicare Subsidy Quality Review Forms--20 CFR 418(b)(5)--0960-
0707. The Medicare Modernization Act of 2003 mandated the creation of
the Medicare Part D prescription drug coverage program and provided for
certain subsidies for eligible Medicare beneficiaries to help pay for
the costs of prescription drugs. As part of its stewardship duties of
the Medicare Part D subsidy program, SSA must conduct periodic quality
review checks of the information Medicare beneficiaries report on their
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality
Review program to conduct these checks.
Beginning in January 2010, SSA will revise the Medicare Quality
Review system to comply with Public Law 110-275. Specifically, we will:
(1) Eliminate the use of Form SSA-9309, the Life Insurance Verification
form; and (2) remove any questions about life insurance policy values
and in-kind support and maintenance from the other forms in the
collection. This ICR is for the revised Medicare Quality Review System,
which we will not use until January 2010. The respondents are
applicants for the Medicare Part D subsidy whom we have chosen to
undergo a Quality Review.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Form number and name respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case 5,000 1 30 2,500
Analysis Questionnaire)........................
[[Page 79538]]
SSA-9302 (Notice of Quality Review 5,000 1 15 1,250
Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review 500 1 15 125
Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information; .............. .............. .............. ..............
burden accounted for with forms SSA-9302, SSA-
9303, SSA-9311, SSA-9314)......................
SSA-9308 (Request for Information).............. 10,000 1 15 2,500
SSA-9310 (Request for Documents)................ 5,000 1 5 417
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 5,000 1 5 417
Administration to Obtain Personal Information).
SSA-9313 (Notice of Quality Review 2,500 1 15 625
Acknowledgement Form for those with Phones)....
SSA-9314 (Notice of Quality Review 500 1 15 125
Acknowledgement Form for those without Phones).
---------------------------------------------------------------
Totals...................................... 34,000 .............. .............. 8,085
----------------------------------------------------------------------------------------------------------------
3. Redetermination of Eligibility for Help with Medicare
Prescription Drug Plan Costs--0960-0723. As required by the Medicare
Modernization Act of 2003 (Pub. L. 108-173), SSA conducts low-income
subsidy eligibility redeterminations for Medicare beneficiaries who
filed for the subsidy and were determined by SSA to be eligible. SSA
will conduct subsidy eligibility redeterminations under two
circumstances: (1) When an individual completes Form SSA-1026-OCR-SM-
SCE to report a subsidy-changing event (marriage, separation from a
spouse, separated spouses resume living together, divorce, annulment,
or death); and (2) When SSA uses Form SSA-1026-OCR-SM-REDE to conduct
an annual review of individuals who became entitled during the prior 12
months, an annual review of a percentage of individuals who are
eligible for more than 12 months, and a review of individuals who
report a change in income, resources, or household size that may affect
the subsidy amount.
In compliance with Public Law 110-275, SSA will use a new version
of Form SSA-1026 beginning in January 2010. In this new version, SSA
will eliminate questions about the value of life insurance policies and
in-kind support and maintenance. The respondents are current recipients
of the Medicare Part D low-income subsidy who will undergo an
eligibility redetermination for one of the reasons mentioned above.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Form respondents response (per response (in annual burden
year) minutes) (in hours)
----------------------------------------------------------------------------------------------------------------
SSA-1026-OCR-SM-SCE............................. 249,652 1 20 83,217
SSA-1026-OCR-SM-REDE or SSA-1026-B.............. 11,984 1 20 3,995
---------------------------------------------------------------
Total....................................... 261,636 .............. .............. 87,212
----------------------------------------------------------------------------------------------------------------
Dated: December 19, 2008.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. E8-30801 Filed 12-24-08; 8:45 am]
BILLING CODE 4191-02-P
