Agency Information Collection Activities: Proposed Request and Comment Request, 37081-37083 [E9-17805]

Download as PDF Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices under Rule G–30. Large differences between institutional and individual prices that exceed the price/yield variance that normally applies to transactions of different sizes in the primary market provide evidence that the duty of fair pricing to individual clients may not have been met. 2. Statutory Basis The MSRB has adopted the proposed rule change pursuant to Section 15B(b)(2)(C) of the Act,5 which provides that the MSRB’s rules shall: Be designed to prevent fraudulent and manipulative acts and practices, to promote just and equitable principles of trade, to foster cooperation and coordination with persons engaged in regulating, clearing, settling, processing information with respect to, and facilitating transactions in municipal securities, to remove impediments to and perfect the mechanism of a free and open market in municipal securities, and, in general, to protect investors and the public interest. The MSRB believes that the proposed rule change is consistent with the Act because it will further investor protection by strengthening and clarifying dealers’ customer protection obligations relating to sales of municipal securities to individual and other retail customers, including but not limited to the duty to provide material information to customers investing in municipal securities and to use material information in fulfilling their suitability obligations and their fair pricing obligations. B. Self-Regulatory Organization’s Statement on Burden on Competition The MSRB does not believe that the proposed rule change will impose any burden on competition that is not necessary or appropriate in furtherance of the purposes of the Act, as amended, since it would apply equally to all dealers. jlentini on DSKJ8SOYB1PROD with NOTICES C. Self-Regulatory Organization’s Statement on Comments on the Proposed Rule Change Received From Members, Participants or Others Written comments were neither solicited nor received on the proposed rule change. III. Date of Effectiveness of the Proposed Rule Change and Timing for Commission Action The proposed rule change has become effective pursuant to Section 19(b)(3)(A)(i) of the Act 6 and Rule 19b– 4(f)(1) thereunder,7 in that the proposed 5 15 U.S.C. 78o–4(b)(2)(C). U.S.C. 78s(b)(3)(A)(i). 7 17 CFR 240.19b–4(f)(1). 6 15 VerDate Nov<24>2008 19:02 Jul 24, 2009 rule change constitutes a stated policy, practice, or interpretation with respect to the meaning, administration, or enforcement of an existing rule of the self-regulatory organization. At any time within 60 days of the filing of the proposed rule change, the Commission may summarily abrogate such rule change if it appears to the Commission that such action is necessary or appropriate in the public interest, for the protection of investors, or otherwise in furtherance of the purposes of the Act.8 IV. Solicitation of Comments Interested persons are invited to submit written data, views, and arguments concerning the foregoing, including whether the proposed rule change is consistent with the Act. Comments may be submitted by any of the following methods: Electronic Comments • Use the Commission’s Internet comment form (http://www.sec.gov/ rules/sro.shtml); or • Send an e-mail to rulecomments@sec.gov. Please include File Number SR–MSRB–2009–08 on the subject line. available for inspection and copying at the principal office of the MSRB. All comments received will be posted without change; the Commission does not edit personal identifying information from submissions. You should submit only information that you wish to make available publicly. All submissions should refer to File Number SR–MSRB–2009–08 and should be submitted on or before August 17, 2009. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.9 Florence E. Harmon, Deputy Secretary. [FR Doc. E9–17820 Filed 7–24–09; 8:45 am] BILLING CODE 8010–01–P SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law (Pub. L.) 104–13, the Paper Comments Paperwork Reduction Act of 1995, • Send paper comments in triplicate effective October 1, 1995. This notice to Elizabeth M. Murphy, Secretary, includes revisions and extensions of Securities and Exchange Commission, OMB-approved information collections 100 F Street, NE., Washington, DC and a new collection. 20549–1090. SSA is soliciting comments on the All submissions should refer to File accuracy of the agency’s burden Number SR–MSRB–2009–08. This file estimate; the need for the information; number should be included on the its practical utility; ways to enhance its subject line if e-mail is used. To help the quality, utility, and clarity; and ways to Commission process and review your minimize the burden on respondents, comments more efficiently, please use including the use of automated only one method. The Commission will collection techniques or other forms of post all comments on the Commission’s information technology. Mail, email, or Internet Web site (http://www.sec.gov/ fax your comments and rules/sro.shtml). Copies of the recommendations on the information submission, all subsequent collection(s) to the OMB Desk Officer amendments, all written statements and the SSA Director for Reports with respect to the proposed rule Clearance to the addresses or fax change that are filed with the numbers shown below. Commission, and all written (OMB), Office of Management and communications relating to the Budget, Attn: Desk Officer for SSA, proposed rule change between the Fax: 202–395–6974, E-mail address: Commission and any person, other than OIRA_Submission@omb.eop.gov. those that may be withheld from the (SSA), Social Security Administration, public in accordance with the DCBFM, Attn: Director, Center for provisions of 5 U.S.C. 552, will be Reports Clearance, 1333 Annex available for inspection and copying in Building, 6401 Security Blvd., the Commission’s Public Reference Baltimore, MD 21235, Fax: 410–965– Room, 100 F Street, NE., Washington, 0454. E-mail address: DC 20549, on official business days OPLM.RCO@ssa.gov between the hours of 10 a.m. and 3 p.m. I. The information collection below is Copies of such filing also will be pending at SSA. SSA will submit it to 8 See Section 19(b)(3)(C) of the Act, 15 U.S.C. 78s(b)(3)(C). Jkt 217001 37081 PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 9 17 E:\FR\FM\27JYN1.SGM CFR 200.30–3(a)(12). 27JYN1 37082 Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than September 25, 2009. Individuals can obtain copies of the collection instrument by calling the SSA Director for Reports Clearance at 410– 965–0454 or by writing to the e-mail address we list above. 1. Waiver of Right to Appear— Disability Hearing—20 CFR 404.913– 404.914, 404.916(b)(5), 416.1413– 416.1414, 416.1416(b)(5)—0960–0534. SSA uses Form SSA–773–U4 for claimants, or their representatives, to officially waive their right to appear at a disability hearing. The disability hearing officer uses the signed form as a basis for not holding a hearing and for preparing a written decision on the claimant’s request for disability based solely on the evidence of record. The respondents are claimants for disability, or their representatives, under Titles II and XVI of the Social Security Act, who wish to waive their right to appear at a disability hearing. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 200. Frequency of Response: 1. Average Burden per Response: 3 minutes. Estimated Annual Burden: 10 hours. 2. Medical Consultant’s Review of Physical Residual Functional Capacity Assessment—20 CFR 404.1545–.1546, 404.1640, 404.1643, 404.1645, 416.945– .946—0960–0680. SSA uses Form SSA– 392 to facilitate the medical/ psychological consultant’s review of the Physical Residual Functional Capacity Form, SSA–4734. The SSA–392 records the reviewing medical/psychological consultant’s assessment of the SSA– 4734. It also documents whether the reviewer agrees or disagrees with how the adjudicator completed the SSA– 4734. Medical/psychological consultants prepare the SSA–392 for each SSA–4734 an adjudicator completes. The respondents are medical/psychological consultants who conduct a quality review of adjudicating components’ completion of SSA’s medical assessment forms. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 256. Frequency of Response: 359. Number of Responses: 91,904 Average Burden per Response: 12 minutes. Estimated Annual Burden: 18,381 hours. II. SSA has submitted the information collections we list below to OMB for clearance. Your comments on the information collections would be most useful if OMB and SSA receive them within 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than August 26, 2009. You can obtain a copy of the OMB clearance packages by calling the SSA Director for Reports Clearance at 410–965–0454 or by writing to the above email address. 1. Request for Reconsideration— Disability Cessation—20 CFR 404.909, 416.1409—0960–0349. Claimants or their representatives use Form SSA– 789–U4 to request that SSA reconsider a determination and to indicate whether Number of respondents Collection method they wish to appear at a disability hearing. The claimants can also use this form to submit any additional information/evidence for use in the reconsidered determination and to indicate if they will need an interpreter for the hearing. SSA uses the information either to arrange for a hearing or to prepare a decision based on the evidence of record. The respondents are applicants or claimants for Social Security benefits or Supplemental Security Income (SSI) payments. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 30,000. Frequency of Response: 1. Average Burden per Response: 13 minutes. Estimated Annual Burden: 6,500 hours. 2. Disability Report—Adult—20 CFR 404.1512, 416.912—0960–0579. State Disability Determination Services (DDS) use the information SSA collects on the SSA–3368 and its electronic versions to determine if an adult disability applicant’s impairment(s) is (are) severe and, if so, how the impairment(s) affects (affect) the applicant’s ability to work. The information the DDSs collect on this form is crucial in making disability determinations for all adult claimants filing for SSA disability benefits and/or SSI payments. The respondents are applicants for Title II benefits and/or Title XVI payments. Type of Request: Revision of an OMB-approved information collection. Average burden per response (hours) Frequency of response Estimated annual burden (hours) 22,950 2,238,826 319,994 10,264 1 1 1 1 1 1 11⁄2 11⁄2 22,950 2,238,826 479,991 15,396 Total .................................................................................................. jlentini on DSKJ8SOYB1PROD with NOTICES SSA–3368 (Paper Form) ......................................................................... Electronic Disability Collection System (EDCS) ...................................... i3368 (Internet) ........................................................................................ i3368PRO (Internet professional users—rollout only) ............................. 2,592,034 .......................... .......................... 2,757,163 3. Request for Internet Services— Password Authentication—20 CFR 401.45—0960–0632. SSA has a password infrastructure and process to verify the identity of individuals who choose to use the Internet and the automated telephone response system to conduct personal business with SSA in an electronic environment. To obtain a VerDate Nov<24>2008 19:02 Jul 24, 2009 Jkt 217001 password from SSA’s individual password services, we prescribe information an individual must provide. SSA uses the information to authenticate an individual prior to issuing a temporary password. Once the individual creates a permanent password, he or she may use SSA password protected services, e.g., PO 00000 Frm 00086 Fmt 4703 Sfmt 4703 account status, change of address, direct deposit elections, or changes. The respondents are individuals electing to do personal business with SSA through an electronic medium. Type of Request: Extension of an OMB-approved information collection. E:\FR\FM\27JYN1.SGM 27JYN1 37083 Federal Register / Vol. 74, No. 142 / Monday, July 27, 2009 / Notices Number of respondents Automated systems Average burden per response (minutes) Frequency of response Annual burden hours Internet Requestors ................................................................................. Telephone Requestors ............................................................................ 3,092,069 122,266 1 1 10 10 515,345 20,378 Total .................................................................................................. 3,214,335 1 .......................... 535,723 4. Function Report Adult—Third Party—20 CFR 404.1512 & 416.912— 0960–0635. DDSs use the SSA–3380 to collect information about a disability applicant’s or recipient’s impairment- related limitations and ability to function. The information is an evidentiary source DDS evaluators use to determine eligibility for SSI and SSDI claims. The respondents are third Number of respondents Respondent types parties familiar with the functional limitations (or lack thereof) of claimants who apply for SSI and SSDI benefits. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated annual burden hours Individuals ................................................................................................ Private Sector .......................................................................................... 500,000 500,000 1 1 61 61 508,333 508,333 Total .................................................................................................. 1,000,000 .......................... .......................... 1,016,666 5. Medical Consultant’s Review of Mental Residual Functional Capacity Assessment—20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 416.920a—0960–0678. SSA uses Form SSA–392–SUP to facilitate the medical/ psychological consultant’s review of the Mental Residual Functional Capacity Form, SSA–4734–SUP. The SSA–392– SUP records the reviewing medical/ psychological consultant’s assessment of the SSA–4734–SUP. It also documents whether the reviewer agrees or disagrees with how the adjudicator completed the SSA–4734–SUP. Medical/psychological consultants prepare the SSA–392–SUP for each SSA–4734–SUP an adjudicator completes. The respondents are medical/psychological consultants who conduct a quality review of adjudicating components’ completion of SSA’s medical assessment forms. Type of Request: Revision of an OMBapproved information collection. Number of Responses: 45,000. Frequency of Response: 1. Average Burden per Response: 12 minutes. Estimated Annual Burden: 9,000 hours. 6. Representative Payment Policies Regulation—20 CFR 404.2011, 404.2025, 416.611, 416.625—0960– 0679. When SSA determines it is not in Number of respondents CFR section a beneficiary’s best interest to receive payments directly, as it may cause substantial harm, the beneficiary may dispute SSA’s decision. If the beneficiary disputes the decision, he or she provides SSA with information the agency will use to re-evaluate the decision. In addition, after SSA selects a representative payee, the payee must provide SSA with information on his or her continuing relationship and responsibility for the beneficiary and explain how he or she used the beneficiary’s payments. Respondents are beneficiaries and representative payees. Type of Request: Extension of an OMB-approved information collection. Average burden per response (minutes) Frequency of response Estimated annual burden hours 250 3,000 1 1 15 6 63 300 Total .................................................................................................. jlentini on DSKJ8SOYB1PROD with NOTICES 404.2011(a)(1), 416.611(a)(1) ................................................................. 404.2025, 416.625 ................................................................................... 3,250 .......................... .......................... 363 7. Function Report Adult—20 CFR 404.1512 & 416.912—0960–0681. State DDSs use Form SSA–3373–BK to collect information about a disability applicant’s or recipient’s impairmentrelated limitations and ability to function. The information is an evidentiary source DDS evaluators use to determine eligibility for SSI and SSDI claims. The respondents are Title II and Title XVI applicants (or current recipients undergoing redeterminations) for disability benefits. VerDate Nov<24>2008 19:02 Jul 24, 2009 Jkt 217001 Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 4,005,367. Frequency of Response: 1. Average Burden per Response: 61 minutes. Estimated Annual Burden: 4,072,123 hours. PO 00000 Frm 00087 Fmt 4703 Sfmt 4703 Dated: July 21, 2009. Elizabeth A. Davidson, Director, Center for Reports Clearance, Social Security Administration. [FR Doc. E9–17805 Filed 7–24–09; 8:45 am] BILLING CODE 4191–02–P E:\FR\FM\27JYN1.SGM 27JYN1

Agencies

[Federal Register Volume 74, Number 142 (Monday, July 27, 2009)]
[Notices]
[Pages 37081-37083]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-17805]


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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 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 and extensions of OMB-approved 
information collections and a new 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, email, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Director for Reports Clearance to 
the addresses or fax numbers shown 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: Director, Center 
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd., 
Baltimore, MD 21235, Fax: 410-965-0454. E-mail address: 
OPLM.RCO@ssa.gov

    I. The information collection below is pending at SSA. SSA will 
submit it to

[[Page 37082]]

OMB within 60 days from the date of this notice. To be sure we consider 
your comments, we must receive them no later than September 25, 2009. 
Individuals can obtain copies of the collection instrument by calling 
the SSA Director for Reports Clearance at 410-965-0454 or by writing to 
the e-mail address we list above.
    1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534. 
SSA uses Form SSA-773-U4 for claimants, or their representatives, to 
officially waive their right to appear at a disability hearing. The 
disability hearing officer uses the signed form as a basis for not 
holding a hearing and for preparing a written decision on the 
claimant's request for disability based solely on the evidence of 
record. The respondents are claimants for disability, or their 
representatives, under Titles II and XVI of the Social Security Act, 
who wish to waive their right to appear at a disability hearing.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 200.
    Frequency of Response: 1.
    Average Burden per Response: 3 minutes.
    Estimated Annual Burden: 10 hours.
    2. Medical Consultant's Review of Physical Residual Functional 
Capacity Assessment--20 CFR 404.1545-.1546, 404.1640, 404.1643, 
404.1645, 416.945-.946--0960-0680. SSA uses Form SSA-392 to facilitate 
the medical/psychological consultant's review of the Physical Residual 
Functional Capacity Form, SSA-4734. The SSA-392 records the reviewing 
medical/psychological consultant's assessment of the SSA-4734. It also 
documents whether the reviewer agrees or disagrees with how the 
adjudicator completed the SSA-4734. Medical/psychological consultants 
prepare the SSA-392 for each SSA-4734 an adjudicator completes. The 
respondents are medical/psychological consultants who conduct a quality 
review of adjudicating components' completion of SSA's medical 
assessment forms.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 256.
    Frequency of Response: 359.
    Number of Responses: 91,904
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 18,381 hours.
    II. SSA has submitted the information collections we list below to 
OMB for clearance. Your comments on the information collections would 
be most useful if OMB and SSA receive them within 30 days from the date 
of this publication. To be sure we consider your comments, we must 
receive them no later than August 26, 2009. You can obtain a copy of 
the OMB clearance packages by calling the SSA Director for Reports 
Clearance at 410-965-0454 or by writing to the above email address.
    1. Request for Reconsideration--Disability Cessation--20 CFR 
404.909, 416.1409--0960-0349. Claimants or their representatives use 
Form SSA-789-U4 to request that SSA reconsider a determination and to 
indicate whether they wish to appear at a disability hearing. The 
claimants can also use this form to submit any additional information/
evidence for use in the reconsidered determination and to indicate if 
they will need an interpreter for the hearing. SSA uses the information 
either to arrange for a hearing or to prepare a decision based on the 
evidence of record. The respondents are applicants or claimants for 
Social Security benefits or Supplemental Security Income (SSI) 
payments.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 13 minutes.
    Estimated Annual Burden: 6,500 hours.
    2. Disability Report--Adult--20 CFR 404.1512, 416.912--0960-0579. 
State Disability Determination Services (DDS) use the information SSA 
collects on the SSA-3368 and its electronic versions to determine if an 
adult disability applicant's impairment(s) is (are) severe and, if so, 
how the impairment(s) affects (affect) the applicant's ability to work. 
The information the DDSs collect on this form is crucial in making 
disability determinations for all adult claimants filing for SSA 
disability benefits and/or SSI payments. The respondents are applicants 
for Title II benefits and/or Title XVI payments. Type of Request: 
Revision of an OMB-approved information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
              Collection method                  Number of      Frequency  of    per  response    annual burden
                                                respondents        response         (hours)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper Form).......................           22,950                1                1           22,950
Electronic Disability Collection System             2,238,826                1                1        2,238,826
 (EDCS).....................................
i3368 (Internet)............................          319,994                1           1\1/2\          479,991
i3368PRO (Internet professional users--                10,264                1           1\1/2\           15,396
 rollout only)..............................
                                             -------------------------------------------------------------------
    Total...................................        2,592,034  ...............  ...............        2,757,163
----------------------------------------------------------------------------------------------------------------

    3. Request for Internet Services--Password Authentication--20 CFR 
401.45--0960-0632. SSA has a password infrastructure and process to 
verify the identity of individuals who choose to use the Internet and 
the automated telephone response system to conduct personal business 
with SSA in an electronic environment. To obtain a password from SSA's 
individual password services, we prescribe information an individual 
must provide. SSA uses the information to authenticate an individual 
prior to issuing a temporary password. Once the individual creates a 
permanent password, he or she may use SSA password protected services, 
e.g., account status, change of address, direct deposit elections, or 
changes. The respondents are individuals electing to do personal 
business with SSA through an electronic medium.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 37083]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden
              Automated systems                  Number of      Frequency  of    per  response    Annual burden
                                                respondents        response        (minutes)          hours
----------------------------------------------------------------------------------------------------------------
Internet Requestors.........................        3,092,069                1               10          515,345
Telephone Requestors........................          122,266                1               10           20,378
                                             -------------------------------------------------------------------
    Total...................................        3,214,335                1  ...............          535,723
----------------------------------------------------------------------------------------------------------------

    4. Function Report Adult--Third Party--20 CFR 404.1512 & 416.912--
0960-0635. DDSs use the SSA-3380 to collect information about a 
disability applicant's or recipient's impairment-related limitations 
and ability to function. The information is an evidentiary source DDS 
evaluators use to determine eligibility for SSI and SSDI claims. The 
respondents are third parties familiar with the functional limitations 
(or lack thereof) of claimants who apply for SSI and SSDI benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
              Respondent types                   Number of      Frequency  of    per  response    annual burden
                                                respondents        response        (minutes)          hours
----------------------------------------------------------------------------------------------------------------
Individuals.................................          500,000                1               61          508,333
Private Sector..............................          500,000                1               61          508,333
                                             -------------------------------------------------------------------
    Total...................................        1,000,000  ...............  ...............        1,016,666
----------------------------------------------------------------------------------------------------------------

    5. Medical Consultant's Review of Mental Residual Functional 
Capacity Assessment--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 
416.920a--0960-0678. SSA uses Form SSA-392-SUP to facilitate the 
medical/psychological consultant's review of the Mental Residual 
Functional Capacity Form, SSA-4734-SUP. The SSA-392-SUP records the 
reviewing medical/psychological consultant's assessment of the SSA-
4734-SUP. It also documents whether the reviewer agrees or disagrees 
with how the adjudicator completed the SSA-4734-SUP. Medical/
psychological consultants prepare the SSA-392-SUP for each SSA-4734-SUP 
an adjudicator completes. The respondents are medical/psychological 
consultants who conduct a quality review of adjudicating components' 
completion of SSA's medical assessment forms.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Responses: 45,000.
    Frequency of Response: 1.
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 9,000 hours.
    6. Representative Payment Policies Regulation--20 CFR 404.2011, 
404.2025, 416.611, 416.625--0960-0679. When SSA determines it is not in 
a beneficiary's best interest to receive payments directly, as it may 
cause substantial harm, the beneficiary may dispute SSA's decision. If 
the beneficiary disputes the decision, he or she provides SSA with 
information the agency will use to re-evaluate the decision. In 
addition, after SSA selects a representative payee, the payee must 
provide SSA with information on his or her continuing relationship and 
responsibility for the beneficiary and explain how he or she used the 
beneficiary's payments. Respondents are beneficiaries and 
representative payees.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden     Estimated
                 CFR section                     Number of      Frequency  of    per  response    annual burden
                                                respondents        response        (minutes)          hours
----------------------------------------------------------------------------------------------------------------
404.2011(a)(1), 416.611(a)(1)...............              250                1               15               63
404.2025, 416.625...........................            3,000                1                6              300
                                             -------------------------------------------------------------------
    Total...................................            3,250  ...............  ...............              363
----------------------------------------------------------------------------------------------------------------

    7. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. 
State DDSs use Form SSA-3373-BK to collect information about a 
disability applicant's or recipient's impairment-related limitations 
and ability to function. The information is an evidentiary source DDS 
evaluators use to determine eligibility for SSI and SSDI claims. The 
respondents are Title II and Title XVI applicants (or current 
recipients undergoing redeterminations) for disability benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 4,005,367.
    Frequency of Response: 1.
    Average Burden per Response: 61 minutes.
    Estimated Annual Burden: 4,072,123 hours.

    Dated: July 21, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-17805 Filed 7-24-09; 8:45 am]
BILLING CODE 4191-02-P