Agency Information Collection Activities: Proposed Request and Comment Request, 45508-45510 [E9-21215]
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45508
Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices
Exchange to provide the DMM unit
algorithms with order-by-order odd-lot
information prior to the opening
transaction without interruption until
October 31, 2009, when the Exchange
anticipates necessary modifications to
its systems will be completed.
Therefore, the Commission designates
the proposal operative upon filing.21
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.
available for inspection and copying in
the Commission’s Public Reference
Room, 100 F Street, NE., Washington,
DC 20549, on official business days
between the hours of 10 a.m. and 3 p.m.
Copies of such filing also will be
available for inspection and copying at
the principal office of the Exchange. 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–NYSEAmex–2009–58 and
should be submitted on or before
September 23, 2009.
IV. Solicitation of Comments
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.22
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E9–21137 Filed 9–1–09; 8:45 am]
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
SOCIAL SECURITY ADMINISTRATION
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an e-mail to rulecomments@sec.gov. Please include File
Number SR–NYSEAmex–2009–58 on
the subject line.
jlentini on DSKJ8SOYB1PROD with NOTICES
BILLING CODE 8010–01–P
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
Paper Comments
Budget (OMB) in compliance with
• Send paper comments in triplicate
Public Law (Pub. L.) 104–13, the
to Elizabeth M. Murphy, Secretary,
Paperwork Reduction Act of 1995,
Securities and Exchange Commission,
effective October 1, 1995. This notice
100 F Street, NE., Washington, DC
includes revisions and extensions of
20549–1090.
OMB-approved information collections.
All submissions should refer to File
SSA is soliciting comments on the
Number SR–NYSEAmex–2009–58. This accuracy of the agency’s burden
file number should be included on the
estimate; the need for the information;
subject line if e-mail is used. To help the its practical utility; ways to enhance its
Commission process and review your
quality, utility, and clarity; and ways to
comments more efficiently, please use
minimize the burden on respondents,
only one method. The Commission will including the use of automated
post all comments on the Commission’s collection techniques or other forms of
Internet Web site (https://www.sec.gov/
information technology. Mail, e-mail, or
rules/sro.shtml). Copies of the
fax your comments and
submission, all subsequent
recommendations on the information
amendments, all written statements
collection(s) to the OMB Desk Officer
with respect to the proposed rule
and the SSA Director for Reports
change that are filed with the
Clearance to the addresses or fax
Commission, and all written
numbers shown below.
communications relating to the
(OMB), Office of Management and
proposed rule change between the
Budget, Attn: Desk Officer for SSA.
Commission and any person, other than
Fax: 202–395–6974. E-mail address:
those that may be withheld from the
OIRA_Submission@omb.eop.gov.
public in accordance with the
(SSA), Social Security Administration,
provisions of 5 U.S.C. 552, will be
DCBFM, Attn: Director, Center for
Reports Clearance, 1333 Annex
21 For purposes only of waiving the 30-day
Building, 6401 Security Blvd.,
operative delay, the Commission has considered the
proposed rule’s impact on efficiency, competition,
and capital formation. See 15 U.S.C. 78c(f).
VerDate Nov<24>2008
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22 17
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CFR 200.30–3(a)(12).
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Baltimore, MD 21235. Fax: 410–965–
0454. 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. To be sure we consider your
comments, we must receive them no
later than November 2, 2009.
Individuals can obtain copies of the
collection instruments by calling the
SSA Director for Reports Clearance at
410–965–0454 or by writing to the email address we list above.
1. Blood Donor Locator Service
(BDLS)—20 CFR 401.200—0960–0501.
This regulation stipulates that when
blood donor facilities identify blood
donations as Human Immunodeficiency
Virus (HIV)-positive, the overseeing
State agency must provide the names
and Social Security Numbers of the
affected donors to SSA’s Blood Donor
Locator Service. SSA uses this
information to furnish the State agencies
with the blood donors’ address
information to notify the blood donors.
Respondents are State agencies acting
on behalf of blood donor facilities.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 10.
Frequency of Response: 5.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 13 hours.
2. Continuation of SSI Benefits for the
Temporarily Institutionalized—
Certification of Period and Need to
Maintain Home—20 CFR
416.212(b)(1)—0960–0516. When
Supplemental Security Income (SSI)
recipients: (1) Enter a public institution,
or (2) enter a private medical institution
with Medicaid paying more than 50% of
expenses, their SSI payments are
reduced to a nominal sum. However, if
this institutionalization is temporary
(defined as a maximum of 3 months),
SSA may waive the reduction of
benefits.
Before SSA can waive the benefit
reduction, the agency must receive the
following documentation: (1) A
physician’s certification that the
beneficiary will only be
institutionalized for a maximum of 3
months, and (2) certification from the
beneficiary, beneficiary’s family, or
beneficiary’s friend confirming that SSI
benefits are needed to maintain the
living arrangements to which the
beneficiary will return postinstitutionalization. The respondents
are doctors of SSI beneficiaries and the
beneficiaries or their family/friends.
Type of Request: Extension of an
OMB-approved information collection.
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Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 5
minutes.
Estimated Annual Burden: 5,000
hours.
3. Privacy and Disclosure of Official
Records and Information; Availability of
Information and Records to the Public—
20 CFR 401.40(b)&(c), 401.55(b),
401.100(a), 402.130, 402.185—0960–
0566. Under the Privacy and Disclosure
of Official Records and Information,
SSA has established methods in which
the public can request the following:
Access to their SSA records; disclosure
of SSA records; corrections/
amendments to their SSA records;
consent for release of records; records
accessible through the Freedom of
Information Act (FOIA); and waiver/
reduction of fees normally charged for
Number of
respondents
Type of request
release of FOIA records. SSA most often
collected the required information for
these requests through a written letter,
with the exception of the consent for
release of records for which there is the
Form SSA–3288. Respondents are
individuals requesting access to,
correction of, or disclosure of SSA
records.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
Access to Records ...........................................................................................
Designating a Representative for Disclosure of Records ...............................
Amendment of Records ...................................................................................
Consent of Release of Records ......................................................................
FOIA Requests for Records ............................................................................
Waiver/Reduction of Fees ...............................................................................
10,000
3,000
100
3,000,000
15,000
400
1
1
1
1
1
1
11
2
10
3
5
5
1,833
100
17
150,000
1,250
33
Totals ........................................................................................................
3,028,500
........................
........................
153,233
4. Representative Payee Report of
Benefits and Dedicated Account—20
CFR 416.546, 416.635, 416.640,
416.665—0960–0576. SSA requires
representative payees (RPs) to submit a
written report accounting for the use of
money paid to Social Security and/or
Supplemental Security Income (SSI)
recipients, and to establish and
maintain a dedicated account for these
payments. SSA uses Form SSA–6233 to
ensure the RPs are using the benefits
received for the recipient’s current
maintenance and personal needs, and
the expenditures of funds from the
dedicated account are in compliance
with the law. Respondents are
representative payees for SSI recipients.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 20
minutes.
Estimated Annual Burden: 10,000
hours.
5. The Ticket to Work and SelfSufficiency Program —20 CFR 411—
0960–0644. Through its Ticket to Work
Program Manager, SSA uses the
information collected to operate and
manage the Ticket to Work Program.
SSA uses the Ticket to Work Program to
assign Social Security Disability
Insurance (SSDI) or Supplemental
Security Income (SSI) beneficiaries to a
service provider, and follows their
progress through the various stages of
ticket program participation, such as
progress reviews or changes in ticket
status. Most of the collections in this
Information Collection Request (ICR)
Number of
respondents
jlentini on DSKJ8SOYB1PROD with NOTICES
Modality of completion
(a) 20 CFR 411.140(d)(3); 411.150(b)(3); 411.325(a); SSA–1365; SSA–
1370 .............................................................................................................
(a) 20 CFR 411.166; 411.170(b); Electronic Data Sharing .............................
(b) 20 CFR 411.145; 411.325; Requesting Ticket Un-assignments ...............
(b) 20 CFR 411.535(a)(1)(iii); VR Case Closures ...........................................
(c) 20 CFR 411.192(b)&(c); Request to Place Ticket in Inactive Status ........
(c) 20 CFR 411.200(b); SSA–1375; SSA–L1373; SSA–L1374; SSA–L1377;
Certification of Work and Educational Progress ..........................................
(c) 20 CFR 411.210(b); Ticket-Use Status after Not Making Timely Progress
(d) 20 CFR 411.365; 411.505; 411.515; Selecting a Payment System ..........
(e) 20 CFR 411.325(d); 411.415; Reporting Referral Agreement ...................
(f) 20 CFR 411.575; SSA–1391; SSA–1389; SSA–1393; SSA–1399; SSA–
1396; SSA–1392; SSA–1398; Requesting EN Payments ...........................
(f) 20 CFR 411.560; SSA–1401; Split Payment Situations .............................
(g) 20 CFR 411.325(f); Periodic Outcomes Reporting ....................................
(h) 20 CFR 411.435; 411.615; 411.625; Dispute Resolutions ........................
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require service providers to provide
information to SSA for such tasks as
selecting a payment system or
requesting payments for helping the
beneficiary achieve certain work goals.
Most of the categories of information
collected in this ICR are necessary for
SSA to: (1) Comply with the Ticket to
Work legislation, and (2) provide proper
oversight of the program. SSA collects
this information through several
modalities, including forms, electronic
exchanges, and written documentation.
The respondents are SSDI beneficiaries
and blind or disabled SSI beneficiaries
and their employment networks or State
vocational rehabilitation agencies
assigned under the auspices of the
Ticket to Work Program.
Type of Request: Revision of an OMB
approved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Total annual
burden
(hours)
13,700
35,584
2,532
8,505
1,000
1
1
1
1
1
240
5
15
5
30
54,800
2965
633
709
500
127,000
3,145
118
48
1
1
1
1
15
30
30
480
31,750
1,573
59
384
12,420
100
2,470
2
1
1
1
1
60
20
120
120
12,420
33
4,940
4
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Federal Register / Vol. 74, No. 169 / Wednesday, September 2, 2009 / Notices
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Total annual
burden
(hours)
(i) 20 CFR 411.320; .........................................................................................
SSA–1394; EN Contract Changes ..................................................................
202
1
10
34
Totals ........................................................................................................
206,826
........................
........................
110,804
6. Medical Consultant’s Review of
Psychiatric Review Technique Form—20
CFR 404.1520a, 404.1640, 404.1643,
404.1645, 416.920a—0960–0677. Form
SSA–3023 is a program evaluation form
SSA’s regional review component uses
to facilitate the contract medical/
psychological consultant’s review of the
Psychiatric Review Technique Form
(PRTF). SSA–3023 records the
reviewing medical/psychological
consultant’s assessment of the PRTF.
The medical/psychological consultant
only completes form SSA–3023 when
an adjudicating component’s PRT is in
the file. SSA requires form SSA–3023
for each PRT form completed. The
respondents are medical/psychological
consultants who review the Psychiatric
Review Technique Form for quality
purposes.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 344.
Frequency of Response: 165.
Average Burden per Response: 12
minutes.
Estimated Annual Burden: 11,352
hours.
Dated: August 28, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social
Security Administration.
[FR Doc. E9–21215 Filed 9–1–09; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Federal Transit Administration
[Docket Number: FTA–2009–0036]
Additional Final Guidance on New
Starts/Small Starts Policies and
Procedures
jlentini on DSKJ8SOYB1PROD with NOTICES
AGENCY: Federal Transit Administration
(FTA), DOT.
ACTION: Response to comments; final
guidance.
SUMMARY: The purpose of this notice is
to convey additional 2009 final
guidance on New Starts/Small Starts
policies and procedures. On July 29,
2009, FTA announced in the Federal
Register the availability of proposed
guidance and requested public
VerDate Nov<24>2008
16:56 Sep 01, 2009
Jkt 217001
comment. FTA received a total of 15
comments from transit agencies,
metropolitan planning organizations,
labor unions, advocacy groups, and
other interested parties. After reviewing
the public comments, FTA is issuing
final guidance, which is included at the
end of this notice.
DATES: Unless otherwise stated in this
notice, this final guidance is effective
September 2, 2009.
FOR FURTHER INFORMATION CONTACT:
Elizabeth Day, Office of Planning and
Environment, telephone (202) 366–5159
and Christopher Van Wyk, Office of
Chief Counsel, telephone (202) 366–
1733. FTA is located at 1200 New Jersey
Ave., SE., East Building, Washington,
DC 20590. Office hours are from 8:30
a.m. to 5 p.m., EST, Monday through
Friday, except Federal holidays.
Organization
The proposed guidance issued on July
29, 2009 covered the following three
topic areas: (a) Proposed policy changes;
(b) clarification to existing policies and
procedures; and (c) potential changes to
FTA internal practices for managing the
New Starts and Small Starts program.
This guidance first presents and
responds to comments for area (a),
proposed policy changes, for which the
following three proposed policy changes
are presented: (1) Local financial
commitment rating; (2) New Starts and
Small Starts ‘‘other’’ factors criteria; and
(3) New Starts project planning horizon
year. The second section of the guidance
presents and responds to comments
regarding area (b), clarification to
existing policies and procedures, and
addresses: (1) Documentation of
uncertainties; and (2) alternate ridership
and transportation user benefits
estimation methods. These responses to
comments are provided to further clarify
existing policy. The third section of the
guidance presents and responds to
comments regarding area (c), potential
changes to FTA internal practices for
managing the New Starts and Small
Starts program, specifically, expanded
use of pre-award authority and letters of
no prejudice (LONPs). The fourth
section presents and responds to
submitted comments not directly related
to any of the three areas covered in the
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proposed guidance. Following the
responses to comments for each of these
areas, the final guidance and a
description of changes to FTA internal
practices are articulated in full.
Proposed Policy Changes—Response to
Comments
1. Local Financial Commitment Rating
In the proposed guidance, FTA
suggested eliminating the policy of
considering the degree to which a
project employs innovative contractual
agreements in the evaluation and rating
of the operating financial plan under the
local financial commitment criterion.
Specifically, FTA proposed eliminating
the policy of increasing the operating
financial plan rating when project
sponsors provide evidence that the
operations and maintenance for the
proposed project will be contracted out
or when there is evidence that an
opportunity had been given for
contracting out but the project sponsor
had substantive reasons for not doing
so.
Of the 15 comments received, 12
expressed general support for the
proposal. Of the remaining respondents,
two did not directly address the
proposal and one expressed concern
with the proposal. The latter comment
is addressed below.
Comment: One respondent noted that
public investments in transportation,
including New Starts and Small Starts
projects, might trigger reimbursement
clauses in the public/private contracts
of competing infrastructure. For
example, a new light rail line may cause
automobile commuters to shift from a
privately operated toll road to public
transit. Depending on the terms of the
toll road public/private partnership
contract, such a shift could trigger a
reimbursement clause. The commenter
suggested that the cost of the example
light rail line should, therefore, include
the cost of reimbursing the private
entity operating the example toll road.
The respondent encouraged FTA to
rethink this proposal to the extent that
it would exclude information on the
existence of infrastructure privatization
terms that would increase the costs of
new or improved public transit projects.
E:\FR\FM\02SEN1.SGM
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Agencies
[Federal Register Volume 74, Number 169 (Wednesday, September 2, 2009)]
[Notices]
[Pages 45508-45510]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21215]
=======================================================================
-----------------------------------------------------------------------
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.
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 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.
The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
November 2, 2009. Individuals can obtain copies of the collection
instruments by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the e-mail address we list above.
1. Blood Donor Locator Service (BDLS)--20 CFR 401.200--0960-0501.
This regulation stipulates that when blood donor facilities identify
blood donations as Human Immunodeficiency Virus (HIV)-positive, the
overseeing State agency must provide the names and Social Security
Numbers of the affected donors to SSA's Blood Donor Locator Service.
SSA uses this information to furnish the State agencies with the blood
donors' address information to notify the blood donors. Respondents are
State agencies acting on behalf of blood donor facilities.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 10.
Frequency of Response: 5.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 13 hours.
2. Continuation of SSI Benefits for the Temporarily
Institutionalized--Certification of Period and Need to Maintain Home--
20 CFR 416.212(b)(1)--0960-0516. When Supplemental Security Income
(SSI) recipients: (1) Enter a public institution, or (2) enter a
private medical institution with Medicaid paying more than 50% of
expenses, their SSI payments are reduced to a nominal sum. However, if
this institutionalization is temporary (defined as a maximum of 3
months), SSA may waive the reduction of benefits.
Before SSA can waive the benefit reduction, the agency must receive
the following documentation: (1) A physician's certification that the
beneficiary will only be institutionalized for a maximum of 3 months,
and (2) certification from the beneficiary, beneficiary's family, or
beneficiary's friend confirming that SSI benefits are needed to
maintain the living arrangements to which the beneficiary will return
post-institutionalization. The respondents are doctors of SSI
beneficiaries and the beneficiaries or their family/friends.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 45509]]
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
3. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566.
Under the Privacy and Disclosure of Official Records and Information,
SSA has established methods in which the public can request the
following: Access to their SSA records; disclosure of SSA records;
corrections/amendments to their SSA records; consent for release of
records; records accessible through the Freedom of Information Act
(FOIA); and waiver/reduction of fees normally charged for release of
FOIA records. SSA most often collected the required information for
these requests through a written letter, with the exception of the
consent for release of records for which there is the Form SSA-3288.
Respondents are individuals requesting access to, correction of, or
disclosure of SSA records.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Type of request Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Access to Records............................... 10,000 1 11 1,833
Designating a Representative for Disclosure of 3,000 1 2 100
Records........................................
Amendment of Records............................ 100 1 10 17
Consent of Release of Records................... 3,000,000 1 3 150,000
FOIA Requests for Records....................... 15,000 1 5 1,250
Waiver/Reduction of Fees........................ 400 1 5 33
---------------------------------------------------------------
Totals...................................... 3,028,500 .............. .............. 153,233
----------------------------------------------------------------------------------------------------------------
4. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, 416.665--0960-0576. SSA requires
representative payees (RPs) to submit a written report accounting for
the use of money paid to Social Security and/or Supplemental Security
Income (SSI) recipients, and to establish and maintain a dedicated
account for these payments. SSA uses Form SSA-6233 to ensure the RPs
are using the benefits received for the recipient's current maintenance
and personal needs, and the expenditures of funds from the dedicated
account are in compliance with the law. Respondents are representative
payees for SSI recipients.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 10,000 hours.
5. The Ticket to Work and Self-Sufficiency Program --20 CFR 411--
0960-0644. Through its Ticket to Work Program Manager, SSA uses the
information collected to operate and manage the Ticket to Work Program.
SSA uses the Ticket to Work Program to assign Social Security
Disability Insurance (SSDI) or Supplemental Security Income (SSI)
beneficiaries to a service provider, and follows their progress through
the various stages of ticket program participation, such as progress
reviews or changes in ticket status. Most of the collections in this
Information Collection Request (ICR) require service providers to
provide information to SSA for such tasks as selecting a payment system
or requesting payments for helping the beneficiary achieve certain work
goals. Most of the categories of information collected in this ICR are
necessary for SSA to: (1) Comply with the Ticket to Work legislation,
and (2) provide proper oversight of the program. SSA collects this
information through several modalities, including forms, electronic
exchanges, and written documentation. The respondents are SSDI
beneficiaries and blind or disabled SSI beneficiaries and their
employment networks or State vocational rehabilitation agencies
assigned under the auspices of the Ticket to Work Program.
Type of Request: Revision of an OMB approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Total annual
Modality of completion Number of Frequency of per response burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
(a) 20 CFR 411.140(d)(3); 411.150(b)(3); 13,700 1 240 54,800
411.325(a); SSA-1365; SSA-1370.................
(a) 20 CFR 411.166; 411.170(b); Electronic Data 35,584 1 5 2965
Sharing........................................
(b) 20 CFR 411.145; 411.325; Requesting Ticket 2,532 1 15 633
Un-assignments.................................
(b) 20 CFR 411.535(a)(1)(iii); VR Case Closures. 8,505 1 5 709
(c) 20 CFR 411.192(b)&(c); Request to Place 1,000 1 30 500
Ticket in Inactive Status......................
(c) 20 CFR 411.200(b); SSA-1375; SSA-L1373; SSA- 127,000 1 15 31,750
L1374; SSA-L1377; Certification of Work and
Educational Progress...........................
(c) 20 CFR 411.210(b); Ticket-Use Status after 3,145 1 30 1,573
Not Making Timely Progress.....................
(d) 20 CFR 411.365; 411.505; 411.515; Selecting 118 1 30 59
a Payment System...............................
(e) 20 CFR 411.325(d); 411.415; Reporting 48 1 480 384
Referral Agreement.............................
(f) 20 CFR 411.575; SSA-1391; SSA-1389; SSA- 12,420 1 60 12,420
1393; SSA-1399; SSA-1396; SSA-1392; SSA-1398;
Requesting EN Payments.........................
(f) 20 CFR 411.560; SSA-1401; Split Payment 100 1 20 33
Situations.....................................
(g) 20 CFR 411.325(f); Periodic Outcomes 2,470 1 120 4,940
Reporting......................................
(h) 20 CFR 411.435; 411.615; 411.625; Dispute 2 1 120 4
Resolutions....................................
[[Page 45510]]
(i) 20 CFR 411.320;............................. 202 1 10 34
SSA-1394; EN Contract Changes...................
---------------------------------------------------------------
Totals...................................... 206,826 .............. .............. 110,804
----------------------------------------------------------------------------------------------------------------
6. Medical Consultant's Review of Psychiatric Review Technique
Form--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 416.920a--0960-
0677. Form SSA-3023 is a program evaluation form SSA's regional review
component uses to facilitate the contract medical/psychological
consultant's review of the Psychiatric Review Technique Form (PRTF).
SSA-3023 records the reviewing medical/psychological consultant's
assessment of the PRTF. The medical/psychological consultant only
completes form SSA-3023 when an adjudicating component's PRT is in the
file. SSA requires form SSA-3023 for each PRT form completed. The
respondents are medical/psychological consultants who review the
Psychiatric Review Technique Form for quality purposes.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 344.
Frequency of Response: 165.
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 11,352 hours.
Dated: August 28, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-21215 Filed 9-1-09; 8:45 am]
BILLING CODE 4191-02-P