Agency Information Collection Activities: Proposed Request and Comment Request, 48795-48797 [E9-23074]

Download as PDF 48795 Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices WORKBOOK (2): AGGREGATE INFORMATION—Continued Month (for each month) Eligible mailer information October–06 November–06 December–09 January–10 Flats. Cards. First Class Presort Residual* Letters. Flats. Cards. Standard Letters. Flats. Carrier Route Letters. Carrier Route Flats. High Density and Saturation Letters. High Density and Saturation Flats. Rebate Calculation for each Mailer ............... Formula Calculation Threshold Incremental Volume Volume Shift Adjustment Volume Eligible for Discount Average Revenue Per Piece Rebate 1 Formulas used in the determination of Volume Threshold, Incremental Volume, October 2009 Adjustment, Average Revenue Per Piece, and Summer Sale Rebate should be shown on each mailer page. Only mailer input data should be hardcoded. * Presort Residual refers to mail entered with bulk presort mailings that does not qualify for presort rates. [FR Doc. E9–23024 Filed 9–23–09; 8:45 am] BILLING CODE 7710–FW–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 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. I. The information collection below is pending at SSA. SSA will submit it to Number of respondents Collection method srobinson on DSKHWCL6B1PROD with 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 November 23, 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 above email address. 1. Application for Widow’s or Widower’s Insurance Benefits—20 CFR 404.335–404.338, 404.603—0960–0004. SSA uses the information on the SSA– 10–BK to determine whether the applicant meets the statutory and regulatory conditions for entitlement to widow(er)’s Social Security Title II benefits. The respondents are applicants for widow’s or widower’s benefits. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 341,560. Average burden per response (minutes) Burden hours MCS ............................................................................................................................................. MCS/Signature Proxy .................................................................................................................. Paper ........................................................................................................................................... 162,241 162,241 17,078 15 14 15 40,560 37,856 4,270 Totals: ................................................................................................................................... 341,560 ........................ 82,686 Estimated Annual Burden: 82,686 hours. VerDate Nov<24>2008 16:27 Sep 23, 2009 Jkt 217001 2. Substitution of Party upon Death of Claimant—20 CFR 404.957(c)(4) and PO 00000 Frm 00087 Fmt 4703 Sfmt 4703 416.1457(c)(4)—0960–0288. SSA collects information on Form HA–539 E:\FR\FM\24SEN1.SGM 24SEN1 48796 Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices when a claimant for Social Security or Supplemental Security Income benefits dies while his or her request for a hearing is pending. The information SSA collects establishes a written record of the request of any individual who asks to be made a substitute party for a deceased claimant. It also facilitates a decision by SSA on whom, if anyone, should become a substitute party for the deceased. The Administrative Law Judge and the hearing office support staff use this information to: (1) Establish the relationship of the requester to the deceased claimant; (2) determine the substituted individual’s wishes regarding an oral hearing or decision on the record; and (3) admit the data into the claimant’s official record as an exhibit. The respondents are individuals requesting to be made a substitute party for a deceased claimant. Type of Request: Extension of an OMB-approved information collection. Number of Respondents: 4,000. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 333 hours. 3. Non-Attorney Representative Demonstration Project Application—20 CFR 404.1745–404.1799 and 20 CFR 416.1545–416.1599—0960–0699. Section 303 of the Social Security Protection Act of 2004 (SSPA) provides for a 5-year demonstration project under which SSA extends the direct payment of approved fees to certain non-attorney claimant representatives. Under the SSPA, to be eligible for direct payment of fees, a non-attorney representative must fulfill the following statutory requirements: (1) Possess a bachelors degree or have equivalent qualifications from training and work experience; (2) pass an examination that tests knowledge of the relevant provisions of the Social Security Act; (3) secure professional liability insurance or equivalent insurance; (4) pass a criminal background check; and (5) demonstrate completion of relevant continuing education courses. Through the services of a private contractor, SSA must collect the requested information to determine if a non-attorney representative has met the statutory requirements to be eligible for direct payment of fees for his or her claimant representation services. SSA needs this information to comply with the legislation. The respondents are non-attorney representatives who apply for direct payment of fees. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 700. Number of respondents Section Situation in which beneficiaries ask SSA to examine a different tax return than the one they originally used to make their determination: § 418.1310(a) Situations related to requests for new initial determinations based on beneficiary reports that a major life-changing event has significantly reduced their MAGI: § 418.1005(c) § 418.1250 § 418.1255 § 418.1265 Situations related to requests for additional new initial determinations and updates of MAGI that a beneficiary provided for a new initial determination: § 418.1235 (c)–(d)§ 418.1240 § 418.1245 srobinson on DSKHWCL6B1PROD with NOTICES Average burden per response (minutes) Frequency of response Estimated annual burden (hours) Estimated Annual Burden: 85,433. 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 October 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 e-mail address. 1. Waiver of Right to Appear— Disability Hearing—20 CFR 404.913– 404.914, 404.916(b)(5), 416.1413– 16:27 Sep 23, 2009 Jkt 217001 9,820 1 30 4,910 160,000 1 30 80,000 1,045 1 30 523 170,865 Total VerDate Nov<24>2008 Frequency of Response: 1. Average Burden Per Response: 60 minutes. Estimated Annual Burden: 700 hours. 4. Medicare Part B Income-Related Monthly Adjustment Amount Subsidies Regulations—20 CFR 418—0960–0741. The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 established the Medicare Part B program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low-income individuals. The income-related monthly adjustment amount represents the amount of decrease in the Medicare Part B premium subsidy; i.e., the amount of the Federal Government’s contribution to the Federal Supplementary Medical Insurance Trust Fund. SSA uses these regulations to determine when a monthly adjustment amount to a beneficiary’s standard monthly premium under Medicare Part B occurs. The respondents are applicants for the Medicare Part B income-related monthly adjustment amount. The regulations sections below contain public reporting requirements for which no OMBapproved forms exist. Type of Request: Extension of an OMB-approved information collection. ........................ ........................ 85,433 416.1414, 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 claimants request for disability based solely on the evidence of record. The respondents are claimants, or their representatives, for disability under Titles II and XVI of the Social Security Act, who wish to waive their right to appear at a disability hearing. Note: This is a correction notice. SSA published this information collection as an PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 extension on July 27, 2009 at 74 FR 37081. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection. Type of Request: Revision of an OMBapproved 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/ E:\FR\FM\24SEN1.SGM 24SEN1 Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices 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. Note: This is a correction notice. SSA published this information collection as an extension on July 27, 2009 at 74 FR 37081. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 256. Frequency of Response: 359. Average Burden Per Response: 12 minutes. Estimated Annual Burden: 18,381 hours. 3. Statement of Reclamation Action— 31 CFR 210—0960–0734. SSA uses Form SSA–1713 to collect information to determine if a Canadian bank is able to return erroneous payments, and to determine how and when it can return the payments made after the death of a beneficiary who elected to have payments sent to Canada. Form SSA– 1712 (or SSA–1712 CN) is the cover sheet SSA prepares to request return of a payment erroneously made after the death of the recipient. SSA sends Form SSA—1712 with Form SSA–1713. The respondents are Canadian financial institutions that received Social Security payments. srobinson on DSKHWCL6B1PROD with NOTICES Note: This is a correction notice. SSA published this information collection as an extension on July 10, 2009 at 74 FR 33313. Since we are revising the Privacy Act Statement, this is now a revision of an OMBapproved information collection. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 15. Frequency of Response: 1. Average Burden Per Response: 5 minutes. Estimated Annual Burden: 1 hour. Dated: September 18, 2009. Elizabeth A. Davidson, Director, Center for Reports Clearance, Social Security Administration. [FR Doc. E9–23074 Filed 9–23–09; 8:45 am] BILLING CODE 4191–02–P VerDate Nov<24>2008 16:27 Sep 23, 2009 Jkt 217001 SOCIAL SECURITY ADMINISTRATION [Docket No. SSA–2009–0061] Modifications to the Disability Determination Procedures; Extension of Testing of Some Disability Redesign Features Social Security Administration. Notice of the extension of tests involving modifications to the disability determination procedures. AGENCY: ACTION: SUMMARY: We are announcing the extension of tests involving modifications to disability determination procedures authorized by 20 CFR 404.906 and 416.1406. These rules authorize us to test several modifications to the disability determination procedures for adjudicating claims for disability insurance benefits under title II of the Social Security Act (Act) and for supplemental security income payments based on disability under title XVI of the Act. DATES: We are extending our selection of cases to be included in these tests from September 30, 2009 until no later than September 28, 2012. If we decide to continue selection of cases for these tests beyond this date, we will publish another notice in the Federal Register. FOR FURTHER INFORMATION CONTACT: Michele Schaefer, Office of Disability Programs, Social Security Administration, 6401 Security Boulevard, Baltimore, MD 21235–6401, 410–594–0083, for information about this notice. For information on eligibility or filing for benefits, call our national toll-free number, 1–800–772– 1213 or TTY 1–800–325–0778, or visit our Internet site, Social Security Online, at http://www.socialsecurity.gov. SUPPLEMENTARY INFORMATION: Our current rules authorize us to test, individually or in any combination, certain modifications of the disability determination procedures. 20 CFR 404.906 and 416.1406. We have conducted several tests under the authority of these rules. In the ‘‘single decisionmaker,’’ test, a disability examiner may make the initial disability determination in most cases without obtaining the signature of a medical or psychological consultant. We also have conducted a separate test, which we call the ‘‘prototype,’’ in 10 States. 64 FR 47218. Currently, the prototype combines the single decisionmaker approach described above with the elimination of the reconsideration level of our administrative review process. We have extended the time period for selecting claims for these tests several PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 48797 times. Most recently, on August 10, 2006, we extended the time period until September 30, 2009. 71 FR 45890. We have decided to extend case selection for the current disability prototype process (single decisionmaker and elimination of the reconsideration step) and for the separate test of the single decisionmaker until September 28, 2012. If we decide to end case selection for any part of the disability prototype in any the 10 States in which we are conducting the tests prior to September 28, 2012, we will publish another notice in the Federal Register. Dated: September 18, 2009. David A. Rust, Deputy Commissioner for Retirement and Disability Policy. [FR Doc. E9–23110 Filed 9–23–09; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 6768] Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: FY–2010 Study of the United States Institutes for Scholars Announcement Type: New Cooperative Agreement. Funding Opportunity Number: ECA/ A/E/USS–10–02–04. Catalog of Federal Domestic Assistance Number: 19.401. Key Dates Application Deadline: December 3, 2009. Executive Summary: The Branch for the Study of the United States, Office of Academic Exchange Programs, Bureau of Educational and Cultural Affairs, invites proposal submissions for the design and implementation of three Study of the United States Institutes to take place over the course of six weeks beginning in June 2010. These Institutes should provide a multinational group of experienced educators with a deeper understanding of U.S. society, culture, values, and institutions. Two of these Institutes will be for groups of 18 foreign university level faculty, focusing on U.S. Culture and Society, and Journalism and Media. The third Institute will be a general survey course on the study of the United States for a group of 30 foreign secondary educators. Applicants may propose to host only one Institute listed under this competition. Should an applicant submit multiple proposals under this competition, all proposals will be declared technically ineligible and E:\FR\FM\24SEN1.SGM 24SEN1

Agencies

[Federal Register Volume 74, Number 184 (Thursday, September 24, 2009)]
[Notices]
[Pages 48795-48797]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-23074]


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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 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.
    I. The information collection below is pending at SSA. SSA will 
submit it 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 23, 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 above e-mail address.
    1. Application for Widow's or Widower's Insurance Benefits--20 CFR 
404.335-404.338, 404.603--0960-0004. SSA uses the information on the 
SSA-10-BK to determine whether the applicant meets the statutory and 
regulatory conditions for entitlement to widow(er)'s Social Security 
Title II benefits. The respondents are applicants for widow's or 
widower's benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 341,560.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden
                        Collection method                            Number of     per response    Burden hours
                                                                    respondents      (minutes)
----------------------------------------------------------------------------------------------------------------
MCS.............................................................         162,241              15          40,560
MCS/Signature Proxy.............................................         162,241              14          37,856
Paper...........................................................          17,078              15           4,270
                                                                 -----------------------------------------------
    Totals:.....................................................         341,560  ..............          82,686
----------------------------------------------------------------------------------------------------------------

    Estimated Annual Burden: 82,686 hours.
    2. Substitution of Party upon Death of Claimant--20 CFR 
404.957(c)(4) and 416.1457(c)(4)--0960-0288. SSA collects information 
on Form HA-539

[[Page 48796]]

when a claimant for Social Security or Supplemental Security Income 
benefits dies while his or her request for a hearing is pending. The 
information SSA collects establishes a written record of the request of 
any individual who asks to be made a substitute party for a deceased 
claimant. It also facilitates a decision by SSA on whom, if anyone, 
should become a substitute party for the deceased. The Administrative 
Law Judge and the hearing office support staff use this information to: 
(1) Establish the relationship of the requester to the deceased 
claimant; (2) determine the substituted individual's wishes regarding 
an oral hearing or decision on the record; and (3) admit the data into 
the claimant's official record as an exhibit. The respondents are 
individuals requesting to be made a substitute party for a deceased 
claimant.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 4,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 333 hours.
    3. Non-Attorney Representative Demonstration Project Application--
20 CFR 404.1745-404.1799 and 20 CFR 416.1545-416.1599--0960-0699. 
Section 303 of the Social Security Protection Act of 2004 (SSPA) 
provides for a 5-year demonstration project under which SSA extends the 
direct payment of approved fees to certain non-attorney claimant 
representatives. Under the SSPA, to be eligible for direct payment of 
fees, a non-attorney representative must fulfill the following 
statutory requirements: (1) Possess a bachelors degree or have 
equivalent qualifications from training and work experience; (2) pass 
an examination that tests knowledge of the relevant provisions of the 
Social Security Act; (3) secure professional liability insurance or 
equivalent insurance; (4) pass a criminal background check; and (5) 
demonstrate completion of relevant continuing education courses. 
Through the services of a private contractor, SSA must collect the 
requested information to determine if a non-attorney representative has 
met the statutory requirements to be eligible for direct payment of 
fees for his or her claimant representation services. SSA needs this 
information to comply with the legislation. The respondents are non-
attorney representatives who apply for direct payment of fees.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 700.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 700 hours.
    4. Medicare Part B Income-Related Monthly Adjustment Amount 
Subsidies Regulations--20 CFR 418--0960-0741. The Medicare Prescription 
Drug, Improvement, and Modernization Act (MMA) of 2003 established the 
Medicare Part B program for voluntary prescription drug coverage of 
premium, deductible, and co-payment costs for certain low-income 
individuals. The income-related monthly adjustment amount represents 
the amount of decrease in the Medicare Part B premium subsidy; i.e., 
the amount of the Federal Government's contribution to the Federal 
Supplementary Medical Insurance Trust Fund. SSA uses these regulations 
to determine when a monthly adjustment amount to a beneficiary's 
standard monthly premium under Medicare Part B occurs. The respondents 
are applicants for the Medicare Part B income-related monthly 
adjustment amount. The regulations sections below contain public 
reporting requirements for which no OMB-approved forms exist.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
                     Section                         Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Situation in which beneficiaries ask SSA to                9,820               1              30           4,910
 examine a different tax return than the one
 they originally used to make their
 determination: Sec.   418.1310(a)
Situations related to requests for new initial           160,000               1              30          80,000
 determinations based on beneficiary reports
 that a major life-changing event has
 significantly reduced their MAGI: Sec.
 418.1005(c) Sec.   418.1250 Sec.   418.1255
 Sec.   418.1265
Situations related to requests for additional              1,045               1              30             523
 new initial determinations and updates of MAGI
 that a beneficiary provided for a new initial
 determination: Sec.   418.1235 (c)-(d)Sec.
 418.1240 Sec.   418.1245
                                                 ---------------------------------------------------------------
    Total                                                170,865  ..............  ..............          85,433
----------------------------------------------------------------------------------------------------------------

    Estimated Annual Burden: 85,433.
    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 October 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 e-mail address.
    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 claimants 
request for disability based solely on the evidence of record. The 
respondents are claimants, or their representatives, for disability 
under Titles II and XVI of the Social Security Act, who wish to waive 
their right to appear at a disability hearing.

    Note: This is a correction notice. SSA published this 
information collection as an extension on July 27, 2009 at 74 FR 
37081. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision 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/

[[Page 48797]]

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.

    Note: This is a correction notice. SSA published this 
information collection as an extension on July 27, 2009 at 74 FR 
37081. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 256.
    Frequency of Response: 359.
    Average Burden Per Response: 12 minutes.
    Estimated Annual Burden: 18,381 hours.
    3. Statement of Reclamation Action--31 CFR 210--0960-0734. SSA uses 
Form SSA-1713 to collect information to determine if a Canadian bank is 
able to return erroneous payments, and to determine how and when it can 
return the payments made after the death of a beneficiary who elected 
to have payments sent to Canada. Form SSA-1712 (or SSA-1712 CN) is the 
cover sheet SSA prepares to request return of a payment erroneously 
made after the death of the recipient. SSA sends Form SSA--1712 with 
Form SSA-1713. The respondents are Canadian financial institutions that 
received Social Security payments.

    Note:  This is a correction notice. SSA published this 
information collection as an extension on July 10, 2009 at 74 FR 
33313. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 15.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 1 hour.

    Dated: September 18, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-23074 Filed 9-23-09; 8:45 am]
BILLING CODE 4191-02-P