Agency Information Collection Activities: Emergency Clearance Request, 37518-37519 [2010-15689]
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37518
Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices
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 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 SSA Reports Clearance Director to
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, E-mail address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–965–6400, E-mail address:
OPLM.RCO@ssa.gov.
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 August 30, 2010. Individuals
can obtain copies of the collection
instruments by calling the SSA Reports
Clearance Officer at 410–965–8783 or by
writing to the above e-mail address.
1. Travel Expense Reimbursement—
20 CFR 404.999(d) and 416.1499—
0960–0434. The Social Security Act
provides for travel expense
reimbursement from Federal and State
agencies for claimants who travel in
excess of 75 miles to attend medical
examinations, reconsideration
interviews, and proceedings before an
administration law judge. Claimants’
representatives and necessary witnesses
are also eligible for reimbursement.
Reimbursement procedures require the
claimant to provide a list and receipt for
the expenses. Federal and State
personnel review the listings and
receipts to verify the reimbursable
amount. The respondents are claimants
for Title II benefits and Title XVI
payments, their representatives, and
witnesses.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 8,333
hours.
Number of
responses
Type of request
2. Application Status—20 CFR
401.45—0960–0763. Application Status
provides users with the capability to
check the status of their pending Social
Security claims either via the Internet or
the National 800 Number Automated
Telephone Service. Users need their
Social Security number and a
confirmation number to access this
information. The Application Status
shows users when SSA received the
application, if we requested additional
documents (e.g., military discharge
papers, W–2s, birth records, etc.), and
provides the address for the office that
is processing their application. Once
SSA makes a decision on a claim, we
post a copy of the decision notice online
for the user to view. There are some
exceptions to posting a copy online,
such as disability denial notices (even if
filed electronically) or claims users did
not file via the Internet, as we may not
have notices available for online review.
Users access this application either from
https://www.ssa.gov/onlineservices/ or
through the National 800 Number.
Respondents are current Social Security
recipients.
Type of Request: Extension of an
OMB-approved information collection.
Average burden
per response
(minutes)
Frequency of
response
Total annual
burden (hours)
Automated Telephone Services ......................................................
Internet Services ..............................................................................
764,885
2,881,804
1
1
2
1
25,496
48,030
Totals ........................................................................................
3,646,689
............................
............................
73,526
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2010–15688 Filed 6–28–10; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
emcdonald on DSK2BSOYB1PROD with NOTICES4
Agency Information Collection
Activities: Emergency Clearance
Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law (Pub. L.) 104–13, the
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes a revision to an existing OMBapproved 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
VerDate Mar<15>2010
19:55 Jun 28, 2010
Jkt 220001
quality, utility, and clarity; and ways to
minimize 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 to the OMB Desk Officer and
SSA Reports Clearance Officer to the
following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, E-mail address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–965–6400, E-mail address:
OPLM.RCO@ssa.gov.
SSA submitted the information
collection below to OMB for Emergency
Clearance. SSA is requesting Emergency
Clearance from OMB no later than
July 6, 2010. Individuals can obtain
copies of the collection instrument by
PO 00000
Frm 00144
Fmt 4703
Sfmt 4703
calling the SSA Reports Clearance
Officer at 410–965–8783 or by writing to
the above e-mail address.
Medicare Part B Income-Related
Premium—Life-Changing Event Form—
0960–0735. Per the Medicare
Modernization Act of 2003, selected
recipients of Medicare Part B insurance
pay an income-related monthly
adjustment amount (IRMAA). The
Internal Revenue Service (IRS) transmits
income tax return data to SSA in order
for SSA to determine the amount of
IRMAA. SSA uses Form SSA–44 to
determine if a recipient qualifies for a
reduction in IRMMA. If affected
Medicare Part B recipients believe SSA
should use more recent tax data because
a life-changing event occurred that
significantly reduces their income, they
can report these changes to SSA and ask
for a new initial determination of their
IRMAA.
In this Information Collection
Request, we are clearing minor changes
to this form needed to fulfill the
E:\FR\FM\29JNN1.SGM
29JNN1
37519
Federal Register / Vol. 75, No. 124 / Tuesday, June 29, 2010 / Notices
provisions of soon-to-be-published
interim final regulations. Since the
provisions of these regulations will be
effective on publication, we are seeking
emergency clearance for this form. The
respondents are Medicare Part B
recipients who have a modified adjusted
Number of
respondents
Method of information collection
gross income over a high-income
‘‘threshold.’’
Type of Request: Revision of an OMBapproved information collection.
Average burden
per response
(minutes)
Frequency of
response
Estimated annual
burden
(hours)
Personal Interview ...........................................................................
Form .................................................................................................
139,000
37,000
1
1
30
45
69,500
27,750
Totals ........................................................................................
176,000
............................
............................
97,250
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2010–15689 Filed 6–28–10; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
Bureau of Diplomatic Security, Office
of Foreign Missions
[Public Notice: 7070]
30-Day Notice of Proposed Information
Collection: Forms DS–4138, Request
for Escort Screening Courtesies; DS–
4139, Photograph and Signature Card;
& DS–4140, Application for OFM Web
Site Account; DS–1504; Request for
Customs Clearance of Merchandise;
Foreign Diplomatic Services
Applications (FDSA), OMB Collection
Number 1405–0105
emcdonald on DSK2BSOYB1PROD with NOTICES4
ACTION: Notice of request for public
comment and submission to OMB of
proposed collection of information.
SUMMARY: The Department of State has
submitted the following information
collection request to the Office of
Management and Budget (OMB) for
approval in accordance with the
Paperwork Reduction Act of 1995.
• Title of Information Collection:
Request for Escort Screening Courtesies.
• OMB Control Number: 1405–0105.
• Type of Request: Revision of
Currently Approved Collection.
• Originating Office: Diplomatic
Security/Office of Foreign Missions
(DS/OFM).
• Form Numbers: DS–4138.
• Respondents: Foreign government
representatives assigned to the United
States.
• Estimated Number of Respondents:
350 missions.
• Estimated Number of Responses:
3,000 responses.
• Average Hours per Response: 10
minutes.
• Total Estimated Burden: 500 hours
divided among the missions.
VerDate Mar<15>2010
19:55 Jun 28, 2010
Jkt 220001
• Frequency: On occasion.
• Obligation To Respond: Required to
obtain or retain a benefit.
• Title of Information Collection:
Photograph and Signature Card.
• OMB Control Number: 1405–0105.
• Type of Request: Revision of
Currently Approved Collection.
• Originating Office: Diplomatic
Security/Office of Foreign Missions
(DS/OFM).
• Form Number: DS–4139.
• Respondents: Foreign government
representatives assigned to the United
States.
• Estimated Number of Respondents:
350 missions.
• Estimated Number of Responses:
18,000 responses.
• Average Hours per Response: 10
minutes.
• Total Estimated Burden: 3,000
hours divided among the missions.
• Frequency: On occasion.
• Obligation To Respond: Required to
obtain or retain a benefit.
• Title of Information Collection:
Application for OFM Web site Account.
• OMB Control Number: 1405–0105.
• Type of Request: Revision of
Currently Approved Collection.
• Originating Office: Diplomatic
Security/Office of Foreign Missions
(DS/OFM).
• Form Numbers: DS–4140.
• Respondents: Foreign government
representatives assigned to the United
States.
• Estimated Number of Respondents:
350 missions.
• Estimated Number of Responses:
456 responses.
• Average Hours per Response: 10
minutes.
• Total Estimated Burden: 76 hours
divided among the missions.
• Frequency: On occasion.
• Obligation To Respond: Required to
obtain or retain a benefit.
• Title of Information Collection:
Request for Customs Clearance of
Merchandise.
• OMB Control Number: 1405–0105.
• Type of Request: Revision of a
Currently Approved Collection.
PO 00000
Frm 00145
Fmt 4703
Sfmt 4703
• Originating Office: Diplomatic
Security/Office of Foreign Missions (DS/
OFM).
• Form Number: DS–1504.
• Respondents: Foreign government
representatives assigned to the United
States.
• Estimated Number of Respondents:
350 missions.
• Estimated Number of Responses:
7,938 responses.
• Average Hours per Response: 30
minutes.
• Total Estimated Burden: 3,969
hours.
• Frequency: On occasion.
• Obligation To Respond: Required to
obtain or retain a benefit.
DATES: Submit comments to the Office
of Management and Budget (OMB) for
up to 30 days from date of publication
in the Federal Register.
ADDRESSES: Direct comments to the
Department of State Desk Officer in the
Office of Information and Regulatory
Affairs at the Office of Management and
Budget (OMB). You may submit
comments by the following methods:
• E-mail:
oira_submission@omb.eop.gov. You
must include the DS form number,
information collection title, and OMB
control number in the subject line of
your message.
• Fax: 202–395–5806. Attention: Desk
Officer for Department of State.
FOR FURTHER INFORMATION CONTACT: You
may obtain copies of the proposed
information collection and supporting
documents from: Jacqueline Robinson,
Diplomatic Security, Office of Foreign
Missions, 2201 C Street, NW., Room
2236, Washington, DC 20520, who may
be reached on (202) 647–3416 or at
OFMInfo@state.gov.
SUPPLEMENTARY INFORMATION:
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary to
properly perform our functions.
• Evaluate the accuracy of our
estimate of the burden of the proposed
E:\FR\FM\29JNN1.SGM
29JNN1
]]>Agencies
[Federal Register Volume 75, Number 124 (Tuesday, June 29, 2010)]
[Notices]
[Pages 37518-37519]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-15689]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Emergency Clearance
Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes a revision to an existing OMB-approved 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 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 to the OMB
Desk Officer and SSA Reports Clearance Officer to the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, E-mail address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov.
SSA submitted the information collection below to OMB for Emergency
Clearance. SSA is requesting Emergency Clearance from OMB no later than
July 6, 2010. Individuals can obtain copies of the collection
instrument by calling the SSA Reports Clearance Officer at 410-965-8783
or by writing to the above e-mail address.
Medicare Part B Income-Related Premium--Life-Changing Event Form--
0960-0735. Per the Medicare Modernization Act of 2003, selected
recipients of Medicare Part B insurance pay an income-related monthly
adjustment amount (IRMAA). The Internal Revenue Service (IRS) transmits
income tax return data to SSA in order for SSA to determine the amount
of IRMAA. SSA uses Form SSA-44 to determine if a recipient qualifies
for a reduction in IRMMA. If affected Medicare Part B recipients
believe SSA should use more recent tax data because a life-changing
event occurred that significantly reduces their income, they can report
these changes to SSA and ask for a new initial determination of their
IRMAA.
In this Information Collection Request, we are clearing minor
changes to this form needed to fulfill the
[[Page 37519]]
provisions of soon-to-be-published interim final regulations. Since the
provisions of these regulations will be effective on publication, we
are seeking emergency clearance for this form. The respondents are
Medicare Part B recipients who have a modified adjusted gross income
over a high-income ``threshold.''
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden
Method of information collection Number of Frequency of per response Estimated annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Personal Interview...................... 139,000 1 30 69,500
Form.................................... 37,000 1 45 27,750
-----------------------------------------------------------------------
Totals.............................. 176,000 ................ ................ 97,250
----------------------------------------------------------------------------------------------------------------
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2010-15689 Filed 6-28-10; 8:45 am]
BILLING CODE 4191-02-P
