Agency Information Collection Activities: Proposed Request and Comment Request, 71785-71786 [2010-29576]
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Federal Register / Vol. 75, No. 226 / Wednesday, November 24, 2010 / Notices
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for Web site viewing and
printing in the Commission’s Public
Reference Room, on official business
days between the hours of 10 a.m. and
3 p.m. Copies of the 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–EDGA–2010–18 and should
be submitted on or before December 15,
2010.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.8
Florence E. Harmon,
Deputy Secretary.
[FR Doc. 2010–29590 Filed 11–23–10; 8:45 am]
SMALL BUSINESS ADMINISTRATION
Escalate Capital Partners SBIC I, L.P.,
License No. 06/06–0335; Notice
Seeking Exemption Under Section 312
of the Small Business Investment Act,
Conflicts of Interest
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
Dated: November 17, 2010.
Sean Greene,
Associate Administrator for Investment.
[FR Doc. 2010–29603 Filed 11–23–10; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
Senior Executive Service: Performance
Review Board Members
U.S. Small Business
Administration.
ACTION: Notice of Members for the FY
2010 Performance Review Board.
AGENCY:
Title 5 U.S.C. 4314(c)(4)
requires each agency to publish
notification of the appointment of
individuals who may serve as members
of that Agency’s Performance Review
Board (PRB). The following individuals
have been designated to serve on the FY
2010 Performance Review Board for the
U.S. Small Business Administration.
1. David B. Robbins, Chair, Associate
Administrator for Management and
Administration.
2. Jonathan I. Carver, Chief Financial
Officer and Associate Administrator for
Performance Management.
3. James E. Rivera, Deputy Associate
Administrator for Disaster Assistance.
4. Sara D. Lipscomb, General Counsel.
5. Ana M. Ma, Chief of Staff.
SUMMARY:
BILLING CODE 8011–01–P
Notice is hereby given that Escalate
Capital Partners, SBIC I, L.P., 300 W. 6th
Street, Suite 2250, Austin, TX 78701, a
Federal Licensee under the Small
Business Investment Act of 1958, as
amended (‘‘the Act’’), in connection with
the financing of a small concern, has
sought an exemption under Section 312
of the Act and Section 107.730,
Financings which Constitute Conflicts
of Interest of the Small Business
Administration (‘‘SBA’’) Rules and
Regulations (13 CFR 107.730). Escalate
Capital Partners, SBIC I, L.P. proposes to
provide debt security financing to
WhaleShark Media, Inc., 515 S.
Congress Avenue, Suite 700, Austin, TX
78704. The financing is contemplated to
provide capital for operations and
contingent payments to prior
acquisitions.
The financing is brought within the
purview of § 107.730(a)(1) of the
8 17
Regulations because AV–EC Partners I,
L.P., an Associate of Escalate Capital
Partners, SBIC I, L.P., owns more than
ten percent of WhaleShark Media, Inc.
Therefore, this transaction is considered
a financing of an Associate requiring an
exemption.
Notice is hereby given that any
interested person may submit written
comments on the transaction within
fifteen days of the date of this
publication to the Associate
Administrator for Investment, U.S.
Small Business Administration, 409
Third Street, SW., Washington, DC
20416.
Karen G. Mills,
Administrator.
[FR Doc. 2010–29611 Filed 11–23–10; 8:45 am]
BILLING CODE 8025–01–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
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes revisions to 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 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 SSA Reports Clearance Officer at
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.
I. 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 January 24,
2011. 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 email address.
1. Continuing Disability Review
Report—20 CFR 404.1589, 416.989–
0960–0072. SSA conducts periodic
reviews to determine whether
individuals receiving disability benefits
continue their entitlement to or
eligibility for those benefits. SSA
collects the necessary information on
Form SSA–454 to complete the review
for continued disability for current
Supplemental Security Income
recipients. SSA conducts reviews on a
periodic basis depending on the
respondent’s disability. We obtain
information on sources of medical
treatment, participation in vocational
rehabilitation programs (if any),
attempts to work (if any), and the
opinions of individuals regarding
whether their conditions have
improved. The respondents are Title II
and/or Title XVI disability recipients or
their representatives.
CFR 200.30–3(a)(12).
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15:30 Nov 23, 2010
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Federal Register / Vol. 75, No. 226 / Wednesday, November 24, 2010 / Notices
Type of Request: Revision of an OMBapproved information collection.
Number of respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Total annual
burden
(hours)
SSA–454–BK (Paper version) .........................................................................
EDCS * .............................................................................................................
SSA–454–ICR ..................................................................................................
Abbreviated EDCS interview to supplement SSA–454–ICR ...........................
1,500
1,500
541,000
541,000
1
1
1
........................
60
59
30
25
1,500
1,475
270,500
225,417
Totals ........................................................................................................
1,085,000
........................
........................
498,892
* Claims representatives may choose to complete the EDCS 454 rather than the SSA–454–BK.
2. State Death Match Collections—20
CFR 404.301, 404.310–404.311, 404.316,
404.330–404–341, 404.350–404.352,
404.371; 416.912—0960–0700. SSA uses
the State Death Match Collections to
ensure the accuracy of payment files by
detecting unreported or inaccurate
deaths of beneficiaries. Under the Social
Security Act, entitlement to retirement,
disability, wife’s, husband’s, or parent’s
benefits terminates when the beneficiary
dies. The States furnish death certificate
information to SSA via the Manual
Registration Process or the Electronic
Collection
format
Death Registration Process (EDR). Both
Death Match processes are automated
electronic transfers between the States
and SSA. The respondents are the
States’ bureaus of vital statistics.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
responses
(per state)
Number of
respondents
Average cost
per record
request
Estimated
annual cost
burden
State Death Match—Manual Process .............................................................
State Death Match—EDR ................................................................................
23
30
50,000
50,000
.80
2.86
$920,000
4,290,000
Totals ........................................................................................................
53
........................
........................
* 5,210,000
* Please note both data matching processes are electronic and there is no hourly burden for the respondent to provide this information.
II. SSA has submitted the information
collection listed below to OMB for
clearance. Your comments on the
information collection 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 December 27, 2010. You
can obtain a copy of the OMB clearance
package by calling the SSA Reports
Clearance Officer at 410–965–8783 or by
writing to the above e-mail address.
1. Work History Report—20 CFR
404.1515, 404.1560, 404.1565, 416.960
and 4163965—0960–0578. Under
certain circumstances, SSA asks
individuals about work they performed
in the past. Applicants use Form SSA–
Collection
method
Number of
respondents
3369 to provide detailed information
about jobs held prior to becoming
unable to work. State Disability
Determination Services evaluate the
information, together with medical
evidence, to determine eligibility for
disability.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(hours)
Frequency
of
response
Estimated
annual
burden
(hours)
1,090,346
607,122
1
1
1
1
1,090,346
607,122
Totals ........................................................................................................
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
SSA–3369 (Paper form) ..................................................................................
EDCS 3369 ......................................................................................................
1,697,468
........................
........................
1,697,468
2. Appeal of Determination for Help
with Medicare Prescription Drug Plan
Costs—0960–0695. Public Law 108–173,
the Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA), established the Medicare
Part D program for voluntary
prescription drug coverage for certain
low-income individuals. The MMA
stipulates subsidies must be available
for individuals who are eligible for the
program and who meet eligibility
criteria for help with premium,
VerDate Mar<15>2010
15:30 Nov 23, 2010
Jkt 223001
deductible, or co-payment costs. Form
SSA–1021, Appeal of Determination for
Help with Medicare Prescription Drug
Plan Costs, obtains information from
individuals who appeal SSA’s decisions
regarding eligibility or continuing
eligibility for a Medicare Part D subsidy.
The respondents are applicants who are
appealing SSA’s eligibility or
continuing eligibility decisions.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 75,000.
PO 00000
Frm 00121
Fmt 4703
Sfmt 9990
Frequency of Response: 1.
Average Burden per Response: 10
minutes.
Estimated Annual Burden: 12,500
hours.
Dated: November 18, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance,
Social Security Administration.
[FR Doc. 2010–29576 Filed 11–23–10; 8:45 am]
BILLING CODE 4191–02–P
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]]>Agencies
[Federal Register Volume 75, Number 226 (Wednesday, November 24, 2010)]
[Notices]
[Pages 71785-71786]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-29576]
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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 to 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 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 SSA Reports Clearance Officer at 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.
I. 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
January 24, 2011. 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. Continuing Disability Review Report--20 CFR 404.1589, 416.989-
0960-0072. SSA conducts periodic reviews to determine whether
individuals receiving disability benefits continue their entitlement to
or eligibility for those benefits. SSA collects the necessary
information on Form SSA-454 to complete the review for continued
disability for current Supplemental Security Income recipients. SSA
conducts reviews on a periodic basis depending on the respondent's
disability. We obtain information on sources of medical treatment,
participation in vocational rehabilitation programs (if any), attempts
to work (if any), and the opinions of individuals regarding whether
their conditions have improved. The respondents are Title II and/or
Title XVI disability recipients or their representatives.
[[Page 71786]]
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-454-BK (Paper version)...................... 1,500 1 60 1,500
EDCS *.......................................... 1,500 1 59 1,475
SSA-454-ICR..................................... 541,000 1 30 270,500
Abbreviated EDCS interview to supplement SSA-454- 541,000 .............. 25 225,417
ICR............................................
---------------------------------------------------------------
Totals...................................... 1,085,000 .............. .............. 498,892
----------------------------------------------------------------------------------------------------------------
* Claims representatives may choose to complete the EDCS 454 rather than the SSA-454-BK.
2. State Death Match Collections--20 CFR 404.301, 404.310-404.311,
404.316, 404.330-404-341, 404.350-404.352, 404.371; 416.912--0960-0700.
SSA uses the State Death Match Collections to ensure the accuracy of
payment files by detecting unreported or inaccurate deaths of
beneficiaries. Under the Social Security Act, entitlement to
retirement, disability, wife's, husband's, or parent's benefits
terminates when the beneficiary dies. The States furnish death
certificate information to SSA via the Manual Registration Process or
the Electronic Death Registration Process (EDR). Both Death Match
processes are automated electronic transfers between the States and
SSA. The respondents are the States' bureaus of vital statistics.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Frequency of Average cost Estimated
Collection format Number of responses per record annual cost
respondents (per state) request burden
----------------------------------------------------------------------------------------------------------------
State Death Match--Manual Process............... 23 50,000 .80 $920,000
State Death Match--EDR.......................... 30 50,000 2.86 4,290,000
---------------------------------------------------------------
Totals...................................... 53 .............. .............. * 5,210,000
----------------------------------------------------------------------------------------------------------------
* Please note both data matching processes are electronic and there is no hourly burden for the respondent to
provide this information.
II. SSA has submitted the information collection listed below to
OMB for clearance. Your comments on the information collection 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 December 27, 2010. You can obtain a copy of the OMB
clearance package by calling the SSA Reports Clearance Officer at 410-
965-8783 or by writing to the above e-mail address.
1. Work History Report--20 CFR 404.1515, 404.1560, 404.1565,
416.960 and 4163965--0960-0578. Under certain circumstances, SSA asks
individuals about work they performed in the past. Applicants use Form
SSA-3369 to provide detailed information about jobs held prior to
becoming unable to work. State Disability Determination Services
evaluate the information, together with medical evidence, to determine
eligibility for disability.
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-3369 (Paper form)........................... 1,090,346 1 1 1,090,346
EDCS 3369....................................... 607,122 1 1 607,122
---------------------------------------------------------------
Totals...................................... 1,697,468 .............. .............. 1,697,468
----------------------------------------------------------------------------------------------------------------
2. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. Public Law 108-173, the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA), established the
Medicare Part D program for voluntary prescription drug coverage for
certain low-income individuals. The MMA stipulates subsidies must be
available for individuals who are eligible for the program and who meet
eligibility criteria for help with premium, deductible, or co-payment
costs. Form SSA-1021, Appeal of Determination for Help with Medicare
Prescription Drug Plan Costs, obtains information from individuals who
appeal SSA's decisions regarding eligibility or continuing eligibility
for a Medicare Part D subsidy. The respondents are applicants who are
appealing SSA's eligibility or continuing eligibility decisions.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 12,500 hours.
Dated: November 18, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-29576 Filed 11-23-10; 8:45 am]
BILLING CODE 4191-02-P
