Agency Information Collection Activities: Proposed Request and Comment Request, 3688-3690 [2011-1028]

Download as PDF 3688 Federal Register / Vol. 76, No. 13 / Thursday, January 20, 2011 / Notices Electronic Comments • Use the Commission’s Internet comment form (http://www.sec.gov/ rules/sro.shtml); or • Send an e-mail to rulecomments@sec.gov. Please include File Number SR–NYSEAmex–2011–03 on the subject line. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.15 Elizabeth M. Murphy, Secretary. [FR Doc. 2011–1077 Filed 1–19–11; 8:45 am] BILLING CODE 8011–01–P Paper Comments SOCIAL SECURITY ADMINISTRATION • Send paper comments in triplicate to Elizabeth M. Murphy, Secretary, Securities and Exchange Commission, 100 F Street, NE., Washington, DC 20549–1090. Agency Information Collection Activities: Proposed Request and Comment Request mstockstill on DSKH9S0YB1PROD with NOTICES The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance All submissions should refer to File by the Office of Management and Number SR–NYSEAmex–2011–03. This Budget (OMB) in compliance with file number should be included on the Public Law 104–13, the Paperwork subject line if e-mail is used. To help the Reduction Act of 1995, effective October Commission process and review your 1, 1995. This notice includes revisions comments more efficiently, please use to OMB-approved information only one method. The Commission will collections. post all comments on the Commission’s SSA is soliciting comments on the Internet Web site (http://www.sec.gov/ accuracy of the agency’s burden rules/sro.shtml). Copies of the estimate; the need for the information; submission, all subsequent its practical utility; ways to enhance its amendments, all written statements quality, utility, and clarity; and ways to with respect to the proposed rule minimize burden on respondents, change that are filed with the including the use of automated collection techniques or other forms of Commission, and all written information technology. Mail, e-mail, or communications relating to the fax your comments and proposed rule change between the Commission and any person, other than recommendations on the information collection(s) to the OMB Desk Officer those that may be withheld from the and SSA Reports Clearance Officer at public in accordance with the the following addresses or fax numbers. provisions of 5 U.S.C. 552, will be (OMB), Office of Management and available for Web site viewing and Budget, Attn: Desk Officer for SSA, printing in the Commission’s Public Fax: 202–395–6974, E-mail address: Reference Room, 100 F Street, NE., OIRA_Submission@omb.eop.gov; Washington, DC 20549, on official (SSA), Social Security Administration, business days between the hours of 10 DCBFM, Attn: Reports Clearance a.m. and 3 p.m. Copies of the filing also Officer, 1333 Annex Building, 6401 will be available for inspection and Security Blvd., Baltimore, MD 21235, copying at the principal office of the Fax: 410–965–6400, E-mail address: Exchange. All comments received will OPLM.RCO@ssa.gov. be posted without change; the I. The information collections below Commission does not edit personal are pending at SSA. SSA will submit identifying information from them to OMB within 60 days from the submissions. You should submit only date of this notice. To be sure we information that you wish to make consider your comments, we must available publicly. All submissions receive them no later than March 21, should refer to File Number SR– 2011. Individuals can obtain copies of NYSEAmex–2011–03 and should be the collection instruments by calling the submitted on or before February 10, SSA Reports Clearance Officer at 410– 2011. 965–8783 or by writing to the above e-mail address. 15 17 VerDate Mar<15>2010 18:24 Jan 19, 2011 Jkt 223001 PO 00000 CFR 200.30–3(a)(12). Frm 00090 Fmt 4703 Sfmt 4703 1. Petition to Obtain Approval of a Fee for Representing a Claimant before the Social Security Administration—20 CFR 404.1720 and 404.1725; 20 CFR 416.1520 and 416.1525–0960–0104. A Social Security claimant’s representative, whether an attorney or a non-attorney, uses Form SSA–1560–U4 to petition SSA for authorization to charge and collect a fee. A claimant may also use the form to agree or disagree with the requested fee amount or other information the representative provides on the form. The SSA official responsible for setting the fee uses the information from the form to determine a reasonable fee amount representatives may charge for their services. Primary respondents are attorneys and nonattorneys who represent Social Security claimants. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 48,110. Frequency of Response: 1. Average Burden per Response: 30 minutes. Estimated Annual Burden: 24,055 hours. 2. Annual Earnings Test Direct Mail Follow-Up Program Notices—20 CFR 404.452–404.455—0960–0369. SSA developed the Annual Earnings Test Direct Mail Follow-up Program to improve beneficiary reporting on work and earnings during the year, and earnings information at the end of the year. SSA may reduce benefits payable under the Social Security Act when an individual has wages or selfemployment income exceeding the annual exempt amount. SSA identifies beneficiaries likely to receive more than the annual exempt amount, and requests more frequent estimates of earnings from them. When applicable, SSA also requests a future year estimate to reduce overpayments due to earnings. SSA sends letters (SSA–L9778, L9779, L9781, L9784, L9785, and L9790) to beneficiaries requesting earnings information the month prior to reaching full retirement age. We send each beneficiary a tailored letter, which includes relevant earnings data from SSA records. The Annual Earnings Test Direct Mail Follow-up Program helps to ensure Social Security payments are correct. The respondents are working Social Security beneficiaries. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\20JAN1.SGM 20JAN1 3689 Federal Register / Vol. 76, No. 13 / Thursday, January 20, 2011 / Notices Number of respondents Frequency of response Estimated burden per response (minutes) ............................................................................................................ ............................................................................................................ ............................................................................................................ ............................................................................................................ ............................................................................................................ ............................................................................................................ 42,630 158,865 472,437 1,270 15,870 45,000 1 1 1 1 1 1 10 10 10 10 10 10 7,105 26,478 78,740 212 2,645 7,500 Totals ........................................................................................................................ 736,072 .................... .................... 122,680 Collection instrument Form Form Form Form Form Form SSA–L9778 SSA–L9779 SSA–L9781 SSA–L9784 SSA–L9785 SSA–L9790 II. SSA has submitted the information collections listed 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 February 22, 2011. You can obtain a copy of the OMB clearance packages by calling the SSA Reports Clearance Officer at 410–965–8783 or by writing to the above e-mail address. 1. Request for Review of Hearing Decision/Order—20 CFR 404.967– 404.981, 416.1467–416.1481—0960– 0277. Claimants have a statutory right under the Social Security Act and current regulations to request review of an administrative law judge’s (ALJ) hearing decision or dismissal of a hearing request on Title II and Title XVI claims. Claimants may request Appeals Council review by filing a written request using Form HA–520. SSA uses the information to establish the claimant filed her or his request for review within the prescribed time and to ensure the claimant completed the requisite steps permitting the Appeals Council review. The Appeals Council uses the information to: (1) Document the claimant’s reason(s) for disagreeing with the ALJ’s decision or dismissal; (2) determine whether the claimant has additional evidence to submit; and (3) determine whether the claimant has a representative or wants to appoint one. The respondents are claimants requesting review of an ALJ’s decision or dismissal of hearing. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 145,000. Frequency of Response: 1. Average Burden per Response: 10 minutes. Estimated Annual Burden: 24,167 hours. 2. Development for Participation in a Vocational Rehabilitation or Similar Program—20 CFR 404.316(c), 404.337(c), 404.352(d), 404.1586(g), 404.1596, 404.1597(a), 404.327, 404.328, 416.1338(c)(d), 416.1320(d), 416.1331(a)–(b), and 416.1338—0960– 0282. State Disability Determination Services (DDS) must determine if Social Security disability payment recipients, whose disability ceased and who participate in vocational rehabilitation programs, may continue to receive disability payments. To do this, DDSs need information about the recipients, the types of program participation, and the services they receive under the rehabilitation program. SSA uses Form SSA–4290 to collect this information. The respondents are State employment Total annual burden (hours) networks, vocational rehabilitation agencies, or other providers of educational or job training services. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 3,000. Frequency of Response: 1. Average Burden per Response: 15 minutes. Estimated Annual Burden: 750 hours. 3. Acknowledgement of Receipt (Notice of Hearing)—20 CFR 404.938 & 416.1438—0960–0671. SSA uses Forms HA–504 and HA–504–OP1 to inform claimants of a scheduled hearing. Claimants complete the form to acknowledge they will attend the hearing or to ask the ALJ to reschedule the hearing. The ALJ uses the information to prepare for the scheduled hearing or to reschedule the hearing to a different date or location. The only difference between the two forms is the exclusion of the video teleconferencing option on the HA–504–OP1. We exclude video teleconferencing when it is not feasible, based on certain circumstances, for the ALJ’s use. The respondents are applicants for Social Security benefits who request a hearing to appeal an unfavorable entitlement or continued eligibility determination. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) HA–504 (with teleconferencing) ...................................................................................... HA–504–OP1 ................................................................................................................... 70,000 630,000 1 1 30 30 35,000 315,000 Total .......................................................................................................................... 700,000 .................... .................... 350,000 mstockstill on DSKH9S0YB1PROD with NOTICES Version of the HA–504 VerDate Mar<15>2010 18:24 Jan 19, 2011 Jkt 223001 PO 00000 Frm 00091 Fmt 4703 Sfmt 9990 E:\FR\FM\20JAN1.SGM 20JAN1 Total annual burden (hours) 3690 Federal Register / Vol. 76, No. 13 / Thursday, January 20, 2011 / Notices Dated: January 13, 2011. Elizabeth A. Davidson, Center Director, Center for Reports Clearance Office of Documents Management, OPLM, BFM. [FR Doc. 2011–1028 Filed 1–19–11; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 7303] 60-Day Notice of Proposed Information Collection: DS–60, Affidavit Regarding a Change of Name, OMB Control Number 1405–0133 Notice of request for public comments. ACTION: The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. • Title of Information Collection: Affidavit Regarding a Change of Name. • OMB Control Number: 1405–0133. • Type of Request: Extension of a Currently Approved Collection. • Originating Office: Bureau of Consular Affairs, CA/PPT. • Form Number: DS–60. • Respondents: Individuals or Households. • Estimated Number of Respondents: 202,920 per year. • Estimated Number of Responses: 202,920 per year. • Average Hours per Response: 15 minutes. • Total Estimated Burden: 50,730 hours. • Frequency: On Occasion. • Obligation to Respond: Required to Obtain or Retain a Benefit. DATES: The Department will accept comments from the public up to 60 days from January 20, 2011. ADDRESSES: You may submit comments by any of the following methods: • E-mail: PPTFormsOfficer@state.gov. • Mail (paper, disk, or CD–ROM submissions): Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue, NW., Room 3031, Washington, DC 20037. You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence. mstockstill on DSKH9S0YB1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 18:24 Jan 19, 2011 Jkt 223001 FOR FURTHER INFORMATION CONTACT: Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed information collection and supporting documents, to Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue, NW., Room 3031, Washington, DC 20037, who may be reached on 202– 663–2457 or at PPTFormsOfficer@state.gov. SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary for the proper performance of our functions. • Evaluate the accuracy of our estimate of the burden of the proposed collection, including the validity of the methodology and assumptions used. • Enhance the quality, utility, and clarity of the information to be collected. • Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of technology. Abstract of proposed collection: The Affidavit Regarding a Change of Name is submitted in conjunction with an application for a U.S. passport. It is used by Passport Services to collect information for the purpose of establishing that a passport applicant has adopted a new name without formal court proceedings or by marriage and has publicly and exclusively used the adopted name over a period of time (at least five years). Methodology: When needed, the Affidavit Regarding a Change of Name is completed at the time a U.S. citizen applies for a U.S. passport. Dated: January 11, 2011. Brenda Sprague, Deputy Assistant Secretary for Passport Services, Bureau of Consular Affairs, Department of State. [FR Doc. 2011–1186 Filed 1–19–11; 8:45 am] BILLING CODE 4710–06–P DEPARTMENT OF STATE [Public Notice: 7304] 60-Day Notice of Proposed Information Collection: DS–10, Birth Affidavit, OMB Control Number 1405–0132 Notice of request for public comments. ACTION: The Department of State is seeking Office of Management and SUMMARY: PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. • Title of Information Collection: Birth Affidavit. • OMB Control Number: 1405–0132. • Type of Request: Extension of a Currently Approved Collection. • Originating Office: Bureau of Consular Affairs, CA/PPT/FO/FC. • Form Number: DS–10. • Respondents: Individuals or Households. • Estimated Number of Respondents: 154,850 per year. • Estimated Number of Responses: 154,850 per year. • Average Hours per Response: 15 minutes. • Total Estimated Burden: 38,713 hours. • Frequency: On Occasion. • Obligation to Respond: Required to Obtain or Retain a Benefit. DATES: The Department will accept comments from the public up to 60 days from January 20, 2011. ADDRESSES: You may submit comments by any of the following methods: • E-mail: PPTFormsOfficer@state.gov. • Mail (paper, disk, or CD–ROM submissions): Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue, NW., Room 3031, Washington, DC 20037. You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence. FOR FURTHER INFORMATION CONTACT: Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed information collection and supporting documents, to Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue, NW., Room 3031, Washington, DC 20037, who may be reached on 202– 663–2457 or at PPTFormsOfficer@state.gov. SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary for the proper performance of our functions. • Evaluate the accuracy of our estimate of the burden of the proposed E:\FR\FM\20JAN1.SGM 20JAN1

Agencies

[Federal Register Volume 76, Number 13 (Thursday, January 20, 2011)]
[Notices]
[Pages 3688-3690]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-1028]


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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 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, e-mail, 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 
March 21, 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. Petition to Obtain Approval of a Fee for Representing a Claimant 
before the Social Security Administration--20 CFR 404.1720 and 
404.1725; 20 CFR 416.1520 and 416.1525-0960-0104. A Social Security 
claimant's representative, whether an attorney or a non-attorney, uses 
Form SSA-1560-U4 to petition SSA for authorization to charge and 
collect a fee. A claimant may also use the form to agree or disagree 
with the requested fee amount or other information the representative 
provides on the form. The SSA official responsible for setting the fee 
uses the information from the form to determine a reasonable fee amount 
representatives may charge for their services. Primary respondents are 
attorneys and non-attorneys who represent Social Security claimants.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 48,110.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 24,055 hours.
    2. Annual Earnings Test Direct Mail Follow-Up Program Notices--20 
CFR 404.452-404.455--0960-0369. SSA developed the Annual Earnings Test 
Direct Mail Follow-up Program to improve beneficiary reporting on work 
and earnings during the year, and earnings information at the end of 
the year. SSA may reduce benefits payable under the Social Security Act 
when an individual has wages or self-employment income exceeding the 
annual exempt amount. SSA identifies beneficiaries likely to receive 
more than the annual exempt amount, and requests more frequent 
estimates of earnings from them. When applicable, SSA also requests a 
future year estimate to reduce overpayments due to earnings. SSA sends 
letters (SSA-L9778, L9779, L9781, L9784, L9785, and L9790) to 
beneficiaries requesting earnings information the month prior to 
reaching full retirement age. We send each beneficiary a tailored 
letter, which includes relevant earnings data from SSA records. The 
Annual Earnings Test Direct Mail Follow-up Program helps to ensure 
Social Security payments are correct. The respondents are working 
Social Security beneficiaries.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 3689]]



----------------------------------------------------------------------------------------------------------------
                                                                                         Estimated      Total
                                                               Number of    Frequency    burden per     annual
                    Collection instrument                     respondents  of response    response      burden
                                                                                         (minutes)     (hours)
----------------------------------------------------------------------------------------------------------------
Form SSA-L9778..............................................       42,630            1           10        7,105
Form SSA-L9779..............................................      158,865            1           10       26,478
Form SSA-L9781..............................................      472,437            1           10       78,740
Form SSA-L9784..............................................        1,270            1           10          212
Form SSA-L9785..............................................       15,870            1           10        2,645
Form SSA-L9790..............................................       45,000            1           10        7,500
                                                             ---------------------------------------------------
    Totals..................................................      736,072  ...........  ...........      122,680
----------------------------------------------------------------------------------------------------------------

    II. SSA has submitted the information collections listed 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 February 22, 2011. You can obtain a copy of 
the OMB clearance packages by calling the SSA Reports Clearance Officer 
at 410-965-8783 or by writing to the above e-mail address.
    1. Request for Review of Hearing Decision/Order--20 CFR 404.967-
404.981, 416.1467-416.1481--0960-0277. Claimants have a statutory right 
under the Social Security Act and current regulations to request review 
of an administrative law judge's (ALJ) hearing decision or dismissal of 
a hearing request on Title II and Title XVI claims. Claimants may 
request Appeals Council review by filing a written request using Form 
HA-520. SSA uses the information to establish the claimant filed her or 
his request for review within the prescribed time and to ensure the 
claimant completed the requisite steps permitting the Appeals Council 
review. The Appeals Council uses the information to: (1) Document the 
claimant's reason(s) for disagreeing with the ALJ's decision or 
dismissal; (2) determine whether the claimant has additional evidence 
to submit; and (3) determine whether the claimant has a representative 
or wants to appoint one. The respondents are claimants requesting 
review of an ALJ's decision or dismissal of hearing.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 145,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 24,167 hours.
    2. Development for Participation in a Vocational Rehabilitation or 
Similar Program--20 CFR 404.316(c), 404.337(c), 404.352(d), 
404.1586(g), 404.1596, 404.1597(a), 404.327, 404.328, 416.1338(c)(d), 
416.1320(d), 416.1331(a)-(b), and 416.1338--0960-0282. State Disability 
Determination Services (DDS) must determine if Social Security 
disability payment recipients, whose disability ceased and who 
participate in vocational rehabilitation programs, may continue to 
receive disability payments. To do this, DDSs need information about 
the recipients, the types of program participation, and the services 
they receive under the rehabilitation program. SSA uses Form SSA-4290 
to collect this information. The respondents are State employment 
networks, vocational rehabilitation agencies, or other providers of 
educational or job training services.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 3,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 750 hours.
    3. Acknowledgement of Receipt (Notice of Hearing)--20 CFR 404.938 & 
416.1438--0960-0671. SSA uses Forms HA-504 and HA-504-OP1 to inform 
claimants of a scheduled hearing. Claimants complete the form to 
acknowledge they will attend the hearing or to ask the ALJ to 
reschedule the hearing. The ALJ uses the information to prepare for the 
scheduled hearing or to reschedule the hearing to a different date or 
location. The only difference between the two forms is the exclusion of 
the video teleconferencing option on the HA-504-OP1. We exclude video 
teleconferencing when it is not feasible, based on certain 
circumstances, for the ALJ's use. The respondents are applicants for 
Social Security benefits who request a hearing to appeal an unfavorable 
entitlement or continued eligibility determination.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                          Average       Total
                                                               Number of    Frequency    burden per     annual
                    Version of the HA-504                     respondents  of response    response      burden
                                                                                         (minutes)     (hours)
----------------------------------------------------------------------------------------------------------------
HA-504 (with teleconferencing)..............................       70,000            1           30       35,000
HA-504-OP1..................................................      630,000            1           30      315,000
                                                             ---------------------------------------------------
    Total...................................................      700,000  ...........  ...........      350,000
----------------------------------------------------------------------------------------------------------------



[[Page 3690]]

    Dated: January 13, 2011.
Elizabeth A. Davidson,
Center Director, Center for Reports Clearance Office of Documents 
Management, OPLM, BFM.
[FR Doc. 2011-1028 Filed 1-19-11; 8:45 am]
BILLING CODE 4191-02-P