Agency Information Collection Activities: Proposed Request and Comment Request, 14441-14442 [2011-6082]

Download as PDF Federal Register / Vol. 76, No. 51 / Wednesday, March 16, 2011 / Notices on the collection of information summarized below. The Commission plans to submit this existing collection of information to the Office of Management and Budget for extension and approval. Form 40–F (17 CFR 249.240f) is used by certain Canadian issuers to register a class of securities under to Section 12 of the Securities Exchange Act of 1934 (‘‘Exchange Act’’) (15 U.S.C. 78l) or as an annual report pursuant to Section 13(a) or 15(d) of the Exchange Act (15 U.S.C. 78m(a) or 78o(d)). The information required in the Form 40–F is used by investors in making investment decisions with respect to the securities of such Canadian companies. We estimate that Form 40–F takes approximately 427 hours per response and is filed by approximately 205 respondents. We estimate that 25% of the 427 hours per response (106.75 hours) is prepared by the issuer for a total reporting burden of 21,884 (106.75 hours per response x 205 responses). Written comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) the accuracy of the agency’s estimate of the burden imposed by the collection of information; (c) ways to enhance the quality, utility, and clarity of the information collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Consideration will be given to comments and suggestions submitted in writing within 60 days of this publication. Please direct your written comments to Thomas Bayer, Chief Information Officer, Securities and Exchange Commission, C/O Remi Pavlik-Simon, 6432 General Green Way, Alexandria, Virginia 22312; or send an e-mail to: PRA_Mailbox@sec.gov. Dated: March 10, 2011. Cathy H. Ahn, Deputy Secretary. [FR Doc. 2011–6074 Filed 3–15–11; 8:45 am] BILLING CODE 8011–01–P jlentini on DSKJ8SOYB1PROD with NOTICES SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information VerDate Mar<15>2010 16:56 Mar 15, 2011 Jkt 223001 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 extensions of and a revision 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 collection listed 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 May 16, 2011. 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 email address. Statement Regarding Contributions— 20 CFR 404.360–404.366 and 404.736— 0960–0020. SSA examines a child’s current sources of support when determining the child’s entitlement to Social Security benefits. To make this determination, SSA collects information on Form SSA–783. The respondents are individuals providing information about a child’s sources of support. Type of Request: Revision of an OMBapproved information collection. Number of Respondents: 30,000. Frequency of Response: 1. Average Burden per Response: 17 minutes. Estimated Annual Burden: 8,500 hours. II. SSA 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 PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 14441 within 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than April 15, 2011. You can obtain copies 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. RSI/DI Quality Review Case Analysis—Sampled Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test— 0960–0189. SSA collects information on Forms SSA–2930, SSA–2931, and SSA– 2932 to establish a national payment accuracy rate for all cases in payment status, and to serve as a source of information regarding problem areas in the Retirement Survivors Insurance (RSI) and Disability Insurance (DI) programs. SSA also uses the information to measure the accuracy rate for newly adjudicated RSI/DI cases. SSA collects information on Form SSA–4659 to evaluate the effectiveness of the annual earnings test and uses the results in developing ongoing improvements in the process. About 25 percent of respondents will have in-person reviews and receive one of the following appointment letters: SSA–L8550–U3 (Appointment Letter— Sample Individual), SSA–L8551–U3 (Appointment Letter—Sample Family), or the SSA–L8552–U3 (Appointment Letter—Rep Payee). Seventy-five percent of respondents will receive a notice for a telephone review using the SSA–L8553–U3 (Beneficiary Telephone Contact) or the SSA–L8554–U3 (Rep Payee Telephone Contact). To help the beneficiary prepare for the interview, we include three forms with each notice: (1) SSA–85 (Information Needed to Review Your Social Security Claim) lists the information the beneficiary will need to gather for the interview; (2) SSA–2935 (Authorization to the Social Security Administration to Obtain Personal Information) verifies the beneficiary’s correct payment amount, if necessary; and (3) SSA–8552 (Interview Confirmation) confirms or reschedules the interview if necessary. The respondents are a statistically valid sample of all RSI/DI beneficiaries in current pay status or their representative payees. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\16MRN1.SGM 16MRN1 14442 Federal Register / Vol. 76, No. 51 / Wednesday, March 16, 2011 / Notices Number of responses Form number Average burden per response (minutes) Frequency of response Total annual burden (hours) SSA–2930 ........................................................................................................ SSA–2931 ........................................................................................................ SSA–2932 ........................................................................................................ SSA–4659 ........................................................................................................ SSA–L8550–U3 ............................................................................................... SSA–L8551–U3 ............................................................................................... SSA–L8552–U3 ............................................................................................... SSA–L8553–U3 ............................................................................................... SSA–L8554–U3 ............................................................................................... SSA–8552 ........................................................................................................ SSA–85 ............................................................................................................ SSA–2935 ........................................................................................................ SSA–820/821 ................................................................................................... SSA–8510 ........................................................................................................ iClaim Stewardship Questions ......................................................................... 1,500 750 100 325 385 95 35 4,490 670 2,350 3,850 2,350 400 800 324 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 30 30 20 10 5 5 5 5 5 5 5 5 15 5 10 750 375 33 54 32 8 3 374 56 196 321 196 100 67 54 Totals ........................................................................................................ 18,424 ........................ ........................ 2,619 2. Employer Reports of Special Wage Payments—20 CFR 404.428—404.429— 0960–0565. SSA collects information on the SSA–131 to prevent earnings-related overpayments and to avoid erroneous withholding of benefits. SSA field offices and processing centers also use Form SSA–131 for awards and postentitlement events requiring special wage payment verification from Number of respondents Completed form employers. The respondents are large and small businesses that make special wage payments to retirees. Type of Request: Extension of an OMB-approved information collection. Average burden per response (minutes) Frequency of response Total annual burden (hours) Paper Version: SSA–131 (without #6) ............................................................. Paper Version: SSA–131 (#6 only) ................................................................. Electronic Version: BSO Special Wage Payments ......................................... 105,000 1,050 26 1 1 1 20 2 5 35,000 35 2 Totals ........................................................................................................ 106,076 ........................ ........................ 35,037 Dated: March 11, 2011. Faye Lipsky, Reports Clearance Officer, Center for Reports Clearance, Social Security Administration. [FR Doc. 2011–6082 Filed 3–15–11; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 7359] 60-Day Notice of Proposed Information Collection: DS 6561 Pre-Assignment for Overseas Duty for Non Foreign Service Personnel; New Collection OMB Control Number 1405–XXXX Notice of request for public comments. jlentini on DSKJ8SOYB1PROD with NOTICES 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 SUMMARY: VerDate Mar<15>2010 16:56 Mar 15, 2011 Jkt 223001 Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. • Title of Information Collection: PreAssignment for Overseas Duty BonForeign Service Personnel. • OMB Control Number: 1405–XXXX. • Type of Request: New Collection. • Originating Office: M/MED/CL. • Form Number: DS 6561. • Respondents: Overseas employees and family members, not in the Foreign Service. • Estimated Number of Respondents: 8,000. • Estimated Number of Responses: 8,000. • Average Hours Per Response: 1 hour. • Total Estimated Burden: 8,000. • Frequency: Every 2–3 years. • Obligation to Respond: Mandatory to retain medical clearance. PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 The Department will accept comments from the public up to 60 days from March 16, 2011. ADDRESSES: Office of MED Clearances SA 15 1800 North Kent St. Rosslyn, VA 22209. You may submit comments by any of the following methods: • E-mail: mahoneybj@state.gov. • Mail (paper, disk, or CD–ROM submissions): 1800 N. Kent St. Rosslyn, VA 22209. • Fax: 703–875–4850. • Hand Delivery or Courier: [insert street address—this address is optional]. 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 Barbara Mahoney Office of Medical Services SA 15, 1800 N. Kent St. DATES: E:\FR\FM\16MRN1.SGM 16MRN1

Agencies

[Federal Register Volume 76, Number 51 (Wednesday, March 16, 2011)]
[Notices]
[Pages 14441-14442]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-6082]


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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 extensions of and a revision 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 collection listed 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 
May 16, 2011. 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.
    Statement Regarding Contributions--20 CFR 404.360-404.366 and 
404.736--0960-0020. SSA examines a child's current sources of support 
when determining the child's entitlement to Social Security benefits. 
To make this determination, SSA collects information on Form SSA-783. 
The respondents are individuals providing information about a child's 
sources of support.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 17 minutes.
    Estimated Annual Burden: 8,500 hours.
    II. SSA 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 April 15, 2011. You can obtain copies 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. RSI/DI Quality Review Case Analysis--Sampled Number Holder; 
Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test--0960-
0189. SSA collects information on Forms SSA-2930, SSA-2931, and SSA-
2932 to establish a national payment accuracy rate for all cases in 
payment status, and to serve as a source of information regarding 
problem areas in the Retirement Survivors Insurance (RSI) and 
Disability Insurance (DI) programs. SSA also uses the information to 
measure the accuracy rate for newly adjudicated RSI/DI cases. SSA 
collects information on Form SSA-4659 to evaluate the effectiveness of 
the annual earnings test and uses the results in developing ongoing 
improvements in the process.
    About 25 percent of respondents will have in-person reviews and 
receive one of the following appointment letters: SSA-L8550-U3 
(Appointment Letter--Sample Individual), SSA-L8551-U3 (Appointment 
Letter--Sample Family), or the SSA-L8552-U3 (Appointment Letter--Rep 
Payee). Seventy-five percent of respondents will receive a notice for a 
telephone review using the SSA-L8553-U3 (Beneficiary Telephone Contact) 
or the SSA-L8554-U3 (Rep Payee Telephone Contact).
    To help the beneficiary prepare for the interview, we include three 
forms with each notice:
    (1) SSA-85 (Information Needed to Review Your Social Security 
Claim) lists the information the beneficiary will need to gather for 
the interview;
    (2) SSA-2935 (Authorization to the Social Security Administration 
to Obtain Personal Information) verifies the beneficiary's correct 
payment amount, if necessary; and
    (3) SSA-8552 (Interview Confirmation) confirms or reschedules the 
interview if necessary.
    The respondents are a statistically valid sample of all RSI/DI 
beneficiaries in current pay status or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 14442]]



 
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                   Form number                       responses       response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-2930........................................           1,500               1              30             750
SSA-2931........................................             750               1              30             375
SSA-2932........................................             100               1              20              33
SSA-4659........................................             325               1              10              54
SSA-L8550-U3....................................             385               1               5              32
SSA-L8551-U3....................................              95               1               5               8
SSA-L8552-U3....................................              35               1               5               3
SSA-L8553-U3....................................           4,490               1               5             374
SSA-L8554-U3....................................             670               1               5              56
SSA-8552........................................           2,350               1               5             196
SSA-85..........................................           3,850               1               5             321
SSA-2935........................................           2,350               1               5             196
SSA-820/821.....................................             400               1              15             100
SSA-8510........................................             800               1               5              67
iClaim Stewardship Questions....................             324               1              10              54
                                                 ---------------------------------------------------------------
    Totals......................................          18,424  ..............  ..............           2,619
----------------------------------------------------------------------------------------------------------------

    2. Employer Reports of Special Wage Payments--20 CFR 404.428--
404.429--0960-0565. SSA collects information on the SSA-131 to prevent 
earnings-related overpayments and to avoid erroneous withholding of 
benefits. SSA field offices and processing centers also use Form SSA-
131 for awards and post-entitlement events requiring special wage 
payment verification from employers. The respondents are large and 
small businesses that make special wage payments to retirees.
    Type of Request: Extension of an OMB-approved information 
collection.

 
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                 Completed form                     respondents      response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6).....         105,000               1              20          35,000
Paper Version: SSA-131 (6 only)........           1,050               1               2              35
Electronic Version: BSO Special Wage Payments...              26               1               5               2
                                                 ---------------------------------------------------------------
    Totals......................................         106,076  ..............  ..............          35,037
----------------------------------------------------------------------------------------------------------------


    Dated: March 11, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-6082 Filed 3-15-11; 8:45 am]
BILLING CODE 4191-02-P