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