Agency Information Collection Activities: Proposed Request and Comment Request, 16849-16850 [2011-7124]
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16849
Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices
2. Sheltered Workshop Wage
Reporting—0960–0771. Sheltered
workshops are nonprofit organizations
or institutions that implement a
recognized program of rehabilitation for
workers who have handicaps, or
provide such workers with
remunerative employment or other
occupational rehabilitating activity of an
educational or therapeutic nature.
Sheltered workshops perform a service
for their clients by reporting monthly
wages directly to SSA. SSA uses the
information these workshops provide to
verify and post monthly wages to the
SSI recipient’s record. Most workshops
report monthly wage totals to their local
SSA office so we can adjust the client’s
SSI payment amount in a timely manner
and prevent overpayments. Sheltered
workshops are motivated to report
wages voluntarily as a service to their
clients. Respondents are sheltered
workshops that report monthly wages
for services performed in the workshop.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 900.
Frequency of Response: 12.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 3,000
hours.
3. Request for Medical Treatment in
an SSA Employee Health Facility:
Patient Self-Administered or StaffAdministered Care—0960–0772. SSA’s
Number of
respondents
Medication dosage changes
Employee Health Clinic (EHC) provides
emergency care, treatment of on-the-job
illnesses and injuries, and health care
for employees with chronic medical
conditions and allergies who require
allergy antigens. SSA also permits
employees to use the EHC for selfadministration of medical treatments for
a chronic health condition. SSA collects
information on Form SSA–5072 to
approve or deny requests for medical
treatment in an SSA EHC. The
respondents are the private physicians
of the SSA employees seeking medical
treatment in an SSA EHC.
Type of Request: Information
Collection in Use without an OMB
Number.
Average
burden per
response
(minutes)
Frequency of
response
Total annual
burden (hours)
Annually ...........................................................................................................
Bi-Annually .......................................................................................................
25
75
1
2
5
5
2
13
Totals ........................................................................................................
100
........................
........................
15
Dated: March 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2011–7123 Filed 3–24–11; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
erowe on DSK5CLS3C1PROD with NOTICES
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
and an extension of 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.
VerDate Mar<15>2010
15:16 Mar 24, 2011
Jkt 223001
(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 May 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. Questionnaire about Employment
or Self-Employment outside the United
States—20 CFR 404.401(b)(1), 404.415 &
404.417—0960–0050. SSA collects
information on the SSA–7163 to
determine: (1) Whether work
beneficiaries performed outside the
United States is cause for deductions
from their monthly benefits; (2) which
of two work tests (foreign or regular test)
is applicable; and (3) the number of
months, if any, SSA should impose
deductions. Respondents are
beneficiaries living and working outside
the United States.
PO 00000
Frm 00126
Fmt 4703
Sfmt 4703
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden per Response: 12
minutes.
Estimated Annual Burden: 4,000
hours.
2. Statement of Income and
Resources—20 CFR 416.207, 146.301–
416.310, 416.704, and 416.708–0960–
0124. SSA collects information about
income and resources on the SSA–
8010–BK for Supplemental Security
Income (SSI) claims and
redeterminations. SSA uses the
information to make initial or
continuing eligibility determinations for
SSI claimants or recipients who are
subject to deeming. The respondents are
persons whose income and resources
SSA may deem (consider to be
available) to SSI applicants or
recipients.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden per Response: 26
minutes.
Estimated Annual Burden: 147,767
hours.
3. Review of the Disability Hearing
Officer’s Reconsidered Determinations
before It Is Issued—20 CFR 404.913–
404.918, 404.1512–404.1515, 404.1589,
416.912–416.915, 416.989, 416.1413–
416.1418, 404.918(d) and 416.1418(d)—
0960–0709. After SSA approves
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16850
Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices
claimants for Social Security disability
benefits or SSI payments, SSA
periodically conducts a continuing
disability review (CDR). During a CDR,
the agency reviews claimants’ status to
see if their condition improved to the
point they are capable of working, and
if so, to reduce or stop their benefits or
payments. If SSA notifies a claimant the
agency will stop benefits or payments,
the claimant may appeal the
determination. The first appeal gives the
claimant the opportunity for a full
evidentiary hearing before a disability
hearing officer (DHO).
For quality review purposes, a Federal
component reviews a small sample of
the DHO’s determinations. It is rare for
the reviewing component to reverse a
DHO determination favorable to the
claimant. Before SSA can issue an
unfavorable determination, we give the
claimant 10 days to provide a written
statement explaining why SSA should
not stop payments. The written
statement is the information SSA
collects in this process. Respondents are
CDR claimants whose payments may
cease.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 8.
Frequency of Response: 1.
Average Burden per Response: 60
minutes.
Estimated Annual Burden: 8 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 25, 2011. 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. Application for Survivors
Benefits—20 CFR 404.611(a) and (c)—
0960–0062. Surviving family members
of armed services personnel can file for
Social Security and veterans’ benefits at
SSA or the Veterans Administration
(VA). Applicants file for title II survivor
benefits at the VA by completing the
SSA–24. The VA forwards the form to
SSA for processing. SSA uses the
information to determine eligibility for
benefits. The respondents are survivors
of deceased armed services personnel
who are applying for benefits at the VA.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 3,200.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
VerDate Mar<15>2010
15:16 Mar 24, 2011
Jkt 223001
Estimated Annual Burden: 800 hours.
2. Employee Work Activity
Questionnaire—20 CFR 404.1574,
404.1592—0960–0483. Social Security
disability beneficiaries and SSI
recipients qualify for payments when a
verified physical or mental impairment
prevents them from working. If
disability claimants attempt to return to
work after receiving payments, but are
unable to continue working, they submit
the SSA–3033, Employee Work Activity
Questionnaire, so SSA can evaluate
their work attempt. SSA also uses this
form to evaluate unsuccessful subsidy
work and determine applicants’
continuing eligibility for disability
payments. The respondents are
employers of Social Security disability
beneficiaries and SSI recipients who
unsuccessfully attempted to return to
work.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 3,750
hours.
Dated: March 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2011–7124 Filed 3–24–11; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 7385]
60-Day Notice of Proposed Information
Collection: Agency Form DS–4127,
NEA/PI Online Performance Reporting
System (PRS), OMB Control Number
1405–0183.
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:
NEA/PI Online Performance Reporting
System (PRS).
• OMB Control Number: 1405–0183.
• Type of Request: Renewal.
• Originating Office: NEA/PI.
• Form Number: DS–4127.
• Respondents: Recipients of NEA/PI
grants.
SUMMARY:
PO 00000
Frm 00127
Fmt 4703
Sfmt 4703
• Estimated Number of Respondents:
70 respondents annually.
• Estimated Number of Responses:
280 per year.
• Average Hours Per Response: 20.
• Total Estimated Burden: 5,600
hours per year.
• Frequency: Quarterly.
• Obligation to Respond: Required to
Obtain or Retain a Benefit.
DATES: The Department will accept
comments from the public up to 60 days
from March 25, 2011.
ADDRESSES: You may submit comments
by any of the following methods:
• E-mail:
mepidatabasecomments@state.gov.
• Mail (paper, disk, or CD–ROM
submissions): Catherine Bourgeois,
Deputy Director, U.S. Department of
State, Office of the Middle East
Partnership Initiative (NEA/PI), Bureau
of Near Eastern Affairs, NEA Mail
Room—Room 6258, 2201 C St., NW.,
Washington, DC 20520.
• Fax: 202–647–8445.
• Hand Delivery or Courier: 2430 E
St., NW. (23rd and D St., NW.), Navy
Hill—SA–4—Central, Second Floor,
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:
Please 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
Neil Stormer, U.S. Department of State,
Office of the Middle East Partnership
Initiative (NEA/PI), Bureau of Near
Eastern Affairs, NEA Mail Room—Room
6258, 2201 C St., NW., Washington, DC
20520, who may be reached on 202–
776–8595 or at stormernc@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: Since
2002, MEPI has obligated more than
$600 million to over 550 organizations,
E:\FR\FM\25MRN1.SGM
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]]>Agencies
[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16849-16850]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-7124]
=======================================================================
-----------------------------------------------------------------------
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 and an extension of 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 May
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. Questionnaire about Employment or Self-Employment outside the
United States--20 CFR 404.401(b)(1), 404.415 & 404.417--0960-0050. SSA
collects information on the SSA-7163 to determine: (1) Whether work
beneficiaries performed outside the United States is cause for
deductions from their monthly benefits; (2) which of two work tests
(foreign or regular test) is applicable; and (3) the number of months,
if any, SSA should impose deductions. Respondents are beneficiaries
living and working outside the United States.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 4,000 hours.
2. Statement of Income and Resources--20 CFR 416.207, 146.301-
416.310, 416.704, and 416.708-0960-0124. SSA collects information about
income and resources on the SSA-8010-BK for Supplemental Security
Income (SSI) claims and redeterminations. SSA uses the information to
make initial or continuing eligibility determinations for SSI claimants
or recipients who are subject to deeming. The respondents are persons
whose income and resources SSA may deem (consider to be available) to
SSI applicants or recipients.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 341,000.
Frequency of Response: 1.
Average Burden per Response: 26 minutes.
Estimated Annual Burden: 147,767 hours.
3. Review of the Disability Hearing Officer's Reconsidered
Determinations before It Is Issued--20 CFR 404.913-404.918, 404.1512-
404.1515, 404.1589, 416.912-416.915, 416.989, 416.1413-416.1418,
404.918(d) and 416.1418(d)--0960-0709. After SSA approves
[[Page 16850]]
claimants for Social Security disability benefits or SSI payments, SSA
periodically conducts a continuing disability review (CDR). During a
CDR, the agency reviews claimants' status to see if their condition
improved to the point they are capable of working, and if so, to reduce
or stop their benefits or payments. If SSA notifies a claimant the
agency will stop benefits or payments, the claimant may appeal the
determination. The first appeal gives the claimant the opportunity for
a full evidentiary hearing before a disability hearing officer (DHO).
For quality review purposes, a Federal component reviews a small
sample of the DHO's determinations. It is rare for the reviewing
component to reverse a DHO determination favorable to the claimant.
Before SSA can issue an unfavorable determination, we give the claimant
10 days to provide a written statement explaining why SSA should not
stop payments. The written statement is the information SSA collects in
this process. Respondents are CDR claimants whose payments may cease.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 8.
Frequency of Response: 1.
Average Burden per Response: 60 minutes.
Estimated Annual Burden: 8 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 25, 2011. 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. Application for Survivors Benefits--20 CFR 404.611(a) and (c)--
0960-0062. Surviving family members of armed services personnel can
file for Social Security and veterans' benefits at SSA or the Veterans
Administration (VA). Applicants file for title II survivor benefits at
the VA by completing the SSA-24. The VA forwards the form to SSA for
processing. SSA uses the information to determine eligibility for
benefits. The respondents are survivors of deceased armed services
personnel who are applying for benefits at the VA.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 3,200.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 800 hours.
2. Employee Work Activity Questionnaire--20 CFR 404.1574,
404.1592--0960-0483. Social Security disability beneficiaries and SSI
recipients qualify for payments when a verified physical or mental
impairment prevents them from working. If disability claimants attempt
to return to work after receiving payments, but are unable to continue
working, they submit the SSA-3033, Employee Work Activity
Questionnaire, so SSA can evaluate their work attempt. SSA also uses
this form to evaluate unsuccessful subsidy work and determine
applicants' continuing eligibility for disability payments. The
respondents are employers of Social Security disability beneficiaries
and SSI recipients who unsuccessfully attempted to return to work.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 15,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 3,750 hours.
Dated: March 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-7124 Filed 3-24-11; 8:45 am]
BILLING CODE 4191-02-P
