Agency Information Collection Activities; Proposed Request and Comment Request, 38449-38450 [2011-16421]
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38449
Federal Register / Vol. 76, No. 126 / Thursday, June 30, 2011 / Notices
418.3645 ..........................................................................................................
418.3665(a) ......................................................................................................
418.3670 ..........................................................................................................
Total ..........................................................................................................
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2011–16420 Filed 6–29–11; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities; Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 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
srobinson on DSK4SPTVN1PROD with NOTICES
10
1,000
5
3,515
Jkt 223001
20
5
10
........................
I. The information collection 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 August 29, 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.
Number of
respondents
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 August 1, 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.
16:24 Jun 29, 2011
1
1
1
........................
(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.
........................................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
VerDate Mar<15>2010
Average
burden per
response
(minutes)
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.
Form No.
SSA–3192
SSA–3193
SSA–3194
Totals
Frequency of
response
Number of
respondents
Section
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
3
83
1
295
Medical Permit Parking Application—
41 CFR 101–20.104–2—0960–0624
SSA employees and contractors with
a qualifying medical condition who
park at SSA-owned and SSA-leased
facilities may receive a medical parking
permit. SSA uses three forms as part of
this program: (1) SSA–3192, Physician’s
Report (the applicant’s physician
completes this to verify the medical
condition); (2) SSA–3193, Application
and Statement (the person seeking the
permit completes this when first
applying for the medical parking space);
and (3) SSA–3194, Renewal
Certification (medical parking permit
holders complete this to verify their
continued need for the permit). The
respondents are SSA employees and
contractors seeking medical parking
permits and their physicians. Note:
Because SSA employees are Federal
workers exempt from the requirements
of the Paperwork Reduction Act, the
burden below is only for SSA
contractors and physicians (of both SSA
employees and contractors).
Type of Request: Revision to an OMBapproved information collection.
Frequency of
response
75
400
500
975
1. Electronic Benefit Verification
Information (BEVE)—20 CFR 401.40—
0960–0595
The electronic proof of income (POI)
verification Internet service, BEVE,
provides Supplemental Security Income
(SSI) recipients, Social Security
beneficiaries, and Medicare
beneficiaries the convenience of
requesting a POI statement through the
Internet. Beneficiaries and SSI
recipients often require POI to obtain
housing, food stamps, or other public
services. After verifying the requester’s
identity, SSA uses the information from
BEVE to provide the POI statement. SSA
Estimated
annual
burden
(hours)
1
1
1
—
Average
burden per
response
(minutes)
90
30
5
—
Estimated
annual
burden
(hours)
113
200
42
355
will enhance the current BEVE Internet
application with the release of the new
Internet Request a Benefit Verification
Letter (iBEVE) application. The
implementation of iBEVE is contingent
upon our release of SSA’s new Public
Credentialing and Authentication
Process and the MySocialSecurity.gov
initiatives. We are revising the
information collection to include the
release of the iBEVE application. The
respondents are Social Security
beneficiaries, Medicare beneficiaries,
and SSI recipients.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\30JNN1.SGM
30JNN1
38450
Federal Register / Vol. 76, No. 126 / Thursday, June 30, 2011 / Notices
Number of respondents
Internet application method
BEVE ...............................................................................................................
iBEVE ...............................................................................................................
Totals ........................................................................................................
2. Authorization to Obtain Earnings
Data From the Social Security
Administration—0960–0602
SSA collects information on Form
SSA–581 to identify the earnings record,
verify authorized access to the earnings
record, and produce an itemized
statement for release to the proper party.
The respondents are various private or
public organizations, or agencies
needing detailed earnings information.
Type of Request: Revision of an OMBapproved information collection.
870,958
1,007,744
1,878,702
When determining the effects of a
child’s impairment(s), SSA obtains
information about the child’s
Note: This is a correction notice. On April
6, 2011, at 76 FR 19175, SSA published a
notice for this collection in which we
inadvertently omitted the burden hours for
both the electronic and paper version of
Form SSA–5665–BK.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2011–16421 Filed 6–29–11; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 7512]
60-Day Notice of Proposed Information
Collections: Ten Information
Collections
Notice of request for public
comments.
ACTION:
The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collections described
below. The purpose of this notice is to
allow 60 days for public comments in
the Federal Register preceding
submission to OMB. We are conducting
this process in accordance with the
Paperwork Reduction Act of 1995.
srobinson on DSK4SPTVN1PROD with NOTICES
16:24 Jun 29, 2011
Jkt 223001
Average
burden per
response
(minutes)
1
1
1
........................
40
40
30
........................
• Title of Information Collection:
Application/License for Permanent
Export of Unclassified Defense Articles
and Related Unclassified Technical Data
• OMB Control Number: 1405–0003
• Type of Request: Extension of
Currently Approved Collection
• Originating Office: Bureau of
Political-Military Affairs, Directorate of
Defense Trade Controls, PM/DDTC
• Form Number: DSP–5
• Respondents: Business and
Nonprofit Organizations
• Estimated Number of Respondents:
2,500
• Estimated Number of Responses:
56,000
• Average Hours per Response: 1
hour
• Total Estimated Burden: 56,000
hours
• Frequency: On Occasion
• Obligation to Respond: Required to
Obtain Benefits
• Title of Information Collection:
Application/License for Temporary
Import of Unclassified Defense Articles
• OMB Control Number: 1405–0013
• Type of Request: Extension of
Currently Approved Collection
• Originating Office: Bureau of
Political-Military Affairs, Directorate of
Defense Trade Controls, PM/DDTC
• Form Number: DSP–61
PO 00000
Frm 00103
Fmt 4703
Sfmt 4703
5
4
—
Frequency of
response
Number of
respondents
388,581
11,419
397,000
797,000
Average burden per response (minutes)
Total annual
burden (hours)
72,580
67,183
139,763
functioning from teachers, parents, and
others who observe the child on a daily
basis. SSA obtains results of formal
testing, teacher reports, therapy progress
notes, individualized education
programs, and other records of a child’s
educational aptitude and achievement
using Forms SSA–5665 and SSA–5666.
The respondents are parents, teachers,
and other education personnel.
Type of Request: Revision of an OMBapproved information collection.
3. Teacher Questionnaire and Request
for Administrative Information—20
CFR 416.1103(f)—0960–0646
SSA–5665–BK (electronic) ..............................................................................
SSA–5665–BK (paper) ....................................................................................
SSA–5666 ........................................................................................................
Totals ........................................................................................................
VerDate Mar<15>2010
1
1
—
Number of Respondents: 32,000.
Frequency of Response: 1.
Average Burden per Response: 2
minutes.
Estimated Annual Burden: 1,067
hours.
Form No.
SUMMARY:
Frequency of
response
Total annual
burden (hours)
259,054
7,613
198,500
465,167
• Respondents: Business and
Nonprofit Organizations
• Estimated Number of Respondents:
240
• Estimated Number of Responses:
1,500
• Average Hours per Response: 30
minutes
• Total Estimated Burden: 750 hours
• Frequency: On Occasion
• Obligation to Respond: Required to
Obtain Benefits
• Title of Information Collection:
Application/License for Temporary
Export of Unclassified Defense Articles
• OMB Control Number: 1405–0023
• Type of Request: Extension of
Currently Approved Collection
• Originating Office: Bureau of
Political-Military Affairs, Directorate of
Defense Trade Controls, PM/DDTC
• Form Number: DSP–73
• Respondents: Business and
Nonprofit Organizations
• Estimated Number of Respondents:
510
• Estimated Number of Responses:
5,000
• Average Hours per Response: 1
hour
• Total Estimated Burden: 5,000
hours
• Frequency: On Occasion
• Obligation to Respond: Required to
Obtain Benefits
E:\FR\FM\30JNN1.SGM
30JNN1
]]>Agencies
[Federal Register Volume 76, Number 126 (Thursday, June 30, 2011)]
[Notices]
[Pages 38449-38450]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-16421]
-----------------------------------------------------------------------
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 collection 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
August 29, 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.
Medical Permit Parking Application--41 CFR 101-20.104-2--0960-0624
SSA employees and contractors with a qualifying medical condition
who park at SSA-owned and SSA-leased facilities may receive a medical
parking permit. SSA uses three forms as part of this program: (1) SSA-
3192, Physician's Report (the applicant's physician completes this to
verify the medical condition); (2) SSA-3193, Application and Statement
(the person seeking the permit completes this when first applying for
the medical parking space); and (3) SSA-3194, Renewal Certification
(medical parking permit holders complete this to verify their continued
need for the permit). The respondents are SSA employees and contractors
seeking medical parking permits and their physicians. Note: Because SSA
employees are Federal workers exempt from the requirements of the
Paperwork Reduction Act, the burden below is only for SSA contractors
and physicians (of both SSA employees and contractors).
Type of Request: Revision to an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Form No. respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................ 75 1 90 113
SSA-3193........................................ 400 1 30 200
SSA-3194........................................ 500 1 5 42
Totals...................................... 975 -- -- 355
----------------------------------------------------------------------------------------------------------------
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 August 1, 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. Electronic Benefit Verification Information (BEVE)--20 CFR 401.40--
0960-0595
The electronic proof of income (POI) verification Internet service,
BEVE, provides Supplemental Security Income (SSI) recipients, Social
Security beneficiaries, and Medicare beneficiaries the convenience of
requesting a POI statement through the Internet. Beneficiaries and SSI
recipients often require POI to obtain housing, food stamps, or other
public services. After verifying the requester's identity, SSA uses the
information from BEVE to provide the POI statement. SSA will enhance
the current BEVE Internet application with the release of the new
Internet Request a Benefit Verification Letter (iBEVE) application. The
implementation of iBEVE is contingent upon our release of SSA's new
Public Credentialing and Authentication Process and the
MySocialSecurity.gov initiatives. We are revising the information
collection to include the release of the iBEVE application. The
respondents are Social Security beneficiaries, Medicare beneficiaries,
and SSI recipients.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 38450]]
----------------------------------------------------------------------------------------------------------------
Average burden
Internet application method Number of Frequency of per response Total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
BEVE............................................ 870,958 1 5 72,580
iBEVE........................................... 1,007,744 1 4 67,183
Totals...................................... 1,878,702 -- -- 139,763
----------------------------------------------------------------------------------------------------------------
2. Authorization to Obtain Earnings Data From the Social Security
Administration--0960-0602
SSA collects information on Form SSA-581 to identify the earnings
record, verify authorized access to the earnings record, and produce an
itemized statement for release to the proper party. The respondents are
various private or public organizations, or agencies needing detailed
earnings information.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 32,000.
Frequency of Response: 1.
Average Burden per Response: 2 minutes.
Estimated Annual Burden: 1,067 hours.
3. Teacher Questionnaire and Request for Administrative Information--20
CFR 416.1103(f)--0960-0646
When determining the effects of a child's impairment(s), SSA
obtains information about the child's functioning from teachers,
parents, and others who observe the child on a daily basis. SSA obtains
results of formal testing, teacher reports, therapy progress notes,
individualized education programs, and other records of a child's
educational aptitude and achievement using Forms SSA-5665 and SSA-5666.
The respondents are parents, teachers, and other education personnel.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Total annual
Form No. respondents response response burden (hours)
(minutes)
----------------------------------------------------------------------------------------------------------------
SSA-5665-BK (electronic)........................ 388,581 1 40 259,054
SSA-5665-BK (paper)............................. 11,419 1 40 7,613
SSA-5666........................................ 397,000 1 30 198,500
Totals...................................... 797,000 .............. .............. 465,167
----------------------------------------------------------------------------------------------------------------
Note: This is a correction notice. On April 6, 2011, at 76 FR
19175, SSA published a notice for this collection in which we
inadvertently omitted the burden hours for both the electronic and
paper version of Form SSA-5665-BK.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-16421 Filed 6-29-11; 8:45 am]
BILLING CODE 4191-02-P
