Agency Information Collection Activities; Proposed Request and Comment Request, 41320-41323 [2011-17555]
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Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
any burden on competition not
necessary or appropriate in furtherance
of the purposes of the Act.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
No written comments were either
solicited or received.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
Because the foregoing proposed rule
change does not: (i) Significantly affect
the protection of investors or the public
interest; (ii) impose any significant
burden on competition; and (iii) become
operative for 30 days after the date of
the filing, or such shorter time as the
Commission may designate, it has
become effective pursuant to 19(b)(3)(A)
of the Act 17 and Rule 19b–4(f)(6) 18
thereunder.
At any time within 60 days of the
filing of the proposed rule change, the
Commission summarily may
temporarily suspend such rule change if
it appears to the Commission that such
action is necessary or appropriate in the
public interest, for the protection of
investors, or otherwise in furtherance of
the purposes of the Act. If the
Commission takes such action, the
Commission shall institute proceedings
to determine whether the proposed rule
should be approved or disapproved.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
100 F Street, NE., Washington, DC
20549–1090.
All submissions should refer to File
Number SR–Phlx–2011–95. This file
number should be included on the
subject line if e-mail is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
Internet Web site (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for Web site viewing and
printing in the Commission’s Public
Reference Room, 100 F Street, NE.,
Washington, DC 20549, on official
business days between the hours of 10
a.m. and 3 p.m. Copies of such filing
also will be available for inspection and
copying at the principal office of the
Exchange. All comments received will
be posted without change; the
Commission does not edit personal
identifying information from
submissions. You should submit only
information that you wish to make
available publicly. All submissions
should refer to File Number SR–Phlx–
2011–95 and should be submitted on or
before August 3, 2011.
DATES:
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.19
Cathy H. Ahn,
Deputy Secretary.
Dan S. Jones,
Committee Management Officer.
AGENCY:
[FR Doc. 2011–17542 Filed 7–12–11; 8:45 am]
BILLING CODE 8025–01–P
[FR Doc. 2011–17522 Filed 7–12–11; 8:45 am]
Paper Comments
• Send paper comments in triplicate
to Elizabeth M. Murphy, Secretary,
Securities and Exchange Commission,
mstockstill on DSK4VPTVN1PROD with NOTICES
Electronic Comments
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an e-mail to rulecomments@sec.gov. Please include File
Number SR–Phlx–2011–95 on the
subject line.
The meetings for the 4th quarter
will be held on the following dates:
Tuesday, July 19, 2011 at 1 p.m. EST.
Tuesday, August 16, 2011 at 1 p.m. EST.
Tuesday, September 20, 2011 at 1 p.m.
EST.
ADDRESSES: These meetings will be held
via conference call.
SUPPLEMENTARY INFORMATION: Pursuant
to section 10(a) of the Federal Advisory
Committee Act (5 U.S.C. Appendix 2),
SBA announces the meetings of the
National SBDC Advisory Board. This
Board provides advice and counsel to
the SBA Administrator and Associate
Administrator for Small Business
Development Centers.
The purpose of these meetings is to
discuss following issues pertaining to
the SBDC Advisory Board:
—SBA Update.
—White Paper follow-up.
—ASBDC Annual Conference.
—Member Roundtable.
FOR FURTHER INFORMATION CONTACT: The
meeting is open to the public however
advance notice of attendance is
requested. Anyone wishing to be a
listening participant must contact
Alanna Falcone by fax or e-mail. Her
contact information is: Alanna Falcone,
Program Analyst, 409 Third Street, SW.,
Washington, DC 20416, Phone, 202–
619–1612, Fax 202–481–0134, e-mail,
alanna.falcone@sba.gov.
Additionally, if you need
accommodations because of a disability
or require additional information, please
contact Alanna Falcone at the
information above.
17 15
U.S.C. 78s(b)(3)(A).
CFR 240.19b–4(f)(6). In addition, Rule 19b–
4(f)(6) requires a self-regulatory organization to give
the Commission written notice of its intent to file
the proposed rule change at least five business days
prior to the date of filing of the proposed rule
change, or such shorter time as designated by the
Commission. The Exchange has satisfied this
requirement.
18 17
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BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
SMALL BUSINESS ADMINISTRATION
Agency Information Collection
Activities; Proposed Request and
Comment Request
National Small Business Development
Center Advisory Board
U.S. Small Business
Administration (SBA).
ACTION: Notice of open Federal Advisory
Committee meetings.
The SBA is issuing this notice
to announce the location, date, time and
agenda for the 4th quarter meetings of
the National Small Business
Development Center (SBDC) Advisory
Board.
SUMMARY:
PO 00000
19 17
CFR 200.30–3(a)(12).
Frm 00135
Fmt 4703
Sfmt 4703
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 a full
clearance of an emergency OMBapproved collection and 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
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Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
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 September
12, 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.
mstockstill on DSK4VPTVN1PROD with NOTICES
1. Claimant’s Work Background—20
CFR 404.1565(b) and 20 CFR
416.965(b)—0960–0300
Sections 205(a) and 1631(e) of the
Social Security Act (Act) provide the
Commissioner of Social Security with
the authority to establish procedures for
determining if a claimant is entitled to
disability benefits. SSA may ask
individuals who are requesting a
hearing before an administrative law
judge (ALJ), due to a denied benefits
application, to provide background
information about work they performed
in the past 15 years. SSA uses the
information collected on Form HA–4633
to assess an individual’s disability and
review an updated summary of the
individual’s relevant work history, as
required by an ALJ to accurately assess
the claimant’s disability. The
respondents are claimants for disability
benefits under title II or title XVI who
requested a hearing before an ALJ.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden per Response: 15
minutes.
Estimated Annual Burden: 50,000
hours.
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2. Statement of Claimant or Other
Person-Medical Resident FICA Refund
Claims—20 CFR 404.702 and 416.570—
0960–0786
The Internal Revenue Service (IRS) is
contacting medical residents (and their
employers) who filed Federal Insurance
Contributions Act (FICA) refund claims
from 1993 through 2005. Those medical
residents who claimed their residencies
were actually training, not employment,
should not have been subject to FICA
tax. The IRS decided to honor these
claims and issue a full refund of FICA
tax, plus statutory interest, to those who
wish to participate in the refund
resolution. SSA will remove wages from
the participating residents’ earnings
records for the period of the refund
requests, which will cause the residents’
recorded earnings to decrease. This not
only affects earnings for future
retirement benefits, but also could
adversely affect those residents (or their
beneficiaries) who currently receive
Social Security benefits. To ensure
residents understand the potential
impact on their benefits, SSA is
contacting those residents who will be
adversely affected and explaining the
effect on their Social Security benefits if
they accept the IRS FICA refund. To
document the residents’ decision to
accept or revoke the refund, SSA will
telephone the residents and explain
how accepting the refund will affect
their Social Security benefits. We will
then mail the SSA–795–OP2 to each
resident to sign and return to SSA. If
SSA cannot reach the resident by
phone, we will send a contact letter and
the SSA–795–OP2 to the resident to
complete and return to SSA. Once we
have the information, we will forward
the signed forms to the IRS for the
residents who no longer want the FICA
refund.
Type of Request: Full approval of an
emergency OMB-approved information
collection.
Number of Respondents: 496.
Frequency of Response: 1.
Average Burden per Response: 4
minutes.
Estimated Annual Burden: 33 hours.
II. SSA submitted the information
collections below to OMB for
clearance. Your comments regarding
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 12,
2011. Individuals can obtain copies of
the OMB clearance packages by
calling the SSA Reports Clearance
PO 00000
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41321
Officer at 410–965–8783 or by writing
to the above e-mail address.
1. Farm Arrangement Questionnaire—
20 CFR 404.1082(c)—0960–0064
When self-employed workers submit
earnings data to SSA, they cannot count
rental income from a farm unless they
demonstrate ‘‘material participation’’ in
the farm’s operation. A material
participation arrangement means the
farm’s owners must perform a
combination of physical duties,
management decisions, and capital
investment in the farm they rent out. In
such cases, SSA uses Form SSA–7157,
the Farm Arrangement Questionnaire, to
document material participation. The
respondents are workers who rent
farmland to others, are involved in the
operation of the farm, and want to claim
countable income from work they
perform relating to the farm.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 38,000.
Average Burden per Response: 30
minutes.
Estimated Annual Burden: 19,000
hours.
2. Information Collections Conducted
by State Disability Determination
Services on Behalf of SSA—20 CFR,
subpart P, 404.1503a, 404.1512,
404.1513, 404.1514, 404.1517, 404.1519;
20 CFR subpart Q, 404.1613, 404.1614,
404.1624; 20 CFR subpart I, 416.903a,
416.912, 416.913, 416.914, 416.917,
416.919 and 20 CFR subpart J,
416.1013, 416.1024, 416.1014—0960–
0555
State Disability Determination
Services (DDS) collect the information
necessary to administer the Social
Security Disability Insurance and
Supplemental Security Income (SSI)
programs. They collect medical
evidence from consultative examination
(CE) sources, credential information
from CE source applicants, and Medical
Evidence of Record (MER) from
claimants’ medical sources. The DDSs
collect information from claimants
regarding medical appointments and
pain/symptoms. The respondents are
medical providers, other sources of
MER, and disability claimants.
Type of Request: Revision of an OMBapproved information collection.
CE Collections
There are two collections from CE
providers: (a) Medical evidence about
claimants’ medical condition(s) that
DDSs use to make disability
determinations when the claimant’s
own medical sources cannot or will not
provide the required information; and
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Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
(b) proof of credentials from CE
providers.
(a) Medical Evidence from CE
Providers
Number of
respondents
Collection instrument
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
Paper Submissions ..........................................................................................
Electronic Submissions ....................................................................................
100,000
3,500,000
1
1
30
10
50,000
583,333
Totals ........................................................................................................
3,600,000
........................
........................
633,333
(b) CE Credentials
Collection instrument
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
Paper Submission ............................................................................................
3,000
1
15
750
There are two CE claimant
collections: (a) Claimant completion of
a response form indicating whether they
intend to keep their CE appointment;
and (b) claimant completion of a form
Number of
respondents
Type of CE claimant collection
indicating whether they want a copy of
the CE report sent to their doctor.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
Appointment Letter ..........................................................................................
Claimants re: Report to Medical Provider .......................................................
2,500,000
1,500,000
1
1
5
5
208,333
125,000
Totals ........................................................................................................
4,000,000
........................
........................
333,333
Frequency of
response
Average
burden per
response
(minutes)
MER Collections
The DDSs collect MER information
from the claimant’s medical sources to
determine the claimant’s physical or
mental status, prior to making a
disability determination.
Number of
respondents
Estimated
annual burden
(hours)
Paper submissions ..........................................................................................
Electronic submissions ....................................................................................
500,000
5,500,000
1
1
20
12
166,667
1,100,000
Totals ........................................................................................................
6,000,000
........................
........................
1,266,667
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
2,500,000
1
15
625,000
Pain/Other Symptoms/Impairment
Information from Claimants
mstockstill on DSK4VPTVN1PROD with NOTICES
The DDSs use information about pain/
symptoms to determine how pain/
symptoms affect the claimant’s ability to
do work-related activities prior to
making a disability determination.
Paper submission ............................................................................................
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Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
The total combined burden is
2,859,083.
Note: This is a correction notice. SSA
published incorrect burden information for
this collection at 76 FR 16847, on March 25,
2011. We are correcting this error here.
Dated: July 8, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2011–17555 Filed 7–12–11; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Individuals who plan to participate
and need special assistance should
inform the Contact Person listed below
in advance of the meeting.
FOR FURTHER INFORMATION CONTACT:
Susan Lender (AST–5), Office of
Commercial Space Transportation
(AST), 800 Independence Avenue, SW.,
Room 331, Washington, DC 20591,
telephone (202) 267–8029; E-mail
susan.lender@faa.gov. Complete
information regarding COMSTAC is
available on the FAA Web site at:
https://www.faa.gov/about/office_org/
headquarters_offices/ast/advisory_
committee/.
Issued in Washington, DC, on July 7, 2011.
James Van Laak,
Deputy Associate Administrator for
Commercial Space Transportation.
Federal Aviation Administration
Commercial Space Transportation
Advisory Committee—Public
Teleconference
[FR Doc. 2011–17538 Filed 7–12–11; 8:45 am]
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice of Commercial Space
Transportation Advisory Committee
Teleconference.
BILLING CODE 4910–13–P
Pursuant to Section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463, 5 U.S.C. App. 2), notice
is hereby given of a teleconference of
the Commercial Space Transportation
Advisory Committee (COMSTAC). The
teleconference will take place on
Thursday, August 11, 2011, starting at 1
p.m. Eastern Daylight Time. Individuals
who plan to participate should contact
Susan Lender, Designated Federal
Officer (DFO), (the Contact Person listed
below) by phone or e-mail for the
teleconference call in number.
The proposed agenda for this
teleconference is the single topic of the
structure of the COMSTAC working
groups.
Interested members of the public may
submit relevant written statements for
the COMSTAC members to consider
under the advisory process. Statements
may concern the issues and agenda
items mentioned above or additional
issues that may be relevant for the U.S.
commercial space transportation
industry. Interested parties wishing to
submit written statements should
contact Susan Lender, DFO, (the Contact
Person listed below) in writing (mail or
e-mail) by August 4, 2011, so that the
information can be made available to
COMSTAC members for their review
and consideration before the August 11,
2011, teleconference. Written statements
should be supplied in the following
formats: One hard copy with original
signature or one electronic copy via email.
An agenda will be posted on the FAA
Web site at https://www.faa.gov/go/ast.
[FHWA–DC–2011–01–F]
AGENCY:
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
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FEDERAL HIGHWAY
ADMINISTRATION
Notice of Availability of the Final
Environmental Assessment for the
Metropolitan Branch Trail
Federal Highway
Administration, District of Columbia
Division; and District Department of
Transportation; in cooperation with the
National Park Service.
ACTION: Notice of availability of the
Final Environmental Assessment for the
Metropolitan Branch Trail (MBT)
Project.
AGENCY:
The U.S. Federal Highway
Administration (FHWA) and the District
Department of Transportation (DDOT)
as lead agencies, and in cooperation
with the National Park Service (NPS),
announce the availability of the Final
Environmental Assessment (Ea) for the
Metropolitan Branch Trail Project,
pursuant to the requirements of the
National Environmental Policy Act of
1969 (NEPA), 42 U.S.C. 4321–4347; the
Council on Environmental Quality
Regulations (40 CFR parts 1500–1508);
and the FHWA Environmental Impact
and Related Procedures (23 CFR 771).
FOR FURTHER INFORMATION CONTACT:
Federal Highway Administration,
District of Columbia Division: Mr.
Michael Hicks, Environmental/Urban
Engineer, 1990 K Street, NW., Suite 510,
Washington, DC 20006–1103, (202) 219–
3536; or District Department of
Transportation: Austina Casey, Project
Manager, Planning, Policy and
Sustainability Administration, 2000
SUMMARY:
PO 00000
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41323
14th Street, NW., 7th Floor,
Washington, DC 20009, (202) 671–2740.
SUPPLEMENTARY INFORMATION: The
proposed action evaluated in the
Environmental Assessment (EA)
includes construction of a multi-use
trail facility following the Metro red line
from Fort Totten to Takoma and the
Metro green line from Fort Totten to the
District border.
This EA analyzed the potential
impacts resulting from constructing and
operating the MBT on sections of land
owned by the NPS within the area north
of Fort Totten (Reservation 451 West),
the area east of Fort Totten (Reservation
451 East), the Community Gardens
(Reservation 497), and Tacoma Park
(Reservation 531). Following the public
comment period, DDOT identified
Alternatives A1, B1, C1 and/or C2 as the
Preferred Alternatives.
Electronic and Hard Copy Access: An
electronic copy of this document may be
downloaded from the Project Web Site:
https://www.metbranchtrail.com. Hard
copies of the EA may also be viewed at
the following locations:
District Department of Transportation,
Planning, Policy, and Sustainability
Administration, 55 M Street, SE., 4th
Floor, Washington, DC 20003.
Martin Luther King, Jr. Memorial
Library, 901 G Street, NW.,
Washington, DC 20001.
Issued: July 7, 2011.
Joseph C. Lawson,
Division Administrator.
[FR Doc. 2011–17577 Filed 7–12–11; 8:45 am]
BILLING CODE 4910–22–P
DEPARTMENT OF TRANSPORTATION
Federal Transit Administration
Over-the-Road Bus Accessibility
Program Grants
Federal Transit Administration
(FTA), DOT.
ACTION: Notice of Availability of Fiscal
Year 2011 Funds: Solicitation of Grant
Applications.
AGENCY:
Funds: Solicitation of project
proposals.
SUMMARY: The U.S. Department of
Transportation’s (DOT) Federal Transit
Administration (FTA) announces the
availability of funds in Fiscal Year (FY)
2011 for the Over-the-Road Bus (OTRB)
Accessibility Program, authorized by
Section 3038 of the Transportation
Equity Act for the 21st Century (TEA–
21). The OTRB Accessibility Program
makes funds available to private
operators of over-the-road buses to
E:\FR\FM\13JYN1.SGM
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Agencies
[Federal Register Volume 76, Number 134 (Wednesday, July 13, 2011)]
[Notices]
[Pages 41320-41323]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-17555]
=======================================================================
-----------------------------------------------------------------------
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 a full clearance of an emergency OMB-approved collection and
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
[[Page 41321]]
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
September 12, 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. Claimant's Work Background--20 CFR 404.1565(b) and 20 CFR
416.965(b)--0960-0300
Sections 205(a) and 1631(e) of the Social Security Act (Act)
provide the Commissioner of Social Security with the authority to
establish procedures for determining if a claimant is entitled to
disability benefits. SSA may ask individuals who are requesting a
hearing before an administrative law judge (ALJ), due to a denied
benefits application, to provide background information about work they
performed in the past 15 years. SSA uses the information collected on
Form HA-4633 to assess an individual's disability and review an updated
summary of the individual's relevant work history, as required by an
ALJ to accurately assess the claimant's disability. The respondents are
claimants for disability benefits under title II or title XVI who
requested a hearing before an ALJ.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 200,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 50,000 hours.
2. Statement of Claimant or Other Person-Medical Resident FICA Refund
Claims--20 CFR 404.702 and 416.570--0960-0786
The Internal Revenue Service (IRS) is contacting medical residents
(and their employers) who filed Federal Insurance Contributions Act
(FICA) refund claims from 1993 through 2005. Those medical residents
who claimed their residencies were actually training, not employment,
should not have been subject to FICA tax. The IRS decided to honor
these claims and issue a full refund of FICA tax, plus statutory
interest, to those who wish to participate in the refund resolution.
SSA will remove wages from the participating residents' earnings
records for the period of the refund requests, which will cause the
residents' recorded earnings to decrease. This not only affects
earnings for future retirement benefits, but also could adversely
affect those residents (or their beneficiaries) who currently receive
Social Security benefits. To ensure residents understand the potential
impact on their benefits, SSA is contacting those residents who will be
adversely affected and explaining the effect on their Social Security
benefits if they accept the IRS FICA refund. To document the residents'
decision to accept or revoke the refund, SSA will telephone the
residents and explain how accepting the refund will affect their Social
Security benefits. We will then mail the SSA-795-OP2 to each resident
to sign and return to SSA. If SSA cannot reach the resident by phone,
we will send a contact letter and the SSA-795-OP2 to the resident to
complete and return to SSA. Once we have the information, we will
forward the signed forms to the IRS for the residents who no longer
want the FICA refund.
Type of Request: Full approval of an emergency OMB-approved
information collection.
Number of Respondents: 496.
Frequency of Response: 1.
Average Burden per Response: 4 minutes.
Estimated Annual Burden: 33 hours.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding 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 12, 2011. Individuals 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. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064
When self-employed workers submit earnings data to SSA, they cannot
count rental income from a farm unless they demonstrate ``material
participation'' in the farm's operation. A material participation
arrangement means the farm's owners must perform a combination of
physical duties, management decisions, and capital investment in the
farm they rent out. In such cases, SSA uses Form SSA-7157, the Farm
Arrangement Questionnaire, to document material participation. The
respondents are workers who rent farmland to others, are involved in
the operation of the farm, and want to claim countable income from work
they perform relating to the farm.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 38,000.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 19,000 hours.
2. Information Collections Conducted by State Disability Determination
Services on Behalf of SSA--20 CFR, subpart P, 404.1503a, 404.1512,
404.1513, 404.1514, 404.1517, 404.1519; 20 CFR subpart Q, 404.1613,
404.1614, 404.1624; 20 CFR subpart I, 416.903a, 416.912, 416.913,
416.914, 416.917, 416.919 and 20 CFR subpart J, 416.1013, 416.1024,
416.1014--0960-0555
State Disability Determination Services (DDS) collect the
information necessary to administer the Social Security Disability
Insurance and Supplemental Security Income (SSI) programs. They collect
medical evidence from consultative examination (CE) sources, credential
information from CE source applicants, and Medical Evidence of Record
(MER) from claimants' medical sources. The DDSs collect information
from claimants regarding medical appointments and pain/symptoms. The
respondents are medical providers, other sources of MER, and disability
claimants.
Type of Request: Revision of an OMB-approved information
collection.
CE Collections
There are two collections from CE providers: (a) Medical evidence
about claimants' medical condition(s) that DDSs use to make disability
determinations when the claimant's own medical sources cannot or will
not provide the required information; and
[[Page 41322]]
(b) proof of credentials from CE providers.
(a) Medical Evidence from CE Providers
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions............................... 100,000 1 30 50,000
Electronic Submissions.......................... 3,500,000 1 10 583,333
---------------------------------------------------------------
Totals...................................... 3,600,000 .............. .............. 633,333
----------------------------------------------------------------------------------------------------------------
(b) CE Credentials
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submission............................ 3,000 1 15 750
----------------------------------------------------------------------------------------------------------------
There are two CE claimant collections: (a) Claimant completion of a
response form indicating whether they intend to keep their CE
appointment; and (b) claimant completion of a form indicating whether
they want a copy of the CE report sent to their doctor.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Type of CE claimant collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Appointment Letter.............................. 2,500,000 1 5 208,333
Claimants re: Report to Medical Provider........ 1,500,000 1 5 125,000
---------------------------------------------------------------
Totals...................................... 4,000,000 .............. .............. 333,333
----------------------------------------------------------------------------------------------------------------
MER Collections
The DDSs collect MER information from the claimant's medical
sources to determine the claimant's physical or mental status, prior to
making a disability determination.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper submissions............................... 500,000 1 20 166,667
Electronic submissions.......................... 5,500,000 1 12 1,100,000
---------------------------------------------------------------
Totals...................................... 6,000,000 .............. .............. 1,266,667
----------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment Information from Claimants
The DDSs use information about pain/symptoms to determine how pain/
symptoms affect the claimant's ability to do work-related activities
prior to making a disability determination.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper submission............................ 2,500,000 1 15 625,000
----------------------------------------------------------------------------------------------------------------
[[Page 41323]]
The total combined burden is 2,859,083.
Note: This is a correction notice. SSA published incorrect
burden information for this collection at 76 FR 16847, on March 25,
2011. We are correcting this error here.
Dated: July 8, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-17555 Filed 7-12-11; 8:45 am]
BILLING CODE 4191-02-P