Agency Information Collection Activities: Proposed Request and Comment Request, 72994-72996 [2011-30475]

Download as PDF 72994 Federal Register / Vol. 76, No. 228 / Monday, November 28, 2011 / Notices 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 plan amendment that are filed with the Commission, and all written communications relating to the proposed plan amendment 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 OPRA. 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–OPRA–2011–05 and should be submitted on or before December 19, 2011. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.8 Kevin M. O’Neill, Deputy Secretary. [FR Doc. 2011–30427 Filed 11–25–11; 8:45 am] Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street SW., Suite 6050, Washington, DC 20416. SUPPLEMENTARY INFORMATION: Notice is hereby given that as a result of the President’s major disaster declaration on 11/17/2011, Private Non-Profit organizations that provide essential services of governmental nature may file disaster loan applications at the address listed above or other locally announced locations. The following areas have been determined to be adversely affected by the disaster: Primary Counties: Alexandria City, Caroline, Essex, Fairfax, King And Queen, King George, Prince William, Westmoreland. The Interest Rates are: Percent For Physical Damage: Non-Profit Organizations With Credit Available Elsewhere ... Non-Profit Organizations Without Credit Available Elsewhere ..................................... For Economic Injury: Non-Profit Organizations Without Credit Available Elsewhere ..................................... 3.250 (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) 3.000 James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc. 2011–30496 Filed 11–25–11; 8:45 am] 3.000 BILLING CODE 8011–01–P The number assigned to this disaster for physical damage is 12934B and for economic injury is 12935B. SMALL BUSINESS ADMINISTRATION (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) [Disaster Declaration #12934 and #12935] James E. Rivera, Associate Administrator for Disaster Assistance. Virginia Disaster #VA–00041 U.S. Small Business Administration. ACTION: Notice. AGENCY: pmangrum on DSK3VPTVN1PROD with NOTICES [FR Doc. 2011–30494 Filed 11–25–11; 8:45 am] BILLING CODE 8025–01–P This is a Notice of the Presidential declaration of a major disaster for Public Assistance Only for the State of Virginia (FEMA–4045–DR), dated 11/17/2011. Incident: Remnants of Tropical Storm Lee. Incident Period: 09/08/2011 through 09/09/2011. Effective Date: 11/17/2011. Physical Loan Application Deadline Date: 01/16/2012. Economic Injury (EIDL) Loan Application Deadline Date: 08/17/2012. ADDRESSES: Submit completed loan applications to: U.S. Small Business Administration, Processing and SUMMARY: 8 17 CFR 200.30–3(a)(29). VerDate Mar<15>2010 15:34 Nov 25, 2011 Jkt 226001 SMALL BUSINESS ADMINISTRATION [Disaster Declaration #12879 and #12880] Pennsylvania Disaster Number PA–00045 U.S. Small Business Administration. ACTION: Amendment 3. AGENCY: This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the State of Pennsylvania (FEMA— 4030—DR), dated 10/07/2011. Incident: Tropical Storm Lee. Incident Period: 09/03/2011 through 10/15/2011. DATES: Effective Date: 11/17/2011. SUMMARY: PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 Physical Loan Application Deadline Date: 12/06/2011. Economic Injury (EIDL) Loan Application Deadline Date: 07/09/2012. ADDRESSES: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street SW., Suite 6050, Washington, DC 20416. SUPPLEMENTARY INFORMATION: The notice of the President’s major disaster declaration for Private Non-Profit organizations in the State of Pennsylvania, dated 10/07/2011, is hereby amended to include the following areas as adversely affected by the disaster. Primary Counties: Chester, Northampton, Lackawanna, Mifflin, Adams. All other information in the original declaration remains unchanged. BILLING CODE 8025–01–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 (Pub. L.) 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions of OMB-approved information collections and new 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, email, 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. E:\FR\FM\28NON1.SGM 28NON1 72995 Federal Register / Vol. 76, No. 228 / Monday, November 28, 2011 / Notices (OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax: (202) 395–6974, Email address: OIRA_Submission@omb.eop.gov. (SSA) Social Security Administration, DCRDP, Attn: Reports Clearance Officer, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: (410) 966–2830, Email 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 January 27, 2012. 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. Workers’ Compensation/Public Disability Questionnaire—20 CFR 404.408—0960–0247. Section 224 of the Social Security Act (Act) provides for Number of respondents Collection instrument the reduction of disability insurance benefits (DIB) when the combination of DIB and any worker’s compensation (WC) or certain Federal, State, or local public disability benefits (PDB) exceeds 80 percent of the worker’s pre-disability earnings. SSA uses Form SSA–546 to collect the data necessary to determine if the worker’s receipt of WC or PDB payments will cause a reduction of DIB. The respondents are applicants for title II DIB. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–546 .......................................................................................... Modernized Claims System ............................................................. 2,000 248,000 1 1 15 15 500 62,000 Totals ........................................................................................ 250,000 ............................ ............................ 62,500 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 December 28, 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 email address. 1. Application for Access to SSA Systems—20 CFR 401.45—0960–NEW. SSA uses Form SSA–120 to allow limited access to SSA’s information resources for SSA employees and nonFederal employees (contractors). SSA requires supervisory approval and local or component Security Officer review prior to granting this access. The respondents are SSA employees and non-Federal Employees (contractors) Number of respondents Collection instrument SSA–120 .......................................................................................... 2. Screen Pop—20 CFR 401.45—0960– NEW. Section 205(a) of the Act requires SSA to verify the identity of individuals who request a record or information pertaining to themselves, and to establish procedures for disclosing personal information. SSA established Screen Pop, an automated telephone process, to speed up verification for such individuals. Accessing Screen Pop, pmangrum on DSK3VPTVN1PROD with NOTICES Screen Pop ...................................................................................... VerDate Mar<15>2010 20:00 Nov 25, 2011 Jkt 226001 Frm 00099 Fmt 4703 Estimated total annual burden (hours) 2 144 to the CHIP screen and the SSN routes to the agent’s screen. When the call connects to the SSA agent, the agent can use the SSN to access the caller’s record as needed. The respondents for this collection are individuals who contact SSA’s N8NN to speak with an agent. Type of Request: Request for a new information collection. Average burden per response (minutes) Frequency of response 34,000,000 Sfmt 4703 Average burden per response (minutes) 1 0460. SSA uses Form SSA–4178 to determine if unrelated individuals of PO 00000 Type of Request: In use without OMB approval. 4,313 Number of respondents 3. Marital Relationship Questionnaire—20 CFR 416.1826–0960– Note: Because SSA employees are Federal workers exempt from the requirements of the PRA, the burden below is only for SSA contractors. Frequency of response callers enter their Social Security number (SSN) using their telephone keypad or speech technology prior to speaking with a National 800 Number Network (N8NN) agent. The automated Screen Pop application collects the SSN and routes it to the ‘‘Start New Call’’ Customer Help and Information (CHIP) screen. Functionality for the Screen Pop application ends once the SSN connects Collection instrument who require access to SSA systems to perform their jobs. Note: Because SSA employees are Federal workers exempt from the requirements of the Paperwork Reduction Act, the burden below is only for SSA contractors. 1 1 Estimated total annual burden (hours) 566,667 the opposite sex who live together are misrepresenting themselves as husband and wife. SSA needs this information to determine whether we are making correct payments to couples and E:\FR\FM\28NON1.SGM 28NON1 72996 Federal Register / Vol. 76, No. 228 / Monday, November 28, 2011 / Notices individuals applying for or currently receiving Supplemental Security Income (SSI) payments. The respondents are applicants for and recipients of SSI payments. Type of Request: Revision of an OMBapproved information collection. Collection instrument Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–4178 ........................................................................................ 5,100 1 5 425 Dated: November 18, 2011. Faye Lipsky, Reports Clearance Officer, Center for Reports Clearance, Social Security Administration. [FR Doc. 2011–30475 Filed 11–25–11; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 7695] 60-Day Notice of Proposed Information Collection: Form DS–7007, Summer Work Travel Job Placement Verification Form 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: Exchange Visitor Program—Summer Work Travel Job Placement Verification Form. • OMB Control Number: None. • Type of Request: New Collection. • Originating Office: Bureau of Educational and Cultural Affairs, ECA/ EC. • Form Number: Form DS–7007. • Respondents: Entities designated by the Department of State as Exchange Visitor Program sponsors in the Summer Work Travel category, and U.S. businesses that provide the employment opportunity. • Estimated Number of Respondents: 51. • Estimated Number of Responses: 120,000. • Average Hours per Response: 1 hour. • Total Estimated Burden: 120,000. • Frequency: On occasion. • Obligation to Respond: Mandatory. DATES: The Department will accept comments from the public up to 60 days from November 28, 2011. pmangrum on DSK3VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 15:34 Nov 25, 2011 Jkt 226001 You may submit comments identified by any of the following methods: • Persons with access to the Internet may view and comment on this notice by going to the regulations.gov Web site at https://www.regulations.gov/#!home. You can search by selecting ‘‘Notice’’ under Document Type, enter the Public Notice number, and check ‘‘Open for Comment’’. Search, and then to view the document, select an Agency. • Mail (paper, disk, or CD–ROM submissions): U.S. Department of State, Office of Exchange Coordination and Designation, SA–5, 2200 C Street NW., Floor 5, Washington, DC 20522–0505 • Email: jexchanges@state.gov. You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence. FOR FURTHER INFORMATION CONTACT: Rick A. Ruth, Deputy Assistant Secretary, Acting, for Private Sector Exchange, U.S. Department of State, SA–5, Floor 5, 2200 C Street NW., Washington, DC 20522–0505; or email at jexchanges@state.gov. SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary for the effective administration of the Summer Work Travel category of the Exchange Visitor Program. • 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. ADDRESSES: Abstract of Proposed Collection This collection of information is needed by the Bureau of Educational and Cultural Affairs in administering the Exchange Visitor Program (J–Visa) under the provisions of the Mutual Educational and Cultural Exchange Act, as amended. Summer Work Travel Job Placement Verification Forms are to be PO 00000 Frm 00100 Fmt 4703 Sfmt 4703 completed by designated program sponsors. A Job Placement Verification Form is required for each Summer Work Travel participant. It will set forth the employer, address of employment site, duties required by the job, whether the Summer Work Travel participant will receive any remuneration for housing and living expenses (and if so, the amount), and estimates of the living expenses and other costs the participants are likely to incur while in the United States. The Form must be signed by the participant, the sponsor, and the third party employer, if a third party organization is used in the conduct of the Summer Work Travel program. Upon request, Summer Work Travel applicants must present fully executed Job Placement Verification Forms (Form DS–7007) to any Consular Official interviewing them in connection with the issuance of J–1 visas. Methodology The collection will be submitted to the Department by mail or fax as requested by the Department of State during the review of program sponsor files, re-designations, incidents, etc. Dated: October 20, 2011. Rick A. Ruth, Deputy Assistant Secretary, Acting, Office of Private Sector Exchange, Bureau of Educational and Cultural Affairs, Department of State. [FR Doc. 2011–30521 Filed 11–25–11; 8:45 am] BILLING CODE 4710–05–P DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Eleventh Meeting: RTCA Special Committee 223 Airport Surface Wireless Communications Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION: Notice of RTCA Special Committee 223 Airport Surface Wireless Communications Eleventh Meeting. AGENCY: The FAA is issuing this notice to advise the public of a meeting of SUMMARY: E:\FR\FM\28NON1.SGM 28NON1

Agencies

[Federal Register Volume 76, Number 228 (Monday, November 28, 2011)]
[Notices]
[Pages 72994-72996]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-30475]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law (Pub. L.) 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
This notice includes revisions of OMB-approved information collections 
and new 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, email, 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.

[[Page 72995]]

(OMB)

    Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 
(202) 395-6974, Email address: OIRA_Submission@omb.eop.gov.

(SSA)

    Social Security Administration, DCRDP, Attn: Reports Clearance 
Officer, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 
21235, Fax: (410) 966-2830, Email 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 
January 27, 2012. 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.
    Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act (Act) 
provides for the reduction of disability insurance benefits (DIB) when 
the combination of DIB and any worker's compensation (WC) or certain 
Federal, State, or local public disability benefits (PDB) exceeds 80 
percent of the worker's pre-disability earnings. SSA uses Form SSA-546 
to collect the data necessary to determine if the worker's receipt of 
WC or PDB payments will cause a reduction of DIB. The respondents are 
applicants for title II DIB.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-546.................................             2,000                 1                15               500
Modernized Claims System................           248,000                 1                15            62,000
                                         -----------------------------------------------------------------------
    Totals..............................           250,000  ................  ................            62,500
----------------------------------------------------------------------------------------------------------------

    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 December 28, 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 email address.
    1. Application for Access to SSA Systems--20 CFR 401.45--0960-NEW. 
SSA uses Form SSA-120 to allow limited access to SSA's information 
resources for SSA employees and non-Federal employees (contractors). 
SSA requires supervisory approval and local or component Security 
Officer review prior to granting this access. The respondents are SSA 
employees and non-Federal Employees (contractors) who require access to 
SSA systems to perform their jobs. Note: Because SSA employees are 
Federal workers exempt from the requirements of the Paperwork Reduction 
Act, the burden below is only for SSA contractors.

    Note: Because SSA employees are Federal workers exempt from the 
requirements of the PRA, the burden below is only for SSA 
contractors.

    Type of Request: In use without OMB approval.

----------------------------------------------------------------------------------------------------------------
                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
----------------------------------------------------------------------------------------------------------------
SSA-120.................................             4,313                 1                 2               144
----------------------------------------------------------------------------------------------------------------

    2. Screen Pop--20 CFR 401.45--0960-NEW. Section 205(a) of the Act 
requires SSA to verify the identity of individuals who request a record 
or information pertaining to themselves, and to establish procedures 
for disclosing personal information. SSA established Screen Pop, an 
automated telephone process, to speed up verification for such 
individuals. Accessing Screen Pop, callers enter their Social Security 
number (SSN) using their telephone keypad or speech technology prior to 
speaking with a National 800 Number Network (N8NN) agent. The automated 
Screen Pop application collects the SSN and routes it to the ``Start 
New Call'' Customer Help and Information (CHIP) screen. Functionality 
for the Screen Pop application ends once the SSN connects to the CHIP 
screen and the SSN routes to the agent's screen. When the call connects 
to the SSA agent, the agent can use the SSN to access the caller's 
record as needed. The respondents for this collection are individuals 
who contact SSA's N8NN to speak with an agent.
    Type of Request: Request for a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                               Average burden    Estimated total
          Collection instrument               Number of       Frequency of      per response      annual burden
                                             respondents        response          (minutes)          (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop..............................        34,000,000                 1                 1           566,667
----------------------------------------------------------------------------------------------------------------

    3. Marital Relationship Questionnaire--20 CFR 416.1826-0960-0460. 
SSA uses Form SSA-4178 to determine if unrelated individuals of the 
opposite sex who live together are misrepresenting themselves as 
husband and wife. SSA needs this information to determine whether we 
are making correct payments to couples and

[[Page 72996]]

individuals applying for or currently receiving Supplemental Security 
Income (SSI) payments. The respondents are applicants for and 
recipients of SSI payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                              Average burden    Estimated total
        Collection instrument             Number of         Frequency of       per response      annual burden
                                         respondents          response          (minutes)           (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4178............................             5,100                  1                  5                425
----------------------------------------------------------------------------------------------------------------


    Dated: November 18, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-30475 Filed 11-25-11; 8:45 am]
BILLING CODE 4191-02-P
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