Agency Information Collection Activities: Comment Request, 4857-4858 [2012-1598]
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4857
Federal Register / Vol. 77, No. 20 / Tuesday, January 31, 2012 / Notices
Dated: January 25, 2012.
Faye Lipsky,
Reports Clearance Officer, Office of
Regulations and Reports Clearance, Social
Security Administration.
[FR Doc. 2012–1947 Filed 1–30–12; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: 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.
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.
(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.
SSA submitted the information
collection below to OMB for clearance.
Your comments regarding the
information collection 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 March 1, 2012. Individuals
can obtain copies of the OMB clearance
package by calling the SSA Reports
Clearance Officer at (410) 965–8783 or
by writing to the above email address.
1. Disability Report-Appeal—20 CFR
404.1512, 416.912, 404.916(c),
Number of
respondents
Collection method
416.1416(c), 405 Subpart C, 422.140—
0960–0144. SSA requires disability
claimants who are appealing an
unfavorable disability determination to
complete the SSA–3441–BK, the
associated Electronic Disability Collect
System (EDCS) interview, or the Internet
application, i3441. This allows
claimants to disclose any changes to
their disability or resources that might
influence SSA’s unfavorable
determination. We may use the
information to: (1) Reconsider and
review an initial disability
determination; (2) review a continuing
disability; and (3) evaluate a request for
a hearing. This information assists the
State Disability Determination Services
and administrative law judges (ALJ) in
preparing for the appeals and hearings,
and issuing a determination or decision
on an individual’s entitlement (initial or
continuing) to disability benefits.
Respondents are individuals who
appeal denial, reduction, or cessation of
Social Security disability income
Supplemental Security Income (SSI)
payments, or who are requesting a
hearing before an ALJ.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per response (minutes)
Estimated total
annual burden
(hours)
SSA–3441–BK .................................................................................................
EDCS Interview ...............................................................................................
i3441 (Internet) ................................................................................................
5,604
662,090
605,268
1
1
1
45
45
28
4,203
496,568
282,458
Totals ........................................................................................................
1,272,962
........................
........................
783,229
2. Request for Hearing by
Administrative Law Judge—20 CFR
404.929, 404.933, 416.1429, 404.1433,
418.1350, and 42 CFR 405.722—0960–
0269. When SSA denies applicants’ or
beneficiaries’ requests for new or
continuing benefits, those applicants or
beneficiaries are entitled to request a
hearing to appeal the decision. To
request a hearing, individuals use Form
HA–501, the associated Modernized
Claims System (MCS) or Modernized
Supplemental Security Income Claims
System (MSSICS) interview, or the
Internet application (i501). SSA uses the
information to determine if the
individual filed the request within the
prescribed time; is the proper party; and
has taken the steps necessary to obtain
the right to a hearing. SSA also uses the
information to determine the
individual’s reason(s) for disagreeing
with SSA’s prior determinations in the
case; if the individual has additional
evidence to submit; if the individual
wants an oral hearing or a decision onNumber of
respondents
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Collection method
the-record; and whether the individual
has (or wants to appoint) a
representative. The respondents are
Social Security benefit applicants and
recipients who want to appeal SSA’s
denial of their request for new or
continued benefits and Medicare Part B
recipients who must pay the Medicare
Part B Income-Related Monthly
Adjustment Amount.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
HA–501; MCS or MSSICS Interview ...............................................................
i501 (Internet iAppeals) ...................................................................................
25,953
643,516
1
1
10
5
4,326
53,626
Totals ........................................................................................................
669,469
........................
........................
57,952
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E:\FR\FM\31JAN1.SGM
31JAN1
4858
Federal Register / Vol. 77, No. 20 / Tuesday, January 31, 2012 / Notices
3. Request for Reconsideration—20
CFR 404.907–404.921, 416.1407–
416.1421, 408.1009, and 418.1325—
0960–0622. Individuals use the SSA–
561–U2, the associated MCS interview,
or the Internet application (i561) to
initiate a request for reconsideration of
a denied claim. SSA uses the
information to document the request
and to determine an individual’s
eligibility or entitlement to Social
Security benefits (title II), SSI payments
(title XVI), Special Veterans Benefits
(title VIII), Medicare (title XVIII), and for
Number of
respondents
Collection method
initial determinations regarding
Medicare Part B income-related
premium subsidy reductions. The
respondents are individuals filing for
reconsideration.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–561 and MCS Interview ..........................................................................
i561 (Internet iAppeals) ...................................................................................
550,370
911,330
1
1
8
5
73,383
75,944
Totals ........................................................................................................
1,461,700
........................
........................
149,327
Dated: January 23, 2012.
Faye Lipsky,
Reports Clearance Officer, Center for Reports
Clearance, Social Security Administration.
[FR Doc. 2012–1598 Filed 1–30–12; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 7781]
60-Day Notice of Proposed Information
Collection: DS 5507, Affidavit of
Physical Presence or Residence,
Parentage and Support
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: DS
5507, Affidavit of Physical Presence or
Residence, Parentage and Support.
• OMB Control Number: OMB No.
1405–0187.
• Type of Request: Revision.
• Originating Office: Bureau of
Consular Affairs, Overseas Citizens
Services (CA/OCS).
• Form Number: DS–5507.
• Respondents: United States
Citizens.
• Estimated Number of Respondents:
17,784.
• Estimated Number of Responses:
17,784.
• Average Hours per Response: 30
minutes.
• Total Estimated Burden: 8,892
hours.
• Frequency: On Occasion.
wreier-aviles on DSK5TPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
15:20 Jan 30, 2012
Jkt 226001
• Obligation to Respond: Application
for Benefits. Although acquisition of
citizenship is not a federal ‘‘benefit,’’
applicants will not be able to obtain
citizenship for their child(ren) if they do
not provide the information requested
in the form.
DATES: The Department will accept
comments from the public up to 60 days
from January 31, 2012.
ADDRESSES: You may submit comments
by any of the following methods:
• Email: ASKPRI@state.gov.
• Mail (paper, disk, or CD–ROM
submissions): U.S. Department of State,
CA/OCS/PRI, SA–29, 4th Floor,
Washington, DC 20520.
• Fax: 202–736–9111.
• Hand Delivery or Courier: U.S.
Department of State, CA/OCS/PRI, 2100
Pennsylvania Avenue, 4th 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:
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
Derek A. Rivers, Bureau of Consular
Affairs, Overseas Citizens Services (CA/
OCS/PRI), U.S. Department of State,
SA–29, 4th Floor, Washington, DC
20520 or at ASKPRI@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.
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
• 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
The purpose of the information
collection is to determine if a U.S.
citizen/national parent possesses the
requisite physical presence or residence
in the United States prior to their child’s
birth to transmit U.S. citizenship to the
child, to establish parentage of the
child, and to fulfill the requirements of
8 U.S.C. 1409(a) which requires a
written statement of financial support to
be provided by U.S. citizen fathers for
children born out of wedlock.
Methodology
The information is collected in
person. The Bureau of Consular Affairs
is currently exploring options to make
this information collection available
electronically.
Dated: December 21, 2011.
Michelle Bernier-Toth,
Managing Director, Bureau of Consular
Affairs, Department of State.
[FR Doc. 2012–2079 Filed 1–30–12; 8:45 am]
BILLING CODE 4710–06–P
DEPARTMENT OF STATE
[Public Notice 7780]
Culturally Significant Objects Imported
for Exhibition Determinations:
‘‘Byzantium and Islam: Age of
Transition (7th–9th Century)’’
Department of State.
Notice, correction.
AGENCY:
ACTION:
On September 28, 2011,
notice was published on page 60112 of
the Federal Register (volume 76,
number 188) of determinations made by
SUMMARY:
E:\FR\FM\31JAN1.SGM
31JAN1
]]>Agencies
[Federal Register Volume 77, Number 20 (Tuesday, January 31, 2012)]
[Notices]
[Pages 4857-4858]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-1598]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: 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.
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.
(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.
SSA submitted the information collection below to OMB for
clearance. Your comments regarding the information collection 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 March 1, 2012. Individuals can obtain copies of the
OMB clearance package by calling the SSA Reports Clearance Officer at
(410) 965-8783 or by writing to the above email address.
1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 405 Subpart C, 422.140--0960-0144. SSA requires disability
claimants who are appealing an unfavorable disability determination to
complete the SSA-3441-BK, the associated Electronic Disability Collect
System (EDCS) interview, or the Internet application, i3441. This
allows claimants to disclose any changes to their disability or
resources that might influence SSA's unfavorable determination. We may
use the information to: (1) Reconsider and review an initial disability
determination; (2) review a continuing disability; and (3) evaluate a
request for a hearing. This information assists the State Disability
Determination Services and administrative law judges (ALJ) in preparing
for the appeals and hearings, and issuing a determination or decision
on an individual's entitlement (initial or continuing) to disability
benefits. Respondents are individuals who appeal denial, reduction, or
cessation of Social Security disability income Supplemental Security
Income (SSI) payments, or who are requesting a hearing before an ALJ.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
--------------------------------------------------------------------------------------------------
SSA-3441-BK....................... 5,604 1 45 4,203
EDCS Interview.................... 662,090 1 45 496,568
i3441 (Internet).................. 605,268 1 28 282,458
-----------------------------------------------------------------------------
Totals........................ 1,272,962 .............. .............. 783,229
----------------------------------------------------------------------------------------------------------------
2. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269.
When SSA denies applicants' or beneficiaries' requests for new or
continuing benefits, those applicants or beneficiaries are entitled to
request a hearing to appeal the decision. To request a hearing,
individuals use Form HA-501, the associated Modernized Claims System
(MCS) or Modernized Supplemental Security Income Claims System (MSSICS)
interview, or the Internet application (i501). SSA uses the information
to determine if the individual filed the request within the prescribed
time; is the proper party; and has taken the steps necessary to obtain
the right to a hearing. SSA also uses the information to determine the
individual's reason(s) for disagreeing with SSA's prior determinations
in the case; if the individual has additional evidence to submit; if
the individual wants an oral hearing or a decision on-the-record; and
whether the individual has (or wants to appoint) a representative. The
respondents are Social Security benefit applicants and recipients who
want to appeal SSA's denial of their request for new or continued
benefits and Medicare Part B recipients who must pay the Medicare Part
B Income-Related Monthly Adjustment Amount.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-501; MCS or MSSICS Interview................. 25,953 1 10 4,326
i501 (Internet iAppeals)........................ 643,516 1 5 53,626
---------------------------------------------------------------
Totals...................................... 669,469 .............. .............. 57,952
----------------------------------------------------------------------------------------------------------------
[[Page 4858]]
3. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009, and 418.1325--0960-0622. Individuals use the SSA-
561-U2, the associated MCS interview, or the Internet application
(i561) to initiate a request for reconsideration of a denied claim. SSA
uses the information to document the request and to determine an
individual's eligibility or entitlement to Social Security benefits
(title II), SSI payments (title XVI), Special Veterans Benefits (title
VIII), Medicare (title XVIII), and for initial determinations regarding
Medicare Part B income-related premium subsidy reductions. The
respondents are individuals filing for reconsideration.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-561 and MCS Interview....................... 550,370 1 8 73,383
i561 (Internet iAppeals)........................ 911,330 1 5 75,944
---------------------------------------------------------------
Totals...................................... 1,461,700 .............. .............. 149,327
----------------------------------------------------------------------------------------------------------------
Dated: January 23, 2012.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2012-1598 Filed 1-30-12; 8:45 am]
BILLING CODE 4191-02-P
