Agency Information Collection Activities: Proposed Request and Comment Request, 40400-40401 [2012-16634]

Download as PDF 40400 Federal Register / Vol. 77, No. 131 / Monday, July 9, 2012 / Notices following: (1) The Chairman of its Audit Committee resigned; and (2) its outside independent auditor resigned. The Commission is of the opinion that the public interest and the protection of investors require a suspension of trading in the securities of the above-listed companies. Therefore, it is ordered, pursuant to Section 12(k) of the Securities Exchange Act of 1934, that trading in the securities of the above-listed companies is suspended for the period from 9:30 a.m. EDT on July 5, 2012, through 11:59 p.m. EDT on July 18, 2012. By the Commission. Elizabeth M. Murphy, Secretary. [FR Doc. 2012–16790 Filed 7–5–12; 11:15 am] BILLING CODE 8011–01–P SMALL BUSINESS ADMINISTRATION National Women’s Business Council U.S. Small Business Administration. ACTION: Notice of open Federal advisory committee meeting. AGENCY: The SBA is issuing this notice to announce the location, date, time, and agenda for the next meeting of the National Women’s Business Council (NWBC). The meeting will be open to the public. DATES: The meeting will be held on July 17, 2012 from approximately 2:00 p.m. to 5:00 p.m. EDT. ADDRESSES: The meeting will be held via web teleconference. The web conference URL: https://www/ connectmeeting.att.com. The meeting/ teleconference number: 888–858–2144; and Access Code: 4518629. SUPPLEMENTARY INFORMATION: Pursuant to section 10(a)(2) of the Federal Advisory Committee Act (5 U.S.C., Appendix 2), SBA announces the meeting of the National Women’s SUMMARY: Business Council. The National Women’s Business Council is tasked with providing policy recommendations on issues of importance to women business owners to the President, Congress, and the SBA Administrator. The purpose of the meeting is to discuss NWBC’s 2012 action items, the status of research projects, and the NWBC and Women Impacting Public Policy’s Leadership Summit on July 19, 2012. FOR FURTHER INFORMATION CONTACT: The meeting is open to the public however advance notice of attendance is requested. Anyone wishing to attend or make a presentation to the NWBC must either email their interest to info@nwbc.gov or call the main office number at 202–205–3850. Those needing special accommodation in order to attend or participate in the meeting, please contact 202–205–3850 no later than July 13, 2012. For more information, please visit our Web site at www.nwbc.gov. Marisa Renee Lee, Senior Advisor to the Deputy Administrator. [FR Doc. 2012–16601 Filed 7–6–12; 8:45 am] 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 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 Director, 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 September 7, 2012. Individuals can obtain copies of the collection instrument by writing to the above email address. Statement of Employer—20 CFR 404.801–404.803—0960–0030. When workers report they were paid wages but cannot provide proof of those earnings, and the wages do not appear in SSA’s records of earnings, SSA uses form SSA–7011–F4 to document the alleged wages. Specifically, the agency uses the form to resolve discrepancies in the individual’s Social Security earnings record and to process claims for Social Security benefits. We only send Form SSA–7011–F4 to employers if we are unable to locate the earnings information in our own records. The respondents are employers who can verify wage allegations made by wage earners. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–7011–F4 .................................................................................................. sroberts on DSK5SPTVN1PROD with NOTICES Collection method 462,000 1 20 154,000 II. 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 VerDate Mar<15>2010 16:20 Jul 06, 2012 Jkt 226001 no later than August 8, 2012. Individuals can obtain copies of the OMB clearance package by writing to OPLM.RCO@ssa.gov. Request for Workers’ Compensation/ Public Disability Benefit Information— 20 CFR 404.408(e)—0960–0098. Claimants for Social Security disability PO 00000 Frm 00081 Fmt 4703 Sfmt 4703 payments who are also receiving Worker’s Compensation/Public Disability Benefits (WC/PDB) must notify SSA about their WC/PDB, so the agency can reduce claimants’ Social Security disability payments accordingly. If claimants provide necessary evidence, such as a copy of E:\FR\FM\09JYN1.SGM 09JYN1 40401 Federal Register / Vol. 77, No. 131 / Monday, July 9, 2012 / Notices their award notice, benefit check, etc., that is sufficient verification. In cases where claimants cannot provide such evidence, SSA uses Form SSA–1709. The entity paying the WC/PDB benefits, its agent, (such as an insurance carrier), or an administering public agency complete this form. The respondents are Federal, State, and local agencies, insurance carriers, and public or private self-insured companies administering WC/PDB benefits to disability claimants. Type of Request: Revision of an OMBapproved information collection. Collection method Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–1709 ........................................................................................................ 120,000 1 15 30,000 Dated: July 3, 2012. Faye Lipsky, Reports Clearance Director, Office of Regulations and Reports Clearance, Social Security Administration. [FR Doc. 2012–16634 Filed 7–6–12; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed 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 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 Director, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 21235, Fax: 410–966–2830, Email address: OPLM.RCO@ssa.gov. The information collections below are pending at SSA. SSA will submit the information collections 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 7, 2012. Individuals can Number of respondents Collection method obtain copies of the collection instruments by writing to the above email address. 1. Requests for Self-Employment Information, Employee Information, Employer Information—20 CFR 422.120—0960–0508. When SSA cannot identify Form W–2 wage data for an individual, we place the data in an earnings suspense file and contact the individuals (and in certain instances the employer) to obtain the correct information. If the respondent furnishes the name and SSN information that agrees with SSA’s records, or provides information that resolves the discrepancy, SSA adds the reported earnings to the respondent’s Social Security record. We use Forms SSA– L2765, SSA–L3365, and SSA–L4002 for this purpose. The respondents are selfemployed individuals and employees whose name and SSN information do not agree with their employer’s and SSA’s records. Type of Request: Revision of an OMB approved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–L2765 ...................................................................................................... SSA–L3365 ...................................................................................................... SSA–L4002 ...................................................................................................... 12,321 179,749 121,679 1 1 1 10 10 10 2,054 29,958 20,280 Totals ........................................................................................................ 313,749 ........................ ........................ 52,292 sroberts on DSK5SPTVN1PROD with NOTICES 2. Function Report Adult—Third Party—20 CFR 404.1512 & 416.912— 0960–0635. Individuals receiving or applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) provide SSA with medical evidence and other proof SSA requires to prove their disability. SSA, and Disability Determination Services (DDS) on our behalf, collect this information using Form SSA–3380–BK. We use the information to document how claimants’ disabilities affect their ability to function, and to determine Number of respondents Collection method SSA–338–BK (Individuals) .............................................................................. SSA–338–BK (Private Sector) ......................................................................... VerDate Mar<15>2010 16:20 Jul 06, 2012 Jkt 226001 PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 eligibility for SSI and SSDI claims. The respondents are third parties familiar with the functional limitations (or lack thereof) of claimants who apply for SSI and SSDI benefits. Type of Request: Revision of an OMB approved information collection. Frequency of response 500,000 500,000 E:\FR\FM\09JYN1.SGM 1 1 09JYN1 Average burden per response (minutes) 61 61 Estimated total annual burden (hours) 508,333 508,333

Agencies

[Federal Register Volume 77, Number 131 (Monday, July 9, 2012)]
[Notices]
[Pages 40400-40401]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-16634]


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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 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 
Director, 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 
September 7, 2012. Individuals can obtain copies of the collection 
instrument by writing to the above email address.
    Statement of Employer--20 CFR 404.801-404.803--0960-0030. When 
workers report they were paid wages but cannot provide proof of those 
earnings, and the wages do not appear in SSA's records of earnings, SSA 
uses form SSA-7011-F4 to document the alleged wages. Specifically, the 
agency uses the form to resolve discrepancies in the individual's 
Social Security earnings record and to process claims for Social 
Security benefits. We only send Form SSA-7011-F4 to employers if we are 
unable to locate the earnings information in our own records. The 
respondents are employers who can verify wage allegations made by wage 
earners.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
              Collection method                  Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7011-F4.................................         462,000                1               20          154,000
----------------------------------------------------------------------------------------------------------------

    II. 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 August 8, 2012. Individuals can obtain copies of the 
OMB clearance package by writing to OPLM.RCO@ssa.gov.
    Request for Workers' Compensation/Public Disability Benefit 
Information--20 CFR 404.408(e)--0960-0098. Claimants for Social 
Security disability payments who are also receiving Worker's 
Compensation/Public Disability Benefits (WC/PDB) must notify SSA about 
their WC/PDB, so the agency can reduce claimants' Social Security 
disability payments accordingly. If claimants provide necessary 
evidence, such as a copy of

[[Page 40401]]

their award notice, benefit check, etc., that is sufficient 
verification. In cases where claimants cannot provide such evidence, 
SSA uses Form SSA-1709. The entity paying the WC/PDB benefits, its 
agent, (such as an insurance carrier), or an administering public 
agency complete this form. The respondents are Federal, State, and 
local agencies, insurance carriers, and public or private self-insured 
companies administering WC/PDB benefits to disability claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
              Collection method                  Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1709....................................         120,000                1               15           30,000
----------------------------------------------------------------------------------------------------------------


    Dated: July 3, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports 
Clearance, Social Security Administration.
[FR Doc. 2012-16634 Filed 7-6-12; 8:45 am]
BILLING CODE 4191-02-P
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