Agency Information Collection Activities: Proposed Request, 40401-40402 [2012-16635]

Download as PDF 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 40402 Federal Register / Vol. 77, No. 131 / Monday, July 9, 2012 / Notices Totals ........................................................................................................ 3. Function Report Adult—20 CFR 404.1512 & 416.912—0960–0681. Individuals receiving or applying for SSDI or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA, and DDSs Frequency of response Average burden per response (minutes) ........................ ........................ Number of respondents Collection method 1,000,000 on our behalf, collect the information using Form SSA–3373. We use this information to document how claimants’ disabilities affect their ability to function, and to determine eligibility for SSI and SSDI claims. The Estimated total annual burden (hours) 1,016,666 respondents are title II and title XVI applicants (or current recipients undergoing redeterminations) for disability 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–3373 ........................................................................................................ 4,221,656 1 61 4,292,016 Dated: July 3, 2012. Faye Lipsky, Reports Clearance Director, Office of Regulations and Reports Clearance, Social Security Administration. [FR Doc. 2012–16635 Filed 7–6–12; 8:45 am] BILLING CODE 4191–02–P SUSQUEHANNA RIVER BASIN COMMISSION Actions Taken at June 7, 2012 Meeting Susquehanna River Basin Commission. ACTION: Notice. AGENCY: As part of its regular business meeting held on June 7, 2012, in Binghamton, New York, the Commission took the following actions: (1) Rescinded approval for one water resources project; (2) approved or tabled the applications of certain water resources projects; and (3) took additional actions as set forth in the Supplementary Information below. DATES: June 7, 2012. ADDRESSES: Susquehanna River Basin Commission, 1721 N. Front Street, Harrisburg, PA 17102–2391. FOR FURTHER INFORMATION CONTACT: Richard A. Cairo, General Counsel, telephone: (717) 238–0423, ext. 306; fax: (717) 238–2436; email: rcairo@srbc.net. Regular mail inquiries may be sent to the above address. See also Commission web site at www.srbc.net. SUPPLEMENTARY INFORMATION: In addition to its related actions on projects identified in the summary above and the listings below, the following items were also presented or acted on at the business meeting: (1) Election of the State of Maryland as the sroberts on DSK5SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:20 Jul 06, 2012 Jkt 226001 Chair and the federal government as the Vice Chair of the Commission for FY 2013; (2) extension of the comment period for the proposed Low Flow Protection Policy from May 16, 2012, to July 16, 2012; (3) adoption of a Water Resources Program for FY 2013–2014; (4) amendment of a Records Processing Fee Schedule to include an Information Technology Services Fee, effective July 1, 2012; (5) amendment of a Regulatory Program Fee Schedule, effective July 1, 2012; (6) authorization to refinance the Curwensville Water Storage Project; (7) adoption of a FY 2014 budget subject to future revision; (8) amendment of the Comprehensive Plan for the Water Resources of the Susquehanna River Basin; and (9) tabling of a request for an administrative hearing from Anadarko E&P Company, LP on a denial of approval for its Well PW–11. Rescission of Project Approval The Commission rescinded approval for the following project: 1. Project Sponsor and Facility: BAE Systems Controls, Town of Union, Broome County, NY (Docket No. 20030802). Project Applications Approved The Commission approved the following project applications: 1. Project Sponsor and Facility: Anadarko E&P Company LP (West Branch Susquehanna River), Piatt Township, Lycoming County, PA. Surface water withdrawal of up to 1.500 mgd (peak day). 2. Project Sponsor: Aqua Pennsylvania, Inc. Project Facility: Eagle Rock Utilities, Black Creek Township, Luzerne County, and Hazle Township, Schuylkill County, PA. Groundwater withdrawal of up to 0.220 mgd (30-day PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 average) from Well ER–6, located in Black Creek Township, Luzerne County. 3. Project Sponsor and Facility: Aqua Infrastructure, LLC. Source approval of a regional water supply distribution system to natural gas operations centered in Lycoming County, PA. 4. Project Sponsor and Facility: Carrizo (Marcellus), LLC (Clearfield Creek), Reade Township, Cambria County, PA. Surface water withdrawal of up to 0.432 mgd (peak day). 5. Project Sponsor and Facility: Empire Kosher Poultry, Inc., Walker Township, Juniata County, PA. Modification to increase total groundwater system withdrawal by an additional 0.499 mgd, for a total of 1.269 mgd (30-day average) (Docket No. 20030809). 6. Project Sponsor and Facility: Jo Jo Oil Company, Inc. (Tunkhannock Creek), Tunkhannock Township, Wyoming County, PA. Surface water withdrawal of up to 0.999 mgd (peak day). 7. Project Sponsor and Facility: LDG Innovation, LLC (Tioga River), Lawrenceville Borough, Tioga County, PA. Modification to increase surface water withdrawal by an additional 0.375 mgd, for a total of 0.750 mgd (peak day) (Docket No. 20100311). 8. Project Sponsor and Facility: LHP Management, LLC (Muncy Creek), Muncy Creek Township, Lycoming County, PA. Surface water withdrawal of up to 0.999 mgd (peak day). 9. Project Sponsor and Facility: LHP Management, LLC (West Branch Susquehanna River), Muncy Creek Township, Lycoming County, PA. Surface water withdrawal of up to 3.000 mgd (peak day). 10. Project Sponsor and Facility: Mountain Country Energy Services, Inc. (Driftwood Branch Sinnemahoning E:\FR\FM\09JYN1.SGM 09JYN1

Agencies

[Federal Register Volume 77, Number 131 (Monday, July 9, 2012)]
[Notices]
[Pages 40401-40402]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-16635]


-----------------------------------------------------------------------

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 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 self-employed 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.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
                Collection method                   respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L2765.......................................          12,321               1              10           2,054
SSA-L3365.......................................         179,749               1              10          29,958
SSA-L4002.......................................         121,679               1              10          20,280
                                                 ---------------------------------------------------------------
    Totals......................................         313,749  ..............  ..............          52,292
----------------------------------------------------------------------------------------------------------------

    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 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.

----------------------------------------------------------------------------------------------------------------
                                                                                                     Estimated
                                                     Number of     Frequency of   Average burden   total annual
                Collection method                   respondents      response      per response       burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-338-BK (Individuals)........................         500,000               1              61         508,333
SSA-338-BK (Private Sector).....................         500,000               1              61         508,333
                                                 ---------------------------------------------------------------

[[Page 40402]]

 
    Totals......................................       1,000,000  ..............  ..............       1,016,666
----------------------------------------------------------------------------------------------------------------

    3. Function Report Adult--20 CFR 404.1512 & 416.912--0960-0681. 
Individuals receiving or applying for SSDI or SSI must provide medical 
evidence and other proof SSA requires to prove their disability. SSA, 
and DDSs on our behalf, collect the information using Form SSA-3373. We 
use this information to document how claimants' disabilities affect 
their ability to function, and to determine eligibility for SSI and 
SSDI claims. The respondents are title II and title XVI applicants (or 
current recipients undergoing redeterminations) for disability 
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-3373....................................       4,221,656                1               61        4,292,016
----------------------------------------------------------------------------------------------------------------


    Dated: July 3, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports 
Clearance, Social Security Administration.
[FR Doc. 2012-16635 Filed 7-6-12; 8:45 am]
BILLING CODE 4191-02-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.