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