Agency Information Collection Activities: Comment Request, 41874-41877 [2012-17244]
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41874
Federal Register / Vol. 77, No. 136 / Monday, July 16, 2012 / Notices
By the Commission.
Jill M. Peterson,
Assistant Secretary.
Percent
[FR Doc. 2012–17344 Filed 7–12–12; 11:15 am]
BILLING CODE 8011–01–P
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #13105 and #13106]
New Mexico Disaster #NM–00025
U.S. Small Business
Administration.
ACTION: Notice.
AGENCY:
This is a notice of an
Administrative declaration of a disaster
for the State of New Mexico dated 07/
09/2012.
Incident: Little Bear Fire.
Incident Period: 06/04/2012 and
continuing.
Effective Date: 07/09/2012.
Physical Loan Application Deadline
Date: 09/07/2012.
Economic Injury (EIDL) Loan
Application Deadline Date: 04/09/2013.
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: Notice is
hereby given that as a result of the
Administrator’s disaster declaration,
applications for disaster loans may be
filed 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: Lincoln.
Contiguous Counties:
New Mexico: Chaves, De Baca,
Guadalupe, Otero, Sierra, Socorro,
Torrance.
The Interest Rates are:
srobinson on DSK4SPTVN1PROD with NOTICES
SUMMARY:
For Physical Damage:
Homeowners With Credit Available Elsewhere ......................
Homeowners Without Credit
Available Elsewhere ..............
Businesses With Credit Available Elsewhere ......................
Businesses
Without
Credit
Available Elsewhere ..............
Non-Profit Organizations With
Credit Available Elsewhere ...
Non-Profit Organizations Without Credit Available Elsewhere .....................................
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For Economic Injury:
Businesses & Small Agricultural
Cooperatives Without Credit
Available Elsewhere ..............
Non-Profit Organizations Without Credit Available Elsewhere .....................................
4.000
3.000
The number assigned to this disaster
for physical damage is 13105 5 and for
economic injury is 13106 0.
The State which received an EIDL
Declaration # is New Mexico.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
Dated: July 9, 2012.
Karen G. Mills,
Administrator.
[FR Doc. 2012–17240 Filed 7–13–12; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #13103 and #13104]
Florida Disaster #FL–00071
U.S. Small Business
Administration.
ACTION: Notice.
AGENCY:
This is a Notice of the
Presidential declaration of a major
disaster for the State of Florida (FEMA–
4068–DR), dated 07/03/2012.
Incident: Tropical Storm Debby.
Incident Period: 06/23/2012 and
continuing.
Effective Date: 07/03/2012.
Physical Loan Application Deadline
Date: 09/04/2012.
Economic Injury (EIDL) Loan
Application Deadline Date: 04/03/2013.
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.
Percent
SUPPLEMENTARY INFORMATION: Notice is
hereby given that as a result of the
3.875 President’s major disaster declaration on
07/03/2012, applications for disaster
1.938 loans may be filed at the address listed
above or other locally announced
6.000 locations.
The following areas have been
4.000 determined to be adversely affected by
the disaster:
3.125
Primary Counties (Physical Damage and
Economic Injury Loans): Baker,
Bradford, Columbia, Pasco, Wakulla.
3.000
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SUMMARY:
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Contiguous Counties (Economic Injury
Loans Only):
Florida: Alachua, Baker, Clay, Duval,
Franklin, Gilchrist, Hamilton,
Hernando, Hillsborough, Jefferson,
Leon, Liberty, Nassau, Pinellas,
Polk, Putnam, Sumter, Suwannee,
Union.
Georgia: Charlton, Clinch, Echols,
Ware.
The Interest Rates are:
Percent
For Physical Damage:
Homeowners With Credit Available Elsewhere ......................
Homeowners Without Credit
Available Elsewhere ..............
Businesses With Credit Available Elsewhere ......................
Businesses
Without
Credit
Available Elsewhere ..............
Non-Profit Organizations With
Credit Available Elsewhere ...
Non-Profit Organizations Without Credit Available Elsewhere .....................................
For Economic Injury:
Businesses & Small Agricultural
Cooperatives Without Credit
Available Elsewhere ..............
Non-Profit Organizations Without Credit Available Elsewhere .....................................
3.875
1.938
6.000
4.000
3.125
3.000
4.000
3.000
The number assigned to this disaster
for physical damage is 13103B and for
economic injury is 131040.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
Joseph P. Loddo,
Acting Associate Administrator for Disaster
Assistance.
[FR Doc. 2012–17242 Filed 7–13–12; 8:45 am]
BILLING CODE 8025–01–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 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
of OMB-approved information
collections and one new information
collection.
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,
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Federal Register / Vol. 77, No. 136 / Monday, July 16, 2012 / Notices
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.
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 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
August 15, 2012. Individuals can obtain
copies of the OMB clearance packages
by writing to OPLM.RCO@ssa.gov.
1. Health IT Partner Program
Assessment—Partnering Facilities and
Available Content Form—24 CFR
495.300–495.370—0960–NEW. The
Health Information Technology for
Economic and Clinical Health (HITECH)
Act promotes the adoption and
meaningful use of health information
technology (IT), particularly in the
context of working with government
agencies. Similarly, section 3004 of the
Public Health Service Act requires
health care providers or health
insurance issuers with government
contracts to implement, acquire, or
upgrade their health IT systems and
products to meet adopted standards and
implementation specifications.
To support expansion of SSA’s health
IT initiative as defined under HITECH,
SSA developed Form SSA–680, the
Health IT Partner Program
Assessment—Participating Facilities
and Available Content Form. The SSA–
680 allows healthcare providers to
provide the information SSA needs to
determine their ability to exchange
health information with us
electronically. We intend to evaluate
potential partners (i.e., healthcare
providers and organizations) on (1) the
accessibility of health information they
possess, and (2) the content value of
their electronic health records’ systems
for our disability adjudication
processes. SSA reviews the
completeness of organizations’ SSA–680
responses as one part of our careful
analysis of their readiness to enter into
a health IT partnership with us. The
respondents are healthcare providers
and organizations exchanging
information with the agency.
Note: This is a correction notice. SSA
published this information collection notice
with a different form title on January 31,
2012 at 77 FR 4854. We are publishing this
notice with the revised, corrected form title
here.
Type of Request: This is a new
information collection request.
Collection instrument
Number of
responses
Frequency of
response
Average
burden per
response
(hours)
Estimated total
annual burden
(hours)
SSA–680 ..........................................................................................................
30
1
5
150
2. Statement of Self-Employment
Income—20 CFR 404.101, 404.110,
404.1096(a)–(d)—0960–0046. To qualify
for insured status and thus collect
Social Security benefits, self-employed
individuals must demonstrate they
earned the minimum amount of selfemployment income (SEI) in a current
year. SSA uses Form SSA–766,
Statement of Self-Employment Income,
to collect the information we need to
determine if the individual will have at
least the minimum amount of SEI
needed for one or more quarters of
coverage in the current year. Based on
the information we obtain, we may
credit additional quarters of coverage to
give the individual insured status thus
expediting benefit payments.
Respondents are self-employed
individuals who may be eligible for
Social Security benefits.
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–766 ..........................................................................................................
2,500
1
5
208
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3. Certification by Religious Group–20
CFR 404.1075–0960–0093. SSA is
responsible for determining whether
religious groups meet the qualifications
exempting certain members and sects
from payment of Self-Employment
Contribution Act taxes under the
Internal Revenue Code, section 1402(g).
SSA sends Form SSA–1458,
Certification by Religious Group, to a
group’s authorized spokesperson to
complete and verify organizational
members meet or continue to meet the
criteria for exemption. The respondents
are spokespersons for religious groups
or sects.
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–1458 ........................................................................................................
180
1
15
45
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Federal Register / Vol. 77, No. 136 / Monday, July 16, 2012 / Notices
4. Claim for Amounts Due in the Case
of a Deceased Beneficiary—20 CFR
404.503(b)–0960–0101. SSA requests
applicants complete Form SSA–1724
when there is insufficient information
in the file to identify the person(s)
entitled to the underpayment, or the
person’s address. SSA collects the
information when a surviving widow(er)
is not already entitled to a monthly
benefit on the same earnings record, or
is not filing for a lump-sum death
payment as a former spouse. SSA uses
the information Form SSA–1724
provides to ensure proper payment of an
underpayment due a deceased
beneficiary. The respondents are
applicants for underpayments owed to
deceased beneficiaries.
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–1724 ........................................................................................................
250,000
1
10
41,667
5. Certificate of Election for Reduced
Spouse’s Benefits—20 CFR 404.421–
0960–0398. Reduced benefits are not
payable to an already entitled spouse, at
least age 62 but under full retirement
age, who no longer has a child in their
care unless the spouse elects to receive
reduced benefits. If spouses decide to
elect reduced benefits, they complete
Form SSA–25. SSA uses the information
to pay qualified spouses who elect to
receive reduced benefits. Respondents
are entitled spouses seeking reduced
benefits.
Type of Request: Revision of an OMB
approved information collection.
Collection instrument
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–25 ............................................................................................................
30,000
1
2
1,000
6. Surveys in Accordance with E.O.
12862 for the Social Security
Administration—0960–0526. Under the
auspices of Executive Order 12862,
Setting Customer Service Standards,
SSA conducts multiple customer
satisfaction surveys each year. These
voluntary customer satisfaction
assessments include paper, Internet, and
telephone surveys; mailed
questionnaires; and customer comment
cards. The purpose of these
questionnaires is to assess customer
satisfaction with the timeliness,
appropriateness, access, and overall
quality of existing SSA services and
proposed modifications or new versions
of services. The respondents are
recipients of SSA services (including
most members of the public),
professionals, and individuals who
work on behalf of SSA beneficiaries.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Range of
response
times
(minutes)
Burden
(burden
for all
activities
within that
year;
reported
in hours)
Year 1 (September 2012–August 2013) .........................................................
Year 2 (September 2013–August 2014) .........................................................
Year 3 (September 2014–September 2015) ...................................................
4,481,566
1,559,566
1,484,566
1
1
1
3–90
3–90
3–90
290,741
144,991
141,741
Totals ........................................................................................................
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Number of
respondents
(burden for all
activities within
that year)
7,525,698
........................
........................
577,473
7. Request for Business Entity
Taxpayer Information—0960–0731. Law
firms or other business entities must
complete Form SSA–1694, Request for
Business Entity Taxpayer Information, if
they wish to serve as appointed
representatives and receive direct
payment of fees from SSA. SSA uses the
information to issue a Form 1099–MISC.
SSA also uses the information to allow
business entities to designate
individuals to serve as entity
administrators authorized to perform
certain administrative duties on their
behalf, such as providing bank account
information, maintaining entity
information, and updating individual
affiliations. Respondents are law firms
or other business entities which have
attorneys or other qualified individuals
as partners or employees who represent
claimants before SSA.
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–1694 ........................................................................................................
2,000
1
10
334
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Federal Register / Vol. 77, No. 136 / Monday, July 16, 2012 / Notices
Dated: July 11, 2012.
Faye Lipsky,
Reports Clearance Director, Office of
Regulations and Reports Clearance, Social
Security Administration.
[FR Doc. 2012–17244 Filed 7–13–12; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 7955]
Advisory Committee on International
Postal and Delivery Services
Department of State.
Notice, FACA Committee
meeting announcement.
AGENCY:
ACTION:
As required by the Federal
Advisory Committee Act, Public Law
92–463, the Department of State gives
notice of a meeting of the Advisory
Committee on International Postal and
Delivery Services (the Advisory
Committee). This Committee has been
formed in fulfillment of the provisions
of the 2006 Postal Accountability and
Enhancement Act (Pub. L. 109–435) and
in accordance with the Federal
Advisory Committee Act.
Date and Time: The meeting will be
held on Thursday, August 2, 2012, from
10 a.m. to 1 p.m., and is open to the
public.
Location: The American Institute of
Architects, 1735 New York Ave. NW.,
Washington, DC 20006.
Purpose and Summary of Agenda:
The meeting will discuss the U.S.
government’s participation for the 25th
Congress of the Universal Postal Union
which will be held in Doha, Qatar
beginning September 24, 2012. The
public and members of the Advisory
Committee will be briefed on
preparations for the Congress, including
the official U.S. delegation, and on
policy initiatives. The Committee
members, and subsequently members of
the public, will be invited to provide
additional input regarding policy issues
related to the Doha Congress and to
other international postal and delivery
matters.
Public input: Any member of the
public interested in providing public
input to the meeting should contact Ms.
Helen Grove, whose contact information
is listed under FOR FURTHER INFORMATION
CONTACT section of this notice. Each
individual providing oral input is
requested to limit his or her comments
to five minutes. Requests to be added to
the speaker list must be received in
writing (letter, email or fax) prior to the
close of business on July 27, 2012;
written comments from members of the
srobinson on DSK4SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
16:32 Jul 13, 2012
Jkt 226001
public for distribution at this meeting
must reach Ms. Grove by letter, email or
fax by this same date. A member of the
public requesting reasonable
accommodation should make the
request to Ms. Grove by that same date.
FOR FURTHER INFORMATION CONTACT:
Please contact Helen Grove, Office of
Global Systems (IO/GS), Bureau of
International Organization Affairs, U.S.
Department of State, at (202) 647–1044,
GroveHA@State.gov.
Dated: July 9, 2012.
Robert Richard Downes,
Designated Federal Officer, Advisory
Committee on International Postal and
Delivery Services, Bureau of International
Organization Affairs, Department of State.
[FR Doc. 2012–17259 Filed 7–13–12; 8:45 am]
BILLING CODE 4710–19–P
DEPARTMENT OF STATE
[Public Notice 7956]
International Joint Commission;
International Joint Commission To
Hold Public Hearings on Lake Osoyoos
The International Joint Commission
(IJC) is inviting the public to comment
on recommendations for the renewal of
its Lake Osoyoos order. The order
provides for the regulation of water
levels of Lake Osoyoos for the benefit of
agriculture, tourism, municipal
interests, and fisheries protection.
Water levels of Lake Osooyos have
been regulated by the IJC since 1946,
when it approved alterations to an
existing dam downstream from the lake.
Under orders of the IJC, a new structure
was constructed in 1987 to replace the
dam. The orders set maximum and
minimum lake elevations of 911.5 and
909 feet during normal years. During a
drought year, water may be stored to
lake elevations as high as 913.0 feet.
The current Orders of Approval for
Lake Osoyoos are set to expire on
February 22, 2013, unless renewed. The
IJC asked its International Osoyoos Lake
Board of Control (the Board) to present
a report of recommendations for
renewing the Osoyoos Lake Orders.
Drawing on the results of eight studies
commissioned by IJC, the Board
recommends that the scope of a
renewed Order remain limited to the
management of lake levels with only
minor modifications that are primarily
related to a revised lake-level rule curve
(i.e. prescribed lake water level
elevation limits over time per an IJC
Order). The Board also recommends that
the Commission should encourage the
continued cooperation between British
Columbia and the State of Washington
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41877
to balance flow needs across the
International Border and downstream of
the dam, while respecting goals for
Osoyoos Lake elevations and limits on
releases that are possible from Okanagan
Lake.
The Board recommends a public
review of the proposed rule curve. The
proposed rule curve would provide
additional seasonal flexibility in
achieving targeted lake levels, and
would accommodate multiple uses and
users of the lake. The proposed rule
curve would also eliminate drought/
non-drought declarations and would
limit the maximum lake levels to 912.5
ft in the summer. More detailed
discussion of the proposed rule curve
and the Board’s recommendations on
renewal of the Order are contained in
the Board’s Report entitled
Recommendations for Renewal of the
International Joint Commission’s
Osoyoos Lake Order now posted on the
IJC Web site at www.ijc.org.
Commissioners invite the public to
comment on the report at the following
times and locations:
July 24, 2012—7 p.m.
Oroville High School Commons, 1008
Ironwood St., Oroville, WA.
July 25, 2012—7 p.m.
Best Western Plus Sunrise Inn, 5506
Main Street, Osoyoos, BC.
Comments may also be submitted at
the hearings, by mail or by email at
either address below:
U.S. Section Secretary, International
Joint Commission, 2000 L Street NW.,
Suite #615, Washington, DC 20036,
Fax: 202–632–2007. Email:
Commission@washington.ijc.org.
Canadian Section Secretary,
International Joint Commission, 234
Laurier Avenue West, 22nd Floor,
Ottawa, ON K1P 6K6, Fax: 613–993–
5583, Email:
Commission@ottawa.ijc.org.
The IJC will receive comments until
August 31, 2012. The IJC will then
consider public comments and review
the report before making a decision on
renewing the order.
The IJC prevents and resolves
disputes between Canada and the
United States under the 1909 Boundary
Waters Treaty and pursues the common
good of both countries as an
independent and objective advisor to
the two governments.
Contacts:
Washington, Frank Bevacqua, 202–736–
9024.
Ottawa, Bernard Beckhoff, 613–947–
1420.
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]]>Agencies
[Federal Register Volume 77, Number 136 (Monday, July 16, 2012)]
[Notices]
[Pages 41874-41877]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17244]
=======================================================================
-----------------------------------------------------------------------
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 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions of OMB-approved information collections and one new
information collection.
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,
[[Page 41875]]
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.
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 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than August 15, 2012. Individuals can obtain copies of the OMB
clearance packages by writing to OPLM.RCO@ssa.gov.
1. Health IT Partner Program Assessment--Partnering Facilities and
Available Content Form--24 CFR 495.300-495.370--0960-NEW. The Health
Information Technology for Economic and Clinical Health (HITECH) Act
promotes the adoption and meaningful use of health information
technology (IT), particularly in the context of working with government
agencies. Similarly, section 3004 of the Public Health Service Act
requires health care providers or health insurance issuers with
government contracts to implement, acquire, or upgrade their health IT
systems and products to meet adopted standards and implementation
specifications.
To support expansion of SSA's health IT initiative as defined under
HITECH, SSA developed Form SSA-680, the Health IT Partner Program
Assessment--Participating Facilities and Available Content Form. The
SSA-680 allows healthcare providers to provide the information SSA
needs to determine their ability to exchange health information with us
electronically. We intend to evaluate potential partners (i.e.,
healthcare providers and organizations) on (1) the accessibility of
health information they possess, and (2) the content value of their
electronic health records' systems for our disability adjudication
processes. SSA reviews the completeness of organizations' SSA-680
responses as one part of our careful analysis of their readiness to
enter into a health IT partnership with us. The respondents are
healthcare providers and organizations exchanging information with the
agency.
Note: This is a correction notice. SSA published this
information collection notice with a different form title on January
31, 2012 at 77 FR 4854. We are publishing this notice with the
revised, corrected form title here.
Type of Request: This is a new information collection request.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Collection instrument Number of Frequency of per response annual burden
responses response (hours) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-680..................................... 30 1 5 150
----------------------------------------------------------------------------------------------------------------
2. Statement of Self-Employment Income--20 CFR 404.101, 404.110,
404.1096(a)-(d)--0960-0046. To qualify for insured status and thus
collect Social Security benefits, self-employed individuals must
demonstrate they earned the minimum amount of self-employment income
(SEI) in a current year. SSA uses Form SSA-766, Statement of Self-
Employment Income, to collect the information we need to determine if
the individual will have at least the minimum amount of SEI needed for
one or more quarters of coverage in the current year. Based on the
information we obtain, we may credit additional quarters of coverage to
give the individual insured status thus expediting benefit payments.
Respondents are self-employed individuals who may be eligible for
Social Security benefits.
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-766..................................... 2,500 1 5 208
----------------------------------------------------------------------------------------------------------------
3. Certification by Religious Group-20 CFR 404.1075-0960-0093. SSA
is responsible for determining whether religious groups meet the
qualifications exempting certain members and sects from payment of
Self-Employment Contribution Act taxes under the Internal Revenue Code,
section 1402(g). SSA sends Form SSA-1458, Certification by Religious
Group, to a group's authorized spokesperson to complete and verify
organizational members meet or continue to meet the criteria for
exemption. The respondents are spokespersons for religious groups or
sects.
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-1458.................................... 180 1 15 45
----------------------------------------------------------------------------------------------------------------
[[Page 41876]]
4. Claim for Amounts Due in the Case of a Deceased Beneficiary--20
CFR 404.503(b)-0960-0101. SSA requests applicants complete Form SSA-
1724 when there is insufficient information in the file to identify the
person(s) entitled to the underpayment, or the person's address. SSA
collects the information when a surviving widow(er) is not already
entitled to a monthly benefit on the same earnings record, or is not
filing for a lump-sum death payment as a former spouse. SSA uses the
information Form SSA-1724 provides to ensure proper payment of an
underpayment due a deceased beneficiary. The respondents are applicants
for underpayments owed to deceased beneficiaries.
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-1724.................................... 250,000 1 10 41,667
----------------------------------------------------------------------------------------------------------------
5. Certificate of Election for Reduced Spouse's Benefits--20 CFR
404.421-0960-0398. Reduced benefits are not payable to an already
entitled spouse, at least age 62 but under full retirement age, who no
longer has a child in their care unless the spouse elects to receive
reduced benefits. If spouses decide to elect reduced benefits, they
complete Form SSA-25. SSA uses the information to pay qualified spouses
who elect to receive reduced benefits. Respondents are entitled spouses
seeking reduced benefits.
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-25...................................... 30,000 1 2 1,000
----------------------------------------------------------------------------------------------------------------
6. Surveys in Accordance with E.O. 12862 for the Social Security
Administration--0960-0526. Under the auspices of Executive Order 12862,
Setting Customer Service Standards, SSA conducts multiple customer
satisfaction surveys each year. These voluntary customer satisfaction
assessments include paper, Internet, and telephone surveys; mailed
questionnaires; and customer comment cards. The purpose of these
questionnaires is to assess customer satisfaction with the timeliness,
appropriateness, access, and overall quality of existing SSA services
and proposed modifications or new versions of services. The respondents
are recipients of SSA services (including most members of the public),
professionals, and individuals who work on behalf of SSA beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of Burden (burden
respondents for all
(burden for all Frequency of Range of activities
activities response response times within that
within that (minutes) year; reported
year) in hours)
----------------------------------------------------------------------------------------------------------------
Year 1 (September 2012-August 2013)......... 4,481,566 1 3-90 290,741
Year 2 (September 2013-August 2014)......... 1,559,566 1 3-90 144,991
Year 3 (September 2014-September 2015)...... 1,484,566 1 3-90 141,741
-------------------------------------------------------------------
Totals.................................. 7,525,698 ............... ............... 577,473
----------------------------------------------------------------------------------------------------------------
7. Request for Business Entity Taxpayer Information--0960-0731. Law
firms or other business entities must complete Form SSA-1694, Request
for Business Entity Taxpayer Information, if they wish to serve as
appointed representatives and receive direct payment of fees from SSA.
SSA uses the information to issue a Form 1099-MISC. SSA also uses the
information to allow business entities to designate individuals to
serve as entity administrators authorized to perform certain
administrative duties on their behalf, such as providing bank account
information, maintaining entity information, and updating individual
affiliations. Respondents are law firms or other business entities
which have attorneys or other qualified individuals as partners or
employees who represent claimants before SSA.
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-1694.................................... 2,000 1 10 334
----------------------------------------------------------------------------------------------------------------
[[Page 41877]]
Dated: July 11, 2012.
Faye Lipsky,
Reports Clearance Director, Office of Regulations and Reports
Clearance, Social Security Administration.
[FR Doc. 2012-17244 Filed 7-13-12; 8:45 am]
BILLING CODE 4191-02-P
