Agency Information Collection Activities: Proposed Request and Comment Request, 65044-65047 [2012-26151]
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65044
Federal Register / Vol. 77, No. 206 / Wednesday, October 24, 2012 / Notices
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for Web site viewing and
printing in the Commission’s Public
Reference Room, 100 F Street NE.,
Washington, DC 20549, on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of the
filing also will be available for
inspection and copying at the principal
office of the Exchange. All comments
received will be posted without change;
the Commission does not edit personal
identifying information from
submissions. You should submit only
information that you wish to make
available publicly. All submissions
should refer to File Number SR–NYSE–
2012–53 and should be submitted on or
before November 14, 2012.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.22
Kevin M. O’Neill,
Deputy Secretary.
following areas as adversely affected by
the disaster:
Primary Parishes: (Physical Damage and
Economic Injury Loans): Pointe
Coupee.
All Contiguous Counties have
previously been declared.
All other information in the original
declaration remains unchanged.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
James E. Rivera,
Associate Administrator for Disaster
Assistance.
[FR Doc. 2012–26158 Filed 10–23–12; 8:45 am]
BILLING CODE 8025–01–P
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #13346 and #13347]
Pennsylvania Disaster #PA–00054
[FR Doc. 2012–26145 Filed 10–23–12; 8:45 am]
U.S. Small Business
Administration.
ACTION: Notice
BILLING CODE 8011–01–P
SUMMARY:
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #13271 and #13272]
Louisiana Disaster Number LA–00048
U.S. Small Business
Administration.
ACTION: Amendment 10.
AGENCY:
This is an amendment of the
Presidential declaration of a major
disaster for the State of Louisiana
(FEMA—4080—DR), dated 08/31/2012.
Incident: Hurricane Isaac.
Incident Period: 08/26/2012 through
09/10/2012.
Effective Date: 10/17/2012.
Physical Loan Application Deadline
Date: 10/30/2012.
EIDL Loan Application Deadline Date:
05/29/2013.
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: The notice
of the Presidential disaster declaration
for the State of Louisiana, dated 08/31/
2012 is hereby amended to include the
wreier-aviles on DSK5TPTVN1PROD with
SUMMARY:
22 17
14:21 Oct 23, 2012
This is a notice of an
Administrative declaration of a disaster
for the Commonwealth of Pennsylvania
dated 10/18/2012.
Incident: Cheltenham Township
Condominium Complex Fire.
Incident Period: 10/05/2012.
Effective Date: 10/18/2012.
Physical Loan Application Deadline
Date: 12/17/2012.
Economic Injury (EIDL) Loan
Application Deadline Date: 07/18/2013.
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:
Montgomery.
Contiguous Counties:
Pennsylvania: Berks, Bucks, Chester,
Delaware, Lehigh, Philadelphia.
The Interest Rates are:
Percent
For Physical Damage:
CFR 200.30–3(a)(12).
VerDate Mar<15>2010
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Percent
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 .....................................
3.375
1.688
6.000
4.000
3.125
3.000
4.000
3.000
The number assigned to this disaster
for physical damage is 13346 5 and for
economic injury is 13347 0.
The State which received an EIDL
Declaration # is Pennsylvania.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
Dated: October 18, 2012.
Karen G. Mills,
Administrator.
[FR Doc. 2012–26157 Filed 10–23–12; 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
to and extensions 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–
E:\FR\FM\24OCN1.SGM
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65045
Federal Register / Vol. 77, No. 206 / Wednesday, October 24, 2012 / Notices
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: OR.
Reports.Clearance@ssa.gov.
I. The information collections below
are pending at SSA. SSA will submit
them 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 December 24,
2012. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Representative Payment Policies
and Administrative Procedures for
Imposing Penalties for False or
Misleading Statements or Withholding
of Information—0960–0740. This
information collection request (ICR)
comprises several regulation sections
that provide additional safeguards for
Social Security beneficiaries whose
representative payees receive their
payments. SSA requires representative
payees to notify us of any event or
change in circumstances that would
affect receipt of benefits or performance
of payee duties. SSA uses the
information to determine continued
eligibility for benefits, the amount of
benefits due, and if the payee is suitable
to continue serving as payee. The
respondents are representative payees
who receive and use benefits on behalf
of Social Security beneficiaries.
TYPE OF COLLECTION—EXTENSION OF AN OMB-APPROVED INFORMATION COLLECTION
Number of
respondents
Regulation Section
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
404.2035(d)—Paper/Mail .................................................................................
404.2035(d)—Office interview/Intranet ............................................................
404.2035(f)—Paper/Mail ..................................................................................
404.2035(f)—Office interview/Intranet .............................................................
416.635(d)—Paper/Mail ...................................................................................
416.635(d)—Office interview/Intranet ..............................................................
416.635(f)—Paper/Mail ....................................................................................
416.635(f)—Office interview/Intranet ...............................................................
27,500
522,500
275
5,225
15,000
285,000
150
2,850
1
1
1
1
1
1
1
1
5
5
5
5
5
5
5
5
2,292
43,542
23
435
1,250
23,750
13
238
Total ..........................................................................................................
858,500
........................
........................
71,543
2. Protecting the Public and Our
Personnel To Ensure Operational
Effectiveness (RIN 0960–AH35),
Regulation 3729I—20 CFR 422.905,
422.906—0960–0796.
Background
When members of the public
demonstrate disruptive, violent, or
threatening actions or behavior toward
SSA employees, the agency takes
measures to ensure the safety of
everyone involved, including banning
such individuals from appearing in
person at any of our field offices. In lieu
of in-person office visits, the agency
provides services to banned individuals
through alternate methods, including
our 800 number, online applications,
mail services, or, in limited
circumstances, face-to-face services by
appointment with additional security
present.
On September 2, 2011, the agency
published regulations and notifications
processes for the ban decision at 76 FR
54700. The current ICR requests full
approval for the public reporting
burdens from the interim final rules. We
previously obtained emergency OMB
approval for these burdens.
Information Collection Description
The interim final ban decision rules
contain two public reporting burdens:
• 20 CFR 422.905—after SSA issues a
ban decision against an individual, the
individual has 60 days to appeal the
determination. Individuals must submit
a written appeal stating why they
believe SSA should rescind the ban and
allow them to conduct business with us
on a face-to-face basis in one of our
offices. There is no printed form for this
request; banned individuals create their
own written statement of appeal, and
submit it to a sole decision-maker in the
regional office of the region where the
ban originated. The individuals may
also provide additional documentation
to support their appeal.
• 20 CFR 422.906—three years after
the original ban decision, banned
individuals may re-submit a written
appeal of the determination. The same
criteria apply as for the original appeal:
(1) It must be in writing;
(2) it must go to a sole decision-maker
in the regional office of the region where
the ban originated for review; and (3) it
may accompany supporting
documentation.
Respondents for this collection are
individuals appealing their banning
from SSA field offices.
TYPE OF REQUEST—EXTENSION OF AN OMB-APPROVED INFORMATION COLLECTION
Number of
respondents
wreier-aviles on DSK5TPTVN1PROD with
Regulation section
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
20 CFR 422.905 ..............................................................................................
20 CFR 422.906 ..............................................................................................
75
75
1
1
15
20
19
25
Totals ........................................................................................................
150
........................
........................
44
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65046
Federal Register / Vol. 77, No. 206 / Wednesday, October 24, 2012 / Notices
II. 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
November 23, 2012. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Employment Relationship
Questionnaire—20 CFR 404.1007—
0960–0040. When SSA needs
information to determine a worker’s
employment status for the purpose of
maintaining a worker’s earning records,
the agency uses Form SSA–7160–F4 to
determine the existence of an employeremployee relationship. We use the
information to develop the employment
relationship; specifically to determine
whether a beneficiary is self-employed
or an employee. The respondents are
individuals seeking to establish their
status as employees and their alleged
employers.
TYPE OF REQUEST—REVISION OF AN OMB-APPROVED INFORMATION COLLECTION
Number of
respondents
Respondent type
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Individuals ........................................................................................................
Businesses .......................................................................................................
State/Local Government ..................................................................................
8,000
7,200
800
1
1
1
25
25
25
3,333
3,000
333
Totals: .......................................................................................................
16,000
........................
........................
6,666
2. Blood Donor Locator Service
(BDLS)—20 CFR 401.200—0960–0501.
The regulations on Privacy and
Disclosure of Official Records and
Information, Subpart C, stipulate that
when blood donor facilities identify
blood donations as human
immunodeficiency virus-positive, the
overseeing state agency must provide
the names and Social Security Numbers
of the affected donors to SSA’s Blood
Donor Locator Service. SSA uses this
information to furnish the state agencies
with the blood donors’ address
information to notify the blood donors.
Respondents are state agencies acting on
behalf of blood donor facilities.
TYPE OF REQUEST—EXTENSION OF AN OMB-APPROVED INFORMATION COLLECTION
Regulation section
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
20 CFR 401.200 ..............................................................................................
10
5
15
13
3. The Ticket to Work and SelfSufficiency Program—20 CFR 411—
0960–0644. SSA’s Ticket to Work
(Ticket) Program transitions Social
Security Disability Insurance (SSDI) and
Supplemental Security Income (SSI)
recipients toward independence by
allowing them to receive Social Security
payments while maintaining
employment under the auspices of the
program. SSA uses service providers,
called Employment Networks (ENs), to
supervise participant progress through
the stages of Ticket Program
participation, such as job searches and
interviews, progress reviews, and
changes in ticket status. ENs can be
private for-profit and nonprofit
organizations, as well as state vocational
rehabilitation agencies (VRs). SSA and
the ENs utilize the Ticket to Work
Program Manager to operate the Ticket
Program and exchange information
about participants. For example, the
ENs use the Program Manager to
provide updates on tasks such as
selecting a payment system or
requesting payments for helping the
beneficiary achieve certain work goals.
Since the ENs are not PRA-exempt, the
multiple information collections within
the Ticket Program Manager require
OMB approval, and we clear them
under this ICR. Most of the categories of
information in this ICR are necessary for
SSA to: (1) Comply with the Ticket to
Work legislation; and (2) provide proper
oversight of the program. SSA collects
this information through several
modalities, including forms, electronic
exchanges, and written documentation.
The respondents are the ENs or state
VRs, as well as SSDI beneficiaries and
blind or disabled SSI recipients working
under the auspices of the Ticket to Work
Program.
This is a correction notice: SSA
inadvertantly published incorrect
burden information for this collection at
77 FR 47908, on 8/10/12. We are
publishing correct burden data here.
TYPE OF REQUEST—REVISION OF AN OMB-APPROVED INFORMATION COLLECTION
Number of
respondents
wreier-aviles on DSK5TPTVN1PROD with
Collection instrument
(a)
(a)
(a)
(a)
(a)
20
20
20
20
20
CFR
CFR
CFR
CFR
CFR
411.140(d)(2)—Interactive Voice Recognition Telephone ...........
411.140(d)(2)—Portal ...................................................................
411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 ................
411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1365 Portal .....
411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 ................
VerDate Mar<15>2010
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Sfmt 4703
Frequency of
response
6,428
25,713
948
3,792
1,565
E:\FR\FM\24OCN1.SGM
1
1
1
1
1
24OCN1
Average
burden per
response
(minutes)
2.5
1.25
15
11
60
Estimated total
annual burden
(hours)
268
536
237
695
1,565
65047
Federal Register / Vol. 77, No. 206 / Wednesday, October 24, 2012 / Notices
TYPE OF REQUEST—REVISION OF AN OMB-APPROVED INFORMATION COLLECTION—Continued
Number of
respondents
Collection instrument
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
(a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3)—SSA–1370 Portal .....
(a) 20 CFR 411.166; 411.170(b)—Electronic File Submission .......................
(b) 20 CFR 411.145; 411.325 .........................................................................
(b) 20 CFR 411.145; 411.325—Portal .............................................................
(b) 20 CFR 411.535(a)(1)(iii)—Data Sharing/Portal ........................................
(c) 20 CFR 411.192(b)&(c) ..............................................................................
(c) 20 CFR 411.200(b)—SSA–1375 ................................................................
(c) 20 CFR 411.200(b) –Portal ........................................................................
(c) 20 CFR 411.210(b) ....................................................................................
(d) 20 CFR 411.365; 411.505; 411.515 ..........................................................
(e) 20 CFR 411.325(d); 411.415 .....................................................................
(f) 20 CFR 411.575—SSA–1389; SSA–1391; SSA–1393; SSA–1396; SSA–
1398; SSA–1399 ..........................................................................................
(f) 20 CFR 411.575—Portal .............................................................................
(f) 20 CFR 411.575—Automatic Payments .....................................................
(f) 20 CFR 411.560—SSA–1401 .....................................................................
(g) 20 CFR 411.325(f) .....................................................................................
(h) 20 CFR 411.435; 411.615; 411.625 ..........................................................
(i) 20 CFR 411.320—SSA–1394 .....................................................................
(i) 20 CFR 411.320—SSA–1394 Portal ...........................................................
6,260
35,584
1,995
7,980
8,505
6
112,362
64,824
41
5
*1
1
1
1
1
1
1
1
1
1
1
1
45
5
15
11
5
30
15
10
30
10
480
4,695
2,965
499
1,463
709
3
28,091
10,804
21
1
8
5,610
22,440
28,050
100
1,371
2
42
168
1
1
1
1
1
1
1
1
40
22
0
20
45
120
10
7.5
3,740
8,228
0
33
1,028
4
7
21
Totals ........................................................................................................
333,792
........................
........................
65,621
* (None received in 2010 or 2011).
Dated: October 19, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2012–26151 Filed 10–23–12; 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
to 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:
OR.Reports.Clearance@ssa.gov.
The information collections below are
pending at SSA. SSA will submit them
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 December 24, 2012.
Individuals can obtain copies of the
collection instruments by writing to the
above email address.
1. Request for Reinstatement (Title
II)—20 CFR 404.1592b—404.1592f—
0960–0742. SSA allows certain
previously entitled disability
beneficiaries to request expedited
reinstatement (EXR) of benefits under
title II of the Social Security Act (Act)
when their medical condition no longer
permits them to perform substantial
gainful activity. SSA uses Form SSA–
371 to obtain (1) a signed statement
from individuals requesting an EXR of
their title II disability benefits, and (2)
proof the requestors meet the EXR
requirements. SSA maintains the form
in the disability folder of the applicant
to demonstrate the requestors’
awareness of the EXR requirements, and
their choice to request EXR.
Respondents are applicants for EXR of
title II disability benefits.
TYPE OF REQUEST—REVISION OF AN OMB-APPROVED INFORMATION COLLECTION
wreier-aviles on DSK5TPTVN1PROD with
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–371 ..........................................................................................................
10,000
1
2
333
2. Request for Reinstatement (Title
XVI)—20 CFR 416.999–416.999d–0960–
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of the EXR requirements of
Supplemental Security Income (SSI)
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]]>Agencies
[Federal Register Volume 77, Number 206 (Wednesday, October 24, 2012)]
[Notices]
[Pages 65044-65047]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-26151]
=======================================================================
-----------------------------------------------------------------------
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 to and extensions 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-
[[Page 65045]]
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: OR.Reports.Clearance@ssa.gov.
I. The information collections below are pending at SSA. SSA will
submit them 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
December 24, 2012. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Representative Payment Policies and Administrative Procedures
for Imposing Penalties for False or Misleading Statements or
Withholding of Information--0960-0740. This information collection
request (ICR) comprises several regulation sections that provide
additional safeguards for Social Security beneficiaries whose
representative payees receive their payments. SSA requires
representative payees to notify us of any event or change in
circumstances that would affect receipt of benefits or performance of
payee duties. SSA uses the information to determine continued
eligibility for benefits, the amount of benefits due, and if the payee
is suitable to continue serving as payee. The respondents are
representative payees who receive and use benefits on behalf of Social
Security beneficiaries.
Type of Collection--Extension of an OMB-Approved Information Collection
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Regulation Section Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
404.2035(d)--Paper/Mail......................... 27,500 1 5 2,292
404.2035(d)--Office interview/Intranet.......... 522,500 1 5 43,542
404.2035(f)--Paper/Mail......................... 275 1 5 23
404.2035(f)--Office interview/Intranet.......... 5,225 1 5 435
416.635(d)--Paper/Mail.......................... 15,000 1 5 1,250
416.635(d)--Office interview/Intranet........... 285,000 1 5 23,750
416.635(f)--Paper/Mail.......................... 150 1 5 13
416.635(f)--Office interview/Intranet........... 2,850 1 5 238
---------------------------------------------------------------
Total....................................... 858,500 .............. .............. 71,543
----------------------------------------------------------------------------------------------------------------
2. Protecting the Public and Our Personnel To Ensure Operational
Effectiveness (RIN 0960-AH35), Regulation 3729I--20 CFR 422.905,
422.906--0960-0796.
Background
When members of the public demonstrate disruptive, violent, or
threatening actions or behavior toward SSA employees, the agency takes
measures to ensure the safety of everyone involved, including banning
such individuals from appearing in person at any of our field offices.
In lieu of in-person office visits, the agency provides services to
banned individuals through alternate methods, including our 800 number,
online applications, mail services, or, in limited circumstances, face-
to-face services by appointment with additional security present.
On September 2, 2011, the agency published regulations and
notifications processes for the ban decision at 76 FR 54700. The
current ICR requests full approval for the public reporting burdens
from the interim final rules. We previously obtained emergency OMB
approval for these burdens.
Information Collection Description
The interim final ban decision rules contain two public reporting
burdens:
20 CFR 422.905--after SSA issues a ban decision against an
individual, the individual has 60 days to appeal the determination.
Individuals must submit a written appeal stating why they believe SSA
should rescind the ban and allow them to conduct business with us on a
face-to-face basis in one of our offices. There is no printed form for
this request; banned individuals create their own written statement of
appeal, and submit it to a sole decision-maker in the regional office
of the region where the ban originated. The individuals may also
provide additional documentation to support their appeal.
20 CFR 422.906--three years after the original ban
decision, banned individuals may re-submit a written appeal of the
determination. The same criteria apply as for the original appeal: (1)
It must be in writing;
(2) it must go to a sole decision-maker in the regional office of
the region where the ban originated for review; and (3) it may
accompany supporting documentation.
Respondents for this collection are individuals appealing their
banning from SSA field offices.
Type of Request--Extension of an OMB-Approved Information Collection
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Regulation section Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 422.905.................................. 75 1 15 19
20 CFR 422.906.................................. 75 1 20 25
---------------------------------------------------------------
Totals...................................... 150 .............. .............. 44
----------------------------------------------------------------------------------------------------------------
[[Page 65046]]
II. 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 November 23, 2012. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Employment Relationship Questionnaire--20 CFR 404.1007--0960-
0040. When SSA needs information to determine a worker's employment
status for the purpose of maintaining a worker's earning records, the
agency uses Form SSA-7160-F4 to determine the existence of an employer-
employee relationship. We use the information to develop the employment
relationship; specifically to determine whether a beneficiary is self-
employed or an employee. The respondents are individuals seeking to
establish their status as employees and their alleged employers.
Type of Request--Revision of an OMB-Approved Information Collection
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Respondent type Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Individuals..................................... 8,000 1 25 3,333
Businesses...................................... 7,200 1 25 3,000
State/Local Government.......................... 800 1 25 333
---------------------------------------------------------------
Totals:..................................... 16,000 .............. .............. 6,666
----------------------------------------------------------------------------------------------------------------
2. Blood Donor Locator Service (BDLS)--20 CFR 401.200--0960-0501.
The regulations on Privacy and Disclosure of Official Records and
Information, Subpart C, stipulate that when blood donor facilities
identify blood donations as human immunodeficiency virus-positive, the
overseeing state agency must provide the names and Social Security
Numbers of the affected donors to SSA's Blood Donor Locator Service.
SSA uses this information to furnish the state agencies with the blood
donors' address information to notify the blood donors. Respondents are
state agencies acting on behalf of blood donor facilities.
Type of Request--Extension of an OMB-Approved Information Collection
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Regulation section Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 401.200.............................. 10 5 15 13
----------------------------------------------------------------------------------------------------------------
3. The Ticket to Work and Self-Sufficiency Program--20 CFR 411--
0960-0644. SSA's Ticket to Work (Ticket) Program transitions Social
Security Disability Insurance (SSDI) and Supplemental Security Income
(SSI) recipients toward independence by allowing them to receive Social
Security payments while maintaining employment under the auspices of
the program. SSA uses service providers, called Employment Networks
(ENs), to supervise participant progress through the stages of Ticket
Program participation, such as job searches and interviews, progress
reviews, and changes in ticket status. ENs can be private for-profit
and nonprofit organizations, as well as state vocational rehabilitation
agencies (VRs). SSA and the ENs utilize the Ticket to Work Program
Manager to operate the Ticket Program and exchange information about
participants. For example, the ENs use the Program Manager to provide
updates on tasks such as selecting a payment system or requesting
payments for helping the beneficiary achieve certain work goals. Since
the ENs are not PRA-exempt, the multiple information collections within
the Ticket Program Manager require OMB approval, and we clear them
under this ICR. Most of the categories of information in this ICR are
necessary for SSA to: (1) Comply with the Ticket to Work legislation;
and (2) provide proper oversight of the program. SSA collects this
information through several modalities, including forms, electronic
exchanges, and written documentation. The respondents are the ENs or
state VRs, as well as SSDI beneficiaries and blind or disabled SSI
recipients working under the auspices of the Ticket to Work Program.
This is a correction notice: SSA inadvertantly published incorrect
burden information for this collection at 77 FR 47908, on 8/10/12. We
are publishing correct burden data here.
Type of Request--Revision of an OMB-Approved Information Collection
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Collection instrument respondents response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
(a) 20 CFR 411.140(d)(2)--Interactive Voice 6,428 1 2.5 268
Recognition Telephone..........................
(a) 20 CFR 411.140(d)(2)--Portal................ 25,713 1 1.25 536
(a) 20 CFR 411.140(d)(3); 411.325(a); 948 1 15 237
411.150(b)(3)--SSA-1365........................
(a) 20 CFR 411.140(d)(3); 411.325(a); 3,792 1 11 695
411.150(b)(3)--SSA-1365 Portal.................
(a) 20 CFR 411.140(d)(3); 411.325(a); 1,565 1 60 1,565
411.150(b)(3)--SSA-1370........................
[[Page 65047]]
(a) 20 CFR 411.140(d)(3); 411.325(a); 6,260 1 45 4,695
411.150(b)(3)--SSA-1370 Portal.................
(a) 20 CFR 411.166; 411.170(b)--Electronic File 35,584 1 5 2,965
Submission.....................................
(b) 20 CFR 411.145; 411.325..................... 1,995 1 15 499
(b) 20 CFR 411.145; 411.325--Portal............. 7,980 1 11 1,463
(b) 20 CFR 411.535(a)(1)(iii)--Data Sharing/ 8,505 1 5 709
Portal.........................................
(c) 20 CFR 411.192(b)&(c)....................... 6 1 30 3
(c) 20 CFR 411.200(b)--SSA-1375................. 112,362 1 15 28,091
(c) 20 CFR 411.200(b) -Portal................... 64,824 1 10 10,804
(c) 20 CFR 411.210(b)........................... 41 1 30 21
(d) 20 CFR 411.365; 411.505; 411.515............ 5 1 10 1
(e) 20 CFR 411.325(d); 411.415.................. * 1 1 480 8
(f) 20 CFR 411.575--SSA-1389; SSA-1391; SSA- 5,610 1 40 3,740
1393; SSA-1396; SSA-1398; SSA-1399.............
(f) 20 CFR 411.575--Portal...................... 22,440 1 22 8,228
(f) 20 CFR 411.575--Automatic Payments.......... 28,050 1 0 0
(f) 20 CFR 411.560--SSA-1401.................... 100 1 20 33
(g) 20 CFR 411.325(f)........................... 1,371 1 45 1,028
(h) 20 CFR 411.435; 411.615; 411.625............ 2 1 120 4
(i) 20 CFR 411.320--SSA-1394.................... 42 1 10 7
(i) 20 CFR 411.320--SSA-1394 Portal............. 168 1 7.5 21
---------------------------------------------------------------
Totals...................................... 333,792 .............. .............. 65,621
----------------------------------------------------------------------------------------------------------------
* (None received in 2010 or 2011).
Dated: October 19, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-26151 Filed 10-23-12; 8:45 am]
BILLING CODE 4191-02-P
