Agency Information Collection Activities: Proposed Request and Comment Request, 67435-67438 [2012-27358]
Download as PDF
Federal Register / Vol. 77, No. 218 / Friday, November 9, 2012 / Notices
tkelley on DSK3SPTVN1PROD with NOTICES
covering the guaranteed portion of the
CA loan in the LLRA no later than 10
days after the CA loan has been sold in
the secondary market. In addition, to
address the concern that a CA Lender
with an unacceptable purchase rate
might use secondary market sales to
significantly expand its CA loan
portfolio, SBA is modifying its
regulation at 13 CFR 120.660 for the
duration of the pilot program, to allow
the Director, Office of Credit Risk
Management, discretion to suspend
secondary market authority for any CA
Lender based on the risk characteristics
or performance of the CA Lender’s
portfolio.
The 5% loan loss reserve amount for
the unguaranteed portion of CA loans
and the 3% loan loss reserve amount for
the guaranteed portion of CA loans sold
in the secondary market may be kept in
the same segregated bank account and
must be carried as a restricted reserve
on the CA Lender’s balance sheet for use
in meeting obligations the CA Lender
has to cover losses from their CA
lending activity including but not
limited to defaults and guarantee
repairs, denials, withdrawals or
cancelations. This reserve may be used
to repay SBA in the event of a repair or
denial. If the CA Lender chooses to use
the reserve to repay SBA, the CA Lender
must ensure that the reserve is
replenished to the required level within
45 days. All other requirements
regarding the creation and maintenance
of the LLRA stated in the February 18,
2011 notice and all subsequent notices
remain unchanged. Failure to maintain
the loan loss reserve account as required
may result in removal from the CA Pilot
Program, the imposition of additional
controls or reserve amounts, and/or
other action permitted by SBA
regulation or otherwise by law. Based
on the risk characteristics or
performance of a CA Lender, OCRM in
its discretion may require additional
amounts to be included in the LLRA or
may suspend secondary market
privileges.
Refinancing of SBA Microloans
Currently, CA loans may not be used
to refinance loans made by Microloan
Intermediaries in SBA’s Microloan
Program. Because of the natural
synergies that exist between the SBA
Microloan Program and the CA Pilot
Program, a number of CA Lenders have
asked SBA to reconsider this
prohibition. The CA Pilot Program was
designed as a complement to the SBA
Microloan Program, especially when
small business borrowers’ capital needs
exceed the Microloan Program’s $50,000
maximum loan limit. Allowing CA
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Lenders to refinance their SBA
microloans or those of other Microloan
Intermediaries into CA loans will not
only free up microloan program
resources to make more small dollar
loans, but also will make both programs
more attractive and thereby maximize
lender participation and capital
availability to underserved markets.
Analysis indicates that this can be done
without any significant additional risk
to the 7(a) program. Loan performance
data from the 7(a) loan program, (for
loans less than $250,000) over the last
10 years show virtually identical
cumulative default rates for loans that
went to former micro borrowers versus
similarly-sized 7(a) loans that went to
other borrowers (a 0.2 percent
difference). Therefore, SBA is revising
its policy to permit CA loans to be used
to refinance loans made by SBA
Microlenders subject to the policies and
procedures governing debt refinancing
for 7(a) loans as set forth in SBA Loan
Program Requirements and the CA
Participant Guide. As such, the
refinancing of same-institution debt
cannot be processed on a delegated
basis and must be submitted to the
Standard 7(a) Loan Guaranty Processing
Center. SBA will monitor the CA Pilot
Program portfolio to ensure that such
refinancings are in the best interest of
the affected borrowers.
Financial Reports
SBA regulations at 13 CFR
120.464(b)(2) require an SBA
Supervised Lender to prepare financial
reports on an accrual basis. In the
February 18, 2011 notice, however, SBA
modified 13 CFR 120.463(a) to eliminate
the requirement for CA Lenders to keep
their books and records on an accrual
basis. In order to be consistent with that
modification, SBA is waiving 13 CFR
120.464(b)(2) for purposes of the CA
Pilot Program.
CA Associate
The CA Pilot Program was originated
under the basic premise that missionbased lenders are the optimal
distribution tool to get capital to small
businesses in underserved markets.
While this premise remains true, SBA
has recognized that there are many
mission-based organizations that do not
have the capacity to become CA Lenders
but can nevertheless provide referral
services to CA Lenders. Linking higher
capacity CA Lenders with these other
mission-based organizations should
increase the flow of capital to small
businesses in underserved markets.
Current SBA regulations at 13 CFR part
103 and SBA’s Standard Operating
Procedure (SOP) 50 10 5(E) set forth the
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67435
Agency’s policy and procedures
governing Referral Agents and apply
with equal force and effect to
organizations acting as agents for CA
Lenders on CA loans. Mission-based
organizations providing referral services
to one or more CA Lenders may be
referred to as ‘‘Community Advantage
Associates’’ (‘‘CA Associates’’) for the
purpose of the CA program and are
subject to all of the same requirements
as other agents. SBA may place
additional reporting requirements on
CA Lenders that utilize CA Associates.
Guarantee Purchase
Guarantee purchase requests for CA
loans will be processed in SBA’s
Commercial Loan Servicing Centers
(CLSCs) in Little Rock, AR and Fresno,
CA. The CLSCs, which process
similarly-sized loans, have a greater
capacity to receive and process
additional guarantee purchase requests
than the National Guaranty Purchase
Center, which processes the larger and
more complex standard 7(a) guarantee
purchase requests.
General Information
These changes are limited to the CA
Pilot Program only. All other SBA
guidelines and regulatory waivers
related to the CA Pilot Program remain
unchanged.
SBA has provided more detailed
guidance in the form of a Participant
Guide which has been updated and is
available on SBA’s Web site at https://
www.sba.gov. SBA may provide
additional guidance, through SBA
notices, which may also be published
on SBA’s Web site at https://
www.sba.gov/category/lendernavigation/forms-notices-sops/notices.
Questions regarding the CA Pilot
Program may be directed to the Lender
Relations Specialist in the local SBA
district office. The local SBA district
office may be found at https://
www.sba.gov/about-offices-list/2.
Authority: 15 U.S.C. 636(a)(25) and 13
CFR 120.3.
Dated: October 15, 2012.
Karen G. Mills,
Administrator.
[FR Doc. 2012–27334 Filed 11–8–12; 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
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09NON1
67436
Federal Register / Vol. 77, No. 218 / Friday, November 9, 2012 / Notices
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.
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 January 8,
2013. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Child Relationship Statement—20
CFR 404.355 & 404.731—0960–0116. To
help determine a child’s entitlement to
Social Security benefits, SSA uses
criteria under section 216(h)(3) of the
Social Security Act (Act), deemed child
provision. SSA may deem a child to an
insured individual if: (1) The insured
individual presents SSA with
satisfactory evidence of parenthood and
was living with or contributing to the
child’s support at certain specified
times; or (2) the insured individual (a)
acknowledged the child in writing; (b)
was court decreed as the child’s parent;
or (c) was court ordered to support the
child. To obtain this information, SSA
uses Form SSA–2519, Child
Relationship Statement. Respondents
are people with knowledge of the
relationship between certain individuals
filing for Social Security benefits and
their alleged biological children.
Type of Request: Revision of an OMBapproved information collection.
Modality of collection
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–2519 ........................................................................................................
50,000
1
15
12,500
2. Pain Report-Child—20 CFR
404.1512 and 416.912—0960–0540.
Before SSA can make a disability
determination for a child, we require
evidence from Supplemental Security
Income (SSI) applicants or claimants to
prove their disability. Form SSA–3371–
BK provides disability interviewers, and
SSI applicants or claimants in self-help
situations, with a convenient way to
record information claimants’ pain or
other symptoms. The State disability
determination services adjudicators and
administrative law judges then use the
information from Form SSA–3371–BK
to assess the effects of symptoms on
function for purposes of determining
disability under the Act. The
respondents are applicants for, or
claimants of, SSI payments.
Type of Request: Revision of an OMBapproved information collection.
Modality of collection
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–3371 ........................................................................................................
250,000
1
15
62,500
3. Internet and Automated Telephone
Request for Replacement Forms SSA–
1099/SSA–1042S—20 CFR 401.45—
0960–0583. Title II recipients use Forms
SSA–1099 and SSA–1042S, Social
Security Benefit Statement, to determine
if their Social Security benefits are
taxable and the amount they need to
report to the Internal Revenue Service.
In cases where the original forms are
unavailable (e.g., lost, stolen, mutilated),
an individual may use SSA’s Internet
request form or automated telephone
application to request a replacement
SSA–1099 and SSA–1042S. SSA uses
the information from the Internet and
automated telephone requests to verify
the identity of the requestor and to
provide replacement copies of the
forms. The Internet and automated
Number of
respondents
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Modality of completion
Internet Requests ............................................................................................
Automated Telephone Requests .....................................................................
N8NN ...............................................................................................................
Calls to local field offices .................................................................................
Other (program service centers) ......................................................................
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telephone options reduce requests to the
National 800 Number Network (N8NN)
and visits to local Social Security field
offices. The respondents are title II
recipients who wish to request a
replacement SSA–1099 or SSA–1042S
via the Internet and telephone.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
145,390
190,413
566,667
783,333
90,000
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1
1
1
1
1
09NON1
Average
burden per
response
(minutes)
10
2
3
3
3
Estimated total
annual burden
(hours)
24,232
6,347
28,333
39,167
4,500
67437
Federal Register / Vol. 77, No. 218 / Friday, November 9, 2012 / Notices
Totals ........................................................................................................
4. Important Information About Your
Appeal, Waiver Rights, and Repayment
Options—20 CFR 404.502–521—0960–
0779. When SSA accidentally overpays
beneficiaries, the agency informs them
of the following rights: (1) The right to
reconsideration of the overpayment
determination; (2) the right to request a
waiver of recovery and the automatic
scheduling of a personal conference if
Frequency of
response
Average
burden per
response
(minutes)
........................
........................
Number of
respondents
Modality of completion
1,775,803
SSA cannot approve a request for
waiver; and (3) the availability of a
different rate of withholding when SSA
proposes the full withholding rate. SSA
uses Form SSA–3105, Important
Information About Your Appeal, Waiver
Rights, and Repayment Options, to
explain these rights to overpaid
individuals, and allow them to notify
SSA of their decision(s) regarding these
Estimated total
annual burden
(hours)
102,579
rights. The respondents are overpaid
claimants requesting a waiver of
recovery for the overpayment,
reconsideration of the fact of the
overpayment, or a lesser rate of
withholding of the overpayment.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–3105 ........................................................................................................
80,000
1
15
20,000
II. SSA submitted the information
collection below to OMB for clearance.
Your comments regarding the
information collection would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
December 10, 2012. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
Vocational Rehabilitation Provider
Claim—20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(a)&(b),
404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(a)&(b),
416.2221(a), 34 CFR 361—0960–0310.
State vocational rehabilitation (VR)
agencies submit Form SSA–199 to SSA
to obtain reimbursement of costs
incurred for providing VR services. SSA
requires state VR agencies to submit
reimbursement claims for the following
categories:
(1) Claiming reimbursement for VR
services provided; (2) certifying
adherence to cost containment policies
and procedures; and (3) preparing
causality statements.
The respondents mail the paper copy
of the SSA–199 to SSA for consideration
and approval of the claim for
reimbursement of cost incurred for SSA
beneficiaries. For claims certifying
adherence to cost containment policies
and procedures, or for preparing
Number of
respondents
Modality of collection
Claiming Reimbursement on SSA–199—20 CFR
404.2108(b) & 416.2208(b) ..............................................
b. Certifying Adherence to Cost Containment Policy and
Procedures—20
CFR
404.2117(c)(1)&(2),
416.2217(c)(1)&(2) & 34 CFR 361 ...................................
c. Preparing Causality Statements—20 CFR 404.2121(a),
404.2101(a), 416.2201(a), & 416.2221(a) .......................
Frequency of
response
causality statements, State VR agencies
submit written requests as stipulated in
SSA’s regulations within the Code of
Federal Regulations. In most cases, SSA
requires adherence to cost containment
policies and procedures as well as
causality statements prior to
determining whether to reimburse the
State VR agencies. SSA uses the
information on the SSA–199, along with
the written documentation, to determine
whether or not, and how much, to pay
the State VR agencies under SSA’s VR
program. Respondents are State VR
agencies who offer vocational and
employment services to Social Security
and SSI recipients.
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Number of
responses
Estimated total
annual burden
(hours)
a.
80
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23
4,907
1
(80)
60
80
80
2.5
(200)
100
333
80
Fmt 4703
(12,800)
80
Totals ............................................................................
160
........................
(13,080)
........................
5,320
Sfmt 9990
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09NON1
67438
Federal Register / Vol. 77, No. 218 / Friday, November 9, 2012 / Notices
Dated: November 5, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2012–27358 Filed 11–8–12; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 8084]
Defense Trade Advisory Group; Notice
of Open Meeting
The Defense Trade Advisory
Group (DTAG) will meet in open
session from 1:00 p.m. until 5:00 p.m.
on Wednesday, November 28, 2012, in
the East Auditorium, U.S. Department of
State, Harry S. Truman Building,
Washington, DC. Entry and registration
will begin at 12:00 p.m. Please use the
building entrance located at 21st Street
NW., Washington, DC, between C & D
Streets. The membership of this
advisory committee consists of private
sector defense trade representatives,
appointed by the Assistant Secretary of
State for Political-Military Affairs, who
advise the Department on policies,
regulations, and technical issues
affecting defense trade. The purpose of
the meeting will be to discuss current
defense trade issues and topics for
further study. Specific agenda topics
will be posted on the Directorate of
Defense Trade Controls’ Web site, at
www.pmddtc.state.gov approximately
10 days prior to the meeting.
Members of the public may attend
this open session and will be permitted
to participate in the discussion in
accordance with the Chair’s
instructions. Members of the public
may, if they wish, submit a brief
statement to the committee in writing.
As access to the Department of State
facilities is controlled, persons wishing
to attend the meeting must notify the
DTAG Alternate Designated Federal
Officer (DFO) by close of business
Friday, November 23, 2012. If notified
after this date, the Department’s Bureau
of Diplomatic Security may not be able
to complete the necessary processing
required to attend the plenary session.
A person requesting reasonable
accommodation should notify the
Alternate DFO by the same date.
Anyone who wishes to attend this
plenary session should provide: his/her
name; company or organizational
affiliation (if any); date of birth; and
identifying data such as driver’s license
number, U.S. Government ID, or U.S.
Military ID, to the DTAG Alternate DFO,
Patricia Slygh, via email at
SlyghPC@state.gov. A RSVP list will be
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:34 Nov 08, 2012
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provided to Diplomatic Security. One of
the following forms of valid photo
identification will be required for
admission to the Department of State
building: U.S. driver’s license, passport,
U.S. Government ID or other
Government-issued photo ID.
Personal data is requested pursuant to
Public Law 99–399 (Omnibus
Diplomatic Security and Antiterrorism
Act of 1986), as amended; Public Law
107–56 (USA PATRIOT Act); and
Executive Order 13356. The purpose of
the collection is to validate the identity
of individuals who enter Department
facilities. The data will be entered into
the Visitor Access Control System
(VACS–D) database. Please see the
Security Records System of Records
Notice (State-36) at https://
www.state.gov/documents/organization/
103419.pdf for additional information.
For additional information, contact
Patricia Slygh, PM/DDTC, SA–1, 12th
Floor, Directorate of Defense Trade
Controls, Bureau of Political-Military
Affairs, U.S. Department of State,
Washington, DC 20522–0112; telephone
(202) 663–2830; FAX (202) 261–8199; or
email SlyghPC@state.gov.
Dated: November 6, 2012.
Robert S. Kovac,
Designated Federal Officer, Defense Trade
Advisory Group, Department of State.
[FR Doc. 2012–27442 Filed 11–8–12; 8:45 am]
BILLING CODE 4710–25–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
[Summary Notice No. PE–2012–46]
Petition for Exemption; Summary of
Petition Received
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice of petition for exemption
received.
AGENCY:
This notice contains a
summary of a petition seeking relief
from specified requirements of 14 CFR.
The purpose of this notice is to improve
the public’s awareness of, and
participation in, this aspect of the FAA’s
regulatory activities. Neither publication
of this notice nor the inclusion or
omission of information in the summary
is intended to affect the legal status of
the petition or its final disposition.
DATES: Comments on this petition must
identify the petition docket number
involved and must be received on or
before November 29, 2012.
ADDRESSES: You may send comments
identified by Docket Number FAA–
SUMMARY:
PO 00000
Frm 00110
Fmt 4703
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2012–0405 using any of the following
methods:
• Government-wide rulemaking Web
site: Go to https://www.regulations.gov
and follow the instructions for sending
your comments electronically.
• Mail: Send comments to the Docket
Management Facility; U.S. Department
of Transportation, 1200 New Jersey
Avenue SE., West Building Ground
Floor, Room W12–140, Washington, DC
20590.
• Fax: Fax comments to the Docket
Management Facility at 202–493–2251.
• Hand Delivery: Bring comments to
the Docket Management Facility in
Room W12–140 of the West Building
Ground Floor at 1200 New Jersey
Avenue SE., Washington, DC, between 9
a.m. and 5 p.m., Monday through
Friday, except Federal holidays.
Privacy: We will post all comments
we receive, without change, to https://
www.regulations.gov, including any
personal information you provide.
Using the search function of our docket
Web site, anyone can find and read the
comments received into any of our
dockets, including the name of the
individual sending the comment (or
signing the comment for an association,
business, labor union, etc.). You may
review DOT’s complete Privacy Act
Statement in the Federal Register
published on April 11, 2000 (65 FR
19477–78).
Docket: To read background
documents or comments received, go to
https://www.regulations.gov at any time
or to the Docket Management Facility in
Room W12–140 of the West Building
Ground Floor at 1200 New Jersey
Avenue SE., Washington, DC, between 9
a.m. and 5 p.m., Monday through
Friday, except Federal holidays.
FOR FURTHER INFORMATION CONTACT:
Mark Forseth, ANM–113, (425) 227–
2796, Federal Aviation Administration,
1601 Lind Avenue SW., Renton, WA
98057–3356, or Andrea Copeland (202)
267–8081, Office of Rulemaking (ARM–
1), Federal Aviation Administration,
800 Independence Avenue SW.,
Washington, DC 20591.
This notice is published pursuant to
14 CFR 11.85.
Issued in Washington, DC, on November 5,
2012.
Ida M. Klepper,
Acting Director, Office of Rulemaking.
Petition for Exemption
Docket No.: FAA–2012–0405.
Petitioner: The Boeing Company.
Section of 14 CFR Affected:
§ 25.562(b)(2) at Amendment 25–64.
Description of Relief Sought: Relief
from the misalignment and roll test
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Agencies
[Federal Register Volume 77, Number 218 (Friday, November 9, 2012)]
[Notices]
[Pages 67435-67438]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-27358]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information
[[Page 67436]]
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.
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
January 8, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Child Relationship Statement--20 CFR 404.355 & 404.731--0960-
0116. To help determine a child's entitlement to Social Security
benefits, SSA uses criteria under section 216(h)(3) of the Social
Security Act (Act), deemed child provision. SSA may deem a child to an
insured individual if: (1) The insured individual presents SSA with
satisfactory evidence of parenthood and was living with or contributing
to the child's support at certain specified times; or (2) the insured
individual (a) acknowledged the child in writing; (b) was court decreed
as the child's parent; or (c) was court ordered to support the child.
To obtain this information, SSA uses Form SSA-2519, Child Relationship
Statement. Respondents are people with knowledge of the relationship
between certain individuals filing for Social Security benefits and
their alleged biological children.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2519.................................... 50,000 1 15 12,500
----------------------------------------------------------------------------------------------------------------
2. Pain Report-Child--20 CFR 404.1512 and 416.912--0960-0540.
Before SSA can make a disability determination for a child, we require
evidence from Supplemental Security Income (SSI) applicants or
claimants to prove their disability. Form SSA-3371-BK provides
disability interviewers, and SSI applicants or claimants in self-help
situations, with a convenient way to record information claimants' pain
or other symptoms. The State disability determination services
adjudicators and administrative law judges then use the information
from Form SSA-3371-BK to assess the effects of symptoms on function for
purposes of determining disability under the Act. The respondents are
applicants for, or claimants of, SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3371.................................... 250,000 1 15 62,500
----------------------------------------------------------------------------------------------------------------
3. Internet and Automated Telephone Request for Replacement Forms
SSA-1099/SSA-1042S--20 CFR 401.45--0960-0583. Title II recipients use
Forms SSA-1099 and SSA-1042S, Social Security Benefit Statement, to
determine if their Social Security benefits are taxable and the amount
they need to report to the Internal Revenue Service. In cases where the
original forms are unavailable (e.g., lost, stolen, mutilated), an
individual may use SSA's Internet request form or automated telephone
application to request a replacement SSA-1099 and SSA-1042S. SSA uses
the information from the Internet and automated telephone requests to
verify the identity of the requestor and to provide replacement copies
of the forms. The Internet and automated telephone options reduce
requests to the National 800 Number Network (N8NN) and visits to local
Social Security field offices. The respondents are title II recipients
who wish to request a replacement SSA-1099 or SSA-1042S via the
Internet and telephone.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Internet Requests............................... 145,390 1 10 24,232
Automated Telephone Requests.................... 190,413 1 2 6,347
N8NN............................................ 566,667 1 3 28,333
Calls to local field offices.................... 783,333 1 3 39,167
Other (program service centers)................. 90,000 1 3 4,500
[[Page 67437]]
Totals...................................... 1,775,803 .............. .............. 102,579
----------------------------------------------------------------------------------------------------------------
4. Important Information About Your Appeal, Waiver Rights, and
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally
overpays beneficiaries, the agency informs them of the following
rights: (1) The right to reconsideration of the overpayment
determination; (2) the right to request a waiver of recovery and the
automatic scheduling of a personal conference if SSA cannot approve a
request for waiver; and (3) the availability of a different rate of
withholding when SSA proposes the full withholding rate. SSA uses Form
SSA-3105, Important Information About Your Appeal, Waiver Rights, and
Repayment Options, to explain these rights to overpaid individuals, and
allow them to notify SSA of their decision(s) regarding these rights.
The respondents are overpaid claimants requesting a waiver of recovery
for the overpayment, reconsideration of the fact of the overpayment, or
a lesser rate of withholding of the overpayment.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105.................................... 80,000 1 15 20,000
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collection below to OMB for
clearance. Your comments regarding the information collection would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than December 10, 2012. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(a)&(b), 404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(a)&(b), 416.2221(a), 34 CFR 361--0960-
0310.
State vocational rehabilitation (VR) agencies submit Form SSA-199
to SSA to obtain reimbursement of costs incurred for providing VR
services. SSA requires state VR agencies to submit reimbursement claims
for the following categories:
(1) Claiming reimbursement for VR services provided; (2) certifying
adherence to cost containment policies and procedures; and (3)
preparing causality statements.
The respondents mail the paper copy of the SSA-199 to SSA for
consideration and approval of the claim for reimbursement of cost
incurred for SSA beneficiaries. For claims certifying adherence to cost
containment policies and procedures, or for preparing causality
statements, State VR agencies submit written requests as stipulated in
SSA's regulations within the Code of Federal Regulations. In most
cases, SSA requires adherence to cost containment policies and
procedures as well as causality statements prior to determining whether
to reimburse the State VR agencies. SSA uses the information on the
SSA-199, along with the written documentation, to determine whether or
not, and how much, to pay the State VR agencies under SSA's VR program.
Respondents are State VR agencies who offer vocational and employment
services to Social Security and SSI recipients.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of collection Number of Frequency of Number of per response total annual
respondents response responses (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
a. Claiming Reimbursement on SSA- 80 160 (12,800) 23 4,907
199--20 CFR 404.2108(b) &
416.2208(b)....................
b. Certifying Adherence to Cost 80 1 (80) 60 80
Containment Policy and
Procedures--20 CFR
404.2117(c)(1)&(2),
416.2217(c)(1)&(2) & 34 CFR 361
c. Preparing Causality 80 2.5 (200) 100 333
Statements--20 CFR 404.2121(a),
404.2101(a), 416.2201(a), &
416.2221(a)....................
-------------------------------------------------------------------------------
Totals...................... 80 .............. (13,080) .............. 5,320
----------------------------------------------------------------------------------------------------------------
[[Page 67438]]
Dated: November 5, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-27358 Filed 11-8-12; 8:45 am]
BILLING CODE 4191-02-P