Agency Information Collection Activities: Proposed Request and Comment Request, 1296-1298 [2013-00162]
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1296
Federal Register / Vol. 78, No. 5 / Tuesday, January 8, 2013 / Notices
proposed rule change between the
Commission and any person, other than
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 20549–1090, on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of such
filing also will be available for
inspection and copying at BX’s
principal office. 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–BX–
2012–074, and should be submitted on
or before January 29, 2013.
SECURITIES AND EXCHANGE
COMMISSION
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.14
Kevin M. O’Neill,
Deputy Secretary.
[FR Doc. C1–2012–30887 Filed 1–7–13; 8:45 am]
[FR Doc. 2013–00077 Filed 1–7–13; 8:45 am]
Agency Information Collection
Activities: Proposed Request and
Comment Request
BILLING CODE 8011–01–P
[Release No. 34–68457; File No. SR–CBOE–
2012–120]
Self-Regulatory Organizations;
Chicago Board Options Exchange,
Incorporated; Notice of Filing of a
Proposed Rule Change, as Modified by
Amendment No. 2, To Allow the Listing
and Trading of a P.M.-Settled S&P 500
Index Option Product
December 18, 2012.
Correction
In notice document 2012–30887
appearing on pages 76135–76139 in the
issue of December 26, 2012, make the
following correction:
On page 76139, in the first column, in
the last full paragraph, in the last line,
‘‘January 14, 2013’’ should read
‘‘January 16, 2013’’.
BILLING CODE 1505–01–D
SOCIAL SECURITY ADMINISTRATION
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.
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 March 11,
2013. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Supplemental Statement Regarding
Farming Activities of Person Living
Outside the U.S.A.—0960–0103. When a
beneficiary or claimant reports farm
work from outside the United States,
SSA documents this work on Form
SSA–7163A–F4. Specifically, SSA uses
the form to determine if we should
apply foreign work deductions to the
recipient’s title II benefits. We collect
the information either annually or every
other year, depending on the
respondent’s country of residence.
Respondents are Social Security
recipients engaged in farming activities
outside the United States.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–7163A–F4 ...............................................................................................
srobinson on DSK4SPTVN1PROD with
Modality of completion
1,000
1
60
1,000
2. International Direct Deposit—31
CFR 210—0960–0686. SSA’s
International Direct Deposit (IDD)
Program allows beneficiaries living
abroad to receive their payments via
direct deposit to an account at a
financial institution outside the United
States. SSA uses Form SSA–1199-
14 17
(Country) to enroll title II beneficiaries
residing abroad in IDD, and to obtain
the direct deposit information for
foreign accounts. Routing account
number information varies slightly for
each foreign country, so we use a
variation of the Treasury Department’s
Form SF–1199A per country. The
respondents are Social Security
beneficiaries residing abroad who want
SSA to deposit their benefits payments
directly to a foreign financial
institution.
Type of Request: Revision of an OMBapproved information collection.
CFR 200.30–3(a)(12).
VerDate Mar<15>2010
19:11 Jan 07, 2013
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Federal Register / Vol. 78, No. 5 / Tuesday, January 8, 2013 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–1199-(Country) ........................................................................................
5,000
1
5
417
3. Certificate of Incapacity—5 CFR
890.302(d)—0960–0739. Rules
governing the Federal Employee Health
Benefits (FEHB) plan require a
physician to verify the disability of
Federal employees’ children ages 26 and
over for such children to retain health
benefits under their employed parents’
plans. The physician must verify that
the adult child’s disability: (1) Pre-dates
the child’s 26th birthday; (2) is very
serious; and (3) will continue for at least
one year. Physicians use Form SSA–
604, Certificate of Incapacity, to
document this information. The
respondents are physicians of SSA
employees’ children ages 26 or over
who are seeking to retain health benefits
under their parent’s FEHB plan
coverage.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–604 ..........................................................................................................
50
1
45
38
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
February 7, 2013. Individuals can obtain
copies of the OMB clearance packages
by writing to
OR.Reports.Clearance@ssa.gov.
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 on 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.
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–3371 ........................................................................................................
srobinson on DSK4SPTVN1PROD with
Modality of collection
250,000
1
15
62,500
3. Internet Request for Replacement of
Forms SSA–1099/SSA—1042S—20 CFR
401.—0960–0583. Title II beneficiaries
use Forms SSA–1099 and SSA–1042S,
Social Security Benefit Statement, to
determine if their Social Security
VerDate Mar<15>2010
19:11 Jan 07, 2013
Jkt 229001
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
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
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
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08JAN1
1298
Federal Register / Vol. 78, No. 5 / Tuesday, January 8, 2013 / Notices
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
(FO). The respondents are title II
beneficiaries who wish to request a
replacement SSA–1099 or SSA–1042S
via the Internet or telephone.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Internet Requestors .........................................................................................
Automated Telephone Requestors ..................................................................
Live calls to the N8NN .....................................................................................
Live calls to local FOs .....................................................................................
Other (program service centers) ......................................................................
145,390
190,413
566,667
783,333
90,000
1
1
1
1
1
10
2
3
3
3
24,232
6,347
28,333
39,167
4,500
1,775,803
........................
........................
102,579
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
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: 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–3105 ........................................................................................................
80,000
1
15
20,000
Dated: January 3, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2013–00162 Filed 1–7–13; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 8142]
srobinson on DSK4SPTVN1PROD with
Advisory Committee on Historical
Diplomatic Documentation; Notice of
Meeting
Summary: The Advisory Committee
on Historical Diplomatic Documentation
will meet on February 25–26, June 3–4,
September 9–10, and December 9–10,
2013, at the Department of State, 2201
‘‘C’’ Street NW., Washington, DC. The
Committee’s sessions in the afternoon of
Monday, February 25, 2013; in the
morning of Tuesday, February 26, 2013;
in the afternoon of Monday, June 3,
2013; in the morning of Tuesday, June
4, 2013; in the afternoon of Monday,
September 9, 2013; in the morning of
Tuesday, September 10, 2013; in the
afternoon of Monday, December 9, 2013;
and in the morning of Tuesday,
December 10, 2013, will be closed in
VerDate Mar<15>2010
19:11 Jan 07, 2013
Jkt 229001
accordance with Section 10(d) of the
Federal Advisory Committee Act (Pub.
L. 92–463). The agenda calls for
discussions of agency declassification
decisions concerning the Foreign
Relations series and other
declassification issues. These are
matters properly classified and not
subject to public disclosure under 5
U.S.C. 552b(c)(1) and the public interest
requires that such activities be withheld
from disclosure.
The Committee will meet in open
session from 11:00 a.m. until 12:00 noon
in Conference Room 1205 of the
Department of State, 2201 ‘‘C’’ Street
NW., Washington, DC, on the following
dates: Monday, February 25, 2013;
Monday, June 3, 2013; Monday,
September 9, 2013; and Monday,
December 9, 2013, to discuss
unclassified matters concerning
declassification and transfer of
Department of State records to the
National Archives and Records
Administration and the status of the
Foreign Relations series.
Prior notification and a valid
government-issued photo ID (such as
driver’s license, passport, U.S.
government or military ID) are required
for entrance into the building. Members
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Fmt 4703
Sfmt 4703
of the public planning to attend
meetings on the following dates, please
RSVP as follows: for February 25, please
notify Colby Prevost, Office of the
Historian (202–663–1147) no later than
February 21, 2013; for June 3, please
notify Colby Prevost, Office of the
Historian (202–663–1147) no later than
May 30, 2013; for September 9, please
notify Colby Prevost, Office of the
Historian (202–663–1147) no later than
September 5, 2013and for December 9,
please notify Colby Prevost, Office of
the Historian (202–663–1147) no later
than December 5, 2013. When
responding, please provide date of birth,
valid government-issued photo
identification number and type (such as
driver’s license number/state, passport
number/country, or U.S. government ID
number/agency or military ID number/
branch), and relevant telephone
numbers. If you cannot provide one of
the specified forms of ID, please consult
with Colby Prevost for acceptable
alternative forms of picture
identification.
In addition, any requests for
reasonable accommodation should be
made no later than the following dates:
February 19 for the February 25–26
meeting; May 28 for the June 3–4
E:\FR\FM\08JAN1.SGM
08JAN1
]]>Agencies
[Federal Register Volume 78, Number 5 (Tuesday, January 8, 2013)]
[Notices]
[Pages 1296-1298]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-00162]
=======================================================================
-----------------------------------------------------------------------
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 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
March 11, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Supplemental Statement Regarding Farming Activities of Person
Living Outside the U.S.A.--0960-0103. When a beneficiary or claimant
reports farm work from outside the United States, SSA documents this
work on Form SSA-7163A-F4. Specifically, SSA uses the form to determine
if we should apply foreign work deductions to the recipient's title II
benefits. We collect the information either annually or every other
year, depending on the respondent's country of residence. Respondents
are Social Security recipients engaged in farming activities outside
the United States.
Type of Request: Revision 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-7163A-F4................................ 1,000 1 60 1,000
----------------------------------------------------------------------------------------------------------------
2. International Direct Deposit--31 CFR 210--0960-0686. SSA's
International Direct Deposit (IDD) Program allows beneficiaries living
abroad to receive their payments via direct deposit to an account at a
financial institution outside the United States. SSA uses Form SSA-
1199-(Country) to enroll title II beneficiaries residing abroad in IDD,
and to obtain the direct deposit information for foreign accounts.
Routing account number information varies slightly for each foreign
country, so we use a variation of the Treasury Department's Form SF-
1199A per country. The respondents are Social Security beneficiaries
residing abroad who want SSA to deposit their benefits payments
directly to a foreign financial institution.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 1297]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1199-(Country).......................... 5,000 1 5 417
----------------------------------------------------------------------------------------------------------------
3. Certificate of Incapacity--5 CFR 890.302(d)--0960-0739. Rules
governing the Federal Employee Health Benefits (FEHB) plan require a
physician to verify the disability of Federal employees' children ages
26 and over for such children to retain health benefits under their
employed parents' plans. The physician must verify that the adult
child's disability: (1) Pre-dates the child's 26th birthday; (2) is
very serious; and (3) will continue for at least one year. Physicians
use Form SSA-604, Certificate of Incapacity, to document this
information. The respondents are physicians of SSA employees' children
ages 26 or over who are seeking to retain health benefits under their
parent's FEHB plan coverage.
Type of Request: Revision 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-604..................................... 50 1 45 38
----------------------------------------------------------------------------------------------------------------
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 February 7, 2013. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
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 on 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 Request for Replacement of Forms SSA-1099/SSA--1042S--
20 CFR 401.--0960-0583. Title II beneficiaries 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
[[Page 1298]]
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 (FO). The respondents are
title II beneficiaries who wish to request a replacement SSA-1099 or
SSA-1042S via the Internet or telephone.
Type of Request: Revision 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)
----------------------------------------------------------------------------------------------------------------
Internet Requestors......................... 145,390 1 10 24,232
Automated Telephone Requestors.............. 190,413 1 2 6,347
Live calls to the N8NN...................... 566,667 1 3 28,333
Live calls to local FOs..................... 783,333 1 3 39,167
Other (program service centers)............. 90,000 1 3 4,500
-------------------------------------------------------------------
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: 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-3105.................................... 80,000 1 15 20,000
----------------------------------------------------------------------------------------------------------------
Dated: January 3, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-00162 Filed 1-7-13; 8:45 am]
BILLING CODE 4191-02-P
