Agency Information Collection Activities: Proposed Request and Comment Request, 17276-17281 [2013-06350]
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Federal Register / Vol. 78, No. 54 / Wednesday, March 20, 2013 / Notices
competitive responses. The market for
order execution is extremely
competitive and members may readily
opt to disfavor NASDAQ’s execution
services if they believe that alternatives
offer them better value. Accordingly,
NASDAQ believes that the degree to
which fee changes in this market may
impose any burden on competition is
extremely limited. Because competitors
are free to modify their own fees in
response, and because market
participants may readily adjust their
order routing practices, NASDAQ does
not believe that the proposed changes
will impair the ability of members or
competing order execution venues to
maintain their competitive standing in
the financial markets.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
No written comments were either
solicited or received.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
The foregoing rule change has become
effective pursuant to Section 19(b)(3)(A)
of the Act 20 and paragraph (f) of Rule
19b–4 thereunder.21 At any time within
60 days of the filing of the proposed rule
change, the Commission summarily may
temporarily suspend such rule change if
it appears to the Commission that such
action is necessary or appropriate in the
public interest, for the protection of
investors, or otherwise in furtherance of
the purposes of the Act.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
srobinson on DSK4SPTVN1PROD with NOTICES
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an email to rulecomments@sec.gov. Please include File
Number SR–NASDAQ–2013–042 on the
subject line.
Paper Comments
• Send paper comments in triplicate
to Elizabeth M. Murphy, Secretary,
Securities and Exchange Commission,
U.S.C. 78s(b)(3)(A).
VerDate Mar<14>2013
18:04 Mar 19, 2013
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.22
Kevin M. O’Neill,
Deputy Secretary.
[FR Doc. 2013–06319 Filed 3–19–13; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
Electronic Comments
20 15
100 F Street NE., Washington, DC
20549–1090.
All submissions should refer to File
Number SR–NASDAQ–2013–042. This
file number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
Internet Web site (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
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, 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–
NASDAQ–2013–042 and should be
submitted on or before April 10, 2013.
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
21 17
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CFR 240.19b–4(f).
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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:
202–395–6974, 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 May 20,
2013. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Request for Earnings and Benefit
Estimate Statement—20 CFR 404.810—
0960–0466. Section 205(c)(2)(A) of the
Social Security Act (Act) requires the
Commissioner of SSA to establish and
maintain records of wages paid to, and
amounts of self-employment income
derived by, each individual as well as
the periods in which such wages were
paid and such income derived. An
individual may complete and mail Form
SSA–7004 to SSA to obtain a Statement
of Earnings or Quarters of Coverage.
SSA uses the information Form SSA–
7004 collects to identify respondents’
Social Security earnings records, extract
posted earnings information, calculate
potential benefit estimates, produce the
resulting Social Security statements,
and mail them to the requesters. The
respondents are Social Security number
holders requesting information about
their Social Security earnings records
and estimates of their potential benefits.
Type of Request: Revision of an OMBapproved information collection.
22 17
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CFR 200.30–3(a)(12).
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Number of
respondents
Modality of collection
Average burden per
response
(min)
Frequency of
response
Estimated total
annual burden
(hours)
SSA–7004 (paper) ...........................................................................................
SSA–7004 (Internet) ........................................................................................
17,219
3,198,361
1
1
5
5
1,435
266,530
Totals ........................................................................................................
3,215,580
........................
........................
267,965
2. Agency/Employer Government
Pension Offset Questionnaire—20 CFR
404.408(a)—0960–0470. When an
individual is concurrently receiving
Social Security spousal or surviving
spousal benefits and a government
pension, the individual may have the
amount of Social Security benefits
reduced by the government pension
amount. This is the Government
Pension Offset (GPO). SSA uses Form
SSA–L4163 to collect accurate pension
information from the Federal or State
government agency paying the pension
for purposes of applying the pension
offset provision. The form is used only
when (1) the claimant does not have the
information; and (2) the pension-paying
Number of
respondents
Modality of collection
SSA–L4163 ......................................................................................................
3. Employer Verification of Earnings
After Death—20 CFR 404.821 and
404.822—0960–0472. When SSA
records show a wage earner is deceased
and we receive wage reports from an
employer for the wage earner for a year
Number of
respondents
SSA–L4112 ......................................................................................................
4. Function Report—Child: Birth to
1st Birthday (SSA–3375), Age 1 to 3rd
Birthday (SSA–3376), Age 3 to 6th
Birthday (SSA–3377), Age 6 to 12th
Birthday, (SSA–3378), and Age 12 to
18th Birthday (SSA–3379)—20 CFR
416.912—0960–0542. SSA uses Forms
SSA–3375–BK through SSA–3379–BK
in the disability determination process
to request information from a child’s
parent or guardian for children applying
for Supplemental Security Income (SSI).
Frequency of
response
1,000
subsequent to the year of death, SSA
mails the employer Form SSA–L4112
(Employer Verification of Earnings After
Death). SSA uses the information Form
SSA–L4112 provides to verify wage
information previously received from
Modality of collection
agency has not cooperated with the
claimant. Respondents are State
government agencies that have
information SSA needs to determine if
the GPO applies and the amount of
offset.
Type of Request: Revision of an OMBapproved information collection.
1
Estimated total
annual burden
(hours)
3
50
the employer is correct for the employee
and the year in question. The
respondents are employers who report
wages for employees who have died.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
50,000
The five different versions of the form
contain questions about the child’s dayto-day functioning appropriate to a
particular age group; thus, respondents
use only one version of the form for
each child.
The adjudicative team (disability
examiners and medical/psychological
consultants) of State disability
determination services offices collect
the information on the appropriate
version of this form (in conjunction
with medical and other evidence) to
Average burden per
response
(min)
Average burden per
response
(min)
1
10
Estimated total
annual burden
(hours)
8,333
form a complete picture of the
children’s ability to function and their
impairment-related limitations. The
adjudicative team uses the completed
profile to determine whether each
child’s impairment(s) results in marked
and severe functional limitations and
whether each child is disabled. The
respondents are parents and guardians
of child applicants for SSI.
Type of Request: Revision of an OMBapproved information collection.
srobinson on DSK4SPTVN1PROD with NOTICES
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated total
annual burden
(hours)
Function Report—Child: (SSA–3375–BK through SSA–3379–BK) ................
660,000
1
20
220,000
5. Registration for Appointed
Representative Services and Direct
Payment—0960–0732. SSA uses Form
SSA–1699 to register appointed
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representatives of claimants before SSA
who:
• Want to register for direct payment
of fees;
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• Registered for direct payment of
fees prior to 10/31/09, but need to
update their information;
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• Registered as appointed
representatives on or after 10/31/09, but
need to update their information; or
• Received a notice from SSA
instructing them to complete this form.
By registering these individuals, SSA:
(1) Authenticates and authorizes them
to do business with us; (2) allows them
to access our records for the claimants
they represent; (3) facilitates direct
payment of authorized fees to appointed
representatives; and, (4) collects the
information we need to meet Internal
Revenue Service (IRS) requirements to
issue specific IRS forms if we pay an
appointed representative in excess of a
specific amount ($600). The
respondents are appointed
representatives who want to use Form
SSA–1699 for any of the purposes cited
in this Notice.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated total
annual burden
(hours)
SSA–1699 ........................................................................................................
52,800
1
20
17,600
6. Technical Updates to Applicability
of the Supplemental Security Income
(SSI) Reduced Benefit Rate for
Individuals Residing in Medical
Treatment Facilities—20 CFR
416.708(k)—0960–0758. Section
1611(e)(1)(A) of the Act states that
residents of public institutions are
ineligible for SSI. However, Sections
1611(e)(1)(B) and (G) list certain
exceptions to this provision making it
necessary for SSA to collect information
from SSI recipients who enter or leave
a medical treatment facility or other
public or private institution. SSA’s
regulation 20 CFR 416.708(k) establishes
the reporting guidelines that implement
this legislative requirement. SSA
collects the information to determine
eligibility for SSI and the payment
amount. The respondents are SSI
recipients who enter or leave an
institution.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated total
annual burden
(hours)
Technical Updates Statement .........................................................................
34,200
1
7
3,990
7. Statement for Certificate of Election
for Reduced Widow(er)’s and Surviving
Divorced Spouse’s Benefits—20 CFR
404.335—0960–0759. Section 202(q) of
the Act provides SSA the authority to
reduce benefits under certain conditions
when elected by a title II beneficiary.
However, reduced benefits are not
payable to an already entitled spouse (or
divorced spouse) who:
• Is at least age 62 and under full
retirement age in the month of the
number holder’s death; and
• Is receiving both reduced spouse’s
(or divorced spouse’s) benefits and
either retirement or disability benefits in
the month before the month of the
number holder’s death.
widow(er) benefits, a recipient
completes Form SSA–4111. SSA uses
the information Form SSA–4111
collects to pay a qualified dually
entitled widow(er) (or surviving
divorced spouse) who elects to receive
a reduced widow(er) benefit. The
respondents are qualified dually
entitled widow(er)s (or surviving
divorced spouse) who elect to receive a
reduced widow(er) benefit.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated total
annual burden
(hours)
SSA–4111 ........................................................................................................
srobinson on DSK4SPTVN1PROD with NOTICES
Modality of completion
30,000
1
2
1,000
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
April 19, 2013. Individuals can obtain
copies of the OMB clearance packages
by writing to
OR.Reports.Clearance@ssa.gov.
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1. Statement for Determining
Continuing Eligibility, Supplemental
Security Income Payment(s)—416.204—
0960–0416. SSA conducts disability
redeterminations to determine if SSI
recipients (1) met and continue to meet
all statutory and regulatory
requirements for SSI eligibility and (2)
are receiving the correct SSI payment
amount. SSA makes these
redeterminations through periodic use
of Form SSA–8203–BK. SSA conducts
PO 00000
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this legally mandated information
collection in field offices via personal
contact (face-to-face or telephone
interview) using the automated
Modernized SSI Claim System
(MSSICS). The respondents are SSI
recipients or their representative payees.
Type of Request: Revision of an OMBapproved information collection.
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Number of
respondents
Modality of collection
Average burden per
response
(min)
Frequency of
response
Estimated total
annual burden
(hours)
MSSICS ...........................................................................................................
MSSICS/Signature Proxy ................................................................................
Paper ...............................................................................................................
810,824
777,085
27,824
1
1
1
20
19
20
270,275
246,077
9,275
Totals ........................................................................................................
1,615,733
........................
........................
525,627
2. Application for Benefits Under the
Italy-U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0445. As per the November 1, 1978
agreement between the United States
and Italian Social Security agencies,
residents of Italy filing an application
for U.S. Social Security benefits directly
agencies assist applicants in completing
Form SSA–2528 and then forward the
application to SSA for processing. The
respondents are individuals living in
Italy who wish to file for U.S. Social
Security benefits.
Type of Request: Revision of an OMBapproved information collection.
with one of the Italian Social Security
agencies must complete Form SSA–
2528. SSA uses Form SSA–2528 to
establish age, relationship, citizenship,
marriage, death, military service, or to
evaluate a family bible or other family
record when determining eligibility for
benefits. The Italian Social Security
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated total
annual burden
(hours)
SSA–2528 ........................................................................................................
300
1
20
100
3. Information About Joint Checking/
Savings Accounts—20 CFR 416.120,
416.1208—0960–0461. SSA considers a
person’s resources when evaluating
eligibility for SSI. Generally, we
consider funds in checking and savings
accounts as resources owned by the
individuals whose names appear on the
account. However, individuals applying
for SSI may rebut this assumption of
ownership in a joint account by
submitting certain evidence to establish
the funds do not belong to them. SSA
uses Form SSA–2574 to collect
information from SSI applicants and
recipients who object to the assumption
that they own all or part of the funds in
a joint checking or savings account
bearing their names. SSA collects
information about the account from both
the SSI applicant/recipient and the
other account holder(s). After receiving
Number of
respondents
Modality of completion
the completed form, SSA determines if
we should consider the account to be a
resource for the SSI applicant/recipient.
The respondents are applicants and
recipients of SSI, and individuals who
list themselves as joint owners of
financial accounts with SSI applicants/
recipients.
Type of Request: Revision of an OMBapproved information collection.
Average burden per
response
(min)
Frequency of
response
Estimated
total annual
burden
(hours)
SSA–2574 Paper Form ...................................................................................
Modernized SSI Claims System ......................................................................
50,000
150,000
1
1
7
7
5,833
17,500
Totals ........................................................................................................
200,000
........................
........................
23,333
srobinson on DSK4SPTVN1PROD with NOTICES
4. Real Property Current Market Value
Estimate—0960–0471. SSA considers an
individual’s resources when evaluating
eligibility for SSI payments. The value
of an individual’s resources, including
non-home real property, is one of the
eligibility requirements for SSI
payments. SSA obtains current market
value estimates of the claimant’s real
property through Form SSA–L2794. We
allow respondents to use readily
available records to complete the form,
or we can accept their best estimates.
We use this form as part of initial
applications and in post-entitlement
situations. The respondents are small
business operators in real estate, State
and local government employees tasked
with assessing real property values, and
other individuals knowledgeable about
local real estate values.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated
total annual
burden
(hours)
SSA–L2794 ......................................................................................................
5,438
1
20
1,813
5. Certification of Contents of
Document(s) or Record(s)—20 CFR
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404.715—0960–0689. SSA established
procedures for individuals to provide
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the evidence necessary to establish
rights to Social Security benefits.
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Examples of such evidence categories
include age, relationship, citizenship,
marriage, death, and military service.
Form SSA–704 allows SSA employees,
State record custodians, and other
custodians of evidentiary documents to
certify and record information from
original documents and records under
their custodial ownership to establish
these types of evidence. SSA uses Form
SSA–704 in situations where
individuals cannot produce the original
evidentiary documentation required to
establish benefits eligibility. The
respondents are State record custodians
and other custodians of evidentiary
documents.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated
total annual
burden
(hours)
SSA–704 ..........................................................................................................
4,800
1
10
800
6. Supplemental Security Income
Wage Reporting (Telephone and
Mobile)—20 CFR 416.701–732—0960–
0715. SSA requires SSI recipients to
report changes which could affect their
eligibility for, and the amount of, their
SSI payments, such as changes in
income, resources, and living
arrangements. SSA’s SSI Telephone
Wage Reporting (SSITWR) and SSI
Mobile Wage Reporting (SSIMWR)
enable SSI recipients to meet these
requirements via an automated
mechanism to report their monthly
wages by telephone and mobile
application, instead of contacting their
local field offices. The SSITWR allows
callers to report their wages by speaking
their responses through voice
recognition technology, or by keying in
responses using a telephone key pad.
The SSIMWR allows recipients to report
their wages through the mobile wage
reporting application on their
smartphone. SSITWR and SSIMWR
systems collect the same information
Number of
respondents
Modality of completion
and send it to SSA over secure
channels. To ensure the security of the
information provided, SSITWR and
SSIMWR ask respondents to provide
information SSA can compare against
our records for authentication purposes.
Once the system authenticates the
identity of the respondents, they can
report their wage data. The respondents
are SSI recipients, deemors, or their
representative payees.
Type of Request: Extension of an
OMB-approved information collection.
Average burden per
response
(min)
Frequency of
response
Estimated
total annual
burden
(hours)
Training/Instruction* .........................................................................................
SSITWR ...........................................................................................................
SSIMWR ..........................................................................................................
85,000
80,000
5,000
1
12
12
35
5
3
49,583
80,000
3,000
Total ..........................................................................................................
85,000
........................
........................
132,583
*Note: The same 85,000 respondents are completing training and a modality of collection, therefore the actual total number of respondents is
still 85,000.
7. 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, the 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 coverage.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated
total annual
burden
(hours)
SSA–604 ..........................................................................................................
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Modality of completion
50
1
45
38
8. Centenarian Project Development
Worksheets: Face-to-Face Interview and
Telephone Interview—20 CFR
416.204(b) and 422.135—0960–0780.
SSA conducts interviews with
centenary title II beneficiaries and title
XVI recipients age 100 and older to: (1)
Assess if the beneficiaries are still
living; (2) prevent fraud, through either
identity misrepresentation or
representative payee misuse of funds;
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Jkt 229001
and (3) evaluate the well-being of the
beneficiaries. SSA field office personnel
obtain the information through one-time
interviews with the centenarians. If the
centenarians have representatives or
caregivers, SSA personnel invite them
to the interviews. During the interview,
SSA employees make overall
observations of the centenarian and
their representative payee (if
applicable). The interviewer uses the
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appropriate Centenarian Development
Worksheet as a guide for the interview,
in addition to documenting findings
during the interview. Non-completion of
the Worksheets, or refusal of the
interview, does not result in the
suspension of the centenarian’s
payments. SSA conducts the interview
either over the telephone or through a
face-to-face discussion with the
centenarian. This is a national project
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for our title II beneficiaries and title XVI
recipients. Respondents are SSI
recipients or Social Security
beneficiaries 100 years old or older,
their representative payees, or their
caregivers.
17281
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average burden per
response
(min)
Estimated
total annual
burden
(hours)
Centenarian Worksheets: Face-to-Face Interview; Telephone Interview .......
22,000
1
15
5,500
Dated: March 15, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
SUSQUEHANNA RIVER BASIN
COMMISSION
Authority: Pub. L. 91–575, 84 Stat. 1509 et
seq., 18 CFR Parts 806, 807, and 808.
[FR Doc. 2013–06350 Filed 3–19–13; 8:45 am]
Projects Approved for Consumptive
Uses of Water
Dated: March 11, 2013.
Stephanie L. Richardson,
Secretary to the Commission.
BILLING CODE 4191–02–P
AGENCY:
Susquehanna River Basin
Commission.
ACTION: Notice.
DEPARTMENT OF STATE
[Public Notice 8241]
srobinson on DSK4SPTVN1PROD with NOTICES
Notice of Public Meeting on FY 2014
U.S. Refugee Admissions Program
There will be a meeting on the
President’s FY 2014 U.S. Refugee
Admissions Program on Wednesday,
May 15, 2013 from 2 p.m. to 4 p.m. The
meeting will be held at the Department
of State’s Harry S. Truman Building’s
George C. Marshall Conference Room,
2201 C Street NW., Washington, DC
20520. The meeting’s purpose is to hear
the views of attendees on the
appropriate size and scope of the FY
2014 U.S. Refugee Admissions Program.
Persons wishing to attend this
meeting must notify the Bureau of
Population, Refugees, and Migration at
telephone (202) 453–9257 by 5 p.m. on
Wednesday, May 8, 2013, to reserve a
seat. Persons wishing to present written
comments should submit them by 5
p.m. on Wednesday, May 8, 2013 via
email to spruellda@state.gov or fax (202)
453–9393.
The use of any video or audio
recording device, photographing device,
or any other electronic or mechanical
device designed for similar purposes is
prohibited at this event.
If you have questions about the public
meeting, please contact Delicia Spruell,
PRM/Admissions Program Officer at
(202) 453–9257. Information about the
U.S. Refugee Admissions Program may
be found at https://www.state.gov/
g/prm/.
Dated: March 12, 2013.
David Robinson,
Principal Deputy Assistant Secretary, Bureau
of Population, Refugees, and Migration,
Department of State.
[FR Doc. 2013–06388 Filed 3–19–13; 8:45 am]
BILLING CODE 4710–33–P
VerDate Mar<14>2013
18:04 Mar 19, 2013
Jkt 229001
[FR Doc. 2013–06300 Filed 3–19–13; 8:45 am]
SUMMARY: This notice lists the projects
approved by rule by the Susquehanna
River Basin Commission during the
period set forth in DATES.
DATES: February 1, 2013, through
February 28, 2013.
ADDRESSES: Susquehanna River Basin
Commission, 1721 North Front Street,
Harrisburg, PA 17102–2391.
FOR FURTHER INFORMATION CONTACT:
Richard A. Cairo, General Counsel,
telephone: (717) 238–0423, ext. 306; fax:
(717) 238–2436; email: rcairo@srbc.net.
Regular mail inquiries may be sent to
the above address.
SUPPLEMENTARY INFORMATION: This
notice lists the projects, described
below, receiving approval for the
consumptive use of water pursuant to
the Commission’s approval by rule
process set forth in 18 CFR 806.22(f) for
the time period specified above:
DEPARTMENT OF TRANSPORTATION
Approvals by Rule Issued Under 18
CFR 806.22(f)
1. EOG Resources, Inc., Pad ID:
KENNEDY A Pad, ABR–201302001,
Smithfield Township, Bradford County,
Pa.; Consumptive Use of Up to 5.000
mgd; Approval Date: February 7, 2013.
2. EOG Resources, Inc., Pad ID:
JENKINS B Pad, ABR–201302002,
Springfield Township, Bradford County,
Pa.; Consumptive Use of Up to 5.000
mgd; Approval Date: February 8, 2013.
3. Southwestern Energy Production
Company, Pad ID: FLICKS RUN EAST
PAD, ABR–201302003, Cogan House
Township, Lycoming County, Pa.;
Consumptive Use of Up to 4.999 mgd;
Approval Date: February 14, 2013.
4. Chief Oil & Gas LLC, Pad ID:
Lathrop Farm Trust Drilling Pad, ABR–
201302004, Auburn Township,
Susquehanna County, Pa.; Consumptive
Use of Up to 2.000 mgd; Approval Date:
February 28, 2013.
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
BILLING CODE 7040–01–P
Federal Highway Administration
Notice To Rescind a Notice of lntent To
Prepare an Environmental Impact
Statement: Dallas and Ellis Counties,
Texas
Federal Highway
Administration (FHWA), DOT.
ACTION: Notice to rescind a Notice of
Intent to prepare an Environmental
Impact Statement.
AGENCY:
SUMMARY: The FHWA is issuing this
notice to advise the public that we are
rescinding the Notice of Intent (NOI)
and Draft Environmental Impact
Statement (EIS) for proposed Loop 9
from US 287 to IH 20. A NOI to prepare
an EIS for proposed Loop 9 was
published in the Federal Register on
August 2, 2002 (Volume 67, No. 149,
Page 50504), with a subsequent revision
to the project limits published in the
Federal Register on January 20, 2004
(Vol. 69, No. 12, Page 2809).
FOR FURTHER INFORMATION CONTACT: Mr.
Salvador Deocampo, District Engineer,
District A, Federal Highway
Administration, Texas Division, 300
East 8th Street, Room 826, Austin, Texas
78701. Telephone: (512) 536–5950,
Email: salvador.deocampo@dot.gov. The
FHWA Texas Division Office’s normal
business hours are 8 a.m. to 5 p.m.
(Central Time).
SUPPLEMENTARY INFORMATION: The
FHWA, in cooperation with the Texas
Department of Transportation (TxDOT),
published a NOI in the Federal Register
on August 2, 2002 (Volume 67, No. 149,
Page 50504), and a NOI revision was
made on January 20, 2004 (Vol. 69, No.
12, Page 2809) to prepare an EIS for
Loop 9 from US 287 to IH 20 in Dallas
and Ellis Counties. The original notice
E:\FR\FM\20MRN1.SGM
20MRN1
]]>Agencies
[Federal Register Volume 78, Number 54 (Wednesday, March 20, 2013)]
[Notices]
[Pages 17276-17281]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-06350]
=======================================================================
-----------------------------------------------------------------------
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 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:
202-395-6974, 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 May
20, 2013. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. Request for Earnings and Benefit Estimate Statement--20 CFR
404.810--0960-0466. Section 205(c)(2)(A) of the Social Security Act
(Act) requires the Commissioner of SSA to establish and maintain
records of wages paid to, and amounts of self-employment income derived
by, each individual as well as the periods in which such wages were
paid and such income derived. An individual may complete and mail Form
SSA-7004 to SSA to obtain a Statement of Earnings or Quarters of
Coverage. SSA uses the information Form SSA-7004 collects to identify
respondents' Social Security earnings records, extract posted earnings
information, calculate potential benefit estimates, produce the
resulting Social Security statements, and mail them to the requesters.
The respondents are Social Security number holders requesting
information about their Social Security earnings records and estimates
of their potential benefits.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 17277]]
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of collection respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7004 (paper)................................ 17,219 1 5 1,435
SSA-7004 (Internet)............................. 3,198,361 1 5 266,530
---------------------------------------------------------------
Totals...................................... 3,215,580 .............. .............. 267,965
----------------------------------------------------------------------------------------------------------------
2. Agency/Employer Government Pension Offset Questionnaire--20 CFR
404.408(a)--0960-0470. When an individual is concurrently receiving
Social Security spousal or surviving spousal benefits and a government
pension, the individual may have the amount of Social Security benefits
reduced by the government pension amount. This is the Government
Pension Offset (GPO). SSA uses Form SSA-L4163 to collect accurate
pension information from the Federal or State government agency paying
the pension for purposes of applying the pension offset provision. The
form is used only when (1) the claimant does not have the information;
and (2) the pension-paying agency has not cooperated with the claimant.
Respondents are State government agencies that have information SSA
needs to determine if the GPO applies and the amount of offset.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of collection respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L4163....................................... 1,000 1 3 50
----------------------------------------------------------------------------------------------------------------
3. Employer Verification of Earnings After Death--20 CFR 404.821
and 404.822--0960-0472. When SSA records show a wage earner is deceased
and we receive wage reports from an employer for the wage earner for a
year subsequent to the year of death, SSA mails the employer Form SSA-
L4112 (Employer Verification of Earnings After Death). SSA uses the
information Form SSA-L4112 provides to verify wage information
previously received from the employer is correct for the employee and
the year in question. The respondents are employers who report wages
for employees who have died.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of collection respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L4112....................................... 50,000 1 10 8,333
----------------------------------------------------------------------------------------------------------------
4. Function Report--Child: Birth to 1st Birthday (SSA-3375), Age 1
to 3rd Birthday (SSA-3376), Age 3 to 6th Birthday (SSA-3377), Age 6 to
12th Birthday, (SSA-3378), and Age 12 to 18th Birthday (SSA-3379)--20
CFR 416.912--0960-0542. SSA uses Forms SSA-3375-BK through SSA-3379-BK
in the disability determination process to request information from a
child's parent or guardian for children applying for Supplemental
Security Income (SSI). The five different versions of the form contain
questions about the child's day-to-day functioning appropriate to a
particular age group; thus, respondents use only one version of the
form for each child.
The adjudicative team (disability examiners and medical/
psychological consultants) of State disability determination services
offices collect the information on the appropriate version of this form
(in conjunction with medical and other evidence) to form a complete
picture of the children's ability to function and their impairment-
related limitations. The adjudicative team uses the completed profile
to determine whether each child's impairment(s) results in marked and
severe functional limitations and whether each child is disabled. The
respondents are parents and guardians of child applicants for SSI.
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 (min) (hours)
----------------------------------------------------------------------------------------------------------------
Function Report--Child: (SSA-3375-BK through 660,000 1 20 220,000
SSA-3379-BK)...............................
----------------------------------------------------------------------------------------------------------------
5. Registration for Appointed Representative Services and Direct
Payment--0960-0732. SSA uses Form SSA-1699 to register appointed
representatives of claimants before SSA who:
Want to register for direct payment of fees;
Registered for direct payment of fees prior to 10/31/09,
but need to update their information;
[[Page 17278]]
Registered as appointed representatives on or after 10/31/
09, but need to update their information; or
Received a notice from SSA instructing them to complete
this form.
By registering these individuals, SSA: (1) Authenticates and authorizes
them to do business with us; (2) allows them to access our records for
the claimants they represent; (3) facilitates direct payment of
authorized fees to appointed representatives; and, (4) collects the
information we need to meet Internal Revenue Service (IRS) requirements
to issue specific IRS forms if we pay an appointed representative in
excess of a specific amount ($600). The respondents are appointed
representatives who want to use Form SSA-1699 for any of the purposes
cited in this Notice.
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 (min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1699.................................... 52,800 1 20 17,600
----------------------------------------------------------------------------------------------------------------
6. Technical Updates to Applicability of the Supplemental Security
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section
1611(e)(1)(A) of the Act states that residents of public institutions
are ineligible for SSI. However, Sections 1611(e)(1)(B) and (G) list
certain exceptions to this provision making it necessary for SSA to
collect information from SSI recipients who enter or leave a medical
treatment facility or other public or private institution. SSA's
regulation 20 CFR 416.708(k) establishes the reporting guidelines that
implement this legislative requirement. SSA collects the information to
determine eligibility for SSI and the payment amount. The respondents
are SSI recipients who enter or leave an institution.
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 (min) (hours)
----------------------------------------------------------------------------------------------------------------
Technical Updates Statement................. 34,200 1 7 3,990
----------------------------------------------------------------------------------------------------------------
7. Statement for Certificate of Election for Reduced Widow(er)'s
and Surviving Divorced Spouse's Benefits--20 CFR 404.335--0960-0759.
Section 202(q) of the Act provides SSA the authority to reduce benefits
under certain conditions when elected by a title II beneficiary.
However, reduced benefits are not payable to an already entitled spouse
(or divorced spouse) who:
Is at least age 62 and under full retirement age in the
month of the number holder's death; and
Is receiving both reduced spouse's (or divorced spouse's)
benefits and either retirement or disability benefits in the month
before the month of the number holder's death.
To elect reduced widow(er) benefits, a recipient completes Form SSA-
4111. SSA uses the information Form SSA-4111 collects to pay a
qualified dually entitled widow(er) (or surviving divorced spouse) who
elects to receive a reduced widow(er) benefit. The respondents are
qualified dually entitled widow(er)s (or surviving divorced spouse) who
elect to receive a reduced widow(er) benefit.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 (min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4111.................................... 30,000 1 2 1,000
----------------------------------------------------------------------------------------------------------------
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 April 19, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Statement for Determining Continuing Eligibility, Supplemental
Security Income Payment(s)--416.204--0960-0416. SSA conducts disability
redeterminations to determine if SSI recipients (1) met and continue to
meet all statutory and regulatory requirements for SSI eligibility and
(2) are receiving the correct SSI payment amount. SSA makes these
redeterminations through periodic use of Form SSA-8203-BK. SSA conducts
this legally mandated information collection in field offices via
personal contact (face-to-face or telephone interview) using the
automated Modernized SSI Claim System (MSSICS). The respondents are SSI
recipients or their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 17279]]
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of collection respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
MSSICS.......................................... 810,824 1 20 270,275
MSSICS/Signature Proxy.......................... 777,085 1 19 246,077
Paper........................................... 27,824 1 20 9,275
---------------------------------------------------------------
Totals...................................... 1,615,733 .............. .............. 525,627
----------------------------------------------------------------------------------------------------------------
2. Application for Benefits Under the Italy-U.S. International
Social Security Agreement--20 CFR 404.1925--0960-0445. As per the
November 1, 1978 agreement between the United States and Italian Social
Security agencies, residents of Italy filing an application for U.S.
Social Security benefits directly with one of the Italian Social
Security agencies must complete Form SSA-2528. SSA uses Form SSA-2528
to establish age, relationship, citizenship, marriage, death, military
service, or to evaluate a family bible or other family record when
determining eligibility for benefits. The Italian Social Security
agencies assist applicants in completing Form SSA-2528 and then forward
the application to SSA for processing. The respondents are individuals
living in Italy who wish to file for U.S. Social Security benefits.
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 (min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2528.................................... 300 1 20 100
----------------------------------------------------------------------------------------------------------------
3. Information About Joint Checking/Savings Accounts--20 CFR
416.120, 416.1208--0960-0461. SSA considers a person's resources when
evaluating eligibility for SSI. Generally, we consider funds in
checking and savings accounts as resources owned by the individuals
whose names appear on the account. However, individuals applying for
SSI may rebut this assumption of ownership in a joint account by
submitting certain evidence to establish the funds do not belong to
them. SSA uses Form SSA-2574 to collect information from SSI applicants
and recipients who object to the assumption that they own all or part
of the funds in a joint checking or savings account bearing their
names. SSA collects information about the account from both the SSI
applicant/recipient and the other account holder(s). After receiving
the completed form, SSA determines if we should consider the account to
be a resource for the SSI applicant/recipient. The respondents are
applicants and recipients of SSI, and individuals who list themselves
as joint owners of financial accounts with SSI applicants/recipients.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2574 Paper Form............................. 50,000 1 7 5,833
Modernized SSI Claims System.................... 150,000 1 7 17,500
---------------------------------------------------------------
Totals...................................... 200,000 .............. .............. 23,333
----------------------------------------------------------------------------------------------------------------
4. Real Property Current Market Value Estimate--0960-0471. SSA
considers an individual's resources when evaluating eligibility for SSI
payments. The value of an individual's resources, including non-home
real property, is one of the eligibility requirements for SSI payments.
SSA obtains current market value estimates of the claimant's real
property through Form SSA-L2794. We allow respondents to use readily
available records to complete the form, or we can accept their best
estimates. We use this form as part of initial applications and in
post-entitlement situations. The respondents are small business
operators in real estate, State and local government employees tasked
with assessing real property values, and other individuals
knowledgeable about local real estate values.
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 (min) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L2794................................... 5,438 1 20 1,813
----------------------------------------------------------------------------------------------------------------
5. Certification of Contents of Document(s) or Record(s)--20 CFR
404.715--0960-0689. SSA established procedures for individuals to
provide the evidence necessary to establish rights to Social Security
benefits.
[[Page 17280]]
Examples of such evidence categories include age, relationship,
citizenship, marriage, death, and military service. Form SSA-704 allows
SSA employees, State record custodians, and other custodians of
evidentiary documents to certify and record information from original
documents and records under their custodial ownership to establish
these types of evidence. SSA uses Form SSA-704 in situations where
individuals cannot produce the original evidentiary documentation
required to establish benefits eligibility. The respondents are State
record custodians and other custodians of evidentiary documents.
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 (min) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-704..................................... 4,800 1 10 800
----------------------------------------------------------------------------------------------------------------
6. Supplemental Security Income Wage Reporting (Telephone and
Mobile)--20 CFR 416.701-732--0960-0715. SSA requires SSI recipients to
report changes which could affect their eligibility for, and the amount
of, their SSI payments, such as changes in income, resources, and
living arrangements. SSA's SSI Telephone Wage Reporting (SSITWR) and
SSI Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet these
requirements via an automated mechanism to report their monthly wages
by telephone and mobile application, instead of contacting their local
field offices. The SSITWR allows callers to report their wages by
speaking their responses through voice recognition technology, or by
keying in responses using a telephone key pad. The SSIMWR allows
recipients to report their wages through the mobile wage reporting
application on their smartphone. SSITWR and SSIMWR systems collect the
same information and send it to SSA over secure channels. To ensure the
security of the information provided, SSITWR and SSIMWR ask respondents
to provide information SSA can compare against our records for
authentication purposes. Once the system authenticates the identity of
the respondents, they can report their wage data. The respondents are
SSI recipients, deemors, or their representative payees.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(min) (hours)
----------------------------------------------------------------------------------------------------------------
Training/Instruction*........................... 85,000 1 35 49,583
SSITWR.......................................... 80,000 12 5 80,000
SSIMWR.......................................... 5,000 12 3 3,000
---------------------------------------------------------------
Total....................................... 85,000 .............. .............. 132,583
----------------------------------------------------------------------------------------------------------------
*Note: The same 85,000 respondents are completing training and a modality of collection, therefore the actual
total number of respondents is still 85,000.
7. 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, the 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 coverage.
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 (min) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-604..................................... 50 1 45 38
----------------------------------------------------------------------------------------------------------------
8. Centenarian Project Development Worksheets: Face-to-Face
Interview and Telephone Interview--20 CFR 416.204(b) and 422.135--0960-
0780. SSA conducts interviews with centenary title II beneficiaries and
title XVI recipients age 100 and older to: (1) Assess if the
beneficiaries are still living; (2) prevent fraud, through either
identity misrepresentation or representative payee misuse of funds; and
(3) evaluate the well-being of the beneficiaries. SSA field office
personnel obtain the information through one-time interviews with the
centenarians. If the centenarians have representatives or caregivers,
SSA personnel invite them to the interviews. During the interview, SSA
employees make overall observations of the centenarian and their
representative payee (if applicable). The interviewer uses the
appropriate Centenarian Development Worksheet as a guide for the
interview, in addition to documenting findings during the interview.
Non-completion of the Worksheets, or refusal of the interview, does not
result in the suspension of the centenarian's payments. SSA conducts
the interview either over the telephone or through a face-to-face
discussion with the centenarian. This is a national project
[[Page 17281]]
for our title II beneficiaries and title XVI recipients. Respondents
are SSI recipients or Social Security beneficiaries 100 years old or
older, their representative payees, or their caregivers.
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 (min) burden (hours)
----------------------------------------------------------------------------------------------------------------
Centenarian Worksheets: Face-to-Face 22,000 1 15 5,500
Interview; Telephone Interview.............
----------------------------------------------------------------------------------------------------------------
Dated: March 15, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-06350 Filed 3-19-13; 8:45 am]
BILLING CODE 4191-02-P
