Agency Information Collection Activities: Proposed Request and Comment Request, 62932-62935 [2013-24595]
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Federal Register / Vol. 78, No. 204 / Tuesday, October 22, 2013 / Notices
by the constitution or laws of the given
State.
Notice is hereby given that any
interested person may submit written
comments on the transaction, within
fifteen days of the date of this
publication, to the Associate
Administrator for Investment, U.S.
Small Business Administration, 409
Third Street SW., Washington, DC
20416.
Michael A. Simmons,
Acting Director, Office of Financial
Assistance.
[FR Doc. 2013–24214 Filed 10–21–13; 8:45 am]
BILLING CODE 8025–01–P
Dated: September 25, 2013.
Pravina Raghavan,
Acting Associate Administrator for
Investment.
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
[FR Doc. 2013–23970 Filed 10–21–13; 8:45 am]
BILLING CODE 8025–01–M
SMALL BUSINESS ADMINISTRATION
Interest Rates
The Small Business Administration
publishes an interest rate called the
optional ‘‘peg’’ rate (13 CFR 120.214) on
a quarterly basis. This rate is a weighted
average cost of money to the
government for maturities similar to the
average SBA direct loan. This rate may
be used as a base rate for guaranteed
fluctuating interest rate SBA loans. This
rate will be 3.125 (31⁄8) percent for the
October–December quarter of FY 2014.
Pursuant to 13 CFR 120.921(b), the
maximum legal interest rate for any
third party lender’s commercial loan
which funds any portion of the cost of
a 504 project (see 13 CFR 120.801) shall
be 6% over the New York Prime rate or,
if that exceeds the maximum interest
rate permitted by the constitution or
laws of a given State, the maximum
interest rate will be the rate permitted
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,
Number of
respondents
Modality of completion
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 December 23,
2013. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Requests for Self-Employment
Information, Employee Information,
Employer Information—20 CFR
422.120–0960–0508. When SSA cannot
identify Form W–2 wage data for an
individual, we place the data in an
earnings suspense file and contact the
individual (and certain instances the
employer) to obtain the correct
information. If the respondent furnishes
the name and Social Security number
(SSN) information that agrees with
SSA’s records, or provides information
that resolves the discrepancy, SSA adds
the reported earnings to the
respondent’s Social Security record. We
use Forms SSA–L2765, SSA–L3365, and
SSA–L4002 for this purpose. The
respondents are self-employed
individuals and employees whose name
and SSN information do not agree with
their employer’s and SSA’s records.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
12,321
179,749
121,679
1
1
1
10
10
10
2,054
29,958
20,280
Totals ........................................................................................................
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SSA–L2765 ......................................................................................................
SSA–L3365 ......................................................................................................
SSA–L4002 ......................................................................................................
313,749
........................
........................
52,292
2. Employer Reports of Special Wage
Payments—20 CFR 404.428–404.429
—0960–0565. SSA collects information
on the SSA–131 to prevent earningsrelated overpayments and to avoid
erroneous withholding of benefits. SSA
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field offices and program service centers
also use Form SSA–131 for awards and
post-entitlement events requiring
special wage payment verification from
employers. While we need this
information to ensure the correct
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payment of benefits, we do not require
employers to respond. The respondents
are large and small businesses that make
special wage payments to retirees.
Type of Request: Revision of an OMBapproved information collection.
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Federal Register / Vol. 78, No. 204 / Tuesday, October 22, 2013 / Notices
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Paper Version: SSA–131 (without #6) .............................................................
Paper Version: SSA–131 (#6 only) .................................................................
Electronic Version: Business Services Online Special Wage Payments ........
105,000
1,050
26
1
1
1
20
2
5
35,000
35
2
Totals ........................................................................................................
106,076
........................
........................
35,037
3. Work Activity Report (SelfEmployment)—20 CFR 404.1520(b), 20
CFR 404.1571–404.1576, 20 CFR
404.1584–404.1593, and 20 CFR
416.971–416.976—0960–0598. SSA uses
Form SSA–820–U4 to determine initial
or continuing eligibility for (1) Title II
Social Security disability benefits or (2)
Title XVI Supplemental Security
Income (SSI) payments. Under Titles II
and XVI of the Social Security Act,
recipients receive disability benefits and
SSI payments based on their inability to
engage in substantial gainful activity
(SGA) due to a physical or mental
condition. Therefore, when the
recipients resume work, they must
report their work so SSA can evaluate
and determine whether they continue to
meet the disability requirements by law.
SSA uses Form SSA–820–U4 to obtain
information on self-employment
activities of Social Security disability
applicants and recipients. We use the
data we obtain to evaluate disability
claims, and to help us determine if the
claimant meets current disability
provisions under Titles II and XVI.
Since applicants for disability benefits
must prove an inability to perform any
kind of SGA generally available in the
national economy for which we expect
them to qualify based on age, education,
and work experience, any work an
applicant performed until, or
subsequent to, the date the disability
allegedly began, affects our disability
determination. The respondents are
applicants and claimants for SSI or
Social Security disability benefits.
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–820–BK ...................................................................................................
100,000
1
30
50,000
4. Private Printing and Modification of
Prescribed Application and Other
Forms—20 CFR 422.527—0960–0663.
20 CFR 422.527 of the Code of Federal
Regulations requires a person,
institution, or organization (third-party
entities) to obtain approval from SSA
prior to reproducing, duplicating, or
privately printing any application or
other form the agency owns. SSA uses
the information to ensure requests
comply with the law and regulations.
SSA uses the information to process
requests from third-party entities who
want to reproduce, duplicate, or
privately print any SSA application or
other SSA form. To obtain SSA’s
approval, entities must make their
requests in writing, using their company
letterhead, providing the required
information set forth in the regulation.
SSA employees review the requests and
provide approval via email or mail to
the third-party entities. The respondents
are third-party entities who submit a
request to SSA to reproduce, duplicate,
or privately print an SSA-owned form.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
20 CFR422.527 ...............................................................................................
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Modality of completion
15
15
8
30
5. Methods for Conducting Personal
Conferences When Waiver of Recovery
of a Title II or Title XVI Overpayment
Cannot Be Approved—20 CFR
404.506(e)(3), 404.506(f)(8),
416.557(c)(3), and 416.557(d)(8)—0960–
0769. SSA conducts personal
conferences when we cannot approve a
waiver of recovery of a Title II or Title
XVI overpayment. We are required to
give overpaid Social Security
VerDate Mar<15>2010
21:08 Oct 21, 2013
Jkt 232001
beneficiaries and SSI recipients the right
to request a waiver of recovery and
automatically schedule a personal
conference if we cannot approve their
request for waiver of overpayment. We
conduct these conferences face-to-face,
by telephone, or by video
teleconference. Social Security
beneficiaries and SSI recipients or their
representatives may provide documents
to demonstrate they are without fault in
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Fmt 4703
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causing the overpayment and do not
have the ability to repay the debt. They
may submit these documents by Form
SSA–632 (OMB No. 0960–0037),
Request for Waive of Overpayment
Recovery; SSA–795 (OMB No. 0960–
0045), Statement of Claimant or Other
Person; or personal statement submitted
by mail, telephone, personal contact, or
other suitable method, such as fax or
email. This information collection
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Federal Register / Vol. 78, No. 204 / Tuesday, October 22, 2013 / Notices
satisfies the requirements for request for
waiver of recovery of an overpayment
and allows individuals to pursue further
levels of administrative appeal via
personal conference. Respondents are
Social Security beneficiaries and SSI
recipients or their representatives
seeking reconsideration of an SSA
waiver decision.
Type of Request: Extension of an
OMB-approved information collection.
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Personal conference 404.506(e)(3) and 404–506(f)(8) submittal of documents, additional mitigating financial information and verifications for consideration at personal conferences ..............................................................
Personal conference 416.557(c)(3) and 416–557(d)(8) submittal of documents additional mitigating financial information, and verifications for consideration at personal conferences ..............................................................
40,000
1
30
20,000
63,801
1
30
31,901
Totals ........................................................................................................
103,801
........................
........................
51,901
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding the
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
November 21, 2013. Individuals can
obtain copies of the OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
1. Incorporation by Reference of Oral
Findings of Fact and Rationale in
Wholly Favorable Written Decisions
(Bench Decision Regulation)—20 CFR
404.953 and 416.1453—0960–0694. If an
administrative law judge (ALJ) makes a
wholly favorable oral decision that
includes all the findings and rationale
for the decision for a claimant of Title
II or Title XVI payments at an
administrative appeals hearing, the ALJ
sends a Notice of Decision (Form HA–
82), as the records from the oral hearing
preclude the need for a written decision.
We call this the incorporation-byreference process. In addition, the
regulations for this process state that if
the involved parties want a record of the
oral decision, they may submit a written
request for these records. SSA collects
identifying information under the aegis
of Sections 20 CFR 404.953 and
416.1453 of the Code of Federal
Regulations to determine how to send
interested individuals written records of
a favorable incorporation-by-reference
oral decision made at an administrative
review hearing. Since there is no
prescribed form to request a written
record of the decision, the involved
parties send SSA their contact
information and reference the hearing
for which they would like a record. The
respondents are applicants for disability
insurance benefits and SSI payments or
their representatives to whom SSA gave
a wholly favorable oral decision under
the regulations cited above.
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)
HA–82 ..............................................................................................................
2,500
1
5
208
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2. Request for Proof(s) from Custodian
of Records—20 CFR 404.703, 404.704,
404.720, 404.721, 404.723, 404.725, &
404.728—0960–0766. SSA sends Form
SSA–L707, Request for Proof(s) from
Custodian of Records, to records
custodians on behalf of individuals who
need help obtaining evidence of death,
marriage, or divorce in connection with
claims for benefits. SSA uses the
information from the SSA–L707 to
determine eligibility for benefits. The
respondents are records custodians
including statistics and religious
Number of
respondents
Modality of completion
entities, coroners, funeral directors,
attending physicians, and State
agencies.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
State or Local Government .............................................................................
Private Sector ..................................................................................................
501
99
1
1
10
10
84
17
Totals ........................................................................................................
600
........................
........................
101
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Federal Register / Vol. 78, No. 204 / Tuesday, October 22, 2013 / Notices
Dated: October 17, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
DEPARTMENT OF TRANSPORTATION
[FR Doc. 2013–24595 Filed 10–21–13; 8:45 am]
[Docket No. FMCSA–2013–0166]
Federal Motor Carrier Safety
Administration
BILLING CODE 4191–02–P
Qualification of Drivers; Exemption
Applications; Vision
Federal Motor Carrier Safety
Administration (FMCSA), DOT.
ACTION: Notice of applications for
exemptions; request for comments.
AGENCY:
DEPARTMENT OF STATE
[Public Notice 8503]
Culturally Significant Object Imported
for Exhibition Determinations: ‘‘A Loan
From the Vatican Museums: Madonna
and Child With Saint John the Baptist
and Saint Mary Magdalene’’
Notice is hereby given of the
following determinations: Pursuant to
the authority vested in me by the Act of
October 19, 1965 (79 Stat. 985; 22 U.S.C.
2459), Executive Order 12047 of March
27, 1978, the Foreign Affairs Reform and
Restructuring Act of 1998 (112 Stat.
2681, et seq.; 22 U.S.C. 6501 note, et
seq.), Delegation of Authority No. 234 of
October 1, 1999, and Delegation of
Authority No. 236–3 of August 28, 2000,
I hereby determine that the object to be
included in the exhibition ‘‘A Loan from
the Vatican Museums: Madonna and
Child with Saint John the Baptist and
Saint Mary Magdalene,’’ imported from
abroad for temporary exhibition within
the United States, is of cultural
significance. The object is imported
pursuant to a loan agreement with the
foreign owner or custodian. I also
determine that the exhibition or display
of the exhibit object at The Art Institute
of Chicago, Chicago, Illinois, from on or
about October 30, 2013, until on or
about January 9, 2014, and at possible
additional exhibitions or venues yet to
be determined, is in the national
interest. I have ordered that Public
Notice of these Determinations be
published in the Federal Register.
SUMMARY:
For
further information, including a
description of the exhibit object, contact
Paul W. Manning, Attorney-Adviser,
Office of the Legal Adviser, U.S.
Department of State (telephone: 202–
632–6469). The mailing address is U.S.
Department of State, SA–5, L/PD, Fifth
Floor (Suite 5H03), Washington, DC
20522–0505.
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FOR FURTHER INFORMATION CONTACT:
Dated: October 15, 2013.
Evan M. Ryan,
Assistant Secretary, Bureau of Educational
and Cultural Affairs, Department of State.
[FR Doc. 2013–24718 Filed 10–21–13; 8:45 am]
BILLING CODE 4710–05–P
VerDate Mar<15>2010
21:08 Oct 21, 2013
Jkt 232001
FMCSA announces receipt of
applications from 26 individuals for
exemption from the vision requirement
in the Federal Motor Carrier Safety
Regulations. They are unable to meet
the vision requirement in one eye for
various reasons. The exemptions will
enable these individuals to operate
commercial motor vehicles (CMVs) in
interstate commerce without meeting
the prescribed vision requirement in
one eye. If granted, the exemptions
would enable these individuals to
qualify as drivers of commercial motor
vehicles (CMVs) in interstate commerce.
DATES: Comments must be received on
or before November 21, 2013.
ADDRESSES: You may submit comments
bearing the Federal Docket Management
System (FDMS) Docket No. FMCSA–
2013–0166 using any of the following
methods:
• Federal eRulemaking Portal: Go to
https://www.regulations.gov. Follow the
on-line instructions for submitting
comments.
• Mail: Docket Management Facility;
U.S. Department of Transportation, 1200
New Jersey Avenue SE., West Building
Ground Floor, Room W12–140,
Washington, DC 20590–0001.
• Hand Delivery: West Building
Ground Floor, Room W12–140, 1200
New Jersey Avenue SE., Washington,
DC, between 9 a.m. and 5 p.m., Monday
through Friday, except Federal
Holidays.
• Fax: 1–202–493–2251.
Instructions: Each submission must
include the Agency name and the
docket numbers for this notice. Note
that all comments received will be
posted without change to https://
www.regulations.gov, including any
personal information provided. Please
see the Privacy Act heading below for
further information.
Docket: For access to the docket to
read background documents or
comments, go to https://
www.regulations.gov at any time or
Room W12–140 on the ground level of
the West Building, 1200 New Jersey
Avenue SE., Washington, DC, between 9
SUMMARY:
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62935
a.m. and 5 p.m., Monday through
Friday, except Federal holidays. The
FDMS is available 24 hours each day,
365 days each year. If you want
acknowledgment that we received your
comments, please include a selfaddressed, stamped envelope or
postcard or print the acknowledgement
page that appears after submitting
comments on-line.
Privacy Act: Anyone may search the
electronic form of all comments
received into any of our dockets by the
name of the individual submitting the
comment (or of the person signing the
comment, if submitted on behalf of an
association, business, labor union, etc.).
You may review DOT’s Privacy Act
Statement for the Federal Docket
Management System (FDMS) published
in the Federal Register on January 17,
2008 (73 FR 3316).
FOR FURTHER INFORMATION CONTACT:
Elaine M. Papp, Chief, Medical
Programs Division, (202) 366–4001,
fmcsamedical@dot.gov, FMCSA,
Department of Transportation, 1200
New Jersey Avenue SE., Room W64–
224, Washington, DC 20590–0001.
Office hours are from 8:30 a.m. to 5
p.m., Monday through Friday, except
Federal holidays.
SUPPLEMENTARY INFORMATION:
Background
Under 49 U.S.C. 31136(e) and 31315,
FMCSA may grant an exemption from
the Federal Motor Carrier Safety
Regulations for a 2-year period if it finds
‘‘such exemption would likely achieve a
level of safety that is equivalent to or
greater than the level that would be
achieved absent such exemption.’’
FMCSA can renew exemptions at the
end of each 2-year period. The 26
individuals listed in this notice have
each requested such an exemption from
the vision requirement in 49 CFR
391.41(b)(10), which applies to drivers
of CMVs in interstate commerce.
Accordingly, the Agency will evaluate
the qualifications of each applicant to
determine whether granting an
exemption will achieve the required
level of safety mandated by statute.
Qualifications of Applicants
Herbert R. Benner
Mr. Benner, age 44, has had
amblyopia in his left eye since birth.
The visual acuity in his right eye is 20/
25, and in his left eye, 20/400.
Following an examination in 2013, his
optometrist noted, ‘‘Most recently Mr.
Benner presented with a list of criteria
for him to keep his medical card needed
to continue driving hazardous materials
. . . It is my opinion that because Mr.
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]]>Agencies
[Federal Register Volume 78, Number 204 (Tuesday, October 22, 2013)]
[Notices]
[Pages 62932-62935]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-24595]
=======================================================================
-----------------------------------------------------------------------
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
December 23, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Requests for Self-Employment Information, Employee Information,
Employer Information--20 CFR 422.120-0960-0508. When SSA cannot
identify Form W-2 wage data for an individual, we place the data in an
earnings suspense file and contact the individual (and certain
instances the employer) to obtain the correct information. If the
respondent furnishes the name and Social Security number (SSN)
information that agrees with SSA's records, or provides information
that resolves the discrepancy, SSA adds the reported earnings to the
respondent's Social Security record. We use Forms SSA-L2765, SSA-L3365,
and SSA-L4002 for this purpose. The respondents are self-employed
individuals and employees whose name and SSN information do not agree
with their employer's and SSA's records.
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)
----------------------------------------------------------------------------------------------------------------
SSA-L2765....................................... 12,321 1 10 2,054
SSA-L3365....................................... 179,749 1 10 29,958
SSA-L4002....................................... 121,679 1 10 20,280
---------------------------------------------------------------
Totals...................................... 313,749 .............. .............. 52,292
----------------------------------------------------------------------------------------------------------------
2. Employer Reports of Special Wage Payments--20 CFR 404.428-
404.429 --0960-0565. SSA collects information on the SSA-131 to prevent
earnings-related overpayments and to avoid erroneous withholding of
benefits. SSA field offices and program service centers also use Form
SSA-131 for awards and post-entitlement events requiring special wage
payment verification from employers. While we need this information to
ensure the correct payment of benefits, we do not require employers to
respond. The respondents are large and small businesses that make
special wage payments to retirees.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 62933]]
----------------------------------------------------------------------------------------------------------------
Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6)..... 105,000 1 20 35,000
Paper Version: SSA-131 (6 only)........ 1,050 1 2 35
Electronic Version: Business Services Online 26 1 5 2
Special Wage Payments..........................
---------------------------------------------------------------
Totals...................................... 106,076 .............. .............. 35,037
----------------------------------------------------------------------------------------------------------------
3. Work Activity Report (Self-Employment)--20 CFR 404.1520(b), 20
CFR 404.1571-404.1576, 20 CFR 404.1584-404.1593, and 20 CFR 416.971-
416.976--0960-0598. SSA uses Form SSA-820-U4 to determine initial or
continuing eligibility for (1) Title II Social Security disability
benefits or (2) Title XVI Supplemental Security Income (SSI) payments.
Under Titles II and XVI of the Social Security Act, recipients receive
disability benefits and SSI payments based on their inability to engage
in substantial gainful activity (SGA) due to a physical or mental
condition. Therefore, when the recipients resume work, they must report
their work so SSA can evaluate and determine whether they continue to
meet the disability requirements by law. SSA uses Form SSA-820-U4 to
obtain information on self-employment activities of Social Security
disability applicants and recipients. We use the data we obtain to
evaluate disability claims, and to help us determine if the claimant
meets current disability provisions under Titles II and XVI. Since
applicants for disability benefits must prove an inability to perform
any kind of SGA generally available in the national economy for which
we expect them to qualify based on age, education, and work experience,
any work an applicant performed until, or subsequent to, the date the
disability allegedly began, affects our disability determination. The
respondents are applicants and claimants for SSI or Social Security
disability 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 (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-820-BK.................................. 100,000 1 30 50,000
----------------------------------------------------------------------------------------------------------------
4. Private Printing and Modification of Prescribed Application and
Other Forms--20 CFR 422.527--0960-0663. 20 CFR 422.527 of the Code of
Federal Regulations requires a person, institution, or organization
(third-party entities) to obtain approval from SSA prior to
reproducing, duplicating, or privately printing any application or
other form the agency owns. SSA uses the information to ensure requests
comply with the law and regulations. SSA uses the information to
process requests from third-party entities who want to reproduce,
duplicate, or privately print any SSA application or other SSA form. To
obtain SSA's approval, entities must make their requests in writing,
using their company letterhead, providing the required information set
forth in the regulation. SSA employees review the requests and provide
approval via email or mail to the third-party entities. The respondents
are third-party entities who submit a request to SSA to reproduce,
duplicate, or privately print an SSA-owned form.
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)
----------------------------------------------------------------------------------------------------------------
20 CFR422.527............................... 15 15 8 30
----------------------------------------------------------------------------------------------------------------
5. Methods for Conducting Personal Conferences When Waiver of
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a
waiver of recovery of a Title II or Title XVI overpayment. We are
required to give overpaid Social Security beneficiaries and SSI
recipients the right to request a waiver of recovery and automatically
schedule a personal conference if we cannot approve their request for
waiver of overpayment. We conduct these conferences face-to-face, by
telephone, or by video teleconference. Social Security beneficiaries
and SSI recipients or their representatives may provide documents to
demonstrate they are without fault in causing the overpayment and do
not have the ability to repay the debt. They may submit these documents
by Form SSA-632 (OMB No. 0960-0037), Request for Waive of Overpayment
Recovery; SSA-795 (OMB No. 0960-0045), Statement of Claimant or Other
Person; or personal statement submitted by mail, telephone, personal
contact, or other suitable method, such as fax or email. This
information collection
[[Page 62934]]
satisfies the requirements for request for waiver of recovery of an
overpayment and allows individuals to pursue further levels of
administrative appeal via personal conference. Respondents are Social
Security beneficiaries and SSI recipients or their representatives
seeking reconsideration of an SSA waiver decision.
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
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal conference 404.506(e)(3) and 404- 40,000 1 30 20,000
506(f)(8) submittal of documents, additional
mitigating financial information and
verifications for consideration at personal
conferences....................................
Personal conference 416.557(c)(3) and 416- 63,801 1 30 31,901
557(d)(8) submittal of documents additional
mitigating financial information, and
verifications for consideration at personal
conferences....................................
---------------------------------------------------------------
Totals...................................... 103,801 .............. .............. 51,901
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding the information collections would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than November 21, 2013. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Incorporation by Reference of Oral Findings of Fact and
Rationale in Wholly Favorable Written Decisions (Bench Decision
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an
administrative law judge (ALJ) makes a wholly favorable oral decision
that includes all the findings and rationale for the decision for a
claimant of Title II or Title XVI payments at an administrative appeals
hearing, the ALJ sends a Notice of Decision (Form HA-82), as the
records from the oral hearing preclude the need for a written decision.
We call this the incorporation-by-reference process. In addition, the
regulations for this process state that if the involved parties want a
record of the oral decision, they may submit a written request for
these records. SSA collects identifying information under the aegis of
Sections 20 CFR 404.953 and 416.1453 of the Code of Federal Regulations
to determine how to send interested individuals written records of a
favorable incorporation-by-reference oral decision made at an
administrative review hearing. Since there is no prescribed form to
request a written record of the decision, the involved parties send SSA
their contact information and reference the hearing for which they
would like a record. The respondents are applicants for disability
insurance benefits and SSI payments or their representatives to whom
SSA gave a wholly favorable oral decision under the regulations cited
above.
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)
----------------------------------------------------------------------------------------------------------------
HA-82....................................... 2,500 1 5 208
----------------------------------------------------------------------------------------------------------------
2. Request for Proof(s) from Custodian of Records--20 CFR 404.703,
404.704, 404.720, 404.721, 404.723, 404.725, & 404.728--0960-0766. SSA
sends Form SSA-L707, Request for Proof(s) from Custodian of Records, to
records custodians on behalf of individuals who need help obtaining
evidence of death, marriage, or divorce in connection with claims for
benefits. SSA uses the information from the SSA-L707 to determine
eligibility for benefits. The respondents are records custodians
including statistics and religious entities, coroners, funeral
directors, attending physicians, and State agencies.
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
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
State or Local Government....................... 501 1 10 84
Private Sector.................................. 99 1 10 17
---------------------------------------------------------------
Totals...................................... 600 .............. .............. 101
----------------------------------------------------------------------------------------------------------------
[[Page 62935]]
Dated: October 17, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-24595 Filed 10-21-13; 8:45 am]
BILLING CODE 4191-02-P
