Agency Information Collection Activities: Proposed Request and Comment Request, 62932-62935 [2013-24595]

Download as PDF 62932 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 ........................................................................................................ sroberts on DSK5SPTVN1PROD with FRONT MATTER 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 VerDate Mar<15>2010 21:08 Oct 21, 2013 Jkt 232001 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 PO 00000 Frm 00350 Fmt 4703 Sfmt 4703 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. E:\FR\FM\22OCN1.SGM 22OCN1 62933 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 ............................................................................................... sroberts on DSK5SPTVN1PROD with FRONT MATTER 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 PO 00000 Frm 00351 Fmt 4703 Sfmt 4703 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 E:\FR\FM\22OCN1.SGM 22OCN1 62934 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 sroberts on DSK5SPTVN1PROD with FRONT MATTER 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 VerDate Mar<15>2010 21:08 Oct 21, 2013 Jkt 232001 PO 00000 Frm 00352 Fmt 4703 Sfmt 4703 E:\FR\FM\22OCN1.SGM 22OCN1 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. sroberts on DSK5SPTVN1PROD with FRONT MATTER 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 http://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 http:// 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 http:// 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: PO 00000 Frm 00353 Fmt 4703 Sfmt 4703 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. E:\FR\FM\22OCN1.SGM 22OCN1

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]


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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