Agency Information Collection Activities: Proposed Request and Comment Request, 7736-7738 [2014-02776]

Download as PDF 7736 Federal Register / Vol. 79, No. 27 / Monday, February 10, 2014 / Notices The AFMAC provides advice and recommendations to SBA on government accounting and performance issues impacting the Agency. The AFMAC’s scope of activities includes providing advice as to industry best practices and methods of improving results relating to SBA’s financial reporting and auditing processes, financial systems, internal controls, performance measures and recommendations on how to better comply with laws and regulations governing federal financial management. The Committee has a total of three (3) members, including one Chairperson selected by the SBA Administrator. Members serve as representatives of the financial management community and may consist of financial managers, auditors, chief financial officers or financial management and accounting trade organizations. Dated: January 31, 2014. Diana Doukas, SBA Committee Management Officer. [FR Doc. 2014–02709 Filed 2–7–14; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION mstockstill on DSK4VPTVN1PROD with NOTICES 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 one new information collection, and revisions 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, OLCA, Attn: Reports Clearance Director, 3100 West High Rise, 6401 VerDate Mar<15>2010 19:25 Feb 07, 2014 Jkt 232001 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 April 11, 2014. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Promoting Readiness of Minors in SSI (PROMISE) Evaluation—0960– NEW. Background The Promoting Readiness of Minors in SSI (PROMISE) demonstration pursues positive outcomes for children with disabilities who receive Supplemental Security Income (SSI) and their families by reducing dependency on SSI. The Department of Education (ED) awarded six cooperative agreements to states to improve the provision and coordination of services and support for children with disabilities who receive SSI and their families to achieve improved education and employment outcomes. ED awarded PROMISE funds to five single-state projects, and to one six-state consortium.1 With support from the Department of Labor (DOL) and the Department of Health and Human Services (HHS), SSA will evaluate the six PROMISE projects. SSA contracted with Mathematica Policy Research to conduct the evaluation. Under PROMISE, targeted outcomes for youth include an enhanced sense of self-determination; achievement of secondary and post-secondary educational credentials; an attainment of early work experiences culminating with competitive employment in an integrated setting; and long-term reduction in reliance on SSI. Outcomes of interest for families include heightened expectations for and support of the long-term self-sufficiency of their youth; parent or guardian attainment of education and training credentials; and increases in earnings and total income. To achieve these outcomes, we expect the PROMISE projects to make better use of existing resources by improving service coordination among multiple state and local agencies and programs. ED, SSA, DOL, and HHS intend the PROMISE projects to address key limitations in the existing service system for youth with disabilities. By intervening early in the lives of these 1 The six-state consortium project goes by the name Achieving Success by Promoting Readiness for Education and Employment (ASPIRE) rather than by PROMISE. PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 young people, at ages 14–16, the projects will engage the youth and their families well before critical decisions regarding the age 18 redetermination are upon them. We expect the required partnerships among the various state and Federal agencies that serve youth with disabilities to result in improved integration of services and fewer dropped handoffs as youth move from one agency to another. By requiring the programs to engage and serve families and provide youth with paid work experiences, the initiative is mandating the adoption of critical best practices in promoting the independence of youth with disabilities. Project Description SSA is requesting clearance for the collection of data needed to implement and evaluate PROMISE. The evaluation will provide empirical evidence on the impact of the intervention for youth and their families in several critical areas, including: (1) Improved educational attainment; (2) increased employment skills, experience, and earnings; and (3) long-term reduction in use of public benefits. We will base the PROMISE evaluation on a rigorous design that will entail the random assignment of approximately 2,000 youth in each of the six projects to treatment or control groups (12,000 total). Youth in the treatment groups will be eligible for enhanced services from the demonstration programs, whereas youth in the control groups will be eligible only for those services already available in their communities independent of the interventions. The evaluation will assess the effect of PROMISE services on educational attainment, employment, earnings, and reduced receipt of disability payments. The three components of this evaluation include: • The process analysis, which will document program models, assess the relationships among the partner organizations, document whether the programs are implemented as planned, identify features of the programs that may account for their impacts on youth and families, and identify lessons for future programs with similar objectives. • The impact analysis, which will determine whether youth and families in the treatment groups receive more services than their counterparts in the control groups. It will also determine whether treatment group members have better results than control group members with respect to the targeted outcomes noted above. • The cost-benefit analysis, which will assess whether the benefits of PROMISE, including increases in E:\FR\FM\10FEN1.SGM 10FEN1 7737 Federal Register / Vol. 79, No. 27 / Monday, February 10, 2014 / Notices employment and reductions in benefit receipt, are large enough to justify its costs. We will conduct this assessment from a range of perspectives, including those of the participants, state and Federal governments, SSA, and society as a whole. SSA planned several data collection efforts for the evaluation. These include: (1) follow-up interviews with youth and their parent or guardian 18 months and 5 years after enrollment; (2) phone and in-person interviews with local program administrators, program supervisors, and service delivery staff at two points in time over the course of the demonstration; (3) two rounds of focus groups with participating youth in the treatment group; (4) two rounds of focus groups with parents or guardians of participating youth; and (5) collection of administrative data. At this time, SSA requests clearance only for the interviews we will conduct with program staff and the focus group discussions we will conduct with youth and parents or guardians. We will conduct these interviews and group discussions twice: once in 2014, and once in 2016. SSA will request clearance for the 18-month and 5-year survey interviews in a future submission. The respondents are PROMISE program staff, the youth participants in the PROMISE program, and the parents or guardians of the youth participants. Type of Request: This is a new information collection. 2014 INTERVIEWS AND FOCUS GROUP DISCUSSIONS Number of responses Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) Staff Interviews with Administrators or Directors ............................................. Staff Interviews with PROMISE Project Staff .................................................. Youth Focus Groups—Non-participants .......................................................... Youth Focus Groups—Participants ................................................................. Parents or Guardian Focus Groups—Non-participants ................................... Parents or Guardian Focus Groups—Participants .......................................... 75 145 320 80 320 80 1 1 1 1 1 1 66 66 5 100 5 100 83 160 27 133 27 133 Totals ................................................................................................. 1,020 ........................ ........................ 563 2016 INTERVIEWS AND FOCUS GROUP DISCUSSIONS Number of responses Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Staff Interviews with Administrators or Directors ............................................. Staff Interviews with PROMISE Project Staff .................................................. Youth Focus Groups—Non-participants .......................................................... Youth Focus Groups—Participants ................................................................. Parents or Guardian Focus Groups—Non-participants ................................... Parents or Guardian Focus Groups—Participants .......................................... 75 145 320 80 320 80 1 1 1 1 1 1 66 66 5 100 5 100 83 160 27 133 27 133 Totals ............................................................................................................... 1,020 ........................ ........................ 563 Grand Total ....................................................................................... 2,040 ........................ ........................ 1,126 2. Request for Social Security Earnings Information—20 CFR 404.810 and 401.100—0960–0525. The Social Security Act permits wage earners, or their authorized representative, to request Social Security earnings information from SSA using Form SSA– 7050–F4. SSA uses the information to verify the requestor’s right to access the information and to produce the earnings statement. The respondents are wage earners and their authorized representatives. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–7050–F4 .................................................................................................. mstockstill on DSK4VPTVN1PROD with NOTICES Modality of completion 66,800 1 11 12,247 3. Request for Medical Treatment in an SSA Employee Health Facility: Patient Self-Administered or Staff Administered Care—0960–0772. SSA operates onsite Employee Health Clinics (EHC) in eight different states. These clinics provide health care for all SSA employees including treatments of VerDate Mar<15>2010 19:25 Feb 07, 2014 Jkt 232001 personal medical conditions when authorized through a physician. Form SSA–5072 is the employee’s personal physician’s order form. The information we collect on Form SSA–5072 gives the EHC nurses the guidance they need by law to perform certain medical procedures and to administer PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 prescription medications such as allergy immunotherapy. In addition, the information allows the SSA Medical Officer to determine whether the treatment can be administered safely and appropriately in the SSA EHCs. Respondents are physicians of SSA E:\FR\FM\10FEN1.SGM 10FEN1 7738 Federal Register / Vol. 79, No. 27 / Monday, February 10, 2014 / Notices employees who need to have medical treatment in an SSA EHC. Type of Request: Revision of an OMBapproved information collection. Number of respondents Modality of completion Frequency of response Number of responses Estimated total annual burden (hours) Average burden per response (minutes) SSA–5072 ............................................................................ Annually ............................................................................... SSA–5072 ............................................................................ Bi-Annually ........................................................................... 25 1 25 5 2 75 2 150 5 13 Totals ............................................................................ 100 ........................ 175 ........................ 15 II. SSA submitted the information collection below to OMB for clearance. Your comments regarding the information collection would be most useful if OMB and SSA receive them 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than March 12, 2014. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration—20 CFR 404.1720 and 404.1725; 20 CFR 416.1520 and 416.1525—0960–0104. SSA attorney and non-attorney claimant representatives use Form SSA–1560–U4 to petition SSA for authorization to charge and collect a fee. Claimants may also use the form to agree with or contest the requested fee amount or other information the representative provides on the form. SSA officials use the form to determine a reasonable fee amount representatives may charge for their services. The respondents are attorneys and non-attorneys who represent Social Security claimants and their claimants. 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–1560–U4 ................................................................................................. 48,110 1 30 24,055 Dated: February 5, 2014. Faye Lipsky, Reports Clearance Director, Social Security Administration. [FR Doc. 2014–02776 Filed 2–7–14; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION National Highway Traffic Safety Administration [U.S. DOT Docket No. NHTSA–2014–0008] Reports, Forms, and Record Keeping Requirements National Highway Traffic Safety Administration (NHTSA), DOT. ACTION: Request for public comment on proposed collection of information. AGENCY: Before a Federal agency can collect certain information from the public, it must receive approval from the Office of Management and Budget (OMB). Under procedures established by the Paperwork Reduction Act of 1995, before seeking OMB approval, Federal agencies must solicit public comment on proposed collections of information, including extensions and mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 19:25 Feb 07, 2014 Jkt 232001 reinstatements of previously approved collections. This document describes the collection of information for which NHTSA intends to seek OMB approval. DATES: Comments must be received on or before April 11, 2014. ADDRESSES: You may submit comments identified by DOT Docket ID Number NHTSA–2014–0008 using any of the following methods: Electronic submissions: Go to http:// www.regulations.gov. Follow the online instructions for submitting comments. Mail: Docket Management Facility, M–30, U.S. Department of Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, Room W12–140, Washington, DC 20590. 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 number for this Notice. Note that all comments received will be posted without change to http:// PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 www.regulations.gov including any personal information provided. Please see the Privacy Act heading below. Privacy Act: Anyone is able to search the electronic form for all comments received into any of our dockets by the name of the individual submitting the comments (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review DOT’s complete Privacy Act Statement in the Federal Register published on April 11, 2000 (65 FR 19477–78) or you may visit http:// DocketsInfo.dot.gov. Dr. Russell Pierce, Contracting Officer’s Technical Representative, Office of Behavioral Safety Research (NTI–132), National Highway Traffic Safety Administration, 1200 New Jersey Avenue SE., W46–472, Washington, DC 20590. Dr. Pierce’s phone number is (202) 366–5599 and his email address is russell.pierce@dot.gov. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995, before an agency submits a proposed collection of information to OMB for approval, it must publish a document in the Federal Register providing a 60-day comment period and otherwise consult FOR FURTHER INFORMATION CONTACT: E:\FR\FM\10FEN1.SGM 10FEN1

Agencies

[Federal Register Volume 79, Number 27 (Monday, February 10, 2014)]
[Notices]
[Pages 7736-7738]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-02776]


=======================================================================
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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 one new information collection, and revisions 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, OLCA, Attn: Reports Clearance 
Director, 3100 West High Rise, 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 
April 11, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Promoting Readiness of Minors in SSI (PROMISE) Evaluation--0960-
NEW.

Background

    The Promoting Readiness of Minors in SSI (PROMISE) demonstration 
pursues positive outcomes for children with disabilities who receive 
Supplemental Security Income (SSI) and their families by reducing 
dependency on SSI. The Department of Education (ED) awarded six 
cooperative agreements to states to improve the provision and 
coordination of services and support for children with disabilities who 
receive SSI and their families to achieve improved education and 
employment outcomes. ED awarded PROMISE funds to five single-state 
projects, and to one six-state consortium.\1\ With support from the 
Department of Labor (DOL) and the Department of Health and Human 
Services (HHS), SSA will evaluate the six PROMISE projects. SSA 
contracted with Mathematica Policy Research to conduct the evaluation.
---------------------------------------------------------------------------

    \1\ The six-state consortium project goes by the name Achieving 
Success by Promoting Readiness for Education and Employment (ASPIRE) 
rather than by PROMISE.
---------------------------------------------------------------------------

    Under PROMISE, targeted outcomes for youth include an enhanced 
sense of self-determination; achievement of secondary and post-
secondary educational credentials; an attainment of early work 
experiences culminating with competitive employment in an integrated 
setting; and long-term reduction in reliance on SSI. Outcomes of 
interest for families include heightened expectations for and support 
of the long-term self-sufficiency of their youth; parent or guardian 
attainment of education and training credentials; and increases in 
earnings and total income. To achieve these outcomes, we expect the 
PROMISE projects to make better use of existing resources by improving 
service coordination among multiple state and local agencies and 
programs.
    ED, SSA, DOL, and HHS intend the PROMISE projects to address key 
limitations in the existing service system for youth with disabilities. 
By intervening early in the lives of these young people, at ages 14-16, 
the projects will engage the youth and their families well before 
critical decisions regarding the age 18 redetermination are upon them. 
We expect the required partnerships among the various state and Federal 
agencies that serve youth with disabilities to result in improved 
integration of services and fewer dropped handoffs as youth move from 
one agency to another. By requiring the programs to engage and serve 
families and provide youth with paid work experiences, the initiative 
is mandating the adoption of critical best practices in promoting the 
independence of youth with disabilities.

Project Description

    SSA is requesting clearance for the collection of data needed to 
implement and evaluate PROMISE. The evaluation will provide empirical 
evidence on the impact of the intervention for youth and their families 
in several critical areas, including: (1) Improved educational 
attainment; (2) increased employment skills, experience, and earnings; 
and (3) long-term reduction in use of public benefits. We will base the 
PROMISE evaluation on a rigorous design that will entail the random 
assignment of approximately 2,000 youth in each of the six projects to 
treatment or control groups (12,000 total). Youth in the treatment 
groups will be eligible for enhanced services from the demonstration 
programs, whereas youth in the control groups will be eligible only for 
those services already available in their communities independent of 
the interventions.
    The evaluation will assess the effect of PROMISE services on 
educational attainment, employment, earnings, and reduced receipt of 
disability payments. The three components of this evaluation include:
     The process analysis, which will document program models, 
assess the relationships among the partner organizations, document 
whether the programs are implemented as planned, identify features of 
the programs that may account for their impacts on youth and families, 
and identify lessons for future programs with similar objectives.
     The impact analysis, which will determine whether youth 
and families in the treatment groups receive more services than their 
counterparts in the control groups. It will also determine whether 
treatment group members have better results than control group members 
with respect to the targeted outcomes noted above.
     The cost-benefit analysis, which will assess whether the 
benefits of PROMISE, including increases in

[[Page 7737]]

employment and reductions in benefit receipt, are large enough to 
justify its costs. We will conduct this assessment from a range of 
perspectives, including those of the participants, state and Federal 
governments, SSA, and society as a whole.
    SSA planned several data collection efforts for the evaluation. 
These include: (1) follow-up interviews with youth and their parent or 
guardian 18 months and 5 years after enrollment; (2) phone and in-
person interviews with local program administrators, program 
supervisors, and service delivery staff at two points in time over the 
course of the demonstration; (3) two rounds of focus groups with 
participating youth in the treatment group; (4) two rounds of focus 
groups with parents or guardians of participating youth; and (5) 
collection of administrative data.
    At this time, SSA requests clearance only for the interviews we 
will conduct with program staff and the focus group discussions we will 
conduct with youth and parents or guardians. We will conduct these 
interviews and group discussions twice: once in 2014, and once in 2016. 
SSA will request clearance for the 18-month and 5-year survey 
interviews in a future submission. The respondents are PROMISE program 
staff, the youth participants in the PROMISE program, and the parents 
or guardians of the youth participants.
    Type of Request: This is a new information collection.

                                   2014 Interviews and Focus Group Discussions
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency  of    burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or                       75               1              66              83
 Directors......................................
Staff Interviews with PROMISE Project Staff.....             145               1              66             160
Youth Focus Groups--Non-participants............             320               1               5              27
Youth Focus Groups--Participants................              80               1             100             133
Parents or Guardian Focus Groups--Non-                       320               1               5              27
 participants...................................
Parents or Guardian Focus Groups--Participants..              80               1             100             133
                                                 ---------------------------------------------------------------
        Totals..................................           1,020  ..............  ..............             563
----------------------------------------------------------------------------------------------------------------


                                   2016 Interviews and Focus Group Discussions
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
             Modality of completion                  responses       response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Staff Interviews with Administrators or                       75               1              66              83
 Directors......................................
Staff Interviews with PROMISE Project Staff.....             145               1              66             160
Youth Focus Groups--Non-participants............             320               1               5              27
Youth Focus Groups--Participants................              80               1             100             133
Parents or Guardian Focus Groups--Non-                       320               1               5              27
 participants...................................
Parents or Guardian Focus Groups--Participants..              80               1             100             133
                                                 ---------------------------------------------------------------
Totals..........................................           1,020  ..............  ..............             563
                                                 ===============================================================
        Grand Total.............................           2,040  ..............  ..............           1,126
----------------------------------------------------------------------------------------------------------------

    2. Request for Social Security Earnings Information--20 CFR 404.810 
and 401.100--0960-0525. The Social Security Act permits wage earners, 
or their authorized representative, to request Social Security earnings 
information from SSA using Form SSA-7050-F4. SSA uses the information 
to verify the requestor's right to access the information and to 
produce the earnings statement. The respondents are wage earners and 
their authorized representatives.
    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-7050-F4.................................          66,800                1               11           12,247
----------------------------------------------------------------------------------------------------------------

    3. Request for Medical Treatment in an SSA Employee Health 
Facility: Patient Self-Administered or Staff Administered Care--0960-
0772. SSA operates onsite Employee Health Clinics (EHC) in eight 
different states. These clinics provide health care for all SSA 
employees including treatments of personal medical conditions when 
authorized through a physician. Form SSA-5072 is the employee's 
personal physician's order form. The information we collect on Form 
SSA-5072 gives the EHC nurses the guidance they need by law to perform 
certain medical procedures and to administer prescription medications 
such as allergy immunotherapy. In addition, the information allows the 
SSA Medical Officer to determine whether the treatment can be 
administered safely and appropriately in the SSA EHCs. Respondents are 
physicians of SSA

[[Page 7738]]

employees who need to have medical treatment in an SSA EHC.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                     Number of     Frequency  of     Number of      burden per     total  annual
     Modality of completion         respondents      response        responses       response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5072........................              25               1              25               5               2
Annually........................
SSA-5072........................              75               2             150               5              13
Bi-Annually.....................
                                 -------------------------------------------------------------------------------
    Totals......................             100  ..............             175  ..............              15
----------------------------------------------------------------------------------------------------------------

    II. SSA submitted the information collection below to OMB for 
clearance. Your comments regarding the information collection would be 
most useful if OMB and SSA receive them 30 days from the date of this 
publication. To be sure we consider your comments, we must receive them 
no later than March 12, 2014. Individuals can obtain copies of the OMB 
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    Petition to Obtain Approval of a Fee for Representing a Claimant 
Before the Social Security Administration--20 CFR 404.1720 and 
404.1725; 20 CFR 416.1520 and 416.1525--0960-0104. SSA attorney and 
non-attorney claimant representatives use Form SSA-1560-U4 to petition 
SSA for authorization to charge and collect a fee. Claimants may also 
use the form to agree with or contest the requested fee amount or other 
information the representative provides on the form. SSA officials use 
the form to determine a reasonable fee amount representatives may 
charge for their services. The respondents are attorneys and non-
attorneys who represent Social Security claimants and their claimants.
    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-1560-U4.................................          48,110                1               30           24,055
----------------------------------------------------------------------------------------------------------------


    Dated: February 5, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-02776 Filed 2-7-14; 8:45 am]
BILLING CODE 4191-02-P