Agency Information Collection Activities: Proposed Request and Comment Request, 51387-51389 [2014-20470]

Download as PDF 51387 Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices 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 (PRA) of 1995, effective October 1, 1995. This notice includes revisions and extensions of OMBapproved 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 October 27, 2014. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Partnership Questionnaire—20 CFR 404.1080–1082—0960–0025. SSA considers partnership income in determining entitlement to Social Security benefits. SSA uses information from Form SSA–7104 to determine several aspects of eligibility for benefits, including the accuracy of reported partnership earnings; the veracity of a retirement; and lag earnings. The respondents are applicants for, and recipients of, Title II Social Security Old Age, Survivors, and Disability Insurance 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–7104 ........................................................................................................ 12,350 1 30 6,175 2. Statement of Marital Relationship (by one of the parties)—20 CFR 404.726—0960–0038. SSA must obtain a signed statement from a spousal applicant if the applicant claims a common-law marriage to the insured in a state in which such marriages are recognized, and no formal marriage documentation exists. SSA uses information we collect on Form SSA– 754–F4 to determine if an individual applying for spousal benefits meets the criteria of common-law marriage under state law. The respondents are applicants for spouse’s Social Security benefits or Supplemental Security Income (SSI) payments. 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–754–F4 .................................................................................................... 30,000 1 30 15,000 pmangrum on DSK3VPTVN1PROD with NOTICES 3. Application for a Social Security Number Card, and the Social Security Number Application Process (SSNAP)— 20 CFR 422.103—422.110—0960–0066. SSA collects information on the SS–5 (used in the United States) and SS–5– FS (used outside the United States) to issue original or replacement Social Security cards. SSA also enters the application data into the Social Security Number Application Process (SSNAP) when applicants request a new or replacement card via telephone or in person. In addition, hospitals collect the same information on SSA’s behalf for newborn children through the Enumeration-at-Birth process. In this process, parents of newborns provide hospital birth registration clerks with information required to register these newborns. Hospitals send this information to State Bureaus of Vital Statistics (BVS), and they send the information to SSA’s National Computer Center. SSA then uploads the data to the SSA mainframe along with all other enumeration data, and we assign the newborn a Social Security number Number of respondents Modality of completion Respondents who do not have to provide parents’ SSNs .............................. Respondents whom we ask to provide parents’ SSNs (when applying for original SSN cards for children under age 18) ............................................ VerDate Mar<15>2010 14:14 Aug 27, 2014 Jkt 232001 PO 00000 Frm 00093 Fmt 4703 (SSN) and issue a Social Security card. Respondents can also use these modalities to request a change in their SSN records. The respondents for this collection are applicants for original and replacement Social Security cards, or individuals who wish to change information in their SSN records, who use any of the modalities described above. Type of Request: Revision of an OMBapproved information collection, Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 12,000,000 1 8.5 1,700,000 400,000 1 9 60,000 Sfmt 4703 E:\FR\FM\28AUN1.SGM 28AUN1 51388 Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices Number of respondents Modality of completion Applicants age 12 or older who need to answer additional questions so SSA can determine whether we previously assigned an SSN .................... Applicants asking for a replacement SSN card beyond the new allowable limits (i.e., who must provide additional documentation to accompany the application) ................................................................................................... Authorization to SSA to obtain personal information cover letter ................... Authorization to SSA to obtain personal information follow-up cover letter .... Totals ........................................................................................................ Cost Burden: The State BVSs incur costs of approximately $9.8 million for transmitting data to SSA’s mainframe. However, SSA reimburses the states for these costs. 4. Workers’ Compensation/Public Disability Questionnaire—20 CFR 404.408—0960–0247. Section 224 of the Social Security Act (Act) provides for Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 1,500,000 1 9.5 237,500 900 500 500 1 1 1 60 15 15 900 125 125 13,901,900 ........................ ........................ 1,998,650 the reduction of disability insurance benefits (DIB) when the combination of DIB and any workers’ compensation (WC) or certain Federal, State or local public disability benefits (PDB) exceeds 80 percent of the worker’s pre-disability earnings. SSA field office staff conducts face-to-face interviews with applicants using the electronic WC/PDB screens in the Modernized Claims System (MCS) to determine if the worker’s receipt of WC or PDB payments will cause a reduction of DIB. The respondents are applicants for the Title II DIB. 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) MCS ................................................................................................................. 248,000 1 15 62,000 5. Medicaid Use Report—20 CFR 416.268—0960–0267. Section 20 CFR 416.268 of the Code of Federal Regulations requires SSA to determine eligibility for (1) Special SSI cash payments; and for (2) special SSI eligibility status for a person who works despite a disabling condition. It also explains how, to qualify for special SSI eligibility status, an individual must establish that termination of eligibility for benefits under Title XIX of the Act would seriously inhibit the ability to continue employment. SSA uses the information required by this regulation to determine if an individual is entitled to special Title XVI SSI payments and, consequently, to Medicaid. The respondents are SSI recipients for whom SSA has stopped payments based on earnings. 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 CFR 416.268 .............................................................................................. pmangrum on DSK3VPTVN1PROD with NOTICES Modality of completion 60,000 1 3 3,000 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 September 29, 2014. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ssa.gov. Medical Permit Parking Application— 41 CFR 101–20–101–40—0960–0624. SSA employees and contractors with a qualifying medical condition who park at SSA-owned and leased facilities may apply to receive a medical parking permit. SSA uses three forms for this program: (1) SSA–3192, the Application and Statement, which an individual completes when first applying for the medical parking space; (2) SSA–3193, the Physician’s Report, which the applicant’s physician completes to verify the medical condition; and (3) SSA–3194, Renewal Certification, Number of respondents Modality of completion SSA–3192 ........................................................................................................ VerDate Mar<15>2010 14:14 Aug 27, 2014 Jkt 232001 PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 which medical parking permit holders complete to verify their continued need for the permit. The respondents are SSA employees and contractors seeking medical parking permits and their physicians. Note: Because SSA employees are Federal workers exempt from the requirements of the PRA, the burden below is only for SSA contractors and physicians (of both SSA employees and contractors). Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response 290 E:\FR\FM\28AUN1.SGM 1 28AUN1 30 Estimated total annual burden (hours) 145 51389 Federal Register / Vol. 79, No. 167 / Thursday, August 28, 2014 / Notices Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–3193 ........................................................................................................ SSA–3194 ........................................................................................................ 580 93 1 1 90 5 870 8 Totals ........................................................................................................ 963 ........................ ........................ 1,023 Dated: August 25, 2014. Faye Lipsky, Reports Clearance Director, Social Security Administration. Dated: August 21, 2014. Evan Ryan, Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. [FR Doc. 2014–20470 Filed 8–27–14; 8:45 am] [FR Doc. 2014–20525 Filed 8–27–14; 8:45 am] BILLING CODE 4191–02–P BILLING CODE 4710–05–P DEPARTMENT OF STATE DEPARTMENT OF STATE [Public Notice: 8854] [Public Notice: 8853] Meeting of Advisory Committee on International Communications and Information Policy Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Small Treasures: Rembrandt, Vermeer, Hals, and Their Contemporaries’’ 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 objects to be included in the exhibition ‘‘Small Treasures: Rembrandt, Vermeer, Hals, and Their Contemporaries,’’ imported from abroad for temporary exhibition within the United States, are of cultural significance. The objects are imported pursuant to a loan agreement with the foreign owner or custodian. I also determine that the exhibition or display of the exhibit objects at the North Carolina Museum of Art, Raleigh, North Carolina, from on or about October 12, 2014, until on or about January 4, 2015, 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 list of the exhibit objects, 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. pmangrum on DSK3VPTVN1PROD with NOTICES FOR FURTHER INFORMATION CONTACT: VerDate Mar<15>2010 14:14 Aug 27, 2014 Jkt 232001 The Department of State’s Advisory Committee on International Communications and Information Policy (ACICIP) will hold a public meeting on September 26, 2014 from 2:00 p.m. to 5:00 p.m. in the Loy Henderson Auditorium of the Harry S Truman (HST) Building of the U.S. Department of State. The Truman Building is located at 2201 C Street NW., Washington, DC 20520. The committee provides a formal channel for regular consultation and coordination on major economic, social and legal issues and problems in international communications and information policy, especially as these issues and problems involve users of information and communications services, providers of such services, technology research and development, foreign industrial and regulatory policy, the activities of international organizations with regard to communications and information, and developing country issues. The meeting will be led by Ambassador Daniel A. Sepulveda, U.S. Coordinator for International Communications and Information Policy. The meeting’s agenda will include discussions pertaining to various upcoming international telecommunications meetings and conferences, as well as efforts focused on the Information and Communications Technology (ICT) aspects of international disaster response. Members of the public may submit suggestions and comments to the ACICIP. Comments concerning topics to be addressed in the agenda should be PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 received by the ACICIP Executive Secretary (contact information below) at least ten working days prior to the date of the meeting. All comments must be submitted in written form and should not exceed one page. Resource limitations preclude acknowledging or replying to submissions. While the meeting is open to the public, admittance to the building is only by means of a pre-clearance. For placement on the pre-clearance list, please submit the following information no later than 5:00 p.m. on Monday, September 22, 2014. (Please note that this information is required by Diplomatic Security for each entrance into HST and must therefore be resubmitted for each ACICIP meeting): I. State That You Are Requesting PreClearance to a Meeting II. Provide the Following Information 1. Name of meeting and its date and time 2. Visitor’s full name 3. Visitor’s organization/company affiliation 4. Date of Birth 5. Citizenship 6. Acceptable forms of identification for entry into the building include: • U.S. driver’s license with photo • Passport • U.S. government agency ID 7. ID number on the form of ID that the visitor will show upon entry 8. Whether the visitor has a need for reasonable accommodation. Such requests received after September 19, 2014, might not be possible to fulfill. Send the above information to Joseph Burton by fax (202) 647–5957 or email BurtonKJ@state.gov. Please note that registrations will be accepted to the capacity of the meeting room. All visitors for this meeting must use the 23rd Street entrance. The valid ID bearing the number provided with your pre-clearance request will be required for admittance. Non-U.S. government attendees must be escorted by Department of State personnel at all times when in the building. Personal data is requested pursuant to Public Law 99–399 (Omnibus Diplomatic Security and Antiterrorism Act of 1986), as amended; Public Law E:\FR\FM\28AUN1.SGM 28AUN1

Agencies

[Federal Register Volume 79, Number 167 (Thursday, August 28, 2014)]
[Notices]
[Pages 51387-51389]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-20470]



[[Page 51387]]

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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 (PRA) 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: OIRASubmission@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 
October 27, 2014. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Partnership Questionnaire--20 CFR 404.1080-1082--0960-0025. SSA 
considers partnership income in determining entitlement to Social 
Security benefits. SSA uses information from Form SSA-7104 to determine 
several aspects of eligibility for benefits, including the accuracy of 
reported partnership earnings; the veracity of a retirement; and lag 
earnings. The respondents are applicants for, and recipients of, Title 
II Social Security Old Age, Survivors, and Disability Insurance 
benefits.
    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-7104....................................          12,350                1               30            6,175
----------------------------------------------------------------------------------------------------------------

    2. Statement of Marital Relationship (by one of the parties)--20 
CFR 404.726--0960-0038. SSA must obtain a signed statement from a 
spousal applicant if the applicant claims a common-law marriage to the 
insured in a state in which such marriages are recognized, and no 
formal marriage documentation exists. SSA uses information we collect 
on Form SSA-754-F4 to determine if an individual applying for spousal 
benefits meets the criteria of common-law marriage under state law. The 
respondents are applicants for spouse's Social Security benefits or 
Supplemental Security Income (SSI) payments.
    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-754-F4..................................          30,000                1               30           15,000
----------------------------------------------------------------------------------------------------------------

    3. Application for a Social Security Number Card, and the Social 
Security Number Application Process (SSNAP)--20 CFR 422.103--422.110--
0960-0066. SSA collects information on the SS-5 (used in the United 
States) and SS-5-FS (used outside the United States) to issue original 
or replacement Social Security cards. SSA also enters the application 
data into the Social Security Number Application Process (SSNAP) when 
applicants request a new or replacement card via telephone or in 
person. In addition, hospitals collect the same information on SSA's 
behalf for newborn children through the Enumeration-at-Birth process. 
In this process, parents of newborns provide hospital birth 
registration clerks with information required to register these 
newborns. Hospitals send this information to State Bureaus of Vital 
Statistics (BVS), and they send the information to SSA's National 
Computer Center. SSA then uploads the data to the SSA mainframe along 
with all other enumeration data, and we assign the newborn a Social 
Security number (SSN) and issue a Social Security card. Respondents can 
also use these modalities to request a change in their SSN records. The 
respondents for this collection are applicants for original and 
replacement Social Security cards, or individuals who wish to change 
information in their SSN records, who use any of the modalities 
described above.
    Type of Request: Revision of an OMB-approved information 
collection,

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Respondents who do not have to provide parents'       12,000,000               1             8.5       1,700,000
 SSNs...........................................
Respondents whom we ask to provide parents' SSNs         400,000               1               9          60,000
 (when applying for original SSN cards for
 children under age 18).........................

[[Page 51388]]

 
Applicants age 12 or older who need to answer          1,500,000               1             9.5         237,500
 additional questions so SSA can determine
 whether we previously assigned an SSN..........
Applicants asking for a replacement SSN card                 900               1              60             900
 beyond the new allowable limits (i.e., who must
 provide additional documentation to accompany
 the application)...............................
Authorization to SSA to obtain personal                      500               1              15             125
 information cover letter.......................
Authorization to SSA to obtain personal                      500               1              15             125
 information follow-up cover letter.............
                                                 ---------------------------------------------------------------
    Totals......................................      13,901,900  ..............  ..............       1,998,650
----------------------------------------------------------------------------------------------------------------

    Cost Burden: The State BVSs incur costs of approximately $9.8 
million for transmitting data to SSA's mainframe. However, SSA 
reimburses the states for these costs.
    4. Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act (Act) 
provides for the reduction of disability insurance benefits (DIB) when 
the combination of DIB and any workers' compensation (WC) or certain 
Federal, State or local public disability benefits (PDB) exceeds 80 
percent of the worker's pre-disability earnings. SSA field office staff 
conducts face-to-face interviews with applicants using the electronic 
WC/PDB screens in the Modernized Claims System (MCS) to determine if 
the worker's receipt of WC or PDB payments will cause a reduction of 
DIB. The respondents are applicants for the Title II DIB.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
MCS.........................................         248,000                1               15           62,000
----------------------------------------------------------------------------------------------------------------

    5. Medicaid Use Report--20 CFR 416.268--0960-0267. Section 20 CFR 
416.268 of the Code of Federal Regulations requires SSA to determine 
eligibility for (1) Special SSI cash payments; and for (2) special SSI 
eligibility status for a person who works despite a disabling 
condition. It also explains how, to qualify for special SSI eligibility 
status, an individual must establish that termination of eligibility 
for benefits under Title XIX of the Act would seriously inhibit the 
ability to continue employment. SSA uses the information required by 
this regulation to determine if an individual is entitled to special 
Title XVI SSI payments and, consequently, to Medicaid. The respondents 
are SSI recipients for whom SSA has stopped payments based on earnings.
    Type of Request: Extension 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)
----------------------------------------------------------------------------------------------------------------
20 CFR 416.268..............................          60,000                1                3            3,000
----------------------------------------------------------------------------------------------------------------

    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 September 29, 2014. Individuals can obtain copies of the 
OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.
    Medical Permit Parking Application--41 CFR 101-20-101-40--0960-
0624. SSA employees and contractors with a qualifying medical condition 
who park at SSA-owned and leased facilities may apply to receive a 
medical parking permit. SSA uses three forms for this program: (1) SSA-
3192, the Application and Statement, which an individual completes when 
first applying for the medical parking space; (2) SSA-3193, the 
Physician's Report, which the applicant's physician completes to verify 
the medical condition; and (3) SSA-3194, Renewal Certification, which 
medical parking permit holders complete to verify their continued need 
for the permit. The respondents are SSA employees and contractors 
seeking medical parking permits and their physicians.

    Note: Because SSA employees are Federal workers exempt from the 
requirements of the PRA, the burden below is only for SSA 
contractors and physicians (of both SSA employees and contractors).

    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency  of    burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................             290               1              30             145

[[Page 51389]]

 
SSA-3193........................................             580               1              90             870
SSA-3194........................................              93               1               5               8
                                                 ---------------------------------------------------------------
    Totals......................................             963  ..............  ..............           1,023
----------------------------------------------------------------------------------------------------------------


    Dated: August 25, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-20470 Filed 8-27-14; 8:45 am]
BILLING CODE 4191-02-P