Agency Information Collection Activities: Proposed Request and Comment Request, 51387-51389 [2014-20470]
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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
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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) ............................................
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14:14 Aug 27, 2014
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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
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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 ........................................................................................................
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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.
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FOR FURTHER INFORMATION CONTACT:
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14:14 Aug 27, 2014
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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
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]]>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]]
=======================================================================
-----------------------------------------------------------------------
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
