Agency Information Collection Activities: Proposed Request and Comment Request, 64872-64874 [2014-25860]
Download as PDF
<![CDATA[
64872
Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.76
Kevin M. O’Neill,
Deputy Secretary.
[FR Doc. 2014–25890 Filed 10–30–14; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
and extensions of OMB-approved
information collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB) Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov.
(SSA) Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
Number of
responses
Modality of completion
Fax: 410–966–2830, Email address:
OR.Reports.Clearance@ssa.gov.
I. The information collections below
are pending at SSA. SSA will submit
them to OMB within 60 days from the
date of this notice. To be sure we
consider your comments, we must
receive them no later than December 30,
2014. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Modified Benefit Formula
Questionnaire-Foreign Pension—0960–
0561. SSA uses Form SSA–308 to
determine exactly how much (if any) of
a foreign pension may be used to reduce
the amount of Title II Social Security
retirement or disability benefits under
the modified benefit formula. The
respondents are applicants for Title II
Social Security retirement or disability
benefits who have foreign pensions.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–308 ..........................................................................................................
Greenberg cases .............................................................................................
13,452
1,666
1
1
10
60
2,242
1,666
Totals ........................................................................................................
15,118
........................
........................
3,908
2. Filing Claims Under the Federal
Tort Claims Act—20 CFR 429.101–
429.110—0960–0667. The Federal Tort
Claims Act is the legal mechanism for
compensating persons injured by
negligent or wrongful acts that occur
during the performance of official duties
by Federal employees. In accordance
with the law, SSA accepts monetary
claims filed under the Federal Tort
Claims Act for damages against the
United States, loss of property, personal
injury, or death resulting from an SSA
employee’s wrongful act or omission.
The regulation sections cleared under
this information collection request
require claimants to provide
information SSA can use to investigate
Number of
responses
Modality of completion
and determine whether to make an
award, compromise, or settlement under
the Federal Tort Claims Act. The
respondents are individuals or entities
making a claim under the Federal Tort
Claims Act.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
429.102; 429.103 1 ...........................................................................................
429.104(a) ........................................................................................................
429.104(b) ........................................................................................................
429.104(c) ........................................................................................................
429.106(b) ........................................................................................................
1
11
43
1
6
........................
1
1
1
1
........................
5
5
5
10
1
1
4
0
1
Totals ........................................................................................................
62
........................
........................
7
asabaliauskas on DSK5VPTVN1PROD with NOTICES
1 The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because respondents complete OMB-approved
Form SF–95.
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding the
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
76 17
To be sure we consider your comments,
we must receive them no later than
December 1, 2014. Individuals can
obtain copies of the OMB clearance
package by writing to
OR.Reports.Clearance@ssa.gov.
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
CFR 200.30–3(a)(12).
VerDate Sep<11>2014
20:23 Oct 30, 2014
Jkt 235001
PO 00000
Frm 00132
Fmt 4703
Sfmt 4703
E:\FR\FM\31OCN1.SGM
31OCN1
64873
Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices
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.
Number of
responses
Modality of completion
SSA–7104 ................................................................................................
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
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
12,350
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.
Average
burden per
response
(minutes)
1
30
Total
estimated
annual burden
(hours)
6,175
Note: This is a correction notice. SSA
published this information collection as a
revision on August 28, 2014, at 79 FR 51387.
Since we are no longer revising this
information collection, it is now an extension
of an OMB-approved information collection.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–754–F4 ....................................................................................................
30,000
1
30
15,000
3. 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.
Modality of completion
Number of
responses
Frequency of
response
Average
burden per
response
(minutes)
Total
estimated
annual burden
(hours)
MCS .................................................................................................................
248,000
1
15
62,000
4. 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, in order 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
responses
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
20 CFR 416.268 ..............................................................................................
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Modality of completion
60,000
1
3
3,000
5. Medical Report on Adult with
Allegation of Human Immunodeficiency
Virus Infection; Medical Report on
Child with Allegation of Human
Immunodeficiency Virus Infection—20
CFR 416.933–20 CFR 416.934—0960–
0500. Section 1631(e)(i) of the Act
VerDate Sep<11>2014
20:23 Oct 30, 2014
Jkt 235001
authorizes the Commissioner of SSA to
gather information to make a
determination about an applicant’s
claim for SSI payments; this procedure
is the presumptive disability (PD). SSA
uses Forms SSA–4814–F5 and SSA–
4815–F6 to collect information
PO 00000
Frm 00133
Fmt 4703
Sfmt 4703
necessary to determine if an individual
with human immunodeficiency virus
infection, who is applying for SSI
disability benefits, meets the
requirements for PD. The respondents
are the medical sources of the
applicants for SSI disability payments.
E:\FR\FM\31OCN1.SGM
31OCN1
64874
Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices
Type of Request: Revision of an OMBapproved information collection.
Number of
responses
Modality of completion
SSA–4814–F5 ..................................................................................................
SSA–4815–F6 ..................................................................................................
46,200
12,900
Totals ........................................................................................................
59,100
Dated: October 27, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security
Administration.
[FR Doc. 2014–25860 Filed 10–30–14; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Airport Property Release Notice;
Southbridge Municipal Airport,
Southbridge, MA
Federal Aviation
Administration (FAA), DOT.
ACTION: Request for comments.
AGENCY:
DEPARTMENT OF STATE
Overseas Security Advisory Council
(OSAC) Meeting Notice; Closed
Meeting
The Department of State announces a
meeting of the U.S. State Department—
Overseas Security Advisory Council on
November 18, 2014. Pursuant to Section
10(d) of the Federal Advisory
Committee Act (5 U.S.C. Appendix),
and 5 U.S.C. 552b(c)(4), and 5 U.S.C.
552b(c)(7)(E), it has been determined
that the meeting will be closed to the
public. The meeting will focus on an
examination of corporate security
policies and procedures and will
involve extensive discussion of trade
secrets and proprietary commercial
information that is privileged and
confidential, and will discuss law
enforcement investigative techniques
and procedures. The agenda will
include updated committee reports, a
global threat overview, and other
matters relating to private sector
security policies and protective
programs and the protection of U.S.
business information overseas.
For more information, contact Marsha
Thurman, Overseas Security Advisory
Council, U.S. Department of State,
Washington, DC 20522–2008, phone:
571–345–2214.
Dated: October 2, 2014.
Bill A. Miller,
Director of the Diplomatic Security Service,
U.S. Department of State.
[FR Doc. 2014–25974 Filed 10–30–14; 8:45 am]
BILLING CODE 4710–24–P
VerDate Sep<11>2014
18:51 Oct 30, 2014
The Federal Aviation
Administration is considering a
proposal to release approximately 30.29
acres of airport property for
conservation land at the Southbridge
Municipal Airport, Southbridge, MA.
The acres to be released are currently
not used for aeronautical purposes and
are vacant wetlands. The released acres
would be considered reimbursement for
general funds the Town of Southbridge
expended to provide the Airport with
necessary services within the last 6
years. In accordance with section
47107(h) of Title 49 of the United States
Code, the FAA invites public comment
on this proposal.
DATES: Comments must be received on
or before December 1, 2014.
ADDRESSES: You may send comments
using any of the following methods:
• Federal eRulemaking Portal: Go to
https://www.regulations.gov, and follow
the instructions on providing
comments.
• Fax: 202–493–2251.
• Mail: U.S. Department of
Transportation, Docket Operations, M–
30, West Building Ground Floor, Room
W 12–140, 1200 New Jersey Avenue SE.,
Washington, DC 20590.
• Hand Delivery: Deliver to Mail
address above between 9 a.m. and 5
p.m., Monday through Friday, except
Federal holidays. Interested persons
may inspect the request and supporting
documents by contacting the FAA at the
address listed under ‘‘FOR FURTHER
INFORMATION CONTACT.’’
FOR FURTHER INFORMATION CONTACT:
Thomas Vick, Compliance and Land
Use Specialist, New England Region
Airports Division, 12 New England
Executive Park, Burlington, MA 01803.
SUMMARY:
[Public Notice: 8934]
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Frequency of
response
Jkt 235001
PO 00000
Frm 00134
Fmt 4703
Sfmt 4703
1
1
Average
burden per
response
(minutes)
10
10
Total estimated total
annual burden
(hours)
7,700
2,150
9,850
Telephone: 781–238–7618; Fax 781–
238–7608.
SUPPLEMENTARY INFORMATION: In
accordance with the Wendell H. Ford
Aviation Investment and Reform Act for
the 21st Century (AIR 21), Public Law
106–181 (Apr. 5, 2000; 114 Stat. 61),
this notice must be published in the
Federal Register not less than 30 days
before the Secretary may waive any
condition imposed on a federally
obligated airport by grant agreements.
The FAA invites public comment on the
request, under the provisions of AIR 21,
to release land at the Southbridge
Municipal Airport from the obligation to
use that land solely for aeronautical
purposes and to allow its use for
environmental mitigation. All
comments will be considered by the
FAA to the extent practicable.
The Town of Southbridge has
requested to release approximately
30.29 acres of airport land from federal
obligations and to consider that land as
reimbursement for $49,629.23 in general
funds the Town of Southbridge
expended to provide the Airport with
services within the last 6 years. These
acres are part of a larger 264-acre parcel
currently depicted on the Airport
Layout Plan. That larger parcel is
identified as owned by the Town of
Southbridge in the Worcester County
Registry of Deeds, Book 2928, Page 89.
The 30.29 acres are located on the west
side of Commercial Drive and Barefoot
Road and have 1369 feet of frontage on
Commercial Drive and Barefoot Road,
but also encompass a large area of
wetlands based on MA Department of
Environmental Protection Wetlands
maps.
The Airport also completed a Real
Estate Appraisal Report for the parcel.
The appraisal was conducted in
accordance with the Uniform Standards
of Professional Appraisal Practice
(USPAP). The appraisal concludes that
the Southbridge Municipal Airport will
receive value for the land in terms of
liquidating its debt to the Town and, in
addition, value in terms of having the
land preserved as conservation land
without development in perpetuity.
E:\FR\FM\31OCN1.SGM
31OCN1
]]>Agencies
[Federal Register Volume 79, Number 211 (Friday, October 31, 2014)]
[Notices]
[Pages 64872-64874]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-25860]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions and extensions of OMB-approved information
collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax:
202-395-6974, Email address: OIRA_Submission@omb.eop.gov.
(SSA) Social Security Administration, 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
December 30, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Modified Benefit Formula Questionnaire-Foreign Pension--0960-
0561. SSA uses Form SSA-308 to determine exactly how much (if any) of a
foreign pension may be used to reduce the amount of Title II Social
Security retirement or disability benefits under the modified benefit
formula. The respondents are applicants for Title II Social Security
retirement or disability benefits who have foreign pensions.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-308......................................... 13,452 1 10 2,242
Greenberg cases................................. 1,666 1 60 1,666
---------------------------------------------------------------
Totals...................................... 15,118 .............. .............. 3,908
----------------------------------------------------------------------------------------------------------------
2. Filing Claims Under the Federal Tort Claims Act--20 CFR 429.101-
429.110--0960-0667. The Federal Tort Claims Act is the legal mechanism
for compensating persons injured by negligent or wrongful acts that
occur during the performance of official duties by Federal employees.
In accordance with the law, SSA accepts monetary claims filed under the
Federal Tort Claims Act for damages against the United States, loss of
property, personal injury, or death resulting from an SSA employee's
wrongful act or omission. The regulation sections cleared under this
information collection request require claimants to provide information
SSA can use to investigate and determine whether to make an award,
compromise, or settlement under the Federal Tort Claims Act. The
respondents are individuals or entities making a claim under the
Federal Tort Claims Act.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
429.102; 429.103 \1\............................ 1 .............. .............. 1
429.104(a)...................................... 11 1 5 1
429.104(b)...................................... 43 1 5 4
429.104(c)...................................... 1 1 5 0
429.106(b)...................................... 6 1 10 1
---------------------------------------------------------------
Totals...................................... 62 .............. .............. 7
----------------------------------------------------------------------------------------------------------------
\1\ The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because
respondents complete OMB-approved Form SF-95.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding the information collections would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than December 1, 2014. Individuals can obtain copies of the
OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.
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
[[Page 64873]]
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.
----------------------------------------------------------------------------------------------------------------
Total
Number of Frequency of Average burden estimated
Modality of completion responses response per response annual burden
(minutes) (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.
Note: This is a correction notice. SSA published this
information collection as a revision on August 28, 2014, at 79 FR
51387. Since we are no longer revising this information collection,
it is now an extension of an OMB-approved information collection.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-754-F4.................................. 30,000 1 30 15,000
----------------------------------------------------------------------------------------------------------------
3. 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.
----------------------------------------------------------------------------------------------------------------
Total
Number of Frequency of Average burden estimated
Modality of completion responses response per response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
MCS......................................... 248,000 1 15 62,000
----------------------------------------------------------------------------------------------------------------
4. 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, in order 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 total
Modality of completion Number of Frequency of per response annual burden
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 416.268.............................. 60,000 1 3 3,000
----------------------------------------------------------------------------------------------------------------
5. Medical Report on Adult with Allegation of Human
Immunodeficiency Virus Infection; Medical Report on Child with
Allegation of Human Immunodeficiency Virus Infection--20 CFR 416.933-20
CFR 416.934--0960-0500. Section 1631(e)(i) of the Act authorizes the
Commissioner of SSA to gather information to make a determination about
an applicant's claim for SSI payments; this procedure is the
presumptive disability (PD). SSA uses Forms SSA-4814-F5 and SSA-4815-F6
to collect information necessary to determine if an individual with
human immunodeficiency virus infection, who is applying for SSI
disability benefits, meets the requirements for PD. The respondents are
the medical sources of the applicants for SSI disability payments.
[[Page 64874]]
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of burden per estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4814-F5..................................... 46,200 1 10 7,700
SSA-4815-F6..................................... 12,900 1 10 2,150
---------------------------------------------------------------
Totals...................................... 59,100 9,850
----------------------------------------------------------------------------------------------------------------
Dated: October 27, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-25860 Filed 10-30-14; 8:45 am]
BILLING CODE 4191-02-P
