Agency Information Collection Activities: Proposed Request and Comment Request, 72237-72239 [2014-28562]
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72237
Federal Register / Vol. 79, No. 234 / Friday, December 5, 2014 / Notices
course for eligible service members and
their spouses. The information collected
provides pertinent data to the
management and participation of the
course in addition to assisting
instructors to better tailor the individual
classes based on the experience and
interests of the participants.
Solicitation of Public Comments:
SBA is requesting comments on (a)
Whether the collection of information is
necessary for the agency to properly
perform its functions; (b) whether the
burden estimates are accurate; (c)
whether there are ways to minimize the
burden, including through the use of
automated techniques or other forms of
information technology; and (d) whether
there are ways to enhance the quality,
utility, and clarity of the information.
Summary of Information Collection:
Title: Boots to Business Registration.
Description of Respondents:
Transitioning service members and
spouses.
Total Estimated Annual Responses:
10,000.
Total Estimated Annual Hour Burden:
1,667 hours.
Curtis B. Rich,
Management Analyst.
EIDL Loan Application Deadline Date:
02/16/2015.
ADDRESSES: Submit completed loan
applications to: U.S. Small Business
Administration, Processing and
Disbursement Center, 14925 Kingsport
Road, Fort Worth, TX 76155.
FOR FURTHER INFORMATION CONTACT: A.
Escobar, Office of Disaster Assistance,
U.S. Small Business Administration,
409 3rd Street SW., Suite 6050,
Washington, DC 20416.
SUPPLEMENTARY INFORMATION: The notice
of the Administrative EIDL disaster
declaration for the State of Colorado,
dated 05/14/2014 is hereby amended to
establish the incident period for this
disaster as beginning 01/13/2014 and
continuing through 06/12/2014.
All other information in the original
declaration remains unchanged.
(Catalog of Federal Domestic Assistance
Number 59002)
Dated: November 26, 2014.
Maria Contreras-Sweet,
Administrator.
[FR Doc. 2014–28514 Filed 12–4–14; 8:45 am]
BILLING CODE 8025–01–P
[FR Doc. 2014–28512 Filed 12–4–14; 8:45 am]
SOCIAL SECURITY ADMINISTRATION
BILLING CODE 8025–01–P
[Docket No. SSA–2014–0074]
SMALL BUSINESS ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
[Disaster Declaration #13985]
Colorado Disaster #CO–00068
Declaration of Economic Injury
U.S. Small Business
Administration.
ACTION: Amendment 1.
AGENCY:
This is an amendment of the
Economic Injury Disaster Loan (EIDL)
declaration for the State of COLORADO,
dated 05/14/2014.
Incident: Red Mountain Pass
Rockslide.
Incident Period: 01/13/2014 and
continuing through 06/12/2014.
Effective Date: 11/26/2014.
SUMMARY:
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 an extension 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,
Number of
respondents
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Modality of completion
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.
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2014–0074].
I. The information collection below is
pending at SSA. SSA will submit it 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 February 3, 2015. Individuals
can obtain copies of the collection
instruments by writing to the above
email address.
Application for Mother’s or Father’s
Insurance Benefits—20 CFR 404.339–
404.342, 20 CFR 404.601–404.603—
0960–0003. Section 202(g) of the Social
Security Act provides for the payment
of monthly benefits to the widow or
widower of an insured individual if the
surviving spouse is caring for the
deceased worker’s child (who is entitled
to Social Security benefits). SSA uses
the information on Form SSA–5–BK to
determine an individual’s eligibility for
mother’s or father’s insurance benefits.
The respondents are individuals caring
for a child of the deceased worker who
is applying for mother’s or father’s
insurance benefits under the Old Age,
Survivors, and Disability Insurance
program (OASDI).
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Total
estimated
annual
burden
(hours)
SSA–5–F6 (paper) ...........................................................................................
MCS .................................................................................................................
MCS/Signature Proxy ......................................................................................
1,611
26,045
26,044
1
1
1
15
15
14
403
6,511
6077
Total ..........................................................................................................
53,700
........................
........................
12,991
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72238
Federal Register / Vol. 79, No. 234 / Friday, December 5, 2014 / Notices
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
January 5, 2015. Individuals can obtain
copies of the OMB clearance package by
writing to OR.Reports.Clearance@
ssa.gov.
1. Letter to Employer Requesting
Information About Wages Earned by
Beneficiary—20 CFR 416.703, 404.801 &
404.820—0960–0034. Social Security
disability recipients receive payments
based on their inability to engage in
substantial gainful activity (SGA)
because of a physical or mental
condition. If the recipients work, SSA
must evaluate and determine if they
continue to meet the disability
requirements of the law. Therefore, we
use Form SSA–L725 to request monthly
earnings information from the
recipient’s employer. We then use the
earnings data to determine whether the
recipient is engaging in SGA, since work
after a recipient becomes entitled to
benefits can cause a cessation of
disability. The respondents are
businesses that employ Social Security
disability recipients.
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–L725 ........................................................................................................
150,000
1
40
100,000
2. Letter to Employer Requesting Wage
Information—0960–0138. SSA must
establish and verify wage information
for Supplemental Security Income (SSI)
applicants and recipients when
determining SSI eligibility and payment
amounts. SSA uses Form SSA–L4201 to
collect wage data from employers. SSA
uses the information to determine
eligibility and proper payment amounts
for SSI applicants and recipients. The
respondents are employers of SSI
applicants and recipients.
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–L4201 ......................................................................................................
133,000
1
30
66,500
3. Statement of Living Arrangements,
In-Kind Support, and Maintenance—20
CFR 416.1130–416.1148—0960–0174.
SSA determines SSI payment amounts
based on applicants’ and recipients’
needs. We measure individuals’ needs,
in part, by the amount of income they
receive, including in-kind support and
maintenance in the form of food and
shelter provided by other persons. SSA
uses Form SSA–8006–F4 to determine if
in-kind support and maintenance exists
for SSI applicants and recipients. This
information also assists SSA in
determining the income value of in-kind
support and maintenance SSI applicants
and recipients receive. The respondents
are individuals who apply for SSI
payments, or who complete an SSI
eligibility redetermination.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total
annual
burden
(hours)
SSA–8006–F4 ..................................................................................................
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Modality of completion
Number of
respondents
173,380
1
7
20,228
4. Claimant’s Recent Medical
Treatment—20 CFR 404.1512 and
416.912—0960–0292. When Disability
Determinations Services (DDS) deny a
claim at the reconsideration level, the
claimant has a right to request a hearing
before an administrative law judge
(ALJ). For the hearing, SSA asks the
claimant to complete and return the
HA–4631 if the claimant’s file does not
reflect a current, complete medical
VerDate Sep<11>2014
15:07 Dec 04, 2014
Jkt 235001
history as the claimant proceeds
through the appeals process. ALJs must
obtain the information to update and
complete the record and to verify the
accuracy of the information. Through
this process, ALJs can ascertain whether
the claimant’s situation has changed.
The ALJs and hearing office staff use the
response to make arrangements for
consultative examination(s) and the
attendance of an expert witness(es), if
PO 00000
Frm 00075
Fmt 4703
Sfmt 4703
appropriate. During the hearing, the ALJ
offers any completed questionnaires as
exhibits and may use them to: (1)
Refresh the claimant’s memory, and (2)
shape their questions. The respondents
are claimant’s requesting hearings on
entitlement to OASDI benefits or SSI
payments.
Type of Request: Revision of an OMBapproved information collection.
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72239
Federal Register / Vol. 79, No. 234 / Friday, December 5, 2014 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
HA–4631 ..........................................................................................................
200,000
1
10
33,333
5. Certification of Low Birth Weight
for SSI Eligibility of Funds You Provided
to Another and Statement of Funds You
Received—20 CFR 416.931,
416.926a(m), and 416.924—0960–0720.
Hospitals and claimants use Form SSA–
3380 to provide medical information to
local field offices (FO) and the DDS on
behalf of infants with low birth weight.
FOs use the form as a protective filing
statement and the medical information
to make presumptive disability findings,
which allow expedited payment to
eligible claimants. DDSs use the medical
information to determine disability and
continuing disability. The respondents
are hospitals and claimants who have
information identifying low birth weight
babies and their medical conditions.
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–3380 ........................................................................................................
28,125
1
15
7,031
6. Request to Show Cause for Failure
to Appear—20 CFR 404.938, 20 CFR
416.1438, and 20 CFR 404.957(a)(ii)—
0960–0794. When claimants who
requested a hearing before an ALJ fail to
appear at their scheduled hearing, the
ALJ may reschedule the hearing if the
claimants establish good cause for
missing the hearings. To establish good
cause, claimants must show one of the
following: (1) SSA did not properly
notify the claimant of the hearing, or (2)
an unexpected event occurred without
sufficient time for the claimant to
request a postponement. The claimants
can use paper Form HA–L90 to provide
their reason for not appearing at their
scheduled hearings; or the claimants’
representatives can use Electronic
Records Express to submit the HA–L90
online. If the ALJ determines the
claimants established good cause for
failure to appear at the hearing, the ALJ
will schedule a supplemental hearing; if
not, the ALJ will make a claims
eligibility determination based on the
claimants’ evidence of record.
Respondents are claimants, or their
representatives, seeking to establish
good cause for failure to appear at a
scheduled hearing before an ALJ.
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
HA–L90 (paper or Electronic Records Express) .............................................
40,000
1
10
6,667
Dated: December 2, 2014.
Faye Lipsky,
Reports Clearance Officer, Social Security
Administration.
Reform Act for the 21st Century (AIR
21).
[FR Doc. 2014–28562 Filed 12–4–14; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Notice of Intent To Rule on Request To
Release Airport Property at Eufaula
Municipal Airport, Eufaula, Arkansas
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice of Request to Release
Airport Property.
wreier-aviles on DSK5TPTVN1PROD with NOTICES
AGENCY:
The FAA proposes to rule and
invites public comment on the release of
land at Eufaula Municipal Airport under
the provisions of Section 125 of the
Wendell H. Ford Aviation Investment
SUMMARY:
VerDate Sep<11>2014
15:07 Dec 04, 2014
Jkt 235001
Comments must be received on
or before January 5, 2015.
ADDRESSES: Comments on this
application may be mailed or delivered
to the FAA at the following address: Mr.
Glenn A Boles, Manager, Federal
Aviation Administration, Southwest
Region, Airports Division, AR/OK
Airports Development Office, ASW–
630, Fort Worth, Texas 76137.
In addition, one copy of any
comments submitted to the FAA must
be mailed or delivered to The Honorable
Selina Jayne-Dornan, Mayor of Eufaula
at the following address: City of Eufaula,
Oklahoma, 64 Memorial Drive, Eufaula,
OK 74432.
FOR FURTHER INFORMATION CONTACT: Mrs
Kathy Franklin, Program Manager,
Federal Aviation Administration, AR/
OK Airports Development Office, ASW–
630, 2601 Meacham Blvd., Fort Worth,
Texas 76137.
DATES:
PO 00000
Frm 00076
Fmt 4703
Sfmt 4703
The request to release property may
be reviewed in person at this same
location.
SUPPLEMENTARY INFORMATION: The FAA
invites public comment on the request
to release property at the Eufaula
Municipal Airport under the provisions
of the AIR 21.
On November 18, 2014, the FAA
determined that the request to release
property at Eufaula Municipal Airport
submitted by the City of Eufaula met the
procedural requirements of the Federal
aviation Regulations, Part 155. The FAA
may approve the request, in whole or in
part, no later than January, 2015.
The following is a brief overview of
the request: The City of Eufaula requests
the release of 14.68 acres of airport
property valued at $29,360.00. The
release of property will allow for the
sale of the property to the Oklahoma
Department of Transportation for the
development of an industrial facility for
maintenance activities. The City of
Eufaula will use the $29,360.00
E:\FR\FM\05DEN1.SGM
05DEN1
]]>Agencies
[Federal Register Volume 79, Number 234 (Friday, December 5, 2014)]
[Notices]
[Pages 72237-72239]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-28562]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2014-0074]
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 an extension 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.
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2014-0074].
I. The information collection below is pending at SSA. SSA will
submit it 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
February 3, 2015. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Application for Mother's or Father's Insurance Benefits--20 CFR
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. Section 202(g) of
the Social Security Act provides for the payment of monthly benefits to
the widow or widower of an insured individual if the surviving spouse
is caring for the deceased worker's child (who is entitled to Social
Security benefits). SSA uses the information on Form SSA-5-BK to
determine an individual's eligibility for mother's or father's
insurance benefits. The respondents are individuals caring for a child
of the deceased worker who is applying for mother's or father's
insurance benefits under the Old Age, Survivors, and Disability
Insurance program (OASDI).
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average Total
Number of Frequency of burden per estimated
Modality of completion respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5-F6 (paper)................................ 1,611 1 15 403
MCS............................................. 26,045 1 15 6,511
MCS/Signature Proxy............................. 26,044 1 14 6077
---------------------------------------------------------------
Total....................................... 53,700 .............. .............. 12,991
----------------------------------------------------------------------------------------------------------------
[[Page 72238]]
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 January 5, 2015. Individuals can obtain copies of the OMB
clearance package by writing to OR.Reports.Clearance@ssa.gov.
1. Letter to Employer Requesting Information About Wages Earned by
Beneficiary--20 CFR 416.703, 404.801 & 404.820--0960-0034. Social
Security disability recipients receive payments based on their
inability to engage in substantial gainful activity (SGA) because of a
physical or mental condition. If the recipients work, SSA must evaluate
and determine if they continue to meet the disability requirements of
the law. Therefore, we use Form SSA-L725 to request monthly earnings
information from the recipient's employer. We then use the earnings
data to determine whether the recipient is engaging in SGA, since work
after a recipient becomes entitled to benefits can cause a cessation of
disability. The respondents are businesses that employ Social Security
disability recipients.
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-L725.................................... 150,000 1 40 100,000
----------------------------------------------------------------------------------------------------------------
2. Letter to Employer Requesting Wage Information--0960-0138. SSA
must establish and verify wage information for Supplemental Security
Income (SSI) applicants and recipients when determining SSI eligibility
and payment amounts. SSA uses Form SSA-L4201 to collect wage data from
employers. SSA uses the information to determine eligibility and proper
payment amounts for SSI applicants and recipients. The respondents are
employers of SSI applicants and recipients.
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-L4201................................... 133,000 1 30 66,500
----------------------------------------------------------------------------------------------------------------
3. Statement of Living Arrangements, In-Kind Support, and
Maintenance--20 CFR 416.1130-416.1148--0960-0174. SSA determines SSI
payment amounts based on applicants' and recipients' needs. We measure
individuals' needs, in part, by the amount of income they receive,
including in-kind support and maintenance in the form of food and
shelter provided by other persons. SSA uses Form SSA-8006-F4 to
determine if in-kind support and maintenance exists for SSI applicants
and recipients. This information also assists SSA in determining the
income value of in-kind support and maintenance SSI applicants and
recipients receive. The respondents are individuals who apply for SSI
payments, or who complete an SSI eligibility redetermination.
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-8006-F4................................. 173,380 1 7 20,228
----------------------------------------------------------------------------------------------------------------
4. Claimant's Recent Medical Treatment--20 CFR 404.1512 and
416.912--0960-0292. When Disability Determinations Services (DDS) deny
a claim at the reconsideration level, the claimant has a right to
request a hearing before an administrative law judge (ALJ). For the
hearing, SSA asks the claimant to complete and return the HA-4631 if
the claimant's file does not reflect a current, complete medical
history as the claimant proceeds through the appeals process. ALJs must
obtain the information to update and complete the record and to verify
the accuracy of the information. Through this process, ALJs can
ascertain whether the claimant's situation has changed. The ALJs and
hearing office staff use the response to make arrangements for
consultative examination(s) and the attendance of an expert
witness(es), if appropriate. During the hearing, the ALJ offers any
completed questionnaires as exhibits and may use them to: (1) Refresh
the claimant's memory, and (2) shape their questions. The respondents
are claimant's requesting hearings on entitlement to OASDI benefits or
SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 72239]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-4631..................................... 200,000 1 10 33,333
----------------------------------------------------------------------------------------------------------------
5. Certification of Low Birth Weight for SSI Eligibility of Funds
You Provided to Another and Statement of Funds You Received--20 CFR
416.931, 416.926a(m), and 416.924--0960-0720. Hospitals and claimants
use Form SSA-3380 to provide medical information to local field offices
(FO) and the DDS on behalf of infants with low birth weight. FOs use
the form as a protective filing statement and the medical information
to make presumptive disability findings, which allow expedited payment
to eligible claimants. DDSs use the medical information to determine
disability and continuing disability. The respondents are hospitals and
claimants who have information identifying low birth weight babies and
their medical conditions.
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-3380.................................... 28,125 1 15 7,031
----------------------------------------------------------------------------------------------------------------
6. Request to Show Cause for Failure to Appear--20 CFR 404.938, 20
CFR 416.1438, and 20 CFR 404.957(a)(ii)--0960-0794. When claimants who
requested a hearing before an ALJ fail to appear at their scheduled
hearing, the ALJ may reschedule the hearing if the claimants establish
good cause for missing the hearings. To establish good cause, claimants
must show one of the following: (1) SSA did not properly notify the
claimant of the hearing, or (2) an unexpected event occurred without
sufficient time for the claimant to request a postponement. The
claimants can use paper Form HA-L90 to provide their reason for not
appearing at their scheduled hearings; or the claimants'
representatives can use Electronic Records Express to submit the HA-L90
online. If the ALJ determines the claimants established good cause for
failure to appear at the hearing, the ALJ will schedule a supplemental
hearing; if not, the ALJ will make a claims eligibility determination
based on the claimants' evidence of record. Respondents are claimants,
or their representatives, seeking to establish good cause for failure
to appear at a scheduled hearing before an ALJ.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-L90 (paper or Electronic Records Express) 40,000 1 10 6,667
----------------------------------------------------------------------------------------------------------------
Dated: December 2, 2014.
Faye Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2014-28562 Filed 12-4-14; 8:45 am]
BILLING CODE 4191-02-P
