Agency Information Collection Activities: Comment Request, 74154-74155 [2014-29246]

Download as PDF 74154 Federal Register / Vol. 79, No. 240 / Monday, December 15, 2014 / Notices Medical Specialties, Inc. of 8758 Hellman Avenue, Rancho Cucamonga, CA 91730, Denison Pharmaceuticals, Inc. of One Power Hill Road, Lincoln, RI 02865, Packaging Concepts & Design, LLC of 1307 I Allen Drive, Troy, Mi 48083, Uncle Milton Industries, Inc. of 29209 Canwood Street, Suite 120, Agoura Hills, CA 91301, and Vapor Power International, LLC of 551 South County Line Road, Franklin Park, IL 60131. The financings Midwest Mezzanine Fund V SBIC, L.P. seeks to purchase are held by Midwest Mezzanine Fund V, L.P. These financings are brought within the purview of § 107.730(d) of the Regulations because Midwest Mezzanine Fund V SBIC, L.P. and Midwest Mezzanine Fund V, L.P. Partners II SBIC, L.P. are Associates. Therefore this transaction requires prior SBA exemption. Notice is hereby given that any interested person may submit written comments on the transaction, within fifteen days of the date of this publication, to the Associate Administrator for Investment and Innovation, U.S. Small Business Administration, 409 Third Street, SW., Washington, DC 20416. Javier E. Saade, Associate Administrator for Office of Investment and Innovation. [FR Doc. 2014–29271 Filed 12–12–14; 8:45 am] BILLING CODE P SOCIAL SECURITY ADMINISTRATION [Docket No SSA–2014–0077] Agency Information Collection Activities: 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– 2014–0077]. 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 14, 2015. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ ssa.gov. 1. Supplemental Security Income (SSI) Claim Information Notice—20 CFR 416.210–0960–0324. Section 1611(e)(2) of the Social Security Act requires individuals to file for and obtain all payments (annuities, pensions, disability benefits, veteran’s compensation, etc.) for which they are eligible before qualifying for SSI payments. Individuals do not qualify for SSI if they do not first apply for all other benefits. SSA uses the information on Form SSA–L8050–U3 to verify and establish a claimant or recipient’s eligibility under the SSI program. Respondents are SSI applicants or recipients who may be eligible for other payments from public or private programs. Note: This is a correction notice. SSA published this information collection as a revision on September 25, 2014, at 79 FR 57650. 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 respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–L8050–U3 ............................................................................................... 17,044 1 10 2,841 emcdonald on DSK67QTVN1PROD with NOTICES 2. You Can Make Your Payment by Credit Card—0960–0462. Using information from Form SSA–4588 and its electronic application, Form SSA– 4589, SSA updates individuals’ Social Security records to reflect payments made on their overpayments. In addition, SSA uses this information to process payments through the appropriate credit card company. SSA provides the SSA–4588 when we inform an individual that we detected an overpayment. Individuals may choose to make a one-time payment or recurring monthly payments by completing and submitting the SSA–4588. SSA uses the SSA–4589 electronic intranet application only when individuals choose to telephone the Program Service Centers to make a one-time payment in Number of respondents Modality of completion SSA–4588 Paper Form ................................................................................... SSA–4589 Electronic Intranet Application ....................................................... VerDate Sep<11>2014 02:54 Dec 13, 2014 Jkt 235001 PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 lieu of completing Form SSA–4588. An SSA debtor contact representative completes the SSA–4589 electronic intranet application. Respondents are OASDI beneficiaries and SSI recipients who have outstanding overpayments. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response 13,200 221,3196 E:\FR\FM\15DEN1.SGM 1 1 15DEN1 10 5 Estimated total annual burden (hours) 2,200 18,443 Federal Register / Vol. 79, No. 240 / Monday, December 15, 2014 / Notices Totals ........................................................................................................ 3. Application for Extra Help with Medicare Prescription Drug Plan Costs—20 CFR 418.3101–0960–0696. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and the provision of Frequency of response Average burden per response (minutes) ........................ ........................ Number of respondents Modality of completion 234,516 74155 Estimated total annual burden (hours) 20,643 subsidy decision. The respondents are Medicare beneficiaries applying for the Part D low-income subsidy. Type of Request: Revision of an OMBapproved information collection. subsidies for eligible Medicare beneficiaries. SSA uses Form SSA–1020 or the Internet i1020, the Application for Extra Help with Medicare Prescription Drug Plan Costs, to obtain income and resource information from Medicare beneficiaries and to make a Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–1020 (Paper Application Form ............................................................... i1020 Online Application .................................................................................. Field Office Interview ....................................................................................... 617,070 282,228 155,687 1 1 1 30 25 30 308,535 117,595 77,844 1,054,985 ........................ ........................ 503,974 Totals ........................................................................................................ Dated: December 10, 2014. Faye Lipsky, Reports Clearance Director, Social Security Administration. [FR Doc. 2014–29246 Filed 12–12–14; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 8973] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Kuba Textiles: Geometry in Form, Space, and Time’’ Exhibition 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), E.O. 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, Delegation of Authority No. 236–3 of August 28, 2000 (and, as appropriate, Delegation of Authority No. 257 of April 15, 2003), I hereby determine that the objects to be included in the exhibition ‘‘Kuba Textiles: Geometry in Form, Space, and Time,’’ 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 Neuberger Museum of Art, Purchase College, Purchase, New York, from on or about February 26, 2015, emcdonald on DSK67QTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 02:54 Dec 13, 2014 Jkt 235001 until on or about June 16, 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. FOR FURTHER INFORMATION CONTACT: For further information, including lists of the exhibit objects, contact Julie Simpson, Attorney-Adviser, Office of the Legal Adviser, U.S. Department of State (telephone: 202–632–6467). The mailing address is U.S. Department of State, SA–5, L/PD, Fifth Floor (Suite 5H03), Washington, DC 20522–0505. Dated: December 5, 2014. Kelly Keiderling, Principal Deputy Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. [FR Doc. 2014–29273 Filed 12–12–14; 8:45 am] BILLING CODE 4710–05–P [Public Notice 8970] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Piero di Cosimo: The Poetry of Painting in Renaissance Florence’’ 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), E.O. 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 PO 00000 Frm 00093 Fmt 4703 Sfmt 9990 For further information, including a list of the imported 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. FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF STATE SUMMARY: October 1, 1999, and Delegation of Authority No. 236–3 of August 28, 2000 (and, as appropriate, Delegation of Authority No. 257 of April 15, 2003), I hereby determine that the objects to be included in the exhibition ‘‘Piero di Cosimo: The Poetry of Painting in Renaissance Florence,’’ imported from abroad for temporary exhibition within the United States, are of cultural significance. The objects are imported pursuant to loan agreements with the foreign owners or custodians. I also determine that the exhibition or display of the exhibit objects at the National Gallery of Art, Washington, DC, from on or about February 1, 2015, until on or about May 3, 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. Dated: December 4, 2014. Kelly Keiderling, Principal Deputy Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. [FR Doc. 2014–29312 Filed 12–12–14; 8:45 am] BILLING CODE 4710–05–P E:\FR\FM\15DEN1.SGM 15DEN1

Agencies

[Federal Register Volume 79, Number 240 (Monday, December 15, 2014)]
[Notices]
[Pages 74154-74155]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-29246]


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SOCIAL SECURITY ADMINISTRATION

[Docket No SSA-2014-0077]


Agency Information Collection Activities: 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-2014-0077].
    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 14, 2015. Individuals can obtain copies of the 
OMB clearance package by writing to OR.Reports.Clearance@ssa.gov.
    1. Supplemental Security Income (SSI) Claim Information Notice--20 
CFR 416.210-0960-0324. Section 1611(e)(2) of the Social Security Act 
requires individuals to file for and obtain all payments (annuities, 
pensions, disability benefits, veteran's compensation, etc.) for which 
they are eligible before qualifying for SSI payments. Individuals do 
not qualify for SSI if they do not first apply for all other benefits. 
SSA uses the information on Form SSA-L8050-U3 to verify and establish a 
claimant or recipient's eligibility under the SSI program. Respondents 
are SSI applicants or recipients who may be eligible for other payments 
from public or private programs.

    Note: This is a correction notice. SSA published this 
information collection as a revision on September 25, 2014, at 79 FR 
57650. 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
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-L8050-U3................................          17,044                1               10            2,841
----------------------------------------------------------------------------------------------------------------

    2. You Can Make Your Payment by Credit Card--0960-0462. Using 
information from Form SSA-4588 and its electronic application, Form 
SSA-4589, SSA updates individuals' Social Security records to reflect 
payments made on their overpayments. In addition, SSA uses this 
information to process payments through the appropriate credit card 
company. SSA provides the SSA-4588 when we inform an individual that we 
detected an overpayment. Individuals may choose to make a one-time 
payment or recurring monthly payments by completing and submitting the 
SSA-4588. SSA uses the SSA-4589 electronic intranet application only 
when individuals choose to telephone the Program Service Centers to 
make a one-time payment in lieu of completing Form SSA-4588. An SSA 
debtor contact representative completes the SSA-4589 electronic 
intranet application. Respondents are OASDI beneficiaries and SSI 
recipients who have outstanding overpayments.
    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-4588 Paper Form.............................          13,200               1              10           2,200
SSA-4589 Electronic Intranet Application........        221,3196               1               5          18,443
                                                 ---------------------------------------------------------------

[[Page 74155]]

 
    Totals......................................         234,516  ..............  ..............          20,643
----------------------------------------------------------------------------------------------------------------

    3. Application for Extra Help with Medicare Prescription Drug Plan 
Costs--20 CFR 418.3101-0960-0696. The Medicare Modernization Act of 
2003 mandated the creation of the Medicare Part D prescription drug 
coverage program and the provision of subsidies for eligible Medicare 
beneficiaries. SSA uses Form SSA-1020 or the Internet i1020, the 
Application for Extra Help with Medicare Prescription Drug Plan Costs, 
to obtain income and resource information from Medicare beneficiaries 
and to make a subsidy decision. The respondents are Medicare 
beneficiaries applying for the Part D low-income subsidy.
    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-1020 (Paper Application Form............         617,070                1               30          308,535
i1020 Online Application....................         282,228                1               25          117,595
Field Office Interview......................         155,687                1               30           77,844
                                             -------------------------------------------------------------------
    Totals..................................       1,054,985   ...............  ...............         503,974
----------------------------------------------------------------------------------------------------------------


    Dated: December 10, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-29246 Filed 12-12-14; 8:45 am]
BILLING CODE 4191-02-P