Agency Information Collection Activities: Proposed Request, 12542-12544 [2015-05351]

Download as PDF 12542 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices arguments concerning the foregoing, including whether the proposed rule change is consistent with the Act. Comments may be submitted by any of the following methods: Electronic Comments • Use the Commission’s Internet comment form (https://www.sec.gov/ rules/sro.shtml); or • Send an email to rule-comments@ sec.gov. Please include File Number SR– NYSEArca–2015–08 on the subject line. mstockstill on DSK4VPTVN1PROD with NOTICES Paper Comments • Send paper comments in triplicate to Brent J. Fields, Secretary, Securities and Exchange Commission, 100 F Street NE., Washington, DC 20549–1090. All submissions should refer to File Number SR–NYSEArca–2015–08. This file number should be included on the subject line if email is used. To help the Commission process and review your comments more efficiently, please use only one method. The Commission will post all comments on the Commission’s Internet Web site (https://www.sec.gov/ rules/sro.shtml). Copies of the submission, all subsequent amendments, all written statements with respect to the proposed rule change that are filed with the Commission, and all written communications relating to the proposed rule change between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for Web site viewing and printing in the Commission’s Public Reference Room, 100 F Street, NE., Washington, DC 20549, on official business days between the hours of 10:00 a.m. and 3:00 p.m. Copies of the filing also will be available for inspection and copying at the principal office of the Exchange. All comments received will be posted without change; the Commission does not edit personal identifying information from submissions. You should submit only information that you wish to make available publicly. All submissions should refer to File Number SR– NYSEArca–2015–08 and should be submitted on or before March 30, 2015. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.17 Brent J. Fields, Secretary. [FR Doc. 2015–05291 Filed 3–6–15; 8:45 am] BILLING CODE 8011–01–P 17 17 SMALL BUSINESS ADMINISTRATION [License No. 03/03–0236] Legg Mason SBIC Mezzanine Fund, L.P.; Notice Seeking Exemption Under Section 312 of the Small Business Investment Act, Conflicts of Interest Notice is hereby given that Legg Mason SBIC Mezzanine Fund, L.P., 2330 W. Joppa Road, Suite 320, Lutherville, MD 21093, a Federal Licensee under the Small Business Investment Act of 1958, as amended (the ‘‘Act’’), in connection with the financing of a small concern, has sought an exemption under Section 312 of the Act and Section 107.730, Financings which Constitute Conflicts of Interest of the Small Business Administration (‘‘SBA’’) Rules and Regulations (13 CFR 107.730). Legg Mason SBIC Mezzanine Fund, L.P. has provided equity financing to Die Cast Holdings, Inc., 3400 Wentworth Drive SW., Wyoming, MI 49509. The proceeds were used to recapitalize the company. The financing is brought within the purview of § 107.730(a)(1) of the Regulations because an individual that was an employee of Legg Mason SBIC Mezzanine Fund, L.P.’s investment advisor at the time of the financing became an officer of Die Cast Holdings, Inc. within the six month period following the financing, and therefore this transaction is considered financing an Associate requiring SBA prior written 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 the Office of Investment and Innovation, U.S. Small Business Administration, 409 Third Street SW., Washington, DC 20416. Dated: February 25, 2015. Javier E. Saade, Associate Administrator for Office of Investment and Innovation. [FR Doc. 2015–05321 Filed 3–6–15; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2015–0008] Agency Information Collection Activities: Proposed 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– 2015–0008]. 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 May 8, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Parent’s Insurance Benefits—20 CFR 404.370–404.374, and 404.601–404.603—0960–0012. Section 202(h) of the Social Security Act establishes the conditions of eligibility a claimant must meet to receive monthly benefits as a parent of a deceased worker. SSA uses information from Form SSA–7–F6 to determine if the claimant meets the eligibility and application criteria. The respondents are applicants for, and recipients of, Social Security Old Age, Survivors, and Disability Insurance (OASDI). Type of Request: Revision of an OMBapproved information collection. CFR 200.30–3(a)(12). VerDate Sep<11>2014 18:04 Mar 06, 2015 Jkt 235001 PO 00000 Frm 00121 Fmt 4703 Sfmt 4703 E:\FR\FM\09MRN1.SGM 09MRN1 12543 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) Modernized Claims System (MCS) ................................................................. MCS/Signature Proxy ...................................................................................... Paper Form ...................................................................................................... 153 158 4 1 1 1 15 14 15 38 37 1 Total .......................................................................................................... 315 ........................ ........................ 76 2. Claimant’s Medication—20 CFR 404.1512, 416.912—0960–0289. In cases where claimants request a hearing after denial of their disability claim for Social Security, SSA uses Form HA–4632 to request information from the claimant regarding the medications they use. This representatives) for OASDI benefits or Supplemental Security Income (SSI) payments who request a hearing to contest an agency denial of their claim. Type of Request: Revision of an OMBapproved information collection. information helps the administrative law judge overseeing the case to fully investigate: (1) The claimant’s medical treatment and (2) the effects of the medications on the claimant’s medical impairments and functional capacity. The respondents are applicants (or their Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) HA–4632 (paper) ............................................................................................. Electronic Records Express ............................................................................ 20,000 180,000 1 1 15 15 5,000 45,000 Total .......................................................................................................... 200,000 ........................ ........................ 50,000 3. Permanent Residence in the United States Under Color of Law (PRUCOL)— 20 CFR 416.1615 and 416.1618—0960– 0451. As per 20 CFR 416.1415 and 416.1618 of the Code of Federal Regulations, SSA requires claimants or recipients to submit evidence of their alien status when they apply for SSI payments, and periodically thereafter as part of the eligibility determination process for SSI. When SSA cannot verify evidence of alien status through the regular claimant interview process, SSA verifies the validity of the evidence of PRUCOL for grandfathered nonqualified aliens with the Department of Homeland Security (DHS), and determines if the individual qualifies for PRUCOL status based on the DHS response. SSA does not maintain any forms or applications for respondents to use, rather, the regulations listed in 20 Number of respondents Modality of completion mstockstill on DSK4VPTVN1PROD with NOTICES Personal or Telephone Interview ..................................................................... 4. Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare)—0960–0729. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and copayment costs for individuals with limited income and resources. The Number of respondents SSA–4640—Medicare Part D Subsidy Claimants ........................................... SSA–4640—Financial Institutions ................................................................... VerDate Sep<11>2014 18:04 Mar 06, 2015 Jkt 235001 PO 00000 Frm 00122 Fmt 4703 Frequency of response 1,049 MMA mandates that the Government provide subsidies for those individuals who qualify for the program, and who meet eligibility criteria for help with premium, deductible, or co-payment costs. SSA uses the SSA–4640, Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare) to determine if subsidy applicants or recipients qualify, or continue to Respondent type CFR 416.1615 and 416.1618 specify the information respondents need to submit to SSA to show evidence of PRUCOL. Without this information, SSA is unable to determine whether the PRUCOL individual is eligible for SSI payments. Respondents are qualified and unqualified aliens who apply for SSI payments under PRUCOL. Type of Request: Extension of an OMB-approved information collection. Sfmt 4703 Average burden per response (minutes) 1 Estimated total annual burden (hours) 5 87 qualify, for the subsidy. SSA uses Form SSA–4640 to: (1) Obtain the individual’s consent to verify balances of financial institution (FI) accounts; and (2) obtain verification of such balances from the FI. Respondents are Medicare Part D program subsidy applicants or claimants, and their financial institutions. Type of Request: Revision of an OMBapproved information collection. Frequency of response 5,000 5,000 E:\FR\FM\09MRN1.SGM 1 1 09MRN1 Average burden per response (minutes) Estimated total annual burden (hours) 1 4 83 333 12544 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices Totals ........................................................................................................ Dated: March 4, 2015. Faye Lipsky, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015–05351 Filed 3–6–15; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 9061] Removal of Sanctions on Person on Whom Sanctions Have Been Imposed Under the Iran Sanctions Act of 1996, as Amended Department of State. Notice. AGENCY: ACTION: The Secretary of State has decided to terminate sanctions imposed under the Iran Sanctions Act of 1996 (Pub. L. 104–172) (50 U.S.C. 1701 note) (‘‘ISA’’), as amended, on Republican Unitary Enterprise Production Association Belarusneft (a.k.a. Belarusneft, a.k.a. Belorusneft) on the basis that the company is no longer engaging in sanctionable activity described in section 5(a)[(1)?] of and that this person has provided reliable assurances that it will not knowingly engage in such activities in the future. Therefore, certain sanctions that were imposed on Belarusneft on March 29, 2011 are no longer in effect. DATES: Effective Date: The sanctions on Belarusneft are lifted effective February 25, 2015. FOR FURTHER INFORMATION CONTACT: On general issues: Office of Sanctions Policy and Implementation, Department of State, Telephone: (202) 647–7489. SUPPLEMENTARY INFORMATION: On March 29, 2011, the Secretary of State made a determination to impose certain sanctions on, inter alia, Republican Unitary Enterprise Production Association Belarusneft (a.k.a. Belarusneft, a.k.a. Belorusneft) under the Iran Sanctions Act of 1996, as amended (Pub. L. 104–172) (50 U.S.C. 1701 note). See 76 FR 18821 (April 5, 2011). Additional information regarding the basis for imposing sanctions and the specific sanctions imposed on Belarusneft is contained in the Federal Register notice cited above. Pursuant to section 9(b)(1) of ISA and the authority delegated to the Secretary mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 18:04 Mar 06, 2015 Jkt 235001 Frequency of response Average burden per response (minutes) ........................ ........................ Number of respondents Respondent type 10,000 of State in the Delegation Memorandum, the Secretary now has decided to terminate sanctions on Belarusneft on the basis that the company is no longer engaging in sanctionable activity described in section 5(a) of ISA, and that this person has provided reliable assurances that they will not knowingly engage in such activities in the future. The sanctions on Belarusneft, therefore, are no longer in effect. Pursuant to the authority delegated to the Secretary of State in the Delegation Memorandum, relevant agencies and instrumentalities of the United States Government shall take all appropriate measures within their authority to carry out the provisions of this notice. The following constitutes a current, as of this date, list of persons on whom sanctions are imposed under ISA. The particular sanctions imposed on an individual person are identified in the relevant Federal Register Notice. —Bimeh Markazi-Central Insurance of Iran (See Public Notice 8268, 78 FR 21183, April 9, 2013) —Cambis, Dimitris (See Public Notice 8268, 78 FR 21183, April 9, 2013) —FAL Oil Company Limited (see Public Notice 7776, 77 FR 4389, January 27, 2012) —Ferland Company Limited (See Public Notice 8352, 78 FR 35351, June 12, 2013) —Impire Shipping (See Public Notice 8268, 78 FR 21183, April 9, 2013) —Jam Petrochemical Company (See Public Notice 8352 78 FR 35351, June 12, 2013) —Kish Protection and Indemnity (a.k.a. Kish P&I) (See Public Notice 8268, 78 FR 21183, April 9, 2013) —Kuo Oil (S) Pte. Ltd. (see Public Notice 7776, 77 FR 4389, January 27, 2012) —Naftiran Intertrade Company (see Public Notice 7197, 75 FR 62916, October 13, 2010) —Niksima Food and Beverage JLT (See Public Notice 8352, 78 FR 35351, June 12, 2013) —Petrochemical Commercial Company International (a.k.a. PCCI) (see Public Notice 7585, 76 FR 56866, September 14, 2011) ´ —Petroleos de Venezuela S.A. (a.k.a. PDVSA) (see Public Notice 7585, 76 FR 56866, September 14, 2011) —Royal Oyster Group (see Public Notice 7585, 76 FR 56866, September 14, 2011) PO 00000 Frm 00123 Fmt 4703 Sfmt 4703 Estimated total annual burden (hours) 416 —Speedy Ship (a.k.a. SPD) (see Public Notice 7585, 76 FR 56866, September 14, 2011) —Sytrol (see Public Notice 8040, 77 FR 59034, September 25, 2012) —Zhuhai Zhenrong Company (see Public Notice 7776, 77 FR 4389, January 27, 2012) Dated: March 4, 2015. Kurt W. Tong, Acting Assistant Secretary for Economic and Business Affairs. [FR Doc. 2015–05467 Filed 3–6–15; 8:45 am] BILLING CODE 4710–07–P DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Extension of Public Comment Period for the Cross Harbor Freight Program, Tier 1 Draft Environmental Impact Statement Federal Highway Administration (FHWA), DOT. ACTION: Notice; Extension of public comment period. AGENCY: The FHWA and the Port Authority of New York and New Jersey (PANYNJ) are extending the public comment period for the Cross Harbor Freight Program Tier 1 Draft Environmental Impact Statement (DEIS) until Friday, March 20, 2015. DATES: Comments on the Tier 1 DEIS should be received no later than Friday, March 20, 2015. FOR FURTHER INFORMATION CONTACT: Mark Hoffer, Port Authority of New York and New Jersey, (212) 435–7276, or Jonathan McDade, Federal Highway Administration—NY Division (518) 431–4127. You may also visit the Project Web site: www.crossharborstudy.com. ADDRESSES: Comments on the Tier 1 DEIS can be mailed to the following address: Cross Harbor Freight Program; c/o InGroup, Inc.; P.O. Box 206, Midland Park, NJ 07432; submitted via email to: crossharborstudy@ ingroupinc.com; or provided as oral or written testimony at the public hearings. SUPPLEMENTARY INFORMATION: SUMMARY: Electronic Access An electronic copy of this document may be downloaded from the Federal E:\FR\FM\09MRN1.SGM 09MRN1

Agencies

Social Security Administration

[Federal Register Volume 80, Number 45 (Monday, March 9, 2015)]
[Notices]
[Pages 12542-12544]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-05351]

=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0008]

Agency Information Collection Activities: Proposed 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-2015-0008].
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 May
8, 2015. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Application for Parent's Insurance Benefits--20 CFR 404.370-
404.374, and 404.601-404.603--0960-0012. Section 202(h) of the Social
Security Act establishes the conditions of eligibility a claimant must
meet to receive monthly benefits as a parent of a deceased worker. SSA
uses information from Form SSA-7-F6 to determine if the claimant meets
the eligibility and application criteria. The respondents are
applicants for, and recipients of, Social Security Old Age, Survivors,
and Disability Insurance (OASDI).
Type of Request: Revision of an OMB-approved information
collection.

[[Page 12543]]

----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized Claims System (MCS).................. 153 1 15 38
MCS/Signature Proxy............................. 158 1 14 37
Paper Form...................................... 4 1 15 1
---------------------------------------------------------------
Total....................................... 315 .............. .............. 76
----------------------------------------------------------------------------------------------------------------

2. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. In
cases where claimants request a hearing after denial of their
disability claim for Social Security, SSA uses Form HA-4632 to request
information from the claimant regarding the medications they use. This
information helps the administrative law judge overseeing the case to
fully investigate: (1) The claimant's medical treatment and (2) the
effects of the medications on the claimant's medical impairments and
functional capacity. The respondents are applicants (or their
representatives) for OASDI benefits or Supplemental Security Income
(SSI) payments who request a hearing to contest an agency denial of
their claim.
Type of Request: Revision of an OMB-approved information
collection.

----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-4632 (paper)................................. 20,000 1 15 5,000
Electronic Records Express...................... 180,000 1 15 45,000
---------------------------------------------------------------
Total....................................... 200,000 .............. .............. 50,000
----------------------------------------------------------------------------------------------------------------

3. Permanent Residence in the United States Under Color of Law
(PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. As per 20 CFR
416.1415 and 416.1618 of the Code of Federal Regulations, SSA requires
claimants or recipients to submit evidence of their alien status when
they apply for SSI payments, and periodically thereafter as part of the
eligibility determination process for SSI. When SSA cannot verify
evidence of alien status through the regular claimant interview
process, SSA verifies the validity of the evidence of PRUCOL for
grandfathered nonqualified aliens with the Department of Homeland
Security (DHS), and determines if the individual qualifies for PRUCOL
status based on the DHS response. SSA does not maintain any forms or
applications for respondents to use, rather, the regulations listed in
20 CFR 416.1615 and 416.1618 specify the information respondents need
to submit to SSA to show evidence of PRUCOL. Without this information,
SSA is unable to determine whether the PRUCOL individual is eligible
for SSI payments. Respondents are qualified and unqualified aliens who
apply for SSI payments under PRUCOL.
Type of Request: Extension of an OMB-approved information
collection.

4. Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution and Request for Records
(Medicare)--0960-0729. The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) established the Medicare Part D program
for voluntary prescription drug coverage of premium, deductible, and
co-payment costs for individuals with limited income and resources. The
MMA mandates that the Government provide subsidies for those
individuals who qualify for the program, and who meet eligibility
criteria for help with premium, deductible, or co-payment costs. SSA
uses the SSA-4640, Authorization for the Social Security Administration
to Obtain Account Records from a Financial Institution and Request for
Records (Medicare) to determine if subsidy applicants or recipients
qualify, or continue to qualify, for the subsidy. SSA uses Form SSA-
4640 to: (1) Obtain the individual's consent to verify balances of
financial institution (FI) accounts; and (2) obtain verification of
such balances from the FI. Respondents are Medicare Part D program
subsidy applicants or claimants, and their financial institutions.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 12544]]

Totals...................................... 10,000 .............. .............. 416
----------------------------------------------------------------------------------------------------------------

Dated: March 4, 2015.
Faye Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-05351 Filed 3-6-15; 8:45 am]
BILLING CODE 4191-02-P

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