Agency Information Collection Activities: Proposed Request and Comment Request, 30316-30318 [2015-12671]
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Federal Register / Vol. 80, No. 101 / Wednesday, May 27, 2015 / Notices
disaster loan applications at the address
listed above or other locally announced
locations.
The following areas have been
determined to be adversely affected by
the disaster:
SOCIAL SECURITY ADMINISTRATION
Primary Counties: Braxton, Brooke,
Doddridge, Gilmer, Jackson, Lewis,
Marshall, Ohio, Pleasants, Ritchie,
Tyler, Wetzel.
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
The Interest Rates are:
Percent
For Physical Damage:
Non-Profit Organizations With
Credit Available Elsewhere .....
Non-Profit Organizations Without
Credit Available Elsewhere .....
For Economic Injury:
Non-Profit Organizations Without
Credit Available Elsewhere .....
2.625
2.625
2.625
The number assigned to this disaster
for physical damage is 14321B and for
economic injury is 14322B.
(Catalog of Federal Domestic Assistance
Numbers 59002 and 59008)
James E. Rivera,
Associate Administrator for Disaster
Assistance.
[FR Doc. 2015–12680 Filed 5–26–15; 8:45 am]
BILLING CODE 8025–01–P
[Docket No: SSA–2015–0029]
Agency Information Collection
Activities: Proposed Request and
Comment Request
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–
2015–0029].
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 July 27, 2015.
Individuals can obtain copies of the
collection instruments by writing to the
above email address.
1. Statement of Employer—20 CFR
404.801–404.803—0960–0030. When
workers report they were paid wages but
cannot provide proof of those earnings,
and the wages do not appear in SSA’s
records of earnings, SSA uses Form
SSA–7011–F4 to document the alleged
wages. Specifically, the agency uses the
form to resolve discrepancies in the
individual’s Social Security earnings
record and to process claims for Social
Security benefits. We only send Form
SSA–7011–F4 to employers if we are
unable able to locate the earnings
information within our own records.
The respondents are employers who can
verify wage allegations made by wage
earners.
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–7011–F4 ..................................................................................................
500
1
20
167
2. Function Report Adult-Third
Party—20 CFR 404.1512 & 416.912—
0960–0635. Individuals receiving or
applying for Social Security Disability
Insurance (SSDI) or Supplemental
Security Income (SSI) provide SSA with
medical evidence and other proof SSA
requires to prove their disability. SSA,
and Disability Determination Services
(DDS) on our behalf, collect this
information using Form SSA–3380–BK.
We use the information to document
how claimant’s disabilities affect their
ability to function, and to determine
eligibility for SSI and SSDI claims. The
respondents are third parties familiar
with the functional limitations (or lack
thereof) of claimants who apply for SSI
and SSDI benefits.
Type of Request: Revision of an OMB
approved information collection.
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–3380–BK .................................................................................................
mstockstill on DSK4VPTVN1PROD with NOTICES
Modality of completion
780,000
1
61
793,000
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,
VerDate Sep<11>2014
18:14 May 26, 2015
Jkt 235001
we must receive them no later than June
26, 2015. Individuals can obtain copies
of the OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Application for Parent’s Insurance
Benefits—20 CFR 404.370–404.374, 20
PO 00000
Frm 00111
Fmt 4703
Sfmt 4703
CFR 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
E:\FR\FM\27MYN1.SGM
27MYN1
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Federal Register / Vol. 80, No. 101 / Wednesday, May 27, 2015 / Notices
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.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
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
process the request for withdrawal. The
respondents are applicants for
Retirement, Survivors, Disability, and
Health Insurance benefits.
Type of Request: Revision of an OMBapproved information collection.
written request for withdrawal signed
by the claimant or a proper applicant on
the claimant’s behalf will suffice.
Individuals who wish to withdraw their
applications for benefits complete Form
SSA–521, or sign the completed form
for each request to withdraw. SSA uses
the information from the SSA–521 to
2. Request for Withdrawal of
Application—20 CFR 404.640—0960–
0015. Form SSA–521 documents the
information SSA needs to process the
withdrawal of an application for
benefits. A paper SSA–521 is our
preferred instrument for executing a
withdrawal request; however, any
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–521 ..........................................................................................................
39,000
1
5
3,250
3. 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
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
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
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
mstockstill on DSK4VPTVN1PROD with NOTICES
4. 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.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Personal or Telephone Interview .....................................................................
1,049
1
5
87
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16:45 May 26, 2015
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Fmt 4703
Sfmt 4703
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27MYN1
30318
Federal Register / Vol. 80, No. 101 / Wednesday, May 27, 2015 / Notices
5. 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 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.
This is a correction notice. SSA
published this information collection as
a revision on March 9, 2015 at 80 FR
12542. Since we are not revising the
Privacy Act Statement, this 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)
Medicare Part D Subsidy Applicants ...............................................................
Financial Institutions ........................................................................................
5,000
5,000
1
1
1
4
83
333
Total ..........................................................................................................
10,000
........................
........................
416
Dated: May 20, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2015–12671 Filed 5–26–15; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 9147]
Certifications Pursuant to Section 609
of Public Law 101–162
On April 27, 2015, the
Department of State certified, pursuant
to Section 609 of Public Law 101–162,
that 14 nations have adopted programs
to reduce the incidental capture of sea
turtles in their shrimp fisheries
comparable to the program in effect in
the United States. The Department also
certified that the fishing environments
in 26 other countries and one economy
do not pose a threat of the incidental
taking of sea turtles protected under
Section 609.
DATES: Effective on Publication.
FOR FURTHER INFORMATION CONTACT:
Stephen J. Wilger, Office of Marine
Conservation, Bureau of Oceans and
International Environmental and
Scientific Affairs, Department of State,
Washington, DC 20520–7818; telephone:
(202) 647–3263; email: wilgersj2@
state.gov.
SUPPLEMENTARY INFORMATION: Section
609 of Public Law 101–162 (‘‘Section
609’’) prohibits imports of certain
categories of shrimp unless the
President certifies to the Congress by
May 1, 1991, and annually thereafter,
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
16:45 May 26, 2015
Jkt 235001
either: (1) That the harvesting nation has
adopted a program governing the
incidental capture of sea turtles in its
commercial shrimp fishery comparable
to the program in effect in the United
States and has an incidental take rate
comparable to that of the United States;
or (2) that the fishing environment in
the harvesting nation does not pose a
threat of the incidental taking of sea
turtles. The President has delegated the
authority to make this certification to
the Department of State (‘‘the
Department’’). Revised State Department
guidelines for making the required
certifications were published in the
Federal Register on July 2, 1999 (Vol.
64, No. 130, Public Notice 3086).
On April 27, 2015, the Department
certified 14 nations on the basis that
their sea turtle protection programs are
comparable to that of the United States:
Colombia, Costa Rica, Ecuador, El
Salvador, Gabon, Guatemala, Guyana,
Honduras, Mexico, Nicaragua, Nigeria,
Pakistan, Panama, and Suriname. The
Department also certified 26 shrimp
harvesting nations and one economy as
having fishing environments that do not
pose a danger to sea turtles. Sixteen
nations have shrimping grounds only in
cold waters where the risk of taking sea
turtles is negligible. They are:
Argentina, Belgium, Canada, Chile,
Denmark, Finland, Germany, Iceland,
Ireland, the Netherlands, New Zealand,
Norway, Russia, Sweden, the United
Kingdom, and Uruguay. Ten nations
and one economy only harvest shrimp
using small boats with crews of less
than five that use manual rather than
mechanical means to retrieve nets, or
PO 00000
Frm 00113
Fmt 4703
Sfmt 4703
catch shrimp using other methods that
do not threaten sea turtles. Use of such
small-scale technology does not
adversely affect sea turtles. The 10
nations and one economy are: The
Bahamas, Belize, China, the Dominican
Republic, Fiji, Hong Kong, Jamaica,
Oman, Peru, Sri Lanka, and Venezuela.
The Department of State has
communicated the certifications under
Section 609 to the Office of Field
Operations of U.S. Customs and Border
Protection.
All DS–2031 forms accompanying
shrimp imports from uncertified nations
must be originals and signed by the
competent domestic fisheries authority.
Shrimp harvested with turtle excluder
devices (TEDs) in an uncertified nation
may, under specific circumstances, be
eligible for importation into the United
States under the DS–2031 section
7(A)(2) provision for ‘‘shrimp harvested
by commercial shrimp trawl vessels
using TEDs comparable in effectiveness
to those required in the United States.’’
Use of this provision requires that the
Department of State determine in
advance that the government of the
harvesting nation has put in place
adequate procedures to monitor the use
of TEDS in the specific fishery in
question and to ensure the accurate
completion of the DS–2031 forms. At
this time, the Department has made
such a determination only with respect
to specific and limited fisheries in
Australia and France. Thus, the
importation of TED-caught shrimp from
any other uncertified nation will not be
allowed. For Australia, shrimp
harvested in the Exmouth Gulf Prawn
Fishery, the Northern Prawn Fishery,
E:\FR\FM\27MYN1.SGM
27MYN1
]]>Agencies
[Federal Register Volume 80, Number 101 (Wednesday, May 27, 2015)]
[Notices]
[Pages 30316-30318]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-12671]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2015-0029]
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.
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2015-0029].
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 July
27, 2015. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When
workers report they were paid wages but cannot provide proof of those
earnings, and the wages do not appear in SSA's records of earnings, SSA
uses Form SSA-7011-F4 to document the alleged wages. Specifically, the
agency uses the form to resolve discrepancies in the individual's
Social Security earnings record and to process claims for Social
Security benefits. We only send Form SSA-7011-F4 to employers if we are
unable able to locate the earnings information within our own records.
The respondents are employers who can verify wage allegations made by
wage earners.
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-7011-F4................................. 500 1 20 167
----------------------------------------------------------------------------------------------------------------
2. Function Report Adult-Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security
Disability Insurance (SSDI) or Supplemental Security Income (SSI)
provide SSA with medical evidence and other proof SSA requires to prove
their disability. SSA, and Disability Determination Services (DDS) on
our behalf, collect this information using Form SSA-3380-BK. We use the
information to document how claimant's disabilities affect their
ability to function, and to determine eligibility for SSI and SSDI
claims. The respondents are third parties familiar with the functional
limitations (or lack thereof) of claimants who apply for SSI and SSDI
benefits.
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-BK................................. 780,000 1 61 793,000
----------------------------------------------------------------------------------------------------------------
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 June 26, 2015. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Application for Parent's Insurance Benefits--20 CFR 404.370-
404.374, 20 CFR 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
[[Page 30317]]
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.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (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. Request for Withdrawal of Application--20 CFR 404.640--0960-
0015. Form SSA-521 documents the information SSA needs to process the
withdrawal of an application for benefits. A paper SSA-521 is our
preferred instrument for executing a withdrawal request; however, any
written request for withdrawal signed by the claimant or a proper
applicant on the claimant's behalf will suffice. Individuals who wish
to withdraw their applications for benefits complete Form SSA-521, or
sign the completed form for each request to withdraw. SSA uses the
information from the SSA-521 to process the request for withdrawal. The
respondents are applicants for Retirement, Survivors, Disability, and
Health Insurance benefits.
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-521..................................... 39,000 1 5 3,250
----------------------------------------------------------------------------------------------------------------
3. 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 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 burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
HA-4632 (paper)............................. 20,000 1 15 5,000
Electronic Records Express.................. 180,000 1 15 45,000
-------------------------------------------------------------------
Total................................... 200,000 ............... ............... 50,000
----------------------------------------------------------------------------------------------------------------
4. 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.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal or Telephone Interview............. 1,049 1 5 87
----------------------------------------------------------------------------------------------------------------
[[Page 30318]]
5. 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
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.
This is a correction notice. SSA published this information
collection as a revision on March 9, 2015 at 80 FR 12542. Since we are
not revising the Privacy Act Statement, this 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)
----------------------------------------------------------------------------------------------------------------
Medicare Part D Subsidy Applicants.......... 5,000 1 1 83
Financial Institutions...................... 5,000 1 4 333
-------------------------------------------------------------------
Total................................... 10,000 ............... ............... 416
----------------------------------------------------------------------------------------------------------------
Dated: May 20, 2015.
Faye I. Lipsky,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-12671 Filed 5-26-15; 8:45 am]
BILLING CODE 4191-02-P
