Agency Information Collection Activities: Proposed Request and Comment Request, 55705-55707 [2015-23275]

Download as PDF Federal Register / Vol. 80, No. 179 / Wednesday, September 16, 2015 / Notices LOUISIANA, dated 07/13/2015, is hereby amended to include the following areas as adversely affected by the disaster. Primary Parish: West Feliciana. All other information in the original declaration remains unchanged. United States Small Business Administration. Dated: September 10, 2015. Javier E. Saade, Associate Administrator for Investment. [FR Doc. 2015–23196 Filed 9–15–15; 8:45 am] BILLING CODE P (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) SMALL BUSINESS ADMINISTRATION Joseph P. Loddo, Acting Associate Administrator for Disaster Assistance. Surrender of License of Small Business Investment Company [FR Doc. 2015–23194 Filed 9–15–15; 8:45 am] BILLING CODE 8025–01–P SMALL BUSINESS ADMINISTRATION Surrender of License of Small Business Investment Company Pursuant to the authority granted to the United States Small Business Administration under the Small Business Investment Act of 1958, under Section 309 of the Act and Section 107.1900 of the Small Business Administration Rules and Regulations (13 CFR 107.1900) to function as a small business investment company under the Small business Investment Company License No. 09/79–0454 issued to Emergence Capital Partners SBIC, L.P., said license is hereby declared null and void. United States Small Business Administration. Dated: September 10, 2015. Javier E. Saade, Associate Administrator for Investment. Surrender of License of Small Business Investment Company asabaliauskas on DSK7TPTVN1PROD with NOTICES BILLING CODE P Agency Information Collection Activities: Proposed Request and Comment Request SMALL BUSINESS ADMINISTRATION Pursuant to the authority granted to the United States Small Business Administration under the Small Business Investment Act of 1958, under Section 309 of the Act and Section 107.1900 of the Small Business Administration Rules and Regulations (13 CFR 107.1900) to function as a small business investment company under the Small business Investment Company License No. 02/02–5495 issued to Jardine Capital Corporation., said license is hereby declared null and void. Jkt 235001 [FR Doc. 2015–23195 Filed 9–15–15; 8:45 am] [Docket No: SSA–2015–0053] BILLING CODE P 18:18 Sep 15, 2015 United States Small Business Administration. Dated: September 10, 2015. Javier E. Saade, Associate Administrator for Investment. SOCIAL SECURITY ADMINISTRATION [FR Doc. 2015–23197 Filed 9–15–15; 8:45 am] VerDate Sep<11>2014 Pursuant to the authority granted to the United States Small Business Administration under the Small Business Investment Act of 1958, under Section 309 of the Act and Section 107.1900 of the Small Business Administration Rules and Regulations (13 CFR 107.1900) to function as a small business investment company under the Small business Investment Company License No. 10/10–0192 issued to Tamarack Mezzanine Partners, L.P., said license is hereby declared null and void. 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 PO 00000 Frm 00118 Fmt 4703 Sfmt 4703 55705 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– 2015–0053]. 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 November 16, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Farm Self-Employment Questionnaire—20 CFR 404.1082(c) & 404.1095—0960–0061. SSA collects the information on Form SSA–7156 on a voluntary and as-needed basis to determine the existence of an agriculture trade or business, which may affect the monthly benefit, or insured status of the applicant. SSA requires the existence of a trade or business before determining if an individual or partnership may have net earnings from self-employment. When an applicant indicates self-employment as a farmer, SSA uses the SSA–7165 to obtain the information we need to determine the existence of an agricultural trade or business, and subsequent covered earnings for Social Security entitlement purposes. As part of the application process, we conduct a personal interview, either face-to-face or via telephone, and document the interview using Form SSA–7165. The respondents are applicants for Social Security benefits, whose entitlement depends on workers having covered earnings from self-employment as farmers. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\16SEN1.SGM 16SEN1 55706 Federal Register / Vol. 80, No. 179 / Wednesday, September 16, 2015 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–7156 ........................................................................................................ 47,500 1 10 7,917 2. Pain Report Child—20 CFR 404.1512 and 416.912—0960–0540. Before SSA can make a disability determination for a child, we require evidence from Supplemental Security Income (SSI) applicants or claimants to prove their disability. Form SSA–3371– BK provides disability interviewers, and SSI applicants or claimants in self-help situations, with a convenient way to record information regarding claimants’ pain or other symptoms. The State disability determination services adjudicators and administrative law judges use the information from Form SSA–3371–BK to assess the effects of symptoms on claimants’ ability to function, for purposes of determining disability under the Act. The respondents are applicants for, or claimants of, SSI payments. 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–3371 ........................................................................................................ 250,000 1 15 62,500 3. Internet Request for Replacement of Forms SSA–1099/SSA–1042S—20 CFR 401.45—0960–0583. Title II beneficiaries use Forms SSA–1099 and SSA–1042S, Social Security Benefit Statement, to determine (1) if their Social Security benefits are taxable, and (2) the amount they need to report to the Internal Revenue Service. In cases where the original forms are unavailable (e.g., lost, stolen, mutilated), an individual may use SSA’s automated telephone application to request a replacement SSA–1099 or SSA–1042S. SSA uses the information from the automated telephone requests to verify the identity of the requestor and to provide replacement copies of the forms. The automated telephone options reduce requests to the National 800 Number Network (N8NN) and visits to local Social Security field offices (FO). The respondents are Title II beneficiaries who wish to request a replacement SSA–1099 or SSA–1042S via the Internet or telephone. 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) Automated Telephone Requestors .................................................................. N8NN ............................................................................................................... Calls to local FOs ............................................................................................ Other (program service centers) ...................................................................... 206,424 483,021 810,448 78,375 1 1 1 1 2 3 3 3 6,881 24,151 40,522 3,919 1,578,268 ........................ ........................ 75,473 Totals ........................................................................................................ asabaliauskas on DSK7TPTVN1PROD with 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 October 16, 2015. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. 1. Employment Relationship Questionnaire—20 CFR 404.1007— 0960–0040. When SSA needs information to determine a worker’s employment status for the purpose of maintaining a worker’s earning records, the agency uses Form SSA–7160–F4 to determine the existence of an employeremployee relationship. We use the information to develop the employment relationship; specifically to determine whether a beneficiary is self-employed or an employee. The respondents are individuals seeking to establish their status as employees, and their alleged employers. Note: This is a correction notice. SSA published this information collection as a revision on July 17, 2015, at 80 FR 42600. 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) Individuals ........................................................................................................ Businesses ....................................................................................................... 8,000 7,200 1 1 25 25 3,333 3,000 VerDate Sep<11>2014 18:18 Sep 15, 2015 Jkt 235001 PO 00000 Frm 00119 Fmt 4703 Sfmt 4703 E:\FR\FM\16SEN1.SGM 16SEN1 Federal Register / Vol. 80, No. 179 / Wednesday, September 16, 2015 / Notices 55707 Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) State/Local Government .................................................................................. 800 1 25 333 16,000 ........................ ........................ 6,666 Totals ........................................................................................................ 2. Testimony by Employees and the Production of Records and Information in Legal Proceedings—20 CFR 403.100– 403.155—0960–0619. Regulations at 20 CFR 403.100–403.155 of the Code of Federal Regulations establish SSA’s policies and procedures for an individual, organization, or government entity to request official agency information, records, or testimony of an agency employee in a legal proceeding when the agency is not a party. The request, which respondents submit in writing to the Commissioner, must (1) fully set out the nature and relevance of the sought testimony; (2) explain why the information is not available by other means; (3) explain why it is in SSA’s interest to provide the testimony; and (4) provide the date, time, and place for the testimony. Respondents are individuals or entities who request testimony from SSA employees in connection with a legal proceeding. 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) 20 CFR 403.100–403.155 ............................................................................... 100 1 60 100 3. Notification of a Social Security Number (SSN) To An Employer for Wage Reporting—20 CFR 422.103(a)— 0960–0778. Individuals applying for employment must provide a Social Security Number, or indicate they have applied for one. However, when an individual applies for an initial SSN, there is a delay between the assignment of the number and the delivery of the SSN card. At an individual’s request, SSA uses Form SSA–132 to send the individual’s SSN to an employer. Mailing this information to the employer: (1) Ensures the employer has the correct SSN for the individual; (2) allows SSA to receive correct earnings information for wage reporting purposes; and (3) reduces the delay in the initial SSN assignment and delivery of the SSN information directly to the employer. It also enables SSA to verify the employer as a safeguard for the applicant’s personally identifiable information. The majority of individuals who take advantage of this option are in the United States with exchange visitor and student visas; however, we allow any applicant for an SSN to use the SSA–132. The respondents are individuals applying for an initial SSN who ask SSA to mail confirmation of their application or the SSN to their employers. 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–132 .......................................................................................................... 298,953 1 2 9,965 Dated: September 11, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015–23275 Filed 9–15–15; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE asabaliauskas on DSK7TPTVN1PROD with NOTICES [Public Notice: 9273] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Jacqueline de Ribes: The Art of Style’’ 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), Executive Order 12047 of March SUMMARY: VerDate Sep<11>2014 18:18 Sep 15, 2015 Jkt 235001 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 ‘‘Jacqueline de Ribes: The Art of Style,’’ 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 Metropolitan Museum of Art, New York, New York, from on or about November 17, 2015, until on or about February 21, PO 00000 Frm 00120 Fmt 4703 Sfmt 4703 2016, 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, including a list of the imported objects, contact the Office of Public Diplomacy and Public Affairs in the Office of the Legal Adviser, U.S. Department of State (telephone: 202– 632–6471; email: section2459@state.gov). The mailing address is U.S. Department of State, L/ PD, SA–5, Suite 5H03, Washington, DC 20522–0505. FOR FURTHER INFORMATION CONTACT: E:\FR\FM\16SEN1.SGM 16SEN1

Agencies

Social Security Administration

[Federal Register Volume 80, Number 179 (Wednesday, September 16, 2015)]
[Notices]
[Pages 55705-55707]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-23275]

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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0053]

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-2015-0053].
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
November 16, 2015. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) &
404.1095--0960-0061. SSA collects the information on Form SSA-7156 on a
voluntary and as-needed basis to determine the existence of an
agriculture trade or business, which may affect the monthly benefit, or
insured status of the applicant. SSA requires the existence of a trade
or business before determining if an individual or partnership may have
net earnings from self-employment. When an applicant indicates self-
employment as a farmer, SSA uses the SSA-7165 to obtain the information
we need to determine the existence of an agricultural trade or
business, and subsequent covered earnings for Social Security
entitlement purposes. As part of the application process, we conduct a
personal interview, either face-to-face or via telephone, and document
the interview using Form SSA-7165. The respondents are applicants for
Social Security benefits, whose entitlement depends on workers having
covered earnings from self-employment as farmers.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 55706]]

2. Pain Report Child--20 CFR 404.1512 and 416.912--0960-0540.
Before SSA can make a disability determination for a child, we require
evidence from Supplemental Security Income (SSI) applicants or
claimants to prove their disability. Form SSA-3371-BK provides
disability interviewers, and SSI applicants or claimants in self-help
situations, with a convenient way to record information regarding
claimants' pain or other symptoms. The State disability determination
services adjudicators and administrative law judges use the information
from Form SSA-3371-BK to assess the effects of symptoms on claimants'
ability to function, for purposes of determining disability under the
Act. The respondents are applicants for, or claimants of, SSI payments.
Type of Request: Revision of an OMB-approved information
collection.

3. Internet Request for Replacement of Forms SSA-1099/SSA-1042S--20
CFR 401.45--0960-0583. Title II beneficiaries use Forms SSA-1099 and
SSA-1042S, Social Security Benefit Statement, to determine (1) if their
Social Security benefits are taxable, and (2) the amount they need to
report to the Internal Revenue Service. In cases where the original
forms are unavailable (e.g., lost, stolen, mutilated), an individual
may use SSA's automated telephone application to request a replacement
SSA-1099 or SSA-1042S. SSA uses the information from the automated
telephone requests to verify the identity of the requestor and to
provide replacement copies of the forms. The automated telephone
options reduce requests to the National 800 Number Network (N8NN) and
visits to local Social Security field offices (FO). The respondents are
Title II beneficiaries who wish to request a replacement SSA-1099 or
SSA-1042S via the Internet or telephone.
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)
----------------------------------------------------------------------------------------------------------------
Automated Telephone Requestors.............. 206,424 1 2 6,881
N8NN........................................ 483,021 1 3 24,151
Calls to local FOs.......................... 810,448 1 3 40,522
Other (program service centers)............. 78,375 1 3 3,919
-------------------------------------------------------------------
Totals.................................. 1,578,268 ............... ............... 75,473
----------------------------------------------------------------------------------------------------------------

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 October 16, 2015. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Employment Relationship Questionnaire--20 CFR 404.1007--0960-
0040. When SSA needs information to determine a worker's employment
status for the purpose of maintaining a worker's earning records, the
agency uses Form SSA-7160-F4 to determine the existence of an employer-
employee relationship. We use the information to develop the employment
relationship; specifically to determine whether a beneficiary is self-
employed or an employee. The respondents are individuals seeking to
establish their status as employees, and their alleged employers.
Note: This is a correction notice. SSA published this information
collection as a revision on July 17, 2015, at 80 FR 42600. 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.

[[Page 55707]]

State/Local Government...................... 800 1 25 333
-------------------------------------------------------------------
Totals.................................. 16,000 ............... ............... 6,666
----------------------------------------------------------------------------------------------------------------

2. Testimony by Employees and the Production of Records and
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619.
Regulations at 20 CFR 403.100-403.155 of the Code of Federal
Regulations establish SSA's policies and procedures for an individual,
organization, or government entity to request official agency
information, records, or testimony of an agency employee in a legal
proceeding when the agency is not a party. The request, which
respondents submit in writing to the Commissioner, must (1) fully set
out the nature and relevance of the sought testimony; (2) explain why
the information is not available by other means; (3) explain why it is
in SSA's interest to provide the testimony; and (4) provide the date,
time, and place for the testimony. Respondents are individuals or
entities who request testimony from SSA employees in connection with a
legal proceeding.
Type of Request: Extension of an OMB-approved information
collection.

3. Notification of a Social Security Number (SSN) To An Employer
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying
for employment must provide a Social Security Number, or indicate they
have applied for one. However, when an individual applies for an
initial SSN, there is a delay between the assignment of the number and
the delivery of the SSN card. At an individual's request, SSA uses Form
SSA-132 to send the individual's SSN to an employer. Mailing this
information to the employer: (1) Ensures the employer has the correct
SSN for the individual; (2) allows SSA to receive correct earnings
information for wage reporting purposes; and (3) reduces the delay in
the initial SSN assignment and delivery of the SSN information directly
to the employer. It also enables SSA to verify the employer as a
safeguard for the applicant's personally identifiable information. The
majority of individuals who take advantage of this option are in the
United States with exchange visitor and student visas; however, we
allow any applicant for an SSN to use the SSA-132. The respondents are
individuals applying for an initial SSN who ask SSA to mail
confirmation of their application or the SSN to their employers.
Type of Request: Revision of an OMB-approved information
collection.

Dated: September 11, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-23275 Filed 9-15-15; 8:45 am]
BILLING CODE 4191-02-P

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