Agency Information Collection Activities: Proposed Request and Comment Request, 57907-57910 [2015-24302]

Download as PDF Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices Comments should refer to the information collection by name and/ or OMB Control Number and should be sent to: Agency Clearance Officer, Curtis Rich, Small Business Administration, 409 3rd Street SW., 5th Floor, Washington, DC 20416; and SBA Desk Officer, Office of Information and Regulatory Affairs, Office of Management and Budget, New Executive Office Building, Washington, DC 20503. FOR FURTHER INFORMATION CONTACT: Curtis Rich, Agency Clearance Officer, (202) 205–7030 curtis.rich@sba.gov. Copies: A copy of the Form OMB 83– 1, supporting statement, and other documents submitted to OMB for review may be obtained from the Agency Clearance Officer. SUPPLEMENTARY INFORMATION: Boots to Business is an entrepreneurial education initiative offered by the U.S. Small Business Administration (SBA) as a career track within the Department of Defense’s revised Training Assistance Program called Transition Goals, Plans, Success (Transition GPS). The curriculum provides valuable assistance to transitioning service members exploring self-employment opportunities by leading them through the key steps for evaluating business concepts and the foundational knowledge required for developing a business plan. Participants are also introduced to SBA resources available to help access startup capital and additional technical assistance. The Boots to Business Post Course surveys will be online, voluntary surveys that enable the Boots to Business program office to capture data related but not limited to the effectiveness of all Boots to Business courses, quality of the instructors and materials, and number of small businesses created as a result of participating in Boots to Business. Boots to Business will send an initial survey via email to all course participants immediately following course completion to gain insight on the quality of the program. Every 6 months following course completion, a follow up survey will be sent to all participants to measure participant outcomes as we link course effectiveness to the creation of veteran owned small businesses. Participants will be surveyed twice a year for 5 years following course completion to allow time for business creation. mstockstill on DSK4VPTVN1PROD with NOTICES ADDRESSES: Solicitation of Public Comments Comments may be submitted on (a) whether the collection of information is necessary for the agency to properly VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 perform its functions; (b) whether the burden estimates are accurate; (c) whether there are ways to minimize the burden, including through the use of automated techniques or other forms of information technology; and (d) whether there are ways to enhance the quality, utility, and clarity of the information. Summary of Information Collections Title: Boots to Business Post Course Surveys. Description of Respondents: Service members, veterans and spouses. Form Numbers: N/A. Estimated Annual Respondents: 15,000. Estimated Annual Responses: 30,000. Estimated Annual Hour Burden: 2,000. Curtis B. Rich, Management Analyst. [FR Doc. 2015–24366 Filed 9–24–15; 8:45 am] BILLING CODE 8025–01–P SMALL BUSINESS ADMINISTRATION [Disaster Declaration #14417 and #14418] West Virginia Disaster Number WV– 00041 U.S. Small Business Administration. ACTION: Amendment 1. AGENCY: SUMMARY: This is an amendment of the Presidential declaration of a major disaster for Public Assistance Only for the State of West Virginia (FEMA–4236– DR), dated 08/07/2015. Incident: Severe Storms, Straight-line Winds, Flooding, Landslides, and Mudslides. Incident Period: 07/10/2015 through 07/14/2015. Effective Date: 09/17/2015. Physical Loan Application Deadline Date: 10/06/2015. Economic Injury (EIDL) Loan Application Deadline Date: 05/07/2016. ADDRESSES: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street SW., Suite 6050, Washington, DC 20416. SUPPLEMENTARY INFORMATION: The notice of the President’s major disaster declaration for Private Non-Profit organizations in the State of WEST VIRGINIA, dated 08/07/2015, is hereby amended to include the following areas as adversely affected by the disaster. PO 00000 Frm 00125 Fmt 4703 Sfmt 4703 57907 Primary Counties: Jackson. All other information in the original declaration remains unchanged. (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc. 2015–24498 Filed 9–24–15; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2015–0054] 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– 2015–0054]. 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 24, 2015. Individuals can obtain copies of E:\FR\FM\25SEN1.SGM 25SEN1 57908 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices the collection instruments by writing to the above email address. 1. Pre-1957 Military Service Federal Benefit Questionnaire—20 CFR 404.1301–404.1371—0960–0120. SSA may grant gratuitous military wage credits for active military or naval service (under certain conditions) during the period September 16, 1940 through December 31, 1956, if no other Federal agency (other than the Veterans Administration) credited the service for benefit eligibility or computation purposes. We use Form SSA–2512 to collect specific information about other Federal, military, or civilian benefits the wage earner may receive when the applicant indicates both pre-1957 military service and the receipt of a Federal benefit. SSA uses the data in the claims adjudication process to grant gratuitous military wage credits when applicable, and to solicit sufficient information to determine eligibility. Respondents are applicants for Social Security benefits on a record where the wage earner claims pre-1957 military service. 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–2512 ........................................................................................................ 5,000 1 10 833 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 26, 2015. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. 1. Certificate of Support—20 CFR 404.370, 404.750, 404.408a—0960– 0001. A parent of a deceased, fully insured worker may be entitled to Social Security Old-Age, Survivors, and Disability Insurance (OASDI) benefits based on the earnings record of the deceased worker under certain conditions. One of the conditions is the parent must have received at least onehalf support from the deceased worker. The one-half support requirement also applies to a spousal applicant in determining whether OASDI benefits are subject to Government Pension Offset (GPO). SSA uses the information from Form SSA–760–F4 to determine if the parent of a deceased worker or a spouse applicant meets the one-half support requirement. Respondents are (1) parents of deceased workers and (2) spouses who may meet the GPO exception. 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–760–F4 .................................................................................................... 18,000 1 15 4,500 2. Vocational Rehabilitation Provider Claim—20 CFR 404.2108(b), 404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b), 416.2217(c)(1) & (2), 416.2201(b)&(c), 416.2221(a)— 0960–0310. State vocational rehabilitation (VR) agencies submit Form SSA–199 to SSA to obtain reimbursement of costs incurred for providing VR services. SSA requires state VR agencies to submit reimbursement claims for the following categories: (1) Claiming reimbursement for VR services provided; (2) certifying adherence to cost containment policies and procedures; and (3) preparing causality statements. The respondents mail the paper copy of the SSA–199 to SSA for consideration and approval of the claim for reimbursement of costs incurred for SSA beneficiaries. For claims certifying adherence to cost containment policies and procedures, or for preparing causality statements, State VR agencies submit written requests as stipulated in SSA’s regulations within Modality of completion (type of response as indicated below) Number of respondents Frequency of response the Code of Federal Regulations. SSA uses the information on the SSA–199, along with the written documentation, to determine whether, and how much, to pay State VR agencies under SSA’s VR program. Respondents are Sate VR agencies offering vocational and employment services to Social Security and Supplemental Security Income (SSI) recipients. Type of Request: Revision of an OMBapproved information collection. (Number of responses) Average burden per response (minutes) Estimated total annual burden (hours) mstockstill on DSK4VPTVN1PROD with NOTICES SSA–199 CFR 404.2108 & 416.2208 ................................. CFR 404.2117 & 416.2217 Written requests ...................... CFR 404.2121 & 416.2221 Written requests ...................... 80 80 80 160 1 2.5 (12,800) (80) (200) 23 60 100 4,907 80 333 Totals ............................................................................ 80 ........................ (13,080) ........................ 5,320 3. Integrated Registration Services (IRES) System—20 CFR 401.45—0960– 0626. The IRES System verifies the VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 identity of individuals, businesses, organizations, entities, and government agencies seeking to use SSA’s eService PO 00000 Frm 00126 Fmt 4703 Sfmt 4703 Internet and telephone applications. Individuals need this verification to electronically request and exchange E:\FR\FM\25SEN1.SGM 25SEN1 57909 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices business data with SSA. Requestors provide SSA with the information needed to establish their identities. Once SSA verifies identity, the IRES system issues the requestor a user identification number and a password to conduct business with SSA. Respondents are employers and third party submitters of wage data business entities providing taxpayer Number of respondents Modality of completion identification information, and data exchange partners conducting business in support of SSA programs. Type of Request: Extension of an OMB-approved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) IRES Internet Registrations ............................................................................. IRES Internet Requestors ................................................................................ IRES CS (CSA) Registrations ......................................................................... 662,102 9,209,489 23,562 1 1 1 5 2 11 55,175 306,983 4,320 Totals ........................................................................................................ 9,895,153 ........................ ........................ 366,478 4. Site Review Questionnaire for Volume and Fee-for-Service Payees and Beneficiary Interview Form—20 CFR 404.2035, 404.2065, 416.665, 416.701, and 416.708—0960–0633. SSA asks organizational representative payees to complete Form SSA–637, the Site Review Questionnaire for Volume and Fee-for-Service Payees, to provide information on how they carry out their responsibilities, including how they manage beneficiary funds. SSA then obtains information from the beneficiaries these organizations represent via Form SSA–639, Beneficiary Interview Form, to corroborate the payees’ statements. Due to the sensitivity of the information, SSA employees always complete the forms based on the answers respondents Number of responses Modality of completion give during the interview. The respondents are individuals; State and local governments; non-profit and forprofit organizations serving as representative payees; and the beneficiaries they serve. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–637 .......................................................................................................... SSA–639 .......................................................................................................... 1,999 8,293 1 1 120 10 3,998 1,382 Totals ........................................................................................................ 10,292 ........................ ........................ 5,380 5. Request for Reinstatement (Title II)—20 CFR 404.1592b—404.1592f— 0960–0742. SSA allows certain previously entitled disability beneficiaries to request expedited reinstatement (EXR) of benefits under title II of the Social Security Act when their medical condition no longer permits them to perform substantial gainful activity. SSA uses Form SSA– 371 to obtain: (1) A signed statement from individuals requesting an EXR of their Title II disability benefits, and (2) proof the requestors meet the EXR requirements. SSA maintains the form in the disability folder of the applicant to demonstrate the requestors’ awareness of the EXR requirements, and their choice to request EXR. Respondents are applicants for EXR of Title II disability benefits. Type of Request: Revision of an OMBapproved information collection. Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–371 .......................................................................................................... mstockstill on DSK4VPTVN1PROD with NOTICES Modality of completion 10,000 1 2 333 6. Important Information About Your Appeal, Waiver Rights, and Repayment Options—20 CFR 404.502–521—0960– 0779. When SSA accidentally overpays beneficiaries, the agency informs them of the following rights: (1) The right to reconsideration of the overpayment determination; (2) the right to request a waiver of recovery and the automatic scheduling of a personal conference if VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 SSA cannot approve a request for waiver; and (3) the availability of a different rate of withholding when SSA proposes the full withholding rate. SSA uses Form SSA–3105, Important Information About Your Appeal, Waiver Rights, and Repayment Options, to explain these rights to overpaid individuals and allow them to notify SSA of their decision(s) regarding these PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 rights. The respondents are overpaid claimants requesting a waiver of recovery for the overpayment; reconsideration of the fact of the overpayment; or a lesser rate of withholding of the overpayment. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\25SEN1.SGM 25SEN1 57910 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices Modality of collection Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–3105 ........................................................................................................ 80,000 1 15 20,000 Dated: Septebmer 21, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015–24302 Filed 9–24–15; 8:45 am] Dated: September 22, 2015. Kelly Keiderling, Principal Deputy Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. Dated: September 17, 2015. Kelly Keiderling, Principal Deputy Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. BILLING CODE 4191–02–P [FR Doc. 2015–24613 Filed 9–24–15; 8:45 am] [FR Doc. 2015–24460 Filed 9–24–15; 8:45 am] BILLING CODE 4710–05–P BILLING CODE 4710–05–P DEPARTMENT OF STATE DEPARTMENT OF STATE DEPARTMENT OF STATE [Public Notice 9289] [Public Notice 9288] mstockstill on DSK4VPTVN1PROD with NOTICES Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Delacroix’s Influence: The Rise of ´ Modern Art From Cezanne to van Gogh’’ Exhibition [Public Notice 9287] SUMMARY: 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 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 ‘‘Delacroix’s Influence: The Rise of Modern Art From ´ Cezanne to van Gogh,’’ 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 Minneapolis Institute of Art, Minneapolis, Minnesota, from on or about October 18, 2015, until on or about January 10, 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 CONTACT: 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. SUMMARY: 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 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 ‘‘Sotatsu: Making Waves,’’ 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 Arthur M. Sackler Gallery, Smithsonian Institution, Washington, District of Columbia, from on or about October 24, 2015, until on or about January 31, 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. VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 Culturally Significant Objects Imported for Exhibition Determinations: ¯ ‘‘Sotatsu: Making Waves’’ Exhibition 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: PO 00000 Frm 00128 Fmt 4703 Sfmt 4703 Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Frank Stella: A Retrospective’’ Exhibition SUMMARY: 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 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 ‘‘Frank Stella: A Retrospective,’’ 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 Whitney Museum of American Art, New York, New York, from on or about October 30, 2015, until on or about February 7, 2016, at the Modern Art Museum of Fort Worth, Fort Worth, Texas, from on or about April 17, 2016, until on or about September 4, 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 CONTACT: 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. E:\FR\FM\25SEN1.SGM 25SEN1

Agencies

[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57907-57910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24302]


=======================================================================
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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0054]


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-2015-0054].
    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 24, 2015. Individuals can obtain copies of

[[Page 57908]]

the collection instruments by writing to the above email address.
    1. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR 
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage 
credits for active military or naval service (under certain conditions) 
during the period September 16, 1940 through December 31, 1956, if no 
other Federal agency (other than the Veterans Administration) credited 
the service for benefit eligibility or computation purposes. We use 
Form SSA-2512 to collect specific information about other Federal, 
military, or civilian benefits the wage earner may receive when the 
applicant indicates both pre-1957 military service and the receipt of a 
Federal benefit. SSA uses the data in the claims adjudication process 
to grant gratuitous military wage credits when applicable, and to 
solicit sufficient information to determine eligibility. Respondents 
are applicants for Social Security benefits on a record where the wage 
earner claims pre-1957 military service.
    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-2512....................................           5,000                1               10              833
----------------------------------------------------------------------------------------------------------------

    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 26, 2015. Individuals can obtain copies of the 
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits based on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the parent must have 
received at least one-half support from the deceased worker. The one-
half support requirement also applies to a spousal applicant in 
determining whether OASDI benefits are subject to Government Pension 
Offset (GPO). SSA uses the information from Form SSA-760-F4 to 
determine if the parent of a deceased worker or a spouse applicant 
meets the one-half support requirement. Respondents are (1) parents of 
deceased workers and (2) spouses who may meet the GPO exception.
    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-760-F4..................................          18,000                1               15            4,500
----------------------------------------------------------------------------------------------------------------

    2. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b), 
404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b), 
416.2217(c)(1) & (2), 416.2201(b)&(c), 416.2221(a)--0960-0310. State 
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to 
obtain reimbursement of costs incurred for providing VR services. SSA 
requires state VR agencies to submit reimbursement claims for the 
following categories: (1) Claiming reimbursement for VR services 
provided; (2) certifying adherence to cost containment policies and 
procedures; and (3) preparing causality statements. The respondents 
mail the paper copy of the SSA-199 to SSA for consideration and 
approval of the claim for reimbursement of costs incurred for SSA 
beneficiaries. For claims certifying adherence to cost containment 
policies and procedures, or for preparing causality statements, State 
VR agencies submit written requests as stipulated in SSA's regulations 
within the Code of Federal Regulations. SSA uses the information on the 
SSA-199, along with the written documentation, to determine whether, 
and how much, to pay State VR agencies under SSA's VR program. 
Respondents are Sate VR agencies offering vocational and employment 
services to Social Security and Supplemental Security Income (SSI) 
recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
Modality of completion  (type of     Number of     Frequency of     (Number of      burden per     total annual
  response as indicated below)      respondents      response       responses)       response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-199 CFR 404.2108 & 416.2208.              80             160        (12,800)              23           4,907
CFR 404.2117 & 416.2217 Written               80               1            (80)              60              80
 requests.......................
CFR 404.2121 & 416.2221 Written               80             2.5           (200)             100             333
 requests.......................
                                 -------------------------------------------------------------------------------
    Totals......................              80  ..............        (13,080)  ..............           5,320
----------------------------------------------------------------------------------------------------------------

    3. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals, 
businesses, organizations, entities, and government agencies seeking to 
use SSA's eService Internet and telephone applications. Individuals 
need this verification to electronically request and exchange

[[Page 57909]]

business data with SSA. Requestors provide SSA with the information 
needed to establish their identities. Once SSA verifies identity, the 
IRES system issues the requestor a user identification number and a 
password to conduct business with SSA. Respondents are employers and 
third party submitters of wage data business entities providing 
taxpayer identification information, and data exchange partners 
conducting business in support of SSA programs.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations.....................         662,102               1               5          55,175
IRES Internet Requestors........................       9,209,489               1               2         306,983
IRES CS (CSA) Registrations.....................          23,562               1              11           4,320
                                                 ---------------------------------------------------------------
    Totals......................................       9,895,153  ..............  ..............         366,478
----------------------------------------------------------------------------------------------------------------

    4. Site Review Questionnaire for Volume and Fee-for-Service Payees 
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665, 
416.701, and 416.708--0960-0633. SSA asks organizational representative 
payees to complete Form SSA-637, the Site Review Questionnaire for 
Volume and Fee-for-Service Payees, to provide information on how they 
carry out their responsibilities, including how they manage beneficiary 
funds. SSA then obtains information from the beneficiaries these 
organizations represent via Form SSA-639, Beneficiary Interview Form, 
to corroborate the payees' statements. Due to the sensitivity of the 
information, SSA employees always complete the forms based on the 
answers respondents give during the interview. The respondents are 
individuals; State and local governments; non-profit and for-profit 
organizations serving as representative payees; and the beneficiaries 
they serve.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of completion                  responses       response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-637.........................................           1,999               1             120           3,998
SSA-639.........................................           8,293               1              10           1,382
                                                 ---------------------------------------------------------------
    Totals......................................          10,292  ..............  ..............           5,380
----------------------------------------------------------------------------------------------------------------

    5. Request for Reinstatement (Title II)--20 CFR 404.1592b--
404.1592f--0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under title II of the Social Security Act when their medical condition 
no longer permits them to perform substantial gainful activity. SSA 
uses Form SSA-371 to obtain: (1) A signed statement from individuals 
requesting an EXR of their Title II disability benefits, and (2) proof 
the requestors meet the EXR requirements. SSA maintains the form in the 
disability folder of the applicant to demonstrate the requestors' 
awareness of the EXR requirements, and their choice to request EXR. 
Respondents are applicants for EXR of Title II disability 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-371.....................................          10,000                1                2              333
----------------------------------------------------------------------------------------------------------------

    6. Important Information About Your Appeal, Waiver Rights, and 
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally 
overpays beneficiaries, the agency informs them of the following 
rights: (1) The right to reconsideration of the overpayment 
determination; (2) the right to request a waiver of recovery and the 
automatic scheduling of a personal conference if SSA cannot approve a 
request for waiver; and (3) the availability of a different rate of 
withholding when SSA proposes the full withholding rate. SSA uses Form 
SSA-3105, Important Information About Your Appeal, Waiver Rights, and 
Repayment Options, to explain these rights to overpaid individuals and 
allow them to notify SSA of their decision(s) regarding these rights. 
The respondents are overpaid claimants requesting a waiver of recovery 
for the overpayment; reconsideration of the fact of the overpayment; or 
a lesser rate of withholding of the overpayment.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 57910]]



----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of collection                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3105....................................          80,000                1               15           20,000
----------------------------------------------------------------------------------------------------------------


    Dated: Septebmer 21, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-24302 Filed 9-24-15; 8:45 am]
 BILLING CODE 4191-02-P