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