Agency Information Collection Activities: Proposed Request, 19283-19284 [2016-07584]

Download as PDF Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices All other information in the original declaration remains unchanged. (Catalog of Federal Domestic Assistance Numbers 59008) (Catalog of Federal Domestic Assistance Numbers 59008) James E. Rivera, Associate Administrator for Disaster Assistance. Lisa Lopez-Suarez, Acting Associate Administrator for Disaster Assistance. [FR Doc. 2016–07605 Filed 4–1–16; 8:45 am] BILLING CODE 8025–01–P [FR Doc. 2016–07648 Filed 4–1–16; 8:45 am] BILLING CODE 8025–01–P SMALL BUSINESS ADMINISTRATION [Disaster Declaration #14685 and #14686] SMALL BUSINESS ADMINISTRATION Mississippi Disaster #MS–00084 [Disaster Declaration #14675 and #14676] Texas Disaster Number TX–00465 U.S. Small Business Administration. AGENCY: ACTION: This is an amendment of the Presidential declaration of a major disaster for the State of Texas (FEMA– 4266–DR), dated 03/19/2016. Incident: Severe storms, tornadoes, and flooding. Incident Period: 03/07/2016 and continuing. Effective Date: 03/25/2016. Physical Loan Application Deadline Date: 05/18/2016. EIDL Loan Application Deadline Date: 12/19/2016. SUMMARY: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. ADDRESSES: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street, SW., Suite 6050, Washington, DC 20416. FOR FURTHER INFORMATION CONTACT: The notice of the Presidential disaster declaration for the State of TEXAS, dated 03/19/ 2016 is hereby amended to include the following areas as adversely affected by the disaster: Primary Counties: (Physical Damage and Economic Injury Loans): Erath, Gregg, Harrison, Hood, Marion, Parker Contiguous Counties: (Economic Injury Loans Only): Texas : Bosque, Cass, Comanche, Eastland, Hamilton, Jack, Johnson, Morris, Palo Pinto, Panola, Rusk, Smith, Somervell, Tarrant Upshur, Wise Louisiana: Caddo mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: All other information in the original declaration remains unchanged. 19:03 Apr 01, 2016 Jkt 238001 This is a Notice of the Presidential declaration of a major disaster for the State of Mississippi (FEMA–4268–DR), dated 03/25/2016. Incident: Severe Storms and Flooding. Incident Period: 03/09/2016 and continuing. Effective Date: 03/25/2016. Physical Loan Application Deadline Date: 05/24/2016. Economic Injury (EIDL) Loan Application Deadline Date: 12/27/2016. 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: Notice is hereby given that as a result of the President’s major disaster declaration on 03/25/2016, applications for disaster loans may be filed at the address listed above or other locally announced locations. The following areas have been determined to be adversely affected by the disaster: Primary Counties (Physical Damage and Economic Injury Loans): Bolivar, Coahoma, Washington. Contiguous Counties (Economic Injury Loans Only): Mississippi: Humphreys, Issaquena, Quitman, Sharkey, Sunflower, Tallahatchie, Tunica. Arkansas: Chicot, Desha, Phillips. The Interest Rates are: SUMMARY: Amendment 1. VerDate Sep<11>2014 U.S. Small Business Administration. ACTION: Notice. AGENCY: For Physical Damage: Homeowners With Credit Available Elsewhere ...................... Homeowners Without Credit Available Elsewhere .............. PO 00000 Frm 00172 Fmt 4703 Sfmt 4703 19283 Percent Businesses With Credit Available Elsewhere ...................... Businesses Without Credit Available Elsewhere .............. Non-Profit Organizations With Credit Available Elsewhere ... Non-Profit Organizations Without Credit Available Elsewhere ..................................... For Economic Injury: Businesses & Small Agricultural Cooperatives Without Credit Available Elsewhere .............. Non-Profit Organizations Without Credit Available Elsewhere ..................................... 6.250 4.000 2.625 2.625 4.000 2.625 The number assigned to this disaster for physical damage is 146856 and for economic injury is 146860. (Catalog of Federal Domestic Assistance Numbers 59008) James E. Rivera, Associate Administrator for Disaster Assistance. [FR Doc. 2016–07604 Filed 4–1–16; 8:45 am] BILLING CODE 8025–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2016–0010] Agency Information Collection Activities: Proposed Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions 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, Percent Fax: 202–395–6974, Email address: OIRA_Submission@omb.eop.gov. (SSA), Social Security Administration, OLCA, Attn: Reports Clearance 3.625 Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235, 1.813 E:\FR\FM\04APN1.SGM 04APN1 19284 Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Notices 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– 2016–0010]. 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 widower, or children as defined in Section 202(i) of the Social Security Act (Act). Respondents complete the application for this one-time payment via paper form, telephone, or an inperson interview with SSA employees. Respondents are applicants for the LSDP. Type of Request: Revision of an OMBapproved information collection. comments, we must receive them no later than June 3, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Lump Sum Death Payment—20 CFR 404.390–404.392— 0960–0013. SSA uses Form SSA–8–F4 to collect information needed to authorize payment of the lump sum death payment (LSDP) to a widow, Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Modernized Claims System ............................................................................. Paper ............................................................................................................... 662,084 8,164 1 1 9 10 99,313 1,361 Total .......................................................................................................... 670,248 ........................ ........................ 100,674 Medical Report on Adult with Allegation of Human Immunodeficiency Virus Infection; Medical Report on Child with Allegation of Human Immunodeficiency Virus Infection—20 CFR 416.933–20 CFR 416.934—0960– 0500. Section 1631(e)(i) of the Act authorizes the Commissioner of SSA to gather information to make a determination about an applicant’s claim for Supplemental Security Income (SSI) payments; this procedure is the Presumptive Disability (PD). SSA uses Forms SSA–4814–F5 and SSA–4815–F6 to collect information necessary to determine if an individual with human Number of respondents Modality of completion immunodeficiency virus infection, who is applying for SSI disability benefits, meets the requirements for PD. The respondents are the medical sources of the applicants for SSI disability payments. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Total estimated total annual burden (hours) SSA–4814–F5 .................................................................................................. SSA–4815–F6 .................................................................................................. 18,750 120 1 1 8 10 2,500 20 Totals ........................................................................................................ 18,870 ........................ ........................ 2,520 3. Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration—0960–0585. SSA uses Form SSA–437 to investigate and formally resolve complaints of discrimination based on disability, race, color, national origin (including limited English language proficiency), sex (including sexual orientation and gender identity), age, religion, or retaliation for having participated in a proceeding under this administrative complaint process in connection with an SSA program or activity. Individuals who believe SSA discriminated against them on any of the above bases may file a written complaint of discrimination. SSA uses the information to (1) identify the complaint; (2) identify the alleged discriminatory act; (3) establish the date of such alleged action; (4) establish the identity of any individual(s) with information about the alleged discrimination; and (5) establish other relevant information that would assist in the investigation and resolution of the complaint. Respondents are individuals who believe an SSA program or activity, or SSA employees, contractors or agents discriminated against them. Type of Request: Revision on an OMB-approved information collection. Number of respondents Frequency of response Average burden per response (minutes) Total annual burden (hours) SSA–437 .......................................................................................................... mstockstill on DSK4VPTVN1PROD with NOTICES Modality of collection 255 1 60 255 Dated: March 28, 2016. Faye Lipsky, Reports Clearance Director, Social Security Administration. [FR Doc. 2016–07584 Filed 4–1–16; 8:45 am] BILLING CODE 4191–02–P VerDate Sep<11>2014 19:03 Apr 01, 2016 Jkt 238001 PO 00000 Frm 00173 Fmt 4703 Sfmt 9990 E:\FR\FM\04APN1.SGM 04APN1

Agencies

[Federal Register Volume 81, Number 64 (Monday, April 4, 2016)]
[Notices]
[Pages 19283-19284]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-07584]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0010]


Agency Information Collection Activities: Proposed Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions 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,

[[Page 19284]]

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-2016-0010].
    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 June 
3, 2016. Individuals can obtain copies of the collection instruments by 
writing to the above email address.
    1. Application for Lump Sum Death Payment--20 CFR 404.390-404.392--
0960-0013. SSA uses Form SSA-8-F4 to collect information needed to 
authorize payment of the lump sum death payment (LSDP) to a widow, 
widower, or children as defined in Section 202(i) of the Social 
Security Act (Act). Respondents complete the application for this one-
time payment via paper form, telephone, or an in-person interview with 
SSA employees. Respondents are applicants for the LSDP.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized Claims System........................         662,084               1               9          99,313
Paper...........................................           8,164               1              10           1,361
                                                 ---------------------------------------------------------------
    Total.......................................         670,248  ..............  ..............         100,674
----------------------------------------------------------------------------------------------------------------

    Medical Report on Adult with Allegation of Human Immunodeficiency 
Virus Infection; Medical Report on Child with Allegation of Human 
Immunodeficiency Virus Infection--20 CFR 416.933-20 CFR 416.934--0960-
0500. Section 1631(e)(i) of the Act authorizes the Commissioner of SSA 
to gather information to make a determination about an applicant's 
claim for Supplemental Security Income (SSI) payments; this procedure 
is the Presumptive Disability (PD). SSA uses Forms SSA-4814-F5 and SSA-
4815-F6 to collect information necessary to determine if an individual 
with human immunodeficiency virus infection, who is applying for SSI 
disability benefits, meets the requirements for PD. The respondents are 
the medical sources of the applicants for SSI disability payments.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                       Total
                                                     Number of     Frequency of   Average burden     estimated
             Modality of completion                 respondents      response      per response    total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4814-F5.....................................          18,750               1               8           2,500
SSA-4815-F6.....................................             120               1              10              20
                                                 ---------------------------------------------------------------
    Totals......................................          18,870  ..............  ..............           2,520
----------------------------------------------------------------------------------------------------------------

    3. Complaint Form for Allegations of Discrimination in Programs or 
Activities Conducted by the Social Security Administration--0960-0585. 
SSA uses Form SSA-437 to investigate and formally resolve complaints of 
discrimination based on disability, race, color, national origin 
(including limited English language proficiency), sex (including sexual 
orientation and gender identity), age, religion, or retaliation for 
having participated in a proceeding under this administrative complaint 
process in connection with an SSA program or activity. Individuals who 
believe SSA discriminated against them on any of the above bases may 
file a written complaint of discrimination. SSA uses the information to 
(1) identify the complaint; (2) identify the alleged discriminatory 
act; (3) establish the date of such alleged action; (4) establish the 
identity of any individual(s) with information about the alleged 
discrimination; and (5) establish other relevant information that would 
assist in the investigation and resolution of the complaint. 
Respondents are individuals who believe an SSA program or activity, or 
SSA employees, contractors or agents discriminated against them.
    Type of Request: Revision on an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden
           Modality of collection                Number of       Frequency of     per response     Total annual
                                                respondents        response        (minutes)      burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-437.....................................             255                1               60              255
----------------------------------------------------------------------------------------------------------------


    Dated: March 28, 2016.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2016-07584 Filed 4-1-16; 8:45 am]
 BILLING CODE 4191-02-P