Agency Information Collection Activities: Proposed Request and Comment Request, 24155-24158 [2016-09573]
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Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices
because it only applies to trading on the
Exchange. Further, the proposed fee and
rebate amounts are similar to those
assessed for similar orders by other
exchanges,9 and therefore should
continue to encourage competition.
Should the proposed change make C2 a
more attractive trading venue for market
participants at other exchanges, such
market participants may elect to become
market participants at C2 [sic]
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received from
Members, Participants, or Others
The Exchange neither solicited nor
received comments on the proposed
rule change.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
The foregoing rule change has become
effective pursuant to Section 19(b)(3)(A)
of the Act 10 and paragraph (f) of Rule
19b–4 11 thereunder. At any time within
60 days of the filing of the proposed rule
change, the Commission summarily may
temporarily suspend such rule change if
it appears to the Commission that such
action is necessary or appropriate in the
public interest, for the protection of
investors, or otherwise in furtherance of
the purposes of the Act. If the
Commission takes such action, the
Commission will institute proceedings
to determine whether the proposed rule
change should be approved or
disapproved.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
Electronic Comments
• Use the Commission’s Internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an email to rule-comments@
sec.gov. Please include File Number SR–
C2–2016–004 on the subject line.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Paper Comments
• Send paper comments in triplicate
to Secretary, Securities and Exchange
Commission, 100 F Street NE.,
Washington, DC 20549–1090.
All submissions should refer to File
Number SR–C2–2016–004. This file
9 See
supra note 4.
15 U.S.C. 78s(b)(3)(A).
11 17 CFR 240.19b–4(f).
number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
Internet Web site (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for Web site viewing and
printing in the Commission’s Public
Reference Room, 100 F Street NE.,
Washington, DC 20549, on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of the
filing also will be available for
inspection and copying at the principal
office of the Exchange. All comments
received will be posted without change;
the Commission does not edit personal
identifying information from
submissions. You should submit only
information that you wish to make
available publicly. All submissions
should refer to File Number SR–C2–
2016–004, and should be submitted on
or before May 16, 2016.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.12
Robert W. Errett,
Deputy Secretary.
[FR Doc. 2016–09454 Filed 4–22–16; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2016–0013]
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
of OMB-approved information
collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
10
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12
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17 CFR 200.30–3(a)(12).
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24155
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–
2016–0013].
I. The information collection below is
pending at SSA. SSA will submit it 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 24, 2016. Individuals can
obtain copies of the collection
instruments by writing to the above
email address.
Report to United States Social
Security Administration by Person
Receiving Benefits for a Child or for an
Adult Unable to Handle Funds/Report
to the United States Social Security
Administration—0960–0049. Section
203(c) of the Social Security Act (Act)
requires the Commissioner of SSA to
make benefit deductions from the
following categories: (1) Entitled
individuals who engage in remunerative
activity outside of the United States in
excess of 45 hours a month; and (2)
beneficiaries who fail to have in their
care the specified entitled child
beneficiaries. SSA uses Forms SSA–
7161–OCR–SM and SSA–7162–OCR–
SM to: (1) Determine continuing
entitlement to Social Security benefits;
(2) correct benefit amounts for
beneficiaries outside the United States;
and (3) monitor the performance of
representative payees outside the
United States. This collection is
mandatory as an annual (or every other
year, depending on the country of
residence) review for fraud prevention.
In addition, the results can affect
benefits by increasing or decreasing
payment amount or by causing SSA to
suspend or terminate benefits. The
respondents are individuals living
outside the United States who are
receiving benefits on their own (or on
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behalf of someone else) under title II of
the Act.
Type of Request: Revision of an OMBapproved information collection.
Number of respondents
Modality of completion
Frequency of
response
Average burden per response (minutes)
Estimated total
annual burden
(hours)
SSA–7161–OCR–SM ......................................................................................
SSA–7162–OCR–SM ......................................................................................
42,176
394,419
1
1
15
5
10,544
32,868
Totals ........................................................................................................
436,595
........................
........................
43,412
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 May
25, 2016. Individuals can obtain copies
of the OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Request to be Selected as a Payee—
20 CFR 404.2010–404.2055, 416.601–
416.665—0960–0014. SSA requires an
individual applying to be a
representative payee for a Social
Security beneficiary or Supplemental
Security Income (SSI) recipient to
complete Form SSA–11–BK. SSA
obtains information from applicant
payees regarding their relationship to
the beneficiary, personal qualifications;
concern for the beneficiary’s well-being;
and intended use of benefits if
appointed as payee. The respondents
are individuals, private sector
businesses and institutions, and State
and local government institutions and
agencies applying to become
representative payees.
Type of Request: Revision of an OMB
approved information collection.
INDIVIDUALS/HOUSEHOLDS (90%)
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Number of
respondents
Frequency
of response
Representative Payee System (RPS) .............................................................................
Paper Version ..................................................................................................................
1,438,200
91,800
1
1
11
11
263,670
16,830
Total ..........................................................................................................................
1,530,000
....................
....................
280,500
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Representative Payee System (RPS) .............................................................................
Paper Version ..................................................................................................................
149,940
3,060
1
1
11
11
27,489
561
Total ..........................................................................................................................
153,000
....................
....................
28,050
Number of
respondents
Frequency
of response
Average
burden per
response
(minutes)
Representative Payee System (RPS) .............................................................................
Paper Version ..................................................................................................................
16,660
340
1
1
11
11
3,054
62
Total ..........................................................................................................................
17,000
....................
....................
3,116
Grand Total ...............................................................................................................
1,700,000
....................
....................
311,666
Modality of completion
PRIVATE SECTOR (9%)
Modality of completion
Estimated
total annual
burden
(hours)
STATE/LOCAL/TRIBAL GOVERNMENT (1%)
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Modality of completion
2. Application for Benefits Under the
Italy-U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0445. As per the November 1, 1978
agreement between the United States
and Italian Social Security agencies,
VerDate Sep<11>2014
19:02 Apr 22, 2016
Jkt 238001
residents of Italy filing an application
for U.S. Social Security benefits directly
with one of the Italian Social Security
agencies must complete Form SSA–
2528. SSA uses Form SSA–2528 to
establish age, relationship, citizenship,
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Sfmt 4703
Estimated
total annual
burden
(hours)
marriage, death, military service, or to
evaluate a family bible or other family
record when determining eligibility for
benefits. The Italian Social Security
agencies assist applicants in completing
Form SSA–2528, and then forward the
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Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices
application to SSA for processing. The
respondents are individuals living in
Italy who wish to file for U.S. Social
Security benefits.
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–2528 ........................................................................................................
300
1
20
100
3. Child Care Dropout
Questionnaire—20 CFR 404.211(e)(4)—
0960–0474. If individuals applying for
title II disability benefits care for their
own or their spouse’s children under
age 3, and have no steady earnings
during the time they care for those
children, they may exclude that period
of care from the disability computation
period. We call this the child-care
dropout exclusion. SSA uses the
information from Form SSA–4162 to
determine if an individual qualifies for
this exclusion. Respondents are
applicants for title II disability benefits.
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–4162 ........................................................................................................
2,000
1
5
167
4. Certification of Contents of
Document(s) or Record(s)—20 CFR
404.715—0960–0689. SSA established
procedures for individuals to provide
the evidence necessary to establish their
rights to Social Security benefits.
Examples of such evidence categories
include age, relationship, citizenship,
marriage, death, and military service.
Form SSA–704 allows SSA employees;
State record custodians; and other
custodians of evidentiary documents to
certify and record information from
original documents and records under
their custodial ownership to establish
these types of evidence. SSA uses Form
SSA–704 in situations where
individuals cannot produce the original
evidentiary documentation required to
establish benefits eligibility. The
respondents are State record custodians
and other custodians of evidentiary
documents.
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–704 ..........................................................................................................
176
1
10
29
5. Supplemental Security Income
Wage Reporting (Telephone and
Mobile)—20 CFR 416.701–732—0960–
0715. SSA requires SSI recipients to
report changes which could affect their
eligibility for, and the amount of, their
SSI payments, such as changes in
income, resources, and living
arrangements. SSA’s SSI Telephone
Wage Reporting (SSITWR) and SSI
Mobile Wage Reporting (SSIMWR)
enable SSI recipients to meet these
requirements via an automated
mechanism to report their monthly
wages by telephone and mobile
application, instead of contacting their
local field offices. The SSITWR allows
callers to report their wages by speaking
their responses through voice
recognition technology, or by keying in
responses using a telephone key pad.
The SSIMWR allows recipients to report
their wages through the mobile wage
reporting application on their
smartphone. SSITWR and SSIMWR
systems collect the same information
and send it to SSA over secure
channels. To ensure the security of the
information provided, SSITWR and
SSIMWR ask respondents to provide
information SSA can compare against
our records for authentication purposes.
Once the system authenticates the
identity of the respondents, they can
report their wage data. The respondents
are SSI recipients, deemors, or their
representative payees.
Type of Request: Revision of an OMBapproved information collection.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Modality of completion
Number of respondents
Frequency of
response
Average burden per response (minutes)
Estimated total
annual burden
(hours)
Training/Instruction* .........................................................................................
SSITWR ...........................................................................................................
SSIMWR ..........................................................................................................
79,000
37,000
42,000
1
12
12
35
5
3
46,083
37,000
25,200
Total ..........................................................................................................
79,000
........................
........................
108,283
Note: * The same 79,000 respondents are completing training and a modality of collection, therefore the actual total number of respondents is
still 79,000.
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19:02 Apr 22, 2016
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24158
Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices
Dated: April 20, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
Railway, Inc. This notice corrects that
statement. All other information in the
notice is correct.
Board decisions and notices are
available on our Web site at
www.stb.dot.gov.
[FR Doc. 2016–09573 Filed 4–22–16; 8:45 am]
BILLING CODE 4191–02–P
SURFACE TRANSPORTATION BOARD
Release of Waybill Data
The Surface Transportation Board has
received a request from the Georgetown
Center for Business and Public Policy
(WB16–16–4/20/16) for permission to
use certain unmasked data from the
Board’s 1984–2014 Carload Waybill
Samples. A copy of this request may be
obtained from the Office of Economics.
The waybill sample contains
confidential railroad and shipper data;
therefore, if any parties object to these
requests, they should file their
objections with the Director of the
Board’s Office of Economics within 14
calendar days of the date of this notice.
The rules for release of waybill data are
codified at 49 CFR 1244.9.
Contact: Alexander Dusenberry, (202)
245–0319.
Brendetta S. Jones,
Clearance Clerk.
[FR Doc. 2016–09589 Filed 4–22–16; 8:45 am]
BILLING CODE 4915–01–P
SURFACE TRANSPORTATION BOARD
[Docket No. FD 36006]
West Branch Intermediate Holdings,
LLC and Continental Rail, LLC—
Continuance in Control Exemption—
Central Gulf Acquisition Company
Surface Transportation Board.
Correction to notice of
exemption.
AGENCY:
asabaliauskas on DSK3SPTVN1PROD with NOTICES
ACTION:
On April 4, 2016, West Branch
Intermediate Holdings, LLC and
Continental Rail, LLC, both noncarriers,
filed a verified notice of exemption
pursuant to 49 CFR 1180.2(d)(2) to
continue in control of Central Gulf
Acquisition Company (CGAC) upon
CGAC’s becoming a Class III rail carrier.
On April 20, 2016, notice of the
exemption was served and published in
the Federal Register (81 FR 23,345). The
served copy of the notice erroneously
stated that, in Docket No. FD 36007,
‘‘CGAC seeks Board approval to acquire
CG Railway, Inc., a Class III rail carrier,
from International Shipholding
Corporation.’’ The notice should have
stated that CGAC seeks Board approval
to acquire certain assets owned by CG
VerDate Sep<11>2014
19:02 Apr 22, 2016
Jkt 238001
Decided: April 20, 2016.
By the Board, Joseph H. Dettmar, Acting
Director, Office of Proceedings.
Brendetta S. Jones,
Clearance Clerk.
[FR Doc. 2016–09514 Filed 4–22–16; 8:45 am]
BILLING CODE 4915–01–P
SURFACE TRANSPORTATION BOARD
FOR FURTHER INFORMATION CONTACT:
Scott Zimmerman at (202) 245–0386.
Assistance for the hearing impaired is
available through the Federal
Information Relay Services (FIRS) at 1–
800–877–8339.
SUPPLEMENTARY INFORMATION:
Additional information is contained in
the Board’s decision. Board decisions
and notices are available on our Web
site at WWW.STB.DOT.GOV.
Decided: April 19, 2016.
By the Board, Chairman Elliott, Vice
Chairman Miller, and Commissioner
Begeman.
Brendetta S. Jones,
Clearance Clerk.
[Docket No. FD 35802]
[FR Doc. 2016–09515 Filed 4–22–16; 8:45 am]
Northwest Tennessee Regional Port
Authority—Construction and
Operation Exemption—in Lake County,
Tenn.
BILLING CODE 4915–01–P
Surface Transportation Board.
ACTION: Notice of construction and
operation exemption.
Federal Highway Administration
AGENCY:
The Board is granting an
exemption under 49 U.S.C. 10502 from
the prior approval requirements of 49
U.S.C. 10901 for Northwest Tennessee
Regional Port Authority (NWTRPA) to
construct and operate approximately 5.5
miles of new rail line in Lake County,
Tenn. (the Line). The Line would extend
from a connection with an existing line
of railroad near Tiptonville, Tenn., to
the site of a newly constructed port on
the Mississippi River at Cates Landing
(Port). The Line would serve the Port as
well as a new industrial park being
developed by Lake County in
conjunction with the Port. The purpose
of the proposed construction is to attract
industrial and commercial activity in
Lake County and to provide rail service
to an area that does not currently have
it. This exemption is subject to
environmental mitigation conditions
and the requirement that NWTRPA
build the environmentally preferable
route (the route designated as
Alternative A).
DATES: The exemption will become
effective on May 21, 2016; petitions to
reconsider or reopen must be filed by
May 11, 2016.
ADDRESSES: An original and 10 copies of
all pleadings, referring to Docket No. FD
35802 must be filed with the Surface
Transportation Board, 395 E Street SW.,
Washington, DC 20423–0001. In
addition, one copy of each filing must
be served on petitioner’s representative:
John D. Heffner, Strasburger & Price,
LLP, 1025 Connecticut Ave. NW., Suite
717, Washington, DC 20036.
SUMMARY:
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DEPARTMENT OF TRANSPORTATION
[Docket No. FHWA–2016–0002]
RIN 2125–AF70
Tribal Transportation Self-Governance
Program
Federal Highway
Administration (FHWA), DOT.
ACTION: Notice of intent to establish the
Tribal Transportation Self Governance
Program Negotiated Rulemaking
Committee; request for comments and
nominations.
AGENCY:
The FHWA is announcing its
intent to establish a negotiated
rulemaking committee to develop a
proposed rule to carry the Tribal
Transportation Self-Governance
Program (TTSGP) as required by Section
1121 of the Fixing America’s Surface
Transportation (FAST) Act. The FHWA
will select the tribal representatives for
the committee from among elected
officials of tribal governments (or their
designated employees with authority to
act on their behalf), acting in their
official capacities and whose tribes have
existing Title 23 U.S.C. funding
agreements with the Department. To the
maximum extent possible, FHWA will
consider geographical location, size, and
existing transportation and selfgovernance experience, in selecting
tribal committee representatives. Per the
FAST Act, the committee will assist in
the development of a Notice of Proposed
Rulemaking that contains the proposed
regulations needed to implement the
TTSGP.
SUMMARY:
Nominations from tribes for
membership on the negotiated
rulemaking committee and comments
DATES:
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Agencies
[Federal Register Volume 81, Number 79 (Monday, April 25, 2016)]
[Notices]
[Pages 24155-24158]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09573]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2016-0013]
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 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-2016-0013].
I. The information collection below is pending at SSA. SSA will
submit it 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
24, 2016. Individuals can obtain copies of the collection instruments
by writing to the above email address.
Report to United States Social Security Administration by Person
Receiving Benefits for a Child or for an Adult Unable to Handle Funds/
Report to the United States Social Security Administration--0960-0049.
Section 203(c) of the Social Security Act (Act) requires the
Commissioner of SSA to make benefit deductions from the following
categories: (1) Entitled individuals who engage in remunerative
activity outside of the United States in excess of 45 hours a month;
and (2) beneficiaries who fail to have in their care the specified
entitled child beneficiaries. SSA uses Forms SSA-7161-OCR-SM and SSA-
7162-OCR-SM to: (1) Determine continuing entitlement to Social Security
benefits; (2) correct benefit amounts for beneficiaries outside the
United States; and (3) monitor the performance of representative payees
outside the United States. This collection is mandatory as an annual
(or every other year, depending on the country of residence) review for
fraud prevention. In addition, the results can affect benefits by
increasing or decreasing payment amount or by causing SSA to suspend or
terminate benefits. The respondents are individuals living outside the
United States who are receiving benefits on their own (or on
[[Page 24156]]
behalf of someone else) under title II of the Act.
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)
----------------------------------------------------------------------------------------------------------------
SSA-7161-OCR-SM................................. 42,176 1 15 10,544
SSA-7162-OCR-SM................................. 394,419 1 5 32,868
---------------------------------------------------------------
Totals...................................... 436,595 .............. .............. 43,412
----------------------------------------------------------------------------------------------------------------
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 May 25, 2016. Individuals can obtain copies of the OMB
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Request to be Selected as a Payee--20 CFR 404.2010-404.2055,
416.601-416.665--0960-0014. SSA requires an individual applying to be a
representative payee for a Social Security beneficiary or Supplemental
Security Income (SSI) recipient to complete Form SSA-11-BK. SSA obtains
information from applicant payees regarding their relationship to the
beneficiary, personal qualifications; concern for the beneficiary's
well-being; and intended use of benefits if appointed as payee. The
respondents are individuals, private sector businesses and
institutions, and State and local government institutions and agencies
applying to become representative payees.
Type of Request: Revision of an OMB approved information
collection.
Individuals/Households (90%)
----------------------------------------------------------------------------------------------------------------
Estimated
Average total
Modality of completion Number of Frequency burden per annual
respondents of response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Representative Payee System (RPS)........................... 1,438,200 1 11 263,670
Paper Version............................................... 91,800 1 11 16,830
---------------------------------------------------
Total................................................... 1,530,000 ........... ........... 280,500
----------------------------------------------------------------------------------------------------------------
Private Sector (9%)
----------------------------------------------------------------------------------------------------------------
Estimated
Average total
Modality of completion Number of Frequency burden per annual
respondents of response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Representative Payee System (RPS)........................... 149,940 1 11 27,489
Paper Version............................................... 3,060 1 11 561
---------------------------------------------------
Total................................................... 153,000 ........... ........... 28,050
----------------------------------------------------------------------------------------------------------------
State/Local/Tribal Government (1%)
----------------------------------------------------------------------------------------------------------------
Estimated
Average total
Modality of completion Number of Frequency burden per annual
respondents of response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Representative Payee System (RPS)........................... 16,660 1 11 3,054
Paper Version............................................... 340 1 11 62
---------------------------------------------------
Total................................................... 17,000 ........... ........... 3,116
---------------------------------------------------
Grand Total............................................. 1,700,000 ........... ........... 311,666
----------------------------------------------------------------------------------------------------------------
2. Application for Benefits Under the Italy-U.S. International
Social Security Agreement--20 CFR 404.1925--0960-0445. As per the
November 1, 1978 agreement between the United States and Italian Social
Security agencies, residents of Italy filing an application for U.S.
Social Security benefits directly with one of the Italian Social
Security agencies must complete Form SSA-2528. SSA uses Form SSA-2528
to establish age, relationship, citizenship, marriage, death, military
service, or to evaluate a family bible or other family record when
determining eligibility for benefits. The Italian Social Security
agencies assist applicants in completing Form SSA-2528, and then
forward the
[[Page 24157]]
application to SSA for processing. The respondents are individuals
living in Italy who wish to file for U.S. Social Security 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-2528.................................... 300 1 20 100
----------------------------------------------------------------------------------------------------------------
3. Child Care Dropout Questionnaire--20 CFR 404.211(e)(4)--0960-
0474. If individuals applying for title II disability benefits care for
their own or their spouse's children under age 3, and have no steady
earnings during the time they care for those children, they may exclude
that period of care from the disability computation period. We call
this the child-care dropout exclusion. SSA uses the information from
Form SSA-4162 to determine if an individual qualifies for this
exclusion. Respondents are applicants for 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-4162.................................... 2,000 1 5 167
----------------------------------------------------------------------------------------------------------------
4. Certification of Contents of Document(s) or Record(s)--20 CFR
404.715--0960-0689. SSA established procedures for individuals to
provide the evidence necessary to establish their rights to Social
Security benefits. Examples of such evidence categories include age,
relationship, citizenship, marriage, death, and military service. Form
SSA-704 allows SSA employees; State record custodians; and other
custodians of evidentiary documents to certify and record information
from original documents and records under their custodial ownership to
establish these types of evidence. SSA uses Form SSA-704 in situations
where individuals cannot produce the original evidentiary documentation
required to establish benefits eligibility. The respondents are State
record custodians and other custodians of evidentiary documents.
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-704..................................... 176 1 10 29
----------------------------------------------------------------------------------------------------------------
5. Supplemental Security Income Wage Reporting (Telephone and
Mobile)--20 CFR 416.701-732--0960-0715. SSA requires SSI recipients to
report changes which could affect their eligibility for, and the amount
of, their SSI payments, such as changes in income, resources, and
living arrangements. SSA's SSI Telephone Wage Reporting (SSITWR) and
SSI Mobile Wage Reporting (SSIMWR) enable SSI recipients to meet these
requirements via an automated mechanism to report their monthly wages
by telephone and mobile application, instead of contacting their local
field offices. The SSITWR allows callers to report their wages by
speaking their responses through voice recognition technology, or by
keying in responses using a telephone key pad. The SSIMWR allows
recipients to report their wages through the mobile wage reporting
application on their smartphone. SSITWR and SSIMWR systems collect the
same information and send it to SSA over secure channels. To ensure the
security of the information provided, SSITWR and SSIMWR ask respondents
to provide information SSA can compare against our records for
authentication purposes. Once the system authenticates the identity of
the respondents, they can report their wage data. The respondents are
SSI recipients, deemors, or their representative payees.
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)
----------------------------------------------------------------------------------------------------------------
Training/Instruction*....................... 79,000 1 35 46,083
SSITWR...................................... 37,000 12 5 37,000
SSIMWR...................................... 42,000 12 3 25,200
-------------------------------------------------------------------
Total................................... 79,000 ............... ............... 108,283
----------------------------------------------------------------------------------------------------------------
Note: * The same 79,000 respondents are completing training and a modality of collection, therefore the actual
total number of respondents is still 79,000.
[[Page 24158]]
Dated: April 20, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-09573 Filed 4-22-16; 8:45 am]
BILLING CODE 4191-02-P