Agency Information Collection Activities: Proposed Request and Comment Request, 24155-24158 [2016-09573]

Download as PDF 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 VerDate Sep<11>2014 19:02 Apr 22, 2016 12 Jkt 238001 PO 00000 17 CFR 200.30–3(a)(12). Frm 00104 Fmt 4703 Sfmt 4703 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 E:\FR\FM\25APN1.SGM 25APN1 24156 Federal Register / Vol. 81, No. 79 / Monday, April 25, 2016 / Notices 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, PO 00000 Frm 00105 Fmt 4703 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 E:\FR\FM\25APN1.SGM 25APN1 24157 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. VerDate Sep<11>2014 19:02 Apr 22, 2016 Jkt 238001 PO 00000 Frm 00106 Fmt 4703 Sfmt 4703 E:\FR\FM\25APN1.SGM 25APN1 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: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 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: E:\FR\FM\25APN1.SGM 25APN1

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
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