Agency Information Collection Activities: Proposed Request, 24927-24928 [2016-09828]

Download as PDF 24927 Federal Register / Vol. 81, No. 81 / Wednesday, April 27, 2016 / Notices business days between the hours of 10:00 a.m. and 3:00 p.m. Copies of such filings also will be available for inspection and copying at the principal office of FICC and on FICC’s Web site at http://www.dtcc.com/legal/sec-rulefilings.aspx. 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–FICC–2016–001 and should be submitted on or before May 18, 2016. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.31 Brent J. Fields, Secretary. [FR Doc. 2016–09718 Filed 4–26–16; 8:45 am] BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2016–0018] 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 a new information collection and a revision of an OMB-approved information collection. 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– 2016–0018]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than June 27, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Report of Adult FunctioningEmployer—20 CFR 404.1512 and 20 CFR 416.912—0960—NEW. Section 205(a), 223(d)(5)(A), 1631(d)(1), and 1631(e)(1) of the Social Security Act (Act) require claimants applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits to provide SSA with medical and other evidence of their disability. 20 CFR 404.1512 and 20 CFR 416.912 of the Code of Federal Regulations provides detailed requirements of the types of evidence Social Security disability claimants and beneficiaries must provide showing how their impairment(s) affects their ability to work (e.g., evidence of age, education and training, work experience, daily activities, efforts to work, and any other evidence). Past employers familiar with the claimant’s ability to perform work activities complete Form SSA–385–BK, Report of Adult Functioning-Employer to provide SSA with information about the employees day-to-day functioning in the work setting. SSA and Disability Determination Services use the information Form SSA–3385–BK collects as the basis to determine eligibility or continued eligibility for disability benefits. The respondents are claimants’ past employers. Type of Request: This is a new information collection. Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–3385–BK ................................................................................................. 3,900 1 20 1,300 asabaliauskas on DSK3SPTVN1PROD with NOTICES 2. Work Incentives Planning and Assistance Program—0960–0629. As part of SSA’s strategy to assist SSDI beneficiaries and SSI recipients who wish to return to work and achieve selfsufficiency, SSA established the Work Incentives Planning and Assistance (WIPA) program. This community based, work incentive, planning and assistance project collects identifying claimant information via project sites and community work incentives coordinators (CWIC). SSA uses this information to ensure proper management of the project, with particular emphasis on administration, budgeting, and training. In addition, project sites and CWIC’s collect data from SSDI beneficiaries and SSI recipients on background employment, training, benefits, and work incentives. SSA is interested in identifying SSDI beneficiary and SSI recipient outcomes under the WIPA program, to determine Number of respondents Modality of completion Small WIPA Site (under 150 beneficiaries served) ......................................... Medium WIPA Site (150–599 beneficiaries served) ........................................ 31 17 the extent to which beneficiaries with disabilities and SSI recipients achieve their employment, financial, and healthcare goals. SSA will also use the data in its analysis for future planning for SSDI and SSI programs. Respondents are SSDI beneficiaries, SSI recipients, community project sites, and employment advisors. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response 4,800 7,500 1 1 CFR 200.30–3(a)(12). VerDate Sep<11>2014 17:29 Apr 26, 2016 Jkt 238001 PO 00000 Frm 00145 Fmt 4703 Sfmt 4703 E:\FR\FM\27APN1.SGM 27APN1 20 20 Estimated total annual burden (hours) 1,600 2,500 24928 Federal Register / Vol. 81, No. 81 / Wednesday, April 27, 2016 / Notices Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) Large WIPA Site (600 or more beneficiaries served) ..................................... 17,700 1 20 5,900 Total WIPA Sites ...................................................................................... SSDI & SSI Beneficiaries ................................................................................ Help Line .......................................................................................................... 30,000 30,000 30,000 ........................ 1 1 ........................ 25 5 10,000 12,500 2,500 Total .......................................................................................................... 60,000 ........................ ........................ 15,000 Grand Total ....................................................................................... 90,000 ........................ ........................ 25,000 Dated: April 22, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016–09828 Filed 4–26–16; 8:45 am] BILLING CODE 4191–02–P SURFACE TRANSPORTATION BOARD [Docket No. FD 36020] asabaliauskas on DSK3SPTVN1PROD with NOTICES Norfolk Southern Railway Company— Trackage Rights Exemption—Southern Electric Railroad Company Southern Electric Railroad Company (SERC), pursuant to a written trackage rights agreement,1 has agreed to grant Norfolk Southern Railway Company (NS) restricted overhead trackage rights over SERC’s mainline, between milepost 0.0 and milepost 0.6 in the vicinity of Jefferson County, Ala., a distance of approximately 0.6 miles. The transaction may be consummated on May 11, 2016, the effective date of the exemption (30 days after the exemption was filed). NS states that the proposed trackage rights will allow NS to access four private storage tracks (APC Storage Yard) to serve the James H. Miller, Jr. Electric Generating Plant owned by Alabama Power Company near West Jefferson, in Jefferson County, Ala. As a condition to this exemption, any employees affected by the trackage rights will be protected by the conditions imposed in Norfolk & Western Railway—Trackage Rights— Burlington Northern, Inc., 354 I.C.C. 605 (1978), as modified in Mendocino Coast Railway—Lease & Operate—California Western Railroad, 360 I.C.C. 653 (1980). This notice is filed under 49 CFR 1180.2(d)(7). If the notice contains false 1 A redacted version of the draft trackage rights agreement between SERC and NS was filed with the notice. NS states that an unredacted version of the agreement will be provided to any requesting party upon the issuance by the Board of an appropriate protective order. NS also states that it will submit an executed copy of the agreement within 10 days of its execution, pursuant to 49 CFR 1180.6(a)(7)(ii). VerDate Sep<11>2014 17:29 Apr 26, 2016 Jkt 238001 or misleading information, the exemption is void ab initio. Petitions to revoke the exemption under 49 U.S.C. 10502(d) may be filed at any time. The filing of a petition to revoke will not automatically stay the effectiveness of the exemption. Petitions for stay must be filed by May 4, 2016 (at least seven days before the exemption becomes effective). An original and 10 copies of all pleadings, referring to Docket No. FD 36020, must be filed with the Surface Transportation Board, 395 E Street SW., Washington, DC 20423–0001. In addition, a copy of each pleading must be served on Aarthy S. Thamodaran, Norfolk Southern Corporation, Three Commercial Place, Norfolk, VA 23510. According to NS, this action is categorically excluded from environmental review under 49 CFR 1105.6(c). Board decisions and notices are available on our Web site at ‘‘WWW.STB.DOT.GOV.’’ Decided: April 22, 2016. By the Board, Rachel D. Campbell, Director, Office of Proceedings. Tia Delano, Clearance Clerk. [FR Doc. 2016–09815 Filed 4–26–16; 8:45 am] BILLING CODE 4915–01–P SURFACE TRANSPORTATION BOARD [Docket No. AB 55 (Sub-No. 756X)] CSX Transportation, Inc.— Discontinuance of Service Exemption—in Letcher County, KY CSX Transportation, Inc. (CSXT), filed a verified notice of exemption under 49 CFR part 1152 subpart F—Exempt Abandonments and Discontinuances of Service to discontinue service over an approximately 1.17-mile line of railroad (the Line), on its Southern Region, Huntington Division, Rockhouse Subdivision, Engineering Appalachian Division (also known as the Pat Kentucky Wye), from mileposts 0VM PO 00000 Frm 00146 Fmt 4703 Sfmt 4703 280.36 and 0VM1 280.39 to milepost 0VM 281.32 in Camp Branch, Letcher County, KY.1 The Line traverses United States Postal Service Zip Code 41858. CSXT has certified that: (1) No local traffic has moved over the Line for at least two years; (2) there is no overhead traffic on the Line; (3) no formal complaint filed by a user of rail service on the Line (or by a state or local government entity acting on behalf of such user) regarding cessation of service over the Line either is pending before the Surface Transportation Board or any U.S. District Court or has been decided in favor of a complainant within the two-year period; and (4) the requirements at 49 CFR 1105.12 (newspaper publication), and 49 CFR 1152.50(d)(1) (notice to governmental agencies) have been met. As a condition to this exemption, any employee adversely affected by the discontinuance shall be protected under Oregon Short Line Railroad— Abandonment Portion Goshen Branch Between Firth & Ammon, in Bingham & Bonneville Counties, Idaho, 360 I.C.C. 91 (1979). To address whether this condition adequately protects affected employees, a petition for partial revocation under 49 U.S.C. 10502(d) must be filed. Provided no formal expression of intent to file an offer of financial assistance (OFA) to subsidize continued rail service has been received, this exemption will become effective on May 27, 2016 (50 days after the filing of the exemption), unless stayed pending reconsideration. Petitions to stay that do not involve environmental issues and formal expressions of intent to file an OFA to subsidize continued rail service under 49 CFR 1152.27(c)(2) 2 must be 1 CSXT states there is one station on the Line, Sapphire, at milepost 0VM 281.0 (FSAC 42918/ OPSL 17470). 2 Each OFA must be accompanied by the filing fee, which is currently set at $1,600. See 49 CFR 1002.2(f)(25). E:\FR\FM\27APN1.SGM 27APN1

Agencies

[Federal Register Volume 81, Number 81 (Wednesday, April 27, 2016)]
[Notices]
[Pages 24927-24928]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-09828]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0018]


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 a new information collection and a revision of an OMB-approved 
information collection.
    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-2016-0018].
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than June 
27, 2016. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Report of Adult Functioning-Employer--20 CFR 404.1512 and 20 CFR 
416.912--0960--NEW. Section 205(a), 223(d)(5)(A), 1631(d)(1), and 
1631(e)(1) of the Social Security Act (Act) require claimants applying 
for Social Security Disability Insurance (SSDI) or Supplemental 
Security Income (SSI) benefits to provide SSA with medical and other 
evidence of their disability. 20 CFR 404.1512 and 20 CFR 416.912 of the 
Code of Federal Regulations provides detailed requirements of the types 
of evidence Social Security disability claimants and beneficiaries must 
provide showing how their impairment(s) affects their ability to work 
(e.g., evidence of age, education and training, work experience, daily 
activities, efforts to work, and any other evidence). Past employers 
familiar with the claimant's ability to perform work activities 
complete Form SSA-385-BK, Report of Adult Functioning-Employer to 
provide SSA with information about the employees day-to-day functioning 
in the work setting. SSA and Disability Determination Services use the 
information Form SSA-3385-BK collects as the basis to determine 
eligibility or continued eligibility for disability benefits. The 
respondents are claimants' past employers.
    Type of Request: This is a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3385-BK.................................           3,900                1               20            1,300
----------------------------------------------------------------------------------------------------------------

    2. Work Incentives Planning and Assistance Program--0960-0629. As 
part of SSA's strategy to assist SSDI beneficiaries and SSI recipients 
who wish to return to work and achieve self-sufficiency, SSA 
established the Work Incentives Planning and Assistance (WIPA) program. 
This community based, work incentive, planning and assistance project 
collects identifying claimant information via project sites and 
community work incentives coordinators (CWIC). SSA uses this 
information to ensure proper management of the project, with particular 
emphasis on administration, budgeting, and training. In addition, 
project sites and CWIC's collect data from SSDI beneficiaries and SSI 
recipients on background employment, training, benefits, and work 
incentives. SSA is interested in identifying SSDI beneficiary and SSI 
recipient outcomes under the WIPA program, to determine the extent to 
which beneficiaries with disabilities and SSI recipients achieve their 
employment, financial, and healthcare goals. SSA will also use the data 
in its analysis for future planning for SSDI and SSI programs. 
Respondents are SSDI beneficiaries, SSI recipients, community project 
sites, and employment advisors.
    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)
----------------------------------------------------------------------------------------------------------------
Small WIPA Site (under 150 beneficiaries served)           4,800               1              20           1,600
Medium WIPA Site (150-599 beneficiaries served).           7,500               1              20           2,500

[[Page 24928]]

 
Large WIPA Site (600 or more beneficiaries                17,700               1              20           5,900
 served)........................................
                                                 ---------------------------------------------------------------
    Total WIPA Sites............................          30,000  ..............  ..............          10,000
 
SSDI & SSI Beneficiaries........................          30,000               1              25          12,500
Help Line.......................................          30,000               1               5           2,500
                                                 ---------------------------------------------------------------
    Total.......................................          60,000  ..............  ..............          15,000
================================================================================================================
        Grand Total.............................          90,000  ..............  ..............          25,000
----------------------------------------------------------------------------------------------------------------


    Dated: April 22, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-09828 Filed 4-26-16; 8:45 am]
BILLING CODE 4191-02-P