Agency Information Collection Activities: Proposed Request and Comment Request, 31999-32001 [2016-11851]

Download as PDF Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / 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–FICC–2016–002. This file 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 (http://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 such filings also will be available for inspection and copying at the principal office of FICC and on DTCC’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– 2016–002 and should be submitted on or before June 10, 2016. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.9 Robert W. Errett, Deputy Secretary. [FR Doc. 2016–11880 Filed 5–19–16; 8:45 am] BILLING CODE 8011–01–P mstockstill on DSK3G9T082PROD with NOTICES SECURITIES AND EXCHANGE COMMISSION Proposed Collection; Comment Request Upon Written Request Copies Available From: Securities and Exchange Commission, Office of FOIA Services, 100 F Street NE., Washington, DC 20549–2736. Extension: Schedule 13E–4F. SEC File No. 270–340, OMB Control No. 3235–0375. SOCIAL SECURITY ADMINISTRATION Notice is hereby given that, pursuant to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), the Securities and Exchange Commission (‘‘Commission’’) is soliciting comments on the collection of information summarized below. The Commission plans to submit this existing collection of information to the Office of Management and Budget for extension and approval. Schedule 13E–4F (17 CFR 240.13e– 102) may be used by an issuer that is incorporated or organized under the laws of Canada to make a cash tender or exchange offer for the issuer’s own securities if less than 40 percent of the class of such issuer’s securities outstanding that are the subject of the tender offer is held by U.S. holders. The information collected must be filed with the Commission and is publicly available. We estimate that it takes approximately 2 hours per response to prepare Schedule 13E–4F and that the information is filed by approximately 3 respondents for a total annual reporting burden of 6 hours (2 hours per response × 3 responses). Written comments are invited on: (a) Whether this proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) the accuracy of the agency’s estimate of the burden imposed by the collection of information; (c) ways to enhance the quality, utility, and clarity of the information collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Consideration will be given to comments and suggestions submitted in writing within 60 days of this publication. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid control number. Please direct your written comment to Pamela Dyson, Director/Chief Information Officer, Securities and Exchange Commission, c/o Remi PavlikSimon, 100 F Street NE., Washington, DC 20549 or send an email to: PRA_ Mailbox@sec.gov. Agency Information Collection Activities: Proposed Request and Comment Request Dated: May 17, 2016. Robert W. Errett, Deputy Secretary. [FR Doc. 2016–11958 Filed 5–19–16; 8:45 am] 9 17 CFR 200.30–3(a)(12). VerDate Sep<11>2014 17:40 May 19, 2016 BILLING CODE 8011–01–P Jkt 238001 31999 PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 [Docket No: SSA–2016–0020] The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and one extension 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– 2016–0020]. 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 July 19, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Supplemental Security Income—20 CFR 416.207 and 416.305–416.335, Subpart C—0960– 0229. The Supplemental Security Income (SSI) program provides aged, blind, and disabled individuals who have little or no income, with funds for food, clothing, and shelter. Individuals complete Form SSA–8000–BK to apply for SSI. SSA uses the information from Form SSA–8000–BK and its electronic Intranet counterpart, the Modernized SSI Claims Systems (MSSICS), to determine: (1) Whether SSI claimants E:\FR\FM\20MYN1.SGM 20MYN1 32000 Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices meet all statutory and regulatory eligibility requirements; and (2) SSI payment amounts. The respondents are applicants for SSI or their representative payees. Type of Request: Revision of an OMBapproved information collection. Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–8000–BK (Paper Version) ...................................................................... MSSICS/Signature Proxy ................................................................................ 17,541 1,373,401 1 1 41 35 11,986 801,151 Totals ........................................................................................................ 1,390,942 ........................ ........................ 813,137 2. Application for Supplemental Security Income—20 CFR 416.305– 416.335, Subpart C—0960–0444. SSA uses Form SSA–8001–BK to determine an applicant’s eligibility for SSI and SSI payment amounts. SSA employees also collect this information during interviews with members of the public who wish to file for SSI. SSA uses the information for two purposes: (1) To deny SSI formally, for non-medical reasons when information the applicant provides results in ineligibility; or (2) to establish a disability claim, but defer the Number of respondents Modality of completion complete development of non-medical issues until SSA approves the disability. The respondents are applicants for SSI. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) MSSICS/Signature Proxy ................................................................................ SSA–8001–BK (Paper Version) ...................................................................... 937,207 1,033 1 1 20 20 312,402 344 Totals ........................................................................................................ 938,240 ........................ ........................ 312,746 3. Function Report—Child (Birth to 1st Birthday, Age 1 to 3rd Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th Birthday)—20 CFR 416.912 and 416.924a(a)(2)—0960– 0542. As part of SSA’s disability determination process, we use Forms SSA–3375–BK through SSA–3379–BK to request information from a child’s parent or guardian for children applying for SSI. The five different versions of the form contain questions about the child’s day-to-day functioning appropriate to a particular age group; thus, respondents use only one version of the form for each child. The adjudicative team (disability examiners and medical or psychological consultants) of State disability determination services offices collect the information on the appropriate version of this form (in conjunction with medical and other evidence) to form a complete picture of the children’s ability to function and their impairment-related limitations. The adjudicative team uses the completed profile to determine: (1) If each child’s impairment(s) results in marked and severe functional limitations; and (2) whether each child is disabled. The respondents are parents and guardians of child applicants for SSI. 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–3375; SSA–3376; SSA–3377; SSA–3378; SSA–3379 * ........................ 532,000 1 20 177,333 mstockstill on DSK3G9T082PROD with NOTICES * Respondents complete only one form per child. 4. Government-to-Government Services Online Web site Registration; Government-to-Government Services Online Web site Account Modification/ Deletion Form—20 CFR 401.45—0960– 0757. The Government-to-Government Services Online (GSO) Web site allows various external organizations to submit files to a variety of SSA systems and, in some cases, receive files in return. The SSA systems that process data transferred via GSO include, but are not VerDate Sep<11>2014 17:40 May 19, 2016 Jkt 238001 limited to, systems responsible for disability processing and benefit determination or termination. SSA uses the information on Form SSA–159, Government-to-Government Online Web site Registration Form, to register the requestor to use the GSO Web site. Once we receive the SSA–159, SSA provides the user with account information and conducts a walkthrough of the GSO Web site as necessary. Established organizations may submit Form SSA– PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 159 to register additional users as well. The established requesting organizations can also complete Form SSA–160, Government-to-Government Online Web site Account Modification/ Deletion Form, to modify their online accounts (e.g., address change). Respondents are State and local government agencies, and some private sector business entities. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\20MYN1.SGM 20MYN1 32001 Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–159 .......................................................................................................... SSA–160 .......................................................................................................... 1,543 130 1 1 15 15 386 33 Totals ........................................................................................................ 1,673 ........................ ........................ 419 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 June 20, 2016. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. 1. Agency/Employer Government Pension Offset Questionnaire—20 CFR 404.408(a)—0960–0470. When an individual is concurrently receiving Social Security spousal, or surviving spousal, benefits and a government pension, the individual may have the amount of Social Security benefits reduced by the government pension amount. This is the Government Pension Offset (GPO). SSA uses Form SSA–L4163 to collect accurate pension information from the Federal or State government agency paying the pension for purposes of applying the pension offset provision. SSA uses this form only when (1) the claimant does not have the information; and (2) the pension-paying agency has not cooperated with the claimant. Respondents are State government agencies which have information SSA needs to determine if the GPO applies and the amount of offset. Type of Request: Extension of an OMB-approved information collection. Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–L4163 ...................................................................................................... 1000 1 3 50 2. Real Property Current Market Value Estimate—0960–0471. SSA considers an individual’s resources when evaluating eligibility for SSI payments. The value of an individual’s resources, including non-home real property, is one of the eligibility requirements for SSI payments. SSA obtains current market value estimates of the claimant’s real property through Form SSA–L2794. We allow respondents to use readily available records to complete the form, or we can accept their best estimates. We use this form as part of initial applications and in post-entitlement situations. The respondents are small business operators in real estate; state and local government employees tasked with assessing real property values; and other individuals knowledgeable about local real estate values. 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–L2794 ...................................................................................................... 250 1 20 83 Dated: May 16, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016–11851 Filed 5–19–16; 8:45 am] mstockstill on DSK3G9T082PROD with NOTICES BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 9574] In the Matter of the Designation of ISILYemen, aka Islamic State of Iraq and the Levant-Yemen, aka Islamic State and the Levant in Yemen, aka Islamic State in Yemen, aka ISIS in Yemen, aka Wilayat al-Yemen, aka Province of Yemen as a Specially Designated Global Terrorist Acting under the authority of and in accordance with sec. 1(b) of Executive Order 13224 of September 23, 2001, as amended by Executive Order 13268 of July 2, 2002, and Executive Order 13284 of January 23, 2003, I hereby determine that the individual known as ISILYemen, also known as Islamic State of VerDate Sep<11>2014 17:40 May 19, 2016 Jkt 238001 PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 Iraq and the Levant-Yemen, also known as Islamic State of Iraq and the Levant in Yemen, also known as Islamic State in Yemen, also known as ISIS in Yemen, also known as Wilayat al-Yemen, also known as Province of Yemen committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States. Consistent with the determination in sec. 10 of Executive Order 13224 that ‘‘prior notice to persons determined to be subject to the Order who might have a constitutional presence in the United States would render ineffectual the blocking and other measures authorized in the Order because of the ability to transfer funds instantaneously,’’ I E:\FR\FM\20MYN1.SGM 20MYN1

Agencies

[Federal Register Volume 81, Number 98 (Friday, May 20, 2016)]
[Notices]
[Pages 31999-32001]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11851]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0020]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions and one extension 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-2016-0020].
    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 July 
19, 2016. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Application for Supplemental Security Income--20 CFR 416.207 and 
416.305-416.335, Subpart C--0960-0229. The Supplemental Security Income 
(SSI) program provides aged, blind, and disabled individuals who have 
little or no income, with funds for food, clothing, and shelter. 
Individuals complete Form SSA-8000-BK to apply for SSI. SSA uses the 
information from Form SSA-8000-BK and its electronic Intranet 
counterpart, the Modernized SSI Claims Systems (MSSICS), to determine: 
(1) Whether SSI claimants

[[Page 32000]]

meet all statutory and regulatory eligibility requirements; and (2) SSI 
payment amounts. The respondents are applicants for SSI or their 
representative payees.
    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-8000-BK (Paper Version).....................          17,541               1              41          11,986
MSSICS/Signature Proxy..........................       1,373,401               1              35         801,151
                                                 ---------------------------------------------------------------
    Totals......................................       1,390,942  ..............  ..............         813,137
----------------------------------------------------------------------------------------------------------------

    2. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA uses Form SSA-8001-BK to determine 
an applicant's eligibility for SSI and SSI payment amounts. SSA 
employees also collect this information during interviews with members 
of the public who wish to file for SSI. SSA uses the information for 
two purposes: (1) To deny SSI formally, for non-medical reasons when 
information the applicant provides results in ineligibility; or (2) to 
establish a disability claim, but defer the complete development of 
non-medical issues until SSA approves the disability. The respondents 
are applicants for SSI.
    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)
----------------------------------------------------------------------------------------------------------------
MSSICS/Signature Proxy..........................         937,207               1              20         312,402
SSA-8001-BK (Paper Version).....................           1,033               1              20             344
                                                 ---------------------------------------------------------------
    Totals......................................         938,240  ..............  ..............         312,746
----------------------------------------------------------------------------------------------------------------

    3. Function Report--Child (Birth to 1st Birthday, Age 1 to 3rd 
Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th 
Birthday)--20 CFR 416.912 and 416.924a(a)(2)--0960-0542. As part of 
SSA's disability determination process, we use Forms SSA-3375-BK 
through SSA-3379-BK to request information from a child's parent or 
guardian for children applying for SSI. The five different versions of 
the form contain questions about the child's day-to-day functioning 
appropriate to a particular age group; thus, respondents use only one 
version of the form for each child. The adjudicative team (disability 
examiners and medical or psychological consultants) of State disability 
determination services offices collect the information on the 
appropriate version of this form (in conjunction with medical and other 
evidence) to form a complete picture of the children's ability to 
function and their impairment-related limitations. The adjudicative 
team uses the completed profile to determine: (1) If each child's 
impairment(s) results in marked and severe functional limitations; and 
(2) whether each child is disabled. The respondents are parents and 
guardians of child applicants for SSI.
    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-3375; SSA-3376; SSA-3377; SSA-3378; SSA-         532,000                1               20          177,333
 3379 *.....................................
----------------------------------------------------------------------------------------------------------------
* Respondents complete only one form per child.

    4. Government-to-Government Services Online Web site Registration; 
Government-to-Government Services Online Web site Account Modification/
Deletion Form--20 CFR 401.45--0960-0757. The Government-to-Government 
Services Online (GSO) Web site allows various external organizations to 
submit files to a variety of SSA systems and, in some cases, receive 
files in return. The SSA systems that process data transferred via GSO 
include, but are not limited to, systems responsible for disability 
processing and benefit determination or termination. SSA uses the 
information on Form SSA-159, Government-to-Government Online Web site 
Registration Form, to register the requestor to use the GSO Web site. 
Once we receive the SSA-159, SSA provides the user with account 
information and conducts a walkthrough of the GSO Web site as 
necessary. Established organizations may submit Form SSA-159 to 
register additional users as well. The established requesting 
organizations can also complete Form SSA-160, Government-to-Government 
Online Web site Account Modification/Deletion Form, to modify their 
online accounts (e.g., address change). Respondents are State and local 
government agencies, and some private sector business entities.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 32001]]



----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-159.........................................           1,543               1              15             386
SSA-160.........................................             130               1              15              33
                                                 ---------------------------------------------------------------
    Totals......................................           1,673  ..............  ..............             419
----------------------------------------------------------------------------------------------------------------

    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 June 20, 2016. Individuals can obtain copies of the OMB 
clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Agency/Employer Government Pension Offset Questionnaire--20 CFR 
404.408(a)--0960-0470. When an individual is concurrently receiving 
Social Security spousal, or surviving spousal, benefits and a 
government pension, the individual may have the amount of Social 
Security benefits reduced by the government pension amount. This is the 
Government Pension Offset (GPO). SSA uses Form SSA-L4163 to collect 
accurate pension information from the Federal or State government 
agency paying the pension for purposes of applying the pension offset 
provision. SSA uses this form only when (1) the claimant does not have 
the information; and (2) the pension-paying agency has not cooperated 
with the claimant. Respondents are State government agencies which have 
information SSA needs to determine if the GPO applies and the amount of 
offset.
    Type of Request: Extension 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-L4163...................................            1000                1                3               50
----------------------------------------------------------------------------------------------------------------

    2. Real Property Current Market Value Estimate--0960-0471. SSA 
considers an individual's resources when evaluating eligibility for SSI 
payments. The value of an individual's resources, including non-home 
real property, is one of the eligibility requirements for SSI payments. 
SSA obtains current market value estimates of the claimant's real 
property through Form SSA-L2794. We allow respondents to use readily 
available records to complete the form, or we can accept their best 
estimates. We use this form as part of initial applications and in 
post-entitlement situations. The respondents are small business 
operators in real estate; state and local government employees tasked 
with assessing real property values; and other individuals 
knowledgeable about local real estate values.
    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-L2794...................................             250                1               20               83
----------------------------------------------------------------------------------------------------------------


    Dated: May 16, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-11851 Filed 5-19-16; 8:45 am]
BILLING CODE 4191-02-P