Agency Information Collection Activities: Proposed Request and Comment Request, 68091-68093 [2016-23774]

Download as PDF 68091 Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices initiate a request for reconsideration of a denied claim. SSA uses the information to document the request and to determine an individual’s eligibility or entitlement to Social Security benefits (Title II); SSI payments (Title XVI); Special Veterans Benefits (Title VIII); Medicare (Title XVIII); and for initial determinations regarding Medicare Part B income-related premium subsidy reductions. The respondents are individuals filing for reconsideration of a denied claim. Number of respondents Modality of completion This is a correction notice: SSA published the incorrect burden information for this collection at 81 FR 47845, on 7/22/49. We are correcting this error here. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–561 and Modernized Claims System (MCS) .......................................... I561 (Internet iAppeals) ................................................................................... 330,370 1,161,300 1 1 8 5 40,049 96,775 Totals ........................................................................................................ 1,491,670 ........................ ........................ 136,824 3. Request for Accommodation in Communication Method—0960–0777. SSA allows disabled or impaired Social Security applicants, beneficiaries, recipients, and representative payees to choose one of seven alternative methods of communication they want SSA to use when we send them benefit notices and other related communications. The seven alternative methods we offer are: (1) Standard print notice by first-class mail; (2) standard print mail with a follow-up telephone call; (3) certified mail; (4) Braille; (5) Microsoft Word file on data CD; (6) large print (18-point font); or (7) audio CD. However, respondents who want to receive notices from SSA through a communication method other than the seven methods listed above must explain their request to us. Those respondents use Form SSA–9000 to: (1) Describe the type of accommodation they want; (2) disclose their condition necessitating the need for a different type of accommodation; and (3) explain why none of the seven methods described above are sufficient for their needs. SSA uses Form SSA–9000 to determine, based on applicable law and regulation, whether to grant the respondents’ requests for an accommodation based on their impairment or disability. SSA collects this information electronically through either an in-person interview or a telephone interview during which the SSA employee keys in the information on our iAccommodate Intranet screens. The respondents are disabled or impaired Social Security applicants, beneficiaries, recipients, and representative payees who ask SSA to send notices and other communications in an alternative method besides the seven modalities we currently offer. 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–9000/iAccommodate ............................................................................... 5,000 1 20 1,667 Dated: September 28, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016–23773 Filed 9–30–16; 8:45 am] BILLING CODE 4191–02–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2016–0049] sradovich on DSK3GMQ082PROD with NOTICES 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 extensions of OMB-approved information collections. VerDate Sep<11>2014 21:32 Sep 30, 2016 Jkt 241001 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 PO 00000 Frm 00136 Fmt 4703 Sfmt 4703 Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA– 2016–0049]. 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 December 2, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Missing and Discrepant Wage Reports Letter and Questionnaire—26 CFR 31.6051–2—0960–0432. Each year employers report the wage amounts they paid their employees to the Internal Revenue Service (IRS) for tax purposes, and separately to SSA for retirement and disability coverage purposes. Employers should report the same figures to both SSA and the IRS; however, each year some of the employer wage reports SSA receives show wage amounts lower than those E:\FR\FM\03OCN1.SGM 03OCN1 68092 Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices employers report to the IRS. SSA uses Forms SSA–L93–SM, SSA–L94–SM, SSA–95–SM, and SSA–97–SM to ensure employees receive full credit for their wages. Respondents are employers who reported lower wage amounts to SSA than they reported to the IRS. Type of Request: Revision of an OMBapproved information collection. Modality of completion Number of responses Frequency of response Average burden per response (minutes) Total estimated total annual burden (hours) SSA–95–SM and SSA–97–SM (and accompanying cover letters SSA–L93, L94) .............................................................................................................. 360,000 1 30 180,000 2. Incorporation by Reference of Oral Findings of Fact and Rationale in Wholly Favorable Written Decisions (Bench Decision Regulation)—20 CFR 404.953 and 416.1453—0960–0694. If an administrative law judge (ALJ) makes a wholly favorable oral decision, including all the findings and rationale for the decision for a claimant of Title II or Title XVI payments, at an administrative appeals hearing, the ALJ sends a Notice of Decision (Form HA– 82), as the records from the oral hearing preclude the need for a written decision. We call this the incorporation-byreference process. In addition, the regulations for this process state that if the involved parties want a record of the oral decision, they may submit a written request for these records. SSA collects identifying information under the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of Federal Regulations to determine how to send interested individuals written records of a favorable incorporation-by-reference oral decision made at an administrative review hearing. Since there is no prescribed form to request a written record of the decision, the involved parties send SSA their contact information and reference the hearing for which they would like a record. The respondents are applicants for Disability Insurance Benefits and SSI payments, or their representatives, to whom SSA gave a wholly favorable oral decision under the regulations cited above. Type of Request: Extension of an OMB-approved information collection. Modality of completion Number of responses Frequency of response Average burden per response (minutes) Total estimated total annual burden (hours) HA–82 .............................................................................................................. 2,500 1 5 208 3. Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate—20 CFR 408.900–408.950—0960– 0698. Title VIII of the Social Security Act (Act) requires SSA to pay a monthly benefit to qualified World War II veterans who reside outside the United States. When an overpayment in this SVB occurs, the beneficiary can request a waiver of recovery of the overpayment or a change in the repayment rate. SSA uses the SSA–2032–BK to obtain the information necessary to establish whether the claimant meets the waiver of recovery provisions of the overpayment, and to determine the repayment rate if we do not waive repayment. Respondents are SVB beneficiaries who have overpayments on their Title VIII record and wish to file a claim for waiver of recovery or change in repayment rate. Type of Request: Revision of an OMBapproved information collection. Number of responses Frequency of response SSA–2032–BK ................................................................................................. sradovich on DSK3GMQ082PROD with NOTICES Modality of completion Average burden per response (minutes) 450 1 120 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 November 2, 2016. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. VerDate Sep<11>2014 21:32 Sep 30, 2016 Jkt 241001 1. Travel Expense Reimbursement— 20 CFR 404.999(d) and 416.1499— 0960–0434. The Act provides for travel expense reimbursement from Federal and State agencies for claimant travel incidental to medical examinations, and to parties, their representatives, and all reasonably necessary witnesses for travel exceeding 75 miles to attend medical examinations; reconsideration interviews; and proceedings before an administrative law judge. PO 00000 Frm 00137 Fmt 4703 Sfmt 4703 Total estimated total annual burden (hours) 900 Reimbursement procedures require the claimant to provide: (1) A list of expenses incurred, and (2) receipts of such expenses. Federal and state personnel review the listings and receipts to verify the reimbursable amount to the requestor. The respondents are claimants for Title II benefits and Title XVI payments, their representatives, and witnesses. Type of Request: Extension of an OMB-approved information collection. E:\FR\FM\03OCN1.SGM 03OCN1 68093 Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minute) Estimated annual burden (hours) 404.99(d) & 416.1499 ...................................................................................... 60,000 1 10 10,000 2. Disability Report—Child—20 CFR 416.912—0960–0577. Sections 223 (d)(5)(A) and 1631(e)(1) of the Act require Supplemental Security Income (SSI) claimants to furnish medical and other evidence to prove they are disabled. SSA uses Form SSA–3820 to collect various types of information about a child’s condition from treating sources or other medical sources of evidence. The State Disability Determination Services evaluators use this information from Form SSA–3820 to develop medical and school evidence, and to assess the alleged disability. This information, together Number of respondents Modality of completion with medical evidence, forms the evidentiary basis upon which SSA makes its initial disability evaluation. The respondents are claimants seeking SSI childhood disability payments. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) SSA–3820 (Paper Form) ................................................................................. Electronic Disability Collection System ............................................................ i3820 (Internet) ................................................................................................ 279,002 1,000 119,464 1 1 1 90 120 120 418,503 2,000 238,928 Totals ........................................................................................................ 399,466 ........................ ........................ 659,431 Dated: September 28, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016–23774 Filed 9–30–16; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 9744] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘Matisse/Diebenkorn’’ Exhibition Notice is hereby given of the following determinations: Pursuant to the authority vested in me by the Act of October 19, 1965 (79 Stat. 985; 22 U.S.C. 2459), E.O. 12047 of March 27, 1978, the Foreign Affairs Reform and Restructuring Act of 1998 (112 Stat. 2681, et seq.; 22 U.S.C. 6501 note, et seq.), Delegation of Authority No. 234 of October 1, 1999, Delegation of Authority No. 236–3 of August 28, 2000 (and, as appropriate, Delegation of Authority No. 257 of April 15, 2003), I hereby determine that the objects to be included in the exhibition ‘‘Matisse/ Diebenkorn,’’ imported from abroad for temporary exhibition within the United States, are of cultural significance. The objects are imported pursuant to loan agreements with the foreign owners or custodians. I also determine that the exhibition or display of the exhibit objects at The Baltimore Museum of Art, Baltimore, Maryland, from on or about October 23, 2016, until on or about January 29, 2017, at the San Francisco sradovich on DSK3GMQ082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:56 Sep 30, 2016 Jkt 241001 Museum of Modern Art, San Francisco, California, from on or about March 11, 2017, until on or about May 29, 2017, and at possible additional exhibitions or venues yet to be determined, is in the national interest. I have ordered that Public Notice of these Determinations be published in the Federal Register. FOR FURTHER INFORMATION CONTACT: For further information, including a list of the imported objects, contact the Office of Public Diplomacy and Public Affairs in the Office of the Legal Adviser, U.S. Department of State (telephone: 202– 632–6471; email: section2459@ state.gov). The mailing address is U.S. Department of State, L/PD, SA–5, Suite 5H03, Washington, DC 20522–0505. Dated: September 27, 2016. Mark Taplin, Principal Deputy Assistant Secretary, Bureau of Educational and Cultural Affairs, Department of State. [FR Doc. 2016–23976 Filed 9–30–16; 8:45 am] BILLING CODE 4710–05–P SURFACE TRANSPORTATION BOARD [Docket No. AB 507 (Sub-No. 2X)] Florida Northern Railroad Company, Inc.—Discontinuance of Service Exemption—in Marion County, Fla. Florida Northern Railroad Company, Inc. (Florida Northern) 1 has filed a 1 Florida Northern is a wholly owned subsidiary of Pinsly Railroad Company, a noncarrier holding company, which also controls three other Class III rail carriers in Florida and Massachusetts. See PO 00000 Frm 00138 Fmt 4703 Sfmt 4703 verified notice of exemption under 49 CFR pt. 1152 subpart F—Exempt Abandonments and Discontinuances of Service to discontinue service over an approximately 5.3-mile rail line from milepost 756.8 in Lowell, to milepost 762.1 in Zuber, in Marion County, Fla. (the Line).2 The Line traverses U.S. Postal Service Zip Codes 34482, 32686, and 34475. Florida Northern has certified that: (1) No local traffic has moved over the Line for at least two years; (2) there is no overhead traffic to be rerouted over other lines; (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 is pending either with the Surface Transportation Board (Board) or with any U.S. District Court or has been decided in favor of the 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 of service shall be protected under Oregon Short Line Pinsly R.R.—Continuance in Control Exemption— Fla. N. R.R., FD 31369 (ICC served Dec. 21, 1988). 2 According to Florida Northern, it operates ‘‘approximately 88 miles of rail line’’ and ‘‘commenced operations in 1988 after acquiring two lines (including a portion of the line over which service is to be discontinued).’’ (Notice of Exemption 2); see also Fla. N. R.R.—Acquis. & Operation Exemption—Certain Rail Lines of CSX Transp., Inc., FD 31368 (ICC served Dec. 21, 1988). E:\FR\FM\03OCN1.SGM 03OCN1

Agencies

[Federal Register Volume 81, Number 191 (Monday, October 3, 2016)]
[Notices]
[Pages 68091-68093]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-23774]


-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0049]


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 extensions 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-2016-0049].
    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 
December 2, 2016. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Missing and Discrepant Wage Reports Letter and Questionnaire--26 
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts 
they paid their employees to the Internal Revenue Service (IRS) for tax 
purposes, and separately to SSA for retirement and disability coverage 
purposes. Employers should report the same figures to both SSA and the 
IRS; however, each year some of the employer wage reports SSA receives 
show wage amounts lower than those

[[Page 68092]]

employers report to the IRS. SSA uses Forms SSA-L93-SM, SSA-L94-SM, 
SSA-95-SM, and SSA-97-SM to ensure employees receive full credit for 
their wages. Respondents are employers who reported lower wage amounts 
to SSA than they reported to the IRS.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Total estimated
           Modality of completion                Number of       Frequency of     per response     total annual
                                                 responses         response        (minutes)      burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-95-SM and SSA-97-SM (and accompanying            360,000                1               30          180,000
 cover letters SSA-L93, L94)................
----------------------------------------------------------------------------------------------------------------

    2. Incorporation by Reference of Oral Findings of Fact and 
Rationale in Wholly Favorable Written Decisions (Bench Decision 
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an 
administrative law judge (ALJ) makes a wholly favorable oral decision, 
including all the findings and rationale for the decision for a 
claimant of Title II or Title XVI payments, at an administrative 
appeals hearing, the ALJ sends a Notice of Decision (Form HA-82), as 
the records from the oral hearing preclude the need for a written 
decision. We call this the incorporation-by-reference process. In 
addition, the regulations for this process state that if the involved 
parties want a record of the oral decision, they may submit a written 
request for these records. SSA collects identifying information under 
the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of 
Federal Regulations to determine how to send interested individuals 
written records of a favorable incorporation-by-reference oral decision 
made at an administrative review hearing. Since there is no prescribed 
form to request a written record of the decision, the involved parties 
send SSA their contact information and reference the hearing for which 
they would like a record. The respondents are applicants for Disability 
Insurance Benefits and SSI payments, or their representatives, to whom 
SSA gave a wholly favorable oral decision under the regulations cited 
above.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Total estimated
           Modality of completion                Number of       Frequency of     per response     total annual
                                                 responses         response        (minutes)      burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-82.......................................           2,500                1                5              208
----------------------------------------------------------------------------------------------------------------

    3. Request for Waiver of Special Veterans Benefits (SVB) 
Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900-
408.950--0960-0698. Title VIII of the Social Security Act (Act) 
requires SSA to pay a monthly benefit to qualified World War II 
veterans who reside outside the United States. When an overpayment in 
this SVB occurs, the beneficiary can request a waiver of recovery of 
the overpayment or a change in the repayment rate. SSA uses the SSA-
2032-BK to obtain the information necessary to establish whether the 
claimant meets the waiver of recovery provisions of the overpayment, 
and to determine the repayment rate if we do not waive repayment. 
Respondents are SVB beneficiaries who have overpayments on their Title 
VIII record and wish to file a claim for waiver of recovery or change 
in repayment rate.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Total estimated
           Modality of completion                Number of       Frequency of     per response     total annual
                                                 responses         response        (minutes)      burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2032-BK.................................             450                1              120              900
----------------------------------------------------------------------------------------------------------------

    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 November 2, 2016. Individuals can obtain copies of the 
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
    1. Travel Expense Reimbursement--20 CFR 404.999(d) and 416.1499--
0960-0434. The Act provides for travel expense reimbursement from 
Federal and State agencies for claimant travel incidental to medical 
examinations, and to parties, their representatives, and all reasonably 
necessary witnesses for travel exceeding 75 miles to attend medical 
examinations; reconsideration interviews; and proceedings before an 
administrative law judge. Reimbursement procedures require the claimant 
to provide: (1) A list of expenses incurred, and (2) receipts of such 
expenses. Federal and state personnel review the listings and receipts 
to verify the reimbursable amount to the requestor. The respondents are 
claimants for Title II benefits and Title XVI payments, their 
representatives, and witnesses.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 68093]]



----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden     Estimated
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response         (minute)         (hours)
----------------------------------------------------------------------------------------------------------------
404.99(d) & 416.1499........................          60,000                1               10           10,000
----------------------------------------------------------------------------------------------------------------

    2. Disability Report--Child--20 CFR 416.912--0960-0577. Sections 
223 (d)(5)(A) and 1631(e)(1) of the Act require Supplemental Security 
Income (SSI) claimants to furnish medical and other evidence to prove 
they are disabled. SSA uses Form SSA-3820 to collect various types of 
information about a child's condition from treating sources or other 
medical sources of evidence. The State Disability Determination 
Services evaluators use this information from Form SSA-3820 to develop 
medical and school evidence, and to assess the alleged disability. This 
information, together with medical evidence, forms the evidentiary 
basis upon which SSA makes its initial disability evaluation. The 
respondents are claimants seeking SSI childhood disability payments.
    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-3820 (Paper Form)...........................         279,002               1              90         418,503
Electronic Disability Collection System.........           1,000               1             120           2,000
i3820 (Internet)................................         119,464               1             120         238,928
                                                 ---------------------------------------------------------------
    Totals......................................         399,466  ..............  ..............         659,431
----------------------------------------------------------------------------------------------------------------


    Dated: September 28, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-23774 Filed 9-30-16; 8:45 am]
 BILLING CODE 4191-02-P