Agency Information Collection Activities: Proposed Request, 17494-17497 [2017-07174]

Download as PDF 17494 Federal Register / Vol. 82, No. 68 / Tuesday, April 11, 2017 / Notices 100 F Street NE., Washington, DC 20549–27363 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–LCH SA–2017–002. 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 will also be available for inspection and copying at the principal office of LCH SA and on LCH SA’s Web site at http://www.lch.com/assetclasses/cdsclear. 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–LCH SA–2017–002 and should be submitted on or before May 2, 2017. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.14 Eduardo A. Aleman, Assistant Secretary. [FR Doc. 2017–07178 Filed 4–10–17; 8:45 am] BILLING CODE 8011–01–P srobinson on DSK5SPTVN1PROD with NOTICES SECURITIES AND EXCHANGE COMMISSION Proposed Collection; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of FOIA Services, 14 17 CFR 200.30–3(a)(12). VerDate Sep<11>2014 20:18 Apr 10, 2017 Jkt 241001 Extension: Rule 17a–2, SEC File No. 270–189, OMB Control No. 3235–0201 Notice is hereby given that pursuant to the Paperwork Reduction Act of 1995 (‘‘PRA’’) (44 U.S.C. 3501 et seq.), the Securities and Exchange Commission (‘‘Commission’’) is soliciting comments on the existing collection of information provided for in Rule 17a–2 (17 CFR 240.17a–2), under the Securities Exchange Act of 1934 (15 U.S.C. 78a et seq.). The Commission plans to submit this existing collection of information to the Office of Management and Budget (‘‘OMB’’) for extension and approval. Rule 17a–2—Recordkeeping Requirements Relating to Stabilizing Activities—requires underwriters to maintain information regarding stabilizing activities conducted in accordance with Rule 104 of Regulation M. The collections of information under Regulation M and Rule 17a–2 are necessary for covered persons to obtain certain benefits or to comply with certain requirements. The collections of information are necessary to provide the Commission with information regarding syndicate covering transactions and penalty bids. The Commission may review this information during periodic examinations or with respect to investigations. Except for the information required to be kept under Rule 104(i) (17 CFR 242.104(i)) and Rule 17a–2(c), none of the information required to be collected or disclosed for PRA purposes will be kept confidential. The recordkeeping requirement of Rule 17a–2 requires the information be maintained in a separate file, or in a separately retrievable format, for a period of three years, the first two years in an easily accessible place, consistent with the requirements of Exchange Act Rule 17a–4(f) (17 CFR 240.17a–4(f)). There are approximately 716 respondents per year that require an aggregate total of 3,580 hours to comply with this rule. Each respondent makes an estimated 1 annual response. Each response takes approximately 5 hours to complete. Thus, the total compliance burden per year is 3,580 burden hours. The total estimated internal compliance cost for the respondents is approximately $232,700, resulting in an internal cost of compliance for each respondent per response of approximately $325.00 (i.e., $232,700.00/716 responses). Written comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 Commission, including whether the information shall have practical utility; (b) the accuracy of the Commission’s estimates of the burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be 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 OMB control number. Please direct your written comments 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. Dated: April 6, 2017. Eduardo A. Aleman, Assistant Secretary. [FR Doc. 2017–07250 Filed 4–10–17; 8:45 am] BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2017–0017] 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 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. E:\FR\FM\11APN1.SGM 11APN1 17495 Federal Register / Vol. 82, No. 68 / Tuesday, April 11, 2017 / Notices (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– 2017–0017]. 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 12, 2017. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Disability Case Development Information Collections By State Disability Determination Services On Behalf of SSA—20 CFR, subpart P, 404.1503a, 404.1512, 404.1513, 404.1514, 404.1517, 404.1519; 20 CFR subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 416.1013, 416.1014, 416.1024—0960–0555. State Disability Determination Services (DDS) collect the information necessary to administer the Social Security Disability Insurance and Supplemental Security Income (SSI) programs. They collect medical evidence from consultative examination (CE) sources; credential information from CE source applicants; and medical evidence of record (MER) from claimants’ medical sources. The DDSs collect information from claimants regarding medical appointments, pain, symptoms, and impairments. The respondents are medical providers, other sources of MER, and disability claimants. Type of Request: Revision of an OMBapproved information collection. CE Collections There are three CE information collections: (a) Medical evidence about claimants’ medical condition(s) the DDSs use to make disability determinations when the claimant’s own medical sources cannot, or will not, provide the required information, and proof of credentials from CE providers; (b) CE appointment letters; and (c) CE claimant reports sent to claimants’ doctors. MEDICAL EVIDENCE AND CREDENTIALS FROM CE PROVIDERS Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Total estimated annual burden (hours) CE Paper Submissions ............................................................ CE Electronic Submissions ..................................................... CE Credentials ......................................................................... 1,400,000 296,000 4,000 1 1 1 30 10 15 700,000 49,333 1,000 Totals ................................................................................ 1,700,000 .............................. .............................. 750,333 CE APPOINTMENT LETTERS AND CE CLAIMANTS’ REPORT TO MEDICAL PROVIDERS Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Estimated annual burden (hours) (b) CE Appointment Letters ..................................................... (c) CE Claimants’ Report to Medical Providers ...................... 880,000 450,000 1 1 5 5 73,333 37,500 Totals ................................................................................ 1,330,000 .............................. .............................. 110,833 MER Collections The DDSs collect MER information from the claimant’s medical sources to determine a claimant’s physical or mental status prior to making a disability determination. Number of respondents Modality of completion Average burden per response (minutes) Frequency of response Total estimated annual burden (hours) 3,150,000 9,450,000 1 1 20 12 1,050,000 1,890,000 Totals ................................................................................ srobinson on DSK5SPTVN1PROD with NOTICES Paper Submissions .................................................................. Electronic Submissions ............................................................ 12,600,000 .............................. .............................. 2,940,000 Pain/Other Symptoms/Impairment Information From Claimants The DDSs use information about pain/ symptoms to determine how pain and VerDate Sep<11>2014 20:18 Apr 10, 2017 Jkt 241001 symptoms affect the claimant’s ability to do work-related activities prior to making a disability determination. PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 E:\FR\FM\11APN1.SGM 11APN1 17496 Federal Register / Vol. 82, No. 68 / Tuesday, April 11, 2017 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Total estimated annual burden (hours) Pain/Other Symptoms/Impairment Information ....................... 2,100,000 1 20 700,000 The total estimated annual burden for all categories described in this information collection is 4,501,166 hours. 2. Teacher Questionnaire and Request for Administrative Information—20 CFR 404.1513, 416.913, and 416.924a(a)— 0960–0646. When determining the effects of a child’s impairment(s), SSA obtains information about the child’s functioning from teachers; parents; and others who observe the child on a daily basis. SSA obtains results of formal testing, teacher reports, therapy progress notes, individualized education Number of respondents Modality of completion programs, and other records of a child’s educational aptitude and achievement using Forms SSA–5665–BK and SSA– 5666. The respondents are parents, teachers, and other education personnel. Type of Request: Revision of an OMBapproved information collection. Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) 293,375 0 111,189 1 1 1 40 40 30 195,583 0 55,595 Totals ................................................................................ srobinson on DSK5SPTVN1PROD with NOTICES SSA–5665–BK (electronic) ...................................................... SSA–5665 (paper form) ........................................................... SSA–5666 (electronic) ............................................................. 404,564 .............................. .............................. 251,178 3. Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery—0960–0788. As part of our continuing effort to reduce paperwork and respondent burden, SSA invites the general public to take this opportunity to comment on the ‘‘Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery’’ for approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501 et seq.). We developed this collection as part of a Federal Government-wide effort to streamline the process for seeking feedback from the public on service delivery. Under the auspices of Executive Order 12862, Setting Customer Service Standards, SSA conducts multiple satisfaction surveys each year. This proposed information collection activity provides a means to garner qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with SSA’s commitment to improving service delivery. By qualitative feedback, we mean information that provides useful insights on perceptions and opinions, but are not statistical surveys that yield quantitative results that can be generalized to the population of study. This feedback will provide insights into customer or stakeholder perceptions; experiences and expectations; provide an early warning of issues with service; or focus attention on areas where communication; training; or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative, VerDate Sep<11>2014 20:18 Apr 10, 2017 Jkt 241001 and actionable communications between SSA and our customers and stakeholders. The solicitation of feedback will target areas such as: Timeliness; appropriateness; accuracy of information; courtesy; efficiency of service delivery; and resolution of issues with service delivery. We will assess responses to plan and inform efforts to improve or maintain the quality of service offered to the public. If we do not collect this information, we would not have access to vital feedback from customers and stakeholders on SSA’s services. We will only submit a collection for approval under this generic clearance if it meets the following conditions: (1) The collections are voluntary; (2) the collections are low-burden for respondents (based on considerations of total burden hours, total number of respondents, or burden-hours per respondent) and are low-cost for both the respondents and the Federal Government; (3) the collections are noncontroversial and do not raise issues of concern to other Federal agencies; (4) any collection targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the near future; (5) we collect personally identifiable information (PII) only to the extent necessary and we do not retain it; (6) we will use information gathered only internally for general service improvement and program management purposes and we will not release it outside of the agency; (7) we will not PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 use information we gather for the purpose of substantially informing influential policy decisions; and (8) information we gather will yield qualitative information; the collections will not be designed or expected to yield statistically reliable results or used as though the results are generalizable to the population of study. Feedback collected under this generic clearance provides useful information, but it does not yield data that can be generalized to the overall population. We will not use this type of generic clearance for qualitative information collections designed to yield reliably actionable results, such as monitoring trends over time or documenting program performance. Such data uses require more rigorous designs that address the target population to which generalizations will be made; the sampling frame, the sample design (including stratification and clustering); the precision requirements or power calculations that justify the proposed sample size; the expected response rate, methods for assessing potential nonresponse bias; the protocols for data collection; and any testing procedures that were or will be undertaken prior to fielding the study. Depending on the degree of influence the results are likely to have, such collections may still be eligible for submission for other generic mechanisms designed to yield quantitative results. As a general matter, information collections will not result in any new system of records containing privacy information and will not ask questions of a sensitive nature, such as E:\FR\FM\11APN1.SGM 11APN1 Federal Register / Vol. 82, No. 68 / Tuesday, April 11, 2017 / Notices sexual behavior and attitudes, religious beliefs, and other matters commonly considered private. The respondents are recipients of SSA services (including most members of the public), professionals, and individuals who work on behalf of SSA beneficiaries. Type of Request: Revision of an OMBapproved information collection. Affected Public: Individuals and households, businesses and organizations, State, Local or Tribal government. Total Estimated Number of Respondents: 205,485. Below we provide projected average estimates for the next three years: Annual Respondents: 68,495. Annual Responses: 68,495. Frequency of Response: Once per request. Average minutes per response: 18 minutes. Estimated Annual Burden: 205,549 hours. Dated: April 5, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017–07174 Filed 4–10–17; 8:45 am] BILLING CODE 4191–02–P SUSQUEHANNA RIVER BASIN COMMISSION Public Hearing Susquehanna River Basin Commission. ACTION: Notice. AGENCY: The Susquehanna River Basin Commission will hold a public hearing on May 11, 2017, in Harrisburg, Pennsylvania. At this public hearing, the Commission will hear testimony on the projects listed in the Supplementary Information section of this notice. The Commission will also hear testimony on a request for waiver by EOG Resources, Inc., as well as proposals to amend its Regulatory Program Fee Schedule and the Comprehensive Plan for the Water Resources of the Susquehanna River Basin. Such projects, request and proposals are intended to be scheduled for Commission action at its next business meeting, tentatively scheduled for June 16, 2017, which will be noticed separately. The public should take note that this public hearing will be the only opportunity to offer oral comment to the Commission for the listed projects, request and proposals. The deadline for the submission of written comments is May 22, 2017. srobinson on DSK5SPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 20:18 Apr 10, 2017 Jkt 241001 The public hearing will convene on May 11, 2017, at 2:30 p.m. The public hearing will end at 5:00 p.m. or at the conclusion of public testimony, whichever is sooner. The deadline for the submission of written comments is May 22, 2017. ADDRESSES: The public hearing will be conducted at the Pennsylvania State Capitol, Room 8E–B, East Wing, Commonwealth Avenue, Harrisburg, Pa. FOR FURTHER INFORMATION CONTACT: Jason Oyler, General Counsel, telephone: (717) 238–0423, ext. 1312; fax: (717) 238–2436. Information concerning the applications for these projects is available at the SRBC Water Resource Portal at www.srbc.net/wrp. Additional supporting documents are available to inspect and copy in accordance with the Commission’s Access to Records Policy at www.srbc.net/pubinfo/docs/200902_Access_to_Records_ Policy_20140115.pdf. SUPPLEMENTARY INFORMATION: The public hearing will cover a request for waiver of 18 CFR 806.3 AND 806.4 by EOG Resources, Inc., as well as proposed amendments to the Commission’s Regulatory Program Fee Schedule and the Comprehensive Plan for the Water Resources of the Susquehanna River Basin, as posted on the SRBC Public Participation Center Web page at www.srbc.net/pubinfo/ publicparticipation.htm. The public hearing will also cover the following projects: Projects Scheduled for Action: 1. Project Sponsor and Facility: Town of Big Flats, Chemung County, N.Y. Application for groundwater withdrawal of up to 0.792 mgd (30-day average) from Well 1–1. 2. Project Sponsor and Facility: Michael and Sandra Buhler (Bennett Branch Sinnemahoning Creek), Huston Township, Clearfield County, Pa. Application for renewal of surface water withdrawal of up to 0.999 mgd (peak day) (Docket No. 20130603). 3. Project Sponsor and Facility: Chesapeake Appalachia, LLC (Susquehanna River), Mehoopany Township, Wyoming County, Pa. Application for renewal of surface water withdrawal of up to 0.999 mgd (peak day) (Docket No. 20130303). 4. Project Sponsor and Facility: Chesapeake Appalachia, LLC (Susquehanna River), Wysox Township, Bradford County, Pa. Application for renewal of surface water withdrawal of up to 0.999 mgd (peak day) (Docket No. 20130304). 5. Project Sponsor and Facility: Chesapeake Appalachia, LLC DATES: PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 17497 (Wyalusing Creek), Rush Township, Susquehanna County, Pa. Application for surface water withdrawal of up to 0.715 mgd (peak day). 6. Project Sponsor and Facility: DS Services of America, Inc., Clay Township, Lancaster County, Pa. Application for groundwater withdrawal of up to 0.028 mgd (30-day average) from existing Well 4. 7. Project Sponsor and Facility: DS Services of America, Inc., Clay Township, Lancaster County, Pa. Application for groundwater withdrawal of up to 0.042 mgd (30-day average) from existing Well 5. 8. Project Sponsor and Facility: Ephrata Area Joint Authority, Ephrata Borough, Lancaster County, Pa. Application for modification to request a combined withdrawal limit for Well 1, Cocalico Creek, and Mountain Home Springs of 2.310 mgd (30-day average) (Docket No. 20110902). 9. Project Sponsor and Facility: Equipment Transport, LLC (Susquehanna River), Great Bend Township, Susquehanna County, Pa. Application for renewal of surface water withdrawal of up to 1.000 mgd (peak day) (Docket No. 20130613). 10. Project Sponsor and Facility: Kraft Heinz Foods Company, Town of Campbell, Steuben County, N.Y. Application for renewal of groundwater withdrawal of up to 0.432 mgd (30-day average) from Well 3 (Docket No. 19860203). 11. Project Sponsor and Facility: Mount Joy Borough Authority, Mount Joy Borough, Lancaster County, Pa. Application for modification to request a reduction of the maximum instantaneous rate for Well 3 from the previously approved rate of 1,403 gpm to 778 gpm and revise the passby to be consistent with current Commission policy (Docket No. 20070607). The previously approved withdrawal rate of 1.020 mgd (30-day average) will remain unchanged. 12. Project Sponsor: P.H. Glatfelter Company. Project Facility: Paper/Pulp Mill and Cogen Operations (Codorus Creek), Spring Grove Borough, York County, Pa. Application for renewal of surface water withdrawal of up to 16.000 mgd (peak day) (Docket No. 19860602). 13. Project Sponsor: P.H. Glatfelter Company. Project Facility: Paper/Pulp Mill and Cogen Operations, Spring Grove Borough, York County, Pa. Application for renewal of consumptive water use of up to 0.900 mgd (peak day) (Docket No. 19860602). 14. Project Sponsor and Facility: Rausch Creek Land, L.P., Porter Township, Schuylkill County, Pa. E:\FR\FM\11APN1.SGM 11APN1

Agencies

[Federal Register Volume 82, Number 68 (Tuesday, April 11, 2017)]
[Notices]
[Pages 17494-17497]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-07174]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0017]


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 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.

[[Page 17495]]

(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-2017-0017].
    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 
12, 2017. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Disability Case Development Information Collections By State 
Disability Determination Services On Behalf of SSA--20 CFR, subpart P, 
404.1503a, 404.1512, 404.1513, 404.1514, 404.1517, 404.1519; 20 CFR 
subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 
416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 
416.1013, 416.1014, 416.1024--0960-0555. State Disability Determination 
Services (DDS) collect the information necessary to administer the 
Social Security Disability Insurance and Supplemental Security Income 
(SSI) programs. They collect medical evidence from consultative 
examination (CE) sources; credential information from CE source 
applicants; and medical evidence of record (MER) from claimants' 
medical sources. The DDSs collect information from claimants regarding 
medical appointments, pain, symptoms, and impairments. The respondents 
are medical providers, other sources of MER, and disability claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

CE Collections

    There are three CE information collections: (a) Medical evidence 
about claimants' medical condition(s) the DDSs use to make disability 
determinations when the claimant's own medical sources cannot, or will 
not, provide the required information, and proof of credentials from CE 
providers; (b) CE appointment letters; and (c) CE claimant reports sent 
to claimants' doctors.

                               Medical Evidence and Credentials From CE Providers
----------------------------------------------------------------------------------------------------------------
                                                                             Average  burden    Total estimated
       Modality of completion             Number of         Frequency of      per  response      annual burden
                                         respondents          response          (minutes)           (hours)
----------------------------------------------------------------------------------------------------------------
CE Paper Submissions................          1,400,000                  1                 30            700,000
CE Electronic Submissions...........            296,000                  1                 10             49,333
CE Credentials......................              4,000                  1                 15              1,000
                                     ---------------------------------------------------------------------------
    Totals..........................          1,700,000  .................  .................            750,333
----------------------------------------------------------------------------------------------------------------


                      CE Appointment Letters and CE Claimants' Report to Medical Providers
----------------------------------------------------------------------------------------------------------------
                                                                             Average  burden
       Modality of completion             Number of         Frequency of      per  response    Estimated  annual
                                         respondents          response          (minutes)        burden  (hours)
----------------------------------------------------------------------------------------------------------------
(b) CE Appointment Letters..........            880,000                  1                  5             73,333
(c) CE Claimants' Report to Medical             450,000                  1                  5             37,500
 Providers..........................
                                     ---------------------------------------------------------------------------
    Totals..........................          1,330,000  .................  .................            110,833
----------------------------------------------------------------------------------------------------------------

MER Collections

    The DDSs collect MER information from the claimant's medical 
sources to determine a claimant's physical or mental status prior to 
making a disability determination.

----------------------------------------------------------------------------------------------------------------
                                                                              Average burden    Total estimated
       Modality of completion             Number of         Frequency of       per response      annual burden
                                         respondents          response          (minutes)           (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions...................          3,150,000                  1                 20          1,050,000
Electronic Submissions..............          9,450,000                  1                 12          1,890,000
                                     ---------------------------------------------------------------------------
    Totals..........................         12,600,000  .................  .................          2,940,000
----------------------------------------------------------------------------------------------------------------

Pain/Other Symptoms/Impairment Information From Claimants

    The DDSs use information about pain/symptoms to determine how pain 
and symptoms affect the claimant's ability to do work-related 
activities prior to making a disability determination.

[[Page 17496]]



----------------------------------------------------------------------------------------------------------------
                                                                                                Total estimated
     Modality of completion            Number of         Frequency of     Average burden per     annual burden
                                      respondents          response       response (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment            2,100,000                   1                  20             700,000
 Information....................
----------------------------------------------------------------------------------------------------------------

    The total estimated annual burden for all categories described in 
this information collection is 4,501,166 hours.
    2. Teacher Questionnaire and Request for Administrative 
Information--20 CFR 404.1513, 416.913, and 416.924a(a)--0960-0646. When 
determining the effects of a child's impairment(s), SSA obtains 
information about the child's functioning from teachers; parents; and 
others who observe the child on a daily basis. SSA obtains results of 
formal testing, teacher reports, therapy progress notes, individualized 
education programs, and other records of a child's educational aptitude 
and achievement using Forms SSA-5665-BK and SSA-5666. The respondents 
are parents, teachers, and other education personnel.
    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-5665-BK (electronic)............            293,375                  1                 40            195,583
SSA-5665 (paper form)...............                  0                  1                 40                  0
SSA-5666 (electronic)...............            111,189                  1                 30             55,595
                                     ---------------------------------------------------------------------------
    Totals..........................            404,564  .................  .................            251,178
----------------------------------------------------------------------------------------------------------------

    3. Generic Clearance for the Collection of Qualitative Feedback on 
Agency Service Delivery--0960-0788. As part of our continuing effort to 
reduce paperwork and respondent burden, SSA invites the general public 
to take this opportunity to comment on the ``Generic Clearance for the 
Collection of Qualitative Feedback on Agency Service Delivery'' for 
approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501 et 
seq.). We developed this collection as part of a Federal Government-
wide effort to streamline the process for seeking feedback from the 
public on service delivery. Under the auspices of Executive Order 
12862, Setting Customer Service Standards, SSA conducts multiple 
satisfaction surveys each year. This proposed information collection 
activity provides a means to garner qualitative customer and 
stakeholder feedback in an efficient, timely manner, in accordance with 
SSA's commitment to improving service delivery. By qualitative 
feedback, we mean information that provides useful insights on 
perceptions and opinions, but are not statistical surveys that yield 
quantitative results that can be generalized to the population of 
study. This feedback will provide insights into customer or stakeholder 
perceptions; experiences and expectations; provide an early warning of 
issues with service; or focus attention on areas where communication; 
training; or changes in operations might improve delivery of products 
or services. These collections will allow for ongoing, collaborative, 
and actionable communications between SSA and our customers and 
stakeholders. The solicitation of feedback will target areas such as: 
Timeliness; appropriateness; accuracy of information; courtesy; 
efficiency of service delivery; and resolution of issues with service 
delivery. We will assess responses to plan and inform efforts to 
improve or maintain the quality of service offered to the public. If we 
do not collect this information, we would not have access to vital 
feedback from customers and stakeholders on SSA's services.
    We will only submit a collection for approval under this generic 
clearance if it meets the following conditions: (1) The collections are 
voluntary; (2) the collections are low-burden for respondents (based on 
considerations of total burden hours, total number of respondents, or 
burden-hours per respondent) and are low-cost for both the respondents 
and the Federal Government; (3) the collections are non-controversial 
and do not raise issues of concern to other Federal agencies; (4) any 
collection targeted to the solicitation of opinions from respondents 
who have experience with the program or may have experience with the 
program in the near future; (5) we collect personally identifiable 
information (PII) only to the extent necessary and we do not retain it; 
(6) we will use information gathered only internally for general 
service improvement and program management purposes and we will not 
release it outside of the agency; (7) we will not use information we 
gather for the purpose of substantially informing influential policy 
decisions; and (8) information we gather will yield qualitative 
information; the collections will not be designed or expected to yield 
statistically reliable results or used as though the results are 
generalizable to the population of study.
    Feedback collected under this generic clearance provides useful 
information, but it does not yield data that can be generalized to the 
overall population. We will not use this type of generic clearance for 
qualitative information collections designed to yield reliably 
actionable results, such as monitoring trends over time or documenting 
program performance. Such data uses require more rigorous designs that 
address the target population to which generalizations will be made; 
the sampling frame, the sample design (including stratification and 
clustering); the precision requirements or power calculations that 
justify the proposed sample size; the expected response rate, methods 
for assessing potential non-response bias; the protocols for data 
collection; and any testing procedures that were or will be undertaken 
prior to fielding the study. Depending on the degree of influence the 
results are likely to have, such collections may still be eligible for 
submission for other generic mechanisms designed to yield quantitative 
results. As a general matter, information collections will not result 
in any new system of records containing privacy information and will 
not ask questions of a sensitive nature, such as

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sexual behavior and attitudes, religious beliefs, and other matters 
commonly considered private.
    The respondents are recipients of SSA services (including most 
members of the public), professionals, and individuals who work on 
behalf of SSA beneficiaries.
    Type of Request: Revision of an OMB-approved information 
collection.
    Affected Public: Individuals and households, businesses and 
organizations, State, Local or Tribal government.
    Total Estimated Number of Respondents: 205,485.
    Below we provide projected average estimates for the next three 
years:
    Annual Respondents: 68,495.
    Annual Responses: 68,495.
    Frequency of Response: Once per request.
    Average minutes per response: 18 minutes.
    Estimated Annual Burden: 205,549 hours.

    Dated: April 5, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-07174 Filed 4-10-17; 8:45 am]
BILLING CODE 4191-02-P