Agency Information Collection Activities: Proposed Request and Comment Request, 27939-27942 [2017-12580]
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Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Dated: June 12, 2017.
Linda E. McMahon,
Administrator.
27939
documents submitted to OMB for
review may be obtained from the
Non-Profit Organizations with
Management Analyst.
Credit Available Elsewhere ...
2.500 SUPPLEMENTARY INFORMATION: Currently,
[FR Doc. 2017–12582 Filed 6–16–17; 8:45 am]
Non-Profit Organizations withthere is minimal data or information
BILLING CODE 8025–01–P
out Credit Available Elsewhere .....................................
2.500 available that addresses the
participation of millennial women in
For Economic Injury:
entrepreneurship and the motivations,
SMALL BUSINESS ADMINISTRATION
Businesses & Small Agricultural
deterrents, and challenges that they
Cooperatives without Credit
[Disaster Declaration #15159 and #15160;
Available Elsewhere ..............
3.215 face. As such, this collection of
Mississippi Disaster #MS–00100]
Non-Profit Organizations withinformation is necessary to fill the
out Credit Available Elsecurrent void in the literature on the
Administrative Declaration of a
where .....................................
2.500 factors that influence entrepreneurial
Disaster for the State of Mississippi
launches and operations among
The number assigned to this disaster
AGENCY: U.S. Small Business
millennials, with a focus on millennial
for physical damage is 15159B and for
Administration.
women and the role of student debt. The
economic injury is 151600.
ACTION: Notice.
data collection is required to develop
The State which received an EIDL
specific and actionable
Declaration # is Mississippi.
SUMMARY: This is a notice of an
recommendations to increase
Administrative declaration of a disaster
(Catalog of Federal Domestic Assistance
opportunities for millennials interested
for the State of Mississippi dated 06/12/ Number 59008)
in entrepreneurship or currently
2017.
pursuing entrepreneurship with an eye
Dated: June 12, 2017.
Incident: Severe Weather including
towards improving the overall United
Linda E. McMahon,
Tornadoes, Straight-line Winds,
States economy. Respondents will be
Torrential Rain, Lightning and Flooding. Administrator.
prospective millennial women
[FR Doc. 2017–12606 Filed 6–16–17; 8:45 am]
Incident Period: 04/30/2017.
entrepreneurs, current millennial
BILLING CODE 8025–01–P
DATES: Effective 06/12/2017.
women entrepreneurs, and current
Physical Loan Application Deadline
millennial men entrepreneurs.
Date: 08/11/2017.
Solicitation of Public Comments:
SMALL BUSINESS ADMINISTRATION
Economic Injury (Eidl) Loan
Comments may be submitted on (a)
Application Deadline Date: 03/12/2018. Reporting and Recordkeeping
whether the collection of information is
ADDRESSES: Submit completed loan
necessary for the agency to properly
Requirements Under OMB Review
applications to: U.S. Small Business
perform its functions; (b) whether the
AGENCY: Small Business Administration. burden estimates are accurate; (c)
Administration, Processing and
ACTION: 30-Day notice.
Disbursement Center, 14925 Kingsport
whether there are ways to minimize the
Road, Fort Worth, TX 76155.
burden, including through the use of
SUMMARY: The Small Business
automated techniques or other forms of
FOR FURTHER INFORMATION CONTACT: A.
Administration (SBA) is publishing this
information technology; and (d) whether
Escobar, Office of Disaster Assistance,
notice to comply with requirements of
there are ways to enhance the quality,
U.S. Small Business Administration,
the Paperwork Reduction Act (PRA),
utility, and clarity of the information.
409 3rd Street SW., Suite 6050,
which requires agencies to submit
Washington, DC 20416, (202) 205–6734.
Summary of Information Collections
proposed reporting and recordkeeping
SUPPLEMENTARY INFORMATION: Notice is
requirements to OMB for review and
Title: Research on Millennial Women
hereby given that as a result of the
approval, and to publish a notice in the
Entrepreneurs.
Administrator’s disaster declaration,
Federal Register notifying the public
Description of Respondents:
applications for disaster loans may be
that the agency has made such a
Prospective millennial women
filed at the address listed above or other submission. This notice also allows for
entrepreneurs, current millennial
locally announced locations.
an additional 30 days for public
women entrepreneurs, and current
The following areas have been
comments.
millennial men entrepreneurs.
determined to be adversely affected by
Form Number: N/A.
DATES: Submit comments on or before
the disaster:
Estimated Annual Respondents: 108.
July 19, 2017.
Primary Counties: Holmes,
Estimated Annual Responses: 108.
ADDRESSES: Comments should refer to
Montgomery.
Estimated Annual Hour Burden: 216.
the information collection by name and/
Contiguous Counties: Mississippi:
Curtis B. Rich,
or OMB Control Number and should be
Attala, Carroll, Choctaw, Grenada,
sent to: Management Analyst, Curtis B.
Management Analyst.
Humphreys, Leflore, Madison,
Rich, Small Business Administration,
[FR Doc. 2017–12642 Filed 6–16–17; 8:45 am]
Webster, Yazoo.
409 3rd Street SW., 5th Floor,
The Interest Rates are:
BILLING CODE P
Washington, DC 20416; and SBA Desk
Officer, Office of Information and
Percent
Regulatory Affairs, Office of
SOCIAL SECURITY ADMINISTRATION
For Physical Damage:
Management and Budget, New
Homeowners with Credit Avail[Docket No: SSA–2017–0031]
Executive Office Building, Washington,
able Elsewhere ......................
3.875 DC 20503.
Homeowners without Credit
Agency Information Collection
Available Elsewhere ..............
1.938 FOR FURTHER INFORMATION CONTACT:
Activities: Proposed Request and
Curtis B. Rich, Management Analyst,
Businesses with Credit AvailComment Request
able Elsewhere ......................
6.430 202–205–7030 Curtis.Rich@sba.gov.
Copies: A copy of the Form OMB 83–
The Social Security Administration
Businesses
without
Credit
Available Elsewhere ..............
3.215 1, supporting statement, and other
(SSA) publishes a list of information
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Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
of OMB-approved information
collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
Fax: 410–966–2830, Email address:
OR.Reports.Clearance@ssa.gov.
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2017–0031].
I. The information collection below is
pending at SSA. SSA will submit it to
OMB within 60 days from the date of
this notice. To be sure we consider your
comments, we must receive them no
later than August 18, 2017. Individuals
can obtain copies of the collection
instrument by writing to the above
email address.
Application for Search of Census
Records for Proof of Age—20 CFR
404.716—0960–0097. When preferred
evidence of age is not available, or the
available evidence is not convincing,
SSA may ask the U.S. Department of
Commerce, Bureau of the Census, to
search its records to establish a
claimant’s date of birth. SSA collects
information from claimants using Form
SSA–1535–U3 to provide the Census
Bureau with sufficient identification
information to allow an accurate search
of census records. Additionally, the
Census Bureau uses a completed, signed
SSA–1535–U3 to bill SSA for the
search. The respondents are applicants
for Social Security benefits who need to
establish their date of birth as a factor
of entitlement.
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–1535–U3 .................................................................................................
18,030
1
12
3,606
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
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 July
19, 2017. Individuals can obtain copies
of the OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Statement Regarding
Contributions—20 CFR 404.360–404.366
and 404.736—0960–0020. SSA uses the
SSA–783 to collect information
regarding a child’s current sources of
support when determining the child’s
entitlement to Social Security benefits.
We request this information from adults
acting on behalf of the child claimants
who can provide SSA with any sources
of support or substantial contributions
for the child. These adults inform the
claims representative as part of the
initial benefits process. If the individual
capable of providing the information
does not accompany the child claimant,
we mail the SSA–783 to the individual
for completion, or if the person has
access to a computer, we will refer them
to SSA’s Web site. The respondents are
individuals providing information about
a child’s sources of support.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Frequency
of response
Average
burden
per response
(minutes)
Estimated total
annual burden
(hours)
SSA–783 ..........................................................................................................
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Modality of completion
30,000
1
17
8,500
2. Request for Waiver of Overpayment
Recovery or Change in Repayment
Notice—20 CFR 404.502–404.513,
404.515 and 20 CFR 416.550–416.570,
416.572—0960–0037. When Social
Security beneficiaries and Supplemental
Security Income (SSI) recipients receive
an overpayment, they must return the
extra money. These beneficiaries and
recipients can use Form SSA–632–BK to
take one of three actions: (1) Request an
exemption from repaying, as recovery of
the payment would cause financial
hardship; (2) inform SSA they want to
repay the overpayment at a monthly rate
over a period longer than 36 months; or
(3) request a different rate of recovery.
In the latter two cases, the respondents
must also provide financial information
to help the agency determine how much
Number of
respondents
Modality of completion
Waiver of Overpayment (Completes Whole Paper Form) ..............................
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the overpaid person can afford to repay
each month. Respondents are overpaid
beneficiaries or SSI recipients who are
requesting: (1) A waiver of recovery of
an overpayment, or (2) a lesser rate of
withholding.
Type of Request: Revision of an OMBapproved information collection.
Frequency of
response
400,000
E:\FR\FM\19JNN1.SGM
1
19JNN1
Average
burden per
response
(minutes)
120
Estimated total
annual burden
(hours)
800,000
27941
Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Change in Repayment (Completes Partial Paper Form) ................................
Regional Application (New York Debt Management) ......................................
Internet Instructions .........................................................................................
100,000
44,000
500,000
1
1
1
45
120
5
75,000
88,000
41,667
Totals ........................................................................................................
1,044,000
........................
........................
1,004,667
3. 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 OMBapproved information collection.
Note: This is a correction Notice.
When we published the first Notice at
82 FR 17494 on April 11, 2017, we
Number of
respondents
Modality of completion
included a line for the paper Form SSA–
5665–BK; however, we no longer use
the paper forms unless the electronic
version is not available (which is why
we estimated no use of the form in our
previous published Notice). Therefore,
we are removing that line from the
burden chart here. This change does not
change the burden we published in
April.
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
SSA–5665–BK .................................................................................................
SSA–5666 ........................................................................................................
293,375
111,189
1
1
40
30
195,583
55,595
Totals ........................................................................................................
404,564
........................
........................
251,178
4. Electronic Records Express—20
CFR 404.1512 and 416.912—0960–0753.
Electronic Records Express (ERE) is a
Web-based SSA program which allows
medical and educational providers to
electronically submit disability claimant
data to SSA. Both medical providers
and other third parties with connections
to disability applicants or recipients
(e.g., teachers and school administrators
for child disability applicants) use this
system once they complete the
registration process. SSA employees and
State agency employees request the
medical and educational records
collected through the ERE Web site. The
agency uses the information collected
through ERE to make a determination on
an Application for Benefits. We also use
the ERE Web site to order and receive
consultative examinations when we are
unable to collect enough medical
records to determine disability findings.
The respondents are medical providers
Number of
respondents
Modality of completion
asabaliauskas on DSKBBXCHB2PROD with NOTICES
ERE ..................................................................................................................
5. Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery—0960–0788.
SSA, as part of our continuing effort to
reduce paperwork and respondent
burden, 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
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Frequency of
response
5,376,998
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
PO 00000
who evaluate or treat disability
claimants or recipients, and other third
parties with connections to disability
applicants or recipients (e.g., Teachers
and school administrators for child
disability applicants), who voluntarily
choose to use ERE for submitting
information.
Type of Request: Revision of an OMBapproved information collection.
1
Average
burden per
response
(minutes)
10
Estimated total
annual burden
(hours)
896,166
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;
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asabaliauskas on DSKBBXCHB2PROD with NOTICES
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Federal Register / Vol. 82, No. 116 / Monday, June 19, 2017 / Notices
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
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.
This type of generic clearance for
qualitative information will not be used
for quantitative information collections
that are 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
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17:09 Jun 16, 2017
Jkt 241001
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 that are 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 sexual
behavior and attitudes, religious beliefs,
and other matters that are 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: Extension 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: June 13, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2017–12580 Filed 6–16–17; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 10030]
30-Day Notice of Proposed Information
Collection: Medical History and
Examination for Foreign Service
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State has
submitted the information collection
described below to the Office of
Management and Budget (OMB) for
approval. In accordance with the
Paperwork Reduction Act of 1995 we
are requesting comments on this
collection from all interested
individuals and organizations. The
purpose of this Notice is to allow 30
days for public comment.
SUMMARY:
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Sfmt 4703
Submit comments directly to the
Office of Management and Budget
(OMB) up to July 19, 2017.
ADDRESSES: Direct comments to the
Department of State Desk Officer in the
Office of Information and Regulatory
Affairs at the Office of Management and
Budget (OMB). You may submit
comments by the following methods:
• Email: oira_submission@
omb.eop.gov. You must include the DS
form number, information collection
title, and the OMB control number in
the subject line of your message.
• Fax: 202–395–5806. Attention: Desk
Officer for Department of State.
FOR FURTHER INFORMATION CONTACT:
Direct requests for additional
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument and supporting documents,
to Joan F. Grew who may be reached on
703–875–5412 or at GrewJF@state.gov.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Medical History and Examination for
Foreign Service.
• OMB Control Number: 1405–0068.
• Type of Request: Revision of a
Currently Approved Collection.
• Originating Office: Bureau of
Medical Services—Medical Clearances
Department.
• Form Numbers: DS–1843 and DS–
1622.
• Respondents: Foreign Service
applicants or employees or eligible
family members.
• Estimated Number of Respondents:
7,814.
• Estimated Number of Responses:
7,814.
• Average Time per Response: 1 hour.
• Total Estimated Burden Time: 7,814
hours.
• Frequency: Upon Entry to Foreign
Service and then intermittent, as
needed.
• Obligation To Respond: Required to
Obtain or Retain a Benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
• Enhance the quality, utility, and
clarity of the information to be
collected.
• Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
DATES:
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]]>Agencies
[Federal Register Volume 82, Number 116 (Monday, June 19, 2017)]
[Notices]
[Pages 27939-27942]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12580]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2017-0031]
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information
[[Page 27940]]
collection packages requiring clearance by the Office of Management and
Budget (OMB) in compliance with Public Law 104-13, the Paperwork
Reduction Act of 1995, effective October 1, 1995. This notice includes
revisions of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, Email address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: OR.Reports.Clearance@ssa.gov.
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2017-0031].
I. The information collection below is pending at SSA. SSA will
submit it to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
August 18, 2017. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Application for Search of Census Records for Proof of Age--20 CFR
404.716--0960-0097. When preferred evidence of age is not available, or
the available evidence is not convincing, SSA may ask the U.S.
Department of Commerce, Bureau of the Census, to search its records to
establish a claimant's date of birth. SSA collects information from
claimants using Form SSA-1535-U3 to provide the Census Bureau with
sufficient identification information to allow an accurate search of
census records. Additionally, the Census Bureau uses a completed,
signed SSA-1535-U3 to bill SSA for the search. The respondents are
applicants for Social Security benefits who need to establish their
date of birth as a factor of entitlement.
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-1535-U3................................. 18,030 1 12 3,606
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these 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 July 19, 2017. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Statement Regarding Contributions--20 CFR 404.360-404.366 and
404.736--0960-0020. SSA uses the SSA-783 to collect information
regarding a child's current sources of support when determining the
child's entitlement to Social Security benefits. We request this
information from adults acting on behalf of the child claimants who can
provide SSA with any sources of support or substantial contributions
for the child. These adults inform the claims representative as part of
the initial benefits process. If the individual capable of providing
the information does not accompany the child claimant, we mail the SSA-
783 to the individual for completion, or if the person has access to a
computer, we will refer them to SSA's Web site. The respondents are
individuals providing information about a child's sources of support.
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-783..................................... 30,000 1 17 8,500
----------------------------------------------------------------------------------------------------------------
2. Request for Waiver of Overpayment Recovery or Change in
Repayment Notice--20 CFR 404.502-404.513, 404.515 and 20 CFR 416.550-
416.570, 416.572--0960-0037. When Social Security beneficiaries and
Supplemental Security Income (SSI) recipients receive an overpayment,
they must return the extra money. These beneficiaries and recipients
can use Form SSA-632-BK to take one of three actions: (1) Request an
exemption from repaying, as recovery of the payment would cause
financial hardship; (2) inform SSA they want to repay the overpayment
at a monthly rate over a period longer than 36 months; or (3) request a
different rate of recovery. In the latter two cases, the respondents
must also provide financial information to help the agency determine
how much the overpaid person can afford to repay each month.
Respondents are overpaid beneficiaries or SSI recipients who are
requesting: (1) A waiver of recovery of an overpayment, or (2) a lesser
rate of withholding.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Waiver of Overpayment (Completes Whole Paper 400,000 1 120 800,000
Form)..........................................
[[Page 27941]]
Change in Repayment (Completes Partial Paper 100,000 1 45 75,000
Form)..........................................
Regional Application (New York Debt Management). 44,000 1 120 88,000
Internet Instructions........................... 500,000 1 5 41,667
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Totals...................................... 1,044,000 .............. .............. 1,004,667
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3. 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.
Note: This is a correction Notice. When we published the first
Notice at 82 FR 17494 on April 11, 2017, we included a line for the
paper Form SSA-5665-BK; however, we no longer use the paper forms
unless the electronic version is not available (which is why we
estimated no use of the form in our previous published Notice).
Therefore, we are removing that line from the burden chart here. This
change does not change the burden we published in April.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-5665-BK..................................... 293,375 1 40 195,583
SSA-5666........................................ 111,189 1 30 55,595
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Totals...................................... 404,564 .............. .............. 251,178
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4. Electronic Records Express--20 CFR 404.1512 and 416.912--0960-
0753. Electronic Records Express (ERE) is a Web-based SSA program which
allows medical and educational providers to electronically submit
disability claimant data to SSA. Both medical providers and other third
parties with connections to disability applicants or recipients (e.g.,
teachers and school administrators for child disability applicants) use
this system once they complete the registration process. SSA employees
and State agency employees request the medical and educational records
collected through the ERE Web site. The agency uses the information
collected through ERE to make a determination on an Application for
Benefits. We also use the ERE Web site to order and receive
consultative examinations when we are unable to collect enough medical
records to determine disability findings. The respondents are medical
providers who evaluate or treat disability claimants or recipients, and
other third parties with connections to disability applicants or
recipients (e.g., Teachers and school administrators for child
disability applicants), who voluntarily choose to use ERE for
submitting information.
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)
----------------------------------------------------------------------------------------------------------------
ERE............................................. 5,376,998 1 10 896,166
----------------------------------------------------------------------------------------------------------------
5. Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery--0960-0788. SSA, as part of our continuing
effort to reduce paperwork and respondent burden, 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;
[[Page 27942]]
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. This type of generic clearance for qualitative
information will not be used for quantitative information collections
that are 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 that are 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 sexual behavior and attitudes,
religious beliefs, and other matters that are 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: Extension 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: June 13, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-12580 Filed 6-16-17; 8:45 am]
BILLING CODE 4191-02-P
