Agency Information Collection Activities: Proposed Request and Comment Request, 49965-49969 [2018-21539]

Download as PDF Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices SECURITIES AND EXCHANGE COMMISSION [Release No. 34–84313; File No. 10–233] MIAX EMERALD, LLC; Notice of Filing of Application for Registration as a National Securities Exchange Under Section 6 of the Securities Exchange Act of 1934 daltland on DSKBBV9HB2PROD with NOTICES September 28, 2018. On August 16, 2018, MIAX EMERALD, LLC (‘‘EMERALD’’ or ‘‘Applicant’’) submitted to the Securities and Exchange Commission (‘‘Commission’’) a Form 1 application under the Securities Exchange Act of 1934 (‘‘Exchange Act’’), seeking registration as a national securities exchange under Section 6 of the Exchange Act. The Commission is publishing this notice to solicit comments on EMERALD’s Form 1 application. The Commission will take any comments it receives into consideration in making its determination about whether to grant EMERALD’s request to be registered as a national securities exchange. The Commission will grant the registration if it finds that the requirements of the Exchange Act and the rules and regulations thereunder with respect to EMERALD are satisfied.1 The Applicant’s Form 1 application provides detailed information on how EMERALD proposes to satisfy the requirements of the Exchange Act. The Form 1 application also provides that EMERALD would operate a fully automated electronic trading platform for the trading of listed options and would not maintain a physical trading floor. It also provides that liquidity would be derived from orders to buy and orders to sell submitted to EMERALD electronically by its registered broker-dealer members, as well as from quotes submitted electronically by market makers. Further, the Form 1 application states that EMERALD would be wholly-owned by its parent company, Miami International Holdings, Inc. (‘‘Miami Holdings’’), which is also the parent company of an two existing national securities exchange, Miami International Securities Exchange, LLC and MIAX PEARL, LLC. A more detailed description of the manner of operation of EMERALD’s proposed system can be found in Exhibit E to EMERALD’s Form 1 application. The proposed rulebook for the proposed exchange can be found in Exhibit B to EMERALD’s Form 1 application, and the governing 1 15 U.S.C. 78s(a). VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 documents for both EMERALD and Miami Holdings can be found in Exhibit A and Exhibit C to EMERALD’s Form 1 application, respectively. A listing of the officers and directors of EMERALD can be found in Exhibit J to EMERALD’s Form 1 application. EMERALD’s Form 1 application, including all of the Exhibits referenced above, is available online at www.sec.gov/rules/other.shtml as well as in the Commission’s Public Reference Room. Interested persons are invited to submit written data, views, and arguments concerning EMERALD’s Form 1, including whether the application is consistent with the Exchange Act. Comments may be submitted by any of the following methods: Electronic Comments • Use the Commission’s internet comment form (http://www.sec.gov/ rules/other.shtml); or • Send an email to rule-comments@ sec.gov. Please include File Number 10– 233 on the subject line. 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 10–233. 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 website (http://www.sec.gov/ rules/other.shtml). Copies of the submission, all subsequent amendments, all written statements with respect to EMERALD’S Form 1 filed with the Commission, and all written communications relating to the application 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 website 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 a.m. and 3 p.m. All comments received will be posted without change. Persons submitting comments are cautioned that we do not redact or edit personal identifying information from comment submissions. You should submit only information that you wish to make publicly available. All submissions should refer to File Number 10–233 and should be PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 49965 submitted on or before November 19, 2018. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.2 Eduardo A. Aleman, Assistant Secretary. [FR Doc. 2018–21555 Filed 10–2–18; 8:45 am] BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2018–0053] 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 extensions and 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– 2018–0053]. 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 3, 2018. Individuals can obtain copies of the collection instruments by writing to the above email address. 2 17 E:\FR\FM\03OCN1.SGM CFR 200.30–3(a)(71)(i). 03OCN1 49966 Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices 1. Response to Notice of Revised Determination—20 CFR 404.913– 404.914, 404.992(b), 416.1413–416.1414, and 416.1492(d)—0960–0347. When SSA determines: (1) Claimants for initial disability benefits do not actually have a disability; or (2) current disability recipients’ records show their disability ceased, SSA notifies the disability claimants, or recipients of this decision. In response to this notice, the affected claimants and disability recipients have the following recourse: (1) They may request a disability hearing to contest SSA’s decision; and (2) they may submit additional information or evidence for SSA to consider. Disability claimants, recipients, and their representatives use Form SSA–765 to accomplish these two actions. If respondents request the first option, SSA’s Disability Hearings Unit uses the form to schedule a hearing; ensure an interpreter is present, if required; and ensure the disability recipients or claimants, and their representatives, receive a notice about Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–765 .......................................................................................................... 1,925 1 30 963 2. Site Review Questionnaire for Volume and Fee-for-Service Payees and Beneficiary Interview Form—20 CFR 404.2035, 404.2065, 416.665, 416.701, and 416.708—0960–0633. SSA asks organizational representative payees to complete Form SSA–637, the Site Review Questionnaire for Volume and Fee-for-Service Payees, to provide information on how they carry out their responsibilities, including how they manage beneficiary funds. SSA then obtains information from the beneficiaries these organizations represent via Form SSA–639, Beneficiary Interview Form, to corroborate the payees’ statements. Due to the sensitivity of the information, SSA employees always complete the forms based on the answers respondents Number of respondents Modality of completion give during the interview. The respondents are individuals; State and local governments; non-profit and forprofit organizations serving as representative payees; and the beneficiaries they serve. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–637 .......................................................................................................... SSA–639 .......................................................................................................... 4,924 21,772 1 1 120 10 9,848 3,629 Totals ........................................................................................................ 26,696 ........................ ........................ 13,477 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 November 2, 2018. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. daltland on DSKBBV9HB2PROD with NOTICES the place and time of the hearing. If respondents choose the second option, SSA uses the form and other evidence to reevaluate the claimant’s or recipients’ case, and determine if the new information or evidence will change SSA’s decision. The respondents are disability claimants, current disability recipients, or their representatives. Type of Request: Revision of an OMBapproved information collection. 1. Medical Source Opinion of Patient’s Capability to Manage Benefits —20 CFR 404.2015 and 416.615—0960– 0024. SSA appoints a representative payee in cases where we determine beneficiaries are not capable of managing their own benefits. In these instances, we require medical evidence to determine the beneficiaries’ capability of managing or directing their benefit payments. SSA collects medical evidence on Form SSA–787 to: (1) Determine beneficiaries’ capability or inability to handle their own benefits; and (2) assist in determining the beneficiaries’ need for a representative payee. The respondents are the beneficiary’s physicians, or medical officers of the institution in which the beneficiary resides. 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–787 .......................................................................................................... 131,556 1 20 43,852 2. Work Activity Report—Employee— 20 CFR 404.1520(b), 404.1571–404.1576, 404.1584–404.1593, and 416.971– 404.976 —0960–0059. SSA uses the SSA–821–BK to obtain work VerDate Sep<11>2014 19:12 Oct 02, 2018 Jkt 247001 information during the initial claims process; the continuing disability review process; post-adjudicative work issue actions; and for the Supplemental Security Income (SSI) claims involving PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 work issues. SSA reviews and evaluates the data to determine if the applicant or recipient meets the disability requirements of the law. The respondents are applicants and E:\FR\FM\03OCN1.SGM 03OCN1 49967 Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices recipients of Title II Social Security and Title XVI SSI disability payments. 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–821–BK ................................................................................................... 300,000 1 30 150,000 3. State Supplementation Provisions: Agreement; Payments—20 CFR 416.2095–416.2099—0960–0240. Section 1618 of the Social Security Act (Act) requires those states administering their own supplementary income payment program(s) to demonstrate compliance with the Act by passing Federal cost-of-living increases on to individuals who are eligible for state supplementary payments, and informing SSA of their compliance. In general, states report their supplementary payment information annually by the maintenance-ofpayment levels method. However, SSA may ask them to report up to four times in a year by the total-expenditures method. Regardless of the method, the states confirm their compliance with the requirements, and provide any changes to their optional supplementary payment rates. SSA uses the information to determine each state’s Number of respondents Modality of completion Number of respondents Average burden per response (minutes) Estimated total annual burden (hours) Total Expenditures ............................................................... Maintenance of Payment Levels ......................................... 7 26 4 1 28 26 60 60 28 26 Total .............................................................................. 33 ........................ 54 ........................ 54 4. Appointment of Representative—20 CFR 404.1707, 404.1720, 408.1101, 416.1507, and 416.1520—0960–0527. Individuals claiming rights or benefits under the Act must notify SSA in writing when they appoint an individual to represent them in dealing with SSA. In addition, SSA requires representatives to sign the notice of appointment, or submit the equivalent in writing, if the representative is not an attorney. Recipients use Form SSA– 1696–U4 to appoint a representative to handle their claim before SSA, and their daltland on DSKBBV9HB2PROD with NOTICES Frequency of response compliance or noncompliance with the pass-along requirements of the Act to determine eligibility for Medicaid reimbursement. If a state fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under Title XIX of the Act. Respondents are state agencies administering supplemental programs. Type of Request: Extension of an OMB-approved information collection. appointed representative uses the SSA– 1696–U4 to indicate whether they will charge a fee, and to show their eligibility for direct fee payment. In addition, representatives also use the SSA–1696–U4 to inform SSA of their disbarment; suspension from a court or bar in which they previously admitted to practice; or their disqualification from participating in or appearing before a Federal program or agency. Finally, SSA requires non-attorney appointed representatives to sign the SSA–1696–U4, or an equivalent written statement. SSA uses the information on the SSA–1696–U4 to document the appointment of the representative. Respondents are applicants for, or recipients of, Social Security disability benefits (SSDI) or SSI payments who are notifying SSA they have appointed a person to represent them in their dealings with SSA, and their nonattorney representatives who need to sign the form. 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–1696–U4 ................................................................................................. 800,000 1 13 173,333 5. Representative Payee Report of Benefits and Dedicated Account —20 CFR 416.546, 416.635, 416.640, and 416.665—0960–0576. SSA requires representative payees (RPs) to submit a written report accounting for the use of money paid to Social Security or SSI VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 recipients, and to establish and maintain a dedicated account for these payments. SSA uses Form SSA–6233 to: (1) Ensure the RPs use the payments for the recipient’s current maintenance and personal needs; and (2) confirm the expenditures of funds from the PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 dedicated account remain in compliance with the law. Respondents are RPs for SSI and Social Security recipients. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\03OCN1.SGM 03OCN1 49968 Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–6233 ........................................................................................................ 36,228 1 20 12,076 6. Testimony by Employees and the Production of Records and Information in Legal Proceedings—20 CFR 403.100– 403.155 —0960–0619. Regulations at 20 CFR 403.100–403.155 of the Code of Federal Regulations establish SSA’s policies and procedures for an individual; organization; or government entity to request official agency interest to provide the testimony; and (4) provide the date, time, and place for the testimony. Respondents are individuals or entities who request testimony from SSA employees in connection with a legal proceeding. Type of Request: Extension of an OMB-approved information collection. Modality of completion Number of respondents Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) 20 CFR 403.100–403.155 ............................................................................... 100 1 60 100 7. Certification of Prisoner Identity Information—20 CFR 422.107—0960– 0688. Inmates of Federal, State, or local prisons may need a Social Security card as verification of their Social Security Number (SSN) for school or work programs, or as proof of employment eligibility upon release from incarceration. Before SSA can issue a replacement Social Security card, applicants must show SSA proof of their identity. People who are in prison for an extended period typically do not have current identity documents. Therefore, under formal written agreement with the correctional institution, SSA allows prison officials to verify the identity of certain incarcerated U.S. citizens who need replacement Social Security cards. Information prison officials provide comes from the official prison files, sent on correctional facility letterhead. SSA uses this information to establish the applicant’s identity in the replacement Social Security card process. The respondents are prison officials who certify the identity of prisoners applying for replacement Social Security cards. Type of Request: Extension of an OMB-approved Information Collection. Modality of completion Number of respondents Frequency of response Number of responses Average burden per response (minutes) Estimated total annual burden (hours) Verification of Prisoner Identity Statements ........................ 1,000 200 200,000 3 10,000 8. Notification of a Social Security Number (SSN) to an Employer for Wage Reporting—20 CFR 422.103(a)—0960– 0778. Individuals applying for employment must provide a SSN, or indicate they have applied for one. However, when an individual applies for an initial SSN, there is a delay between the assignment of the number and the delivery of the SSN card. At an individual’s request, SSA uses Form SSA–132 to send the individual’s SSN daltland on DSKBBV9HB2PROD with NOTICES information, records, or testimony of an agency employee in a legal proceeding when the agency is not a party. The request, which respondents submit in writing to SSA, must: (1) Fully set out the nature and relevance of the sought testimony; (2) explain why the information is not available by other means; (3) explain why it is in SSA’s to an employer. Mailing this information to the employer: (1) Ensures the employer has the correct SSN for the individual; (2) allows SSA to receive correct earnings information for wage reporting purposes; and (3) reduces the delay in the initial SSN assignment and delivery of the SSN information directly to the employer. It also enables SSA to verify the employer as a safeguard for the applicant’s personally identifiable information. The majority of individuals who take advantage of this option are in the United States with exchange visitor and student visas; however, we allow any applicant for an SSN to use the SSA–132. The respondents are individuals applying for an initial SSN who ask SSA to mail confirmation of their application or the SSN to their employers. 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–132 .......................................................................................................... 326,000 1 2 10,867 VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1 Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices Dated: September 28, 2018. Naomi Sipple, Reports Clearance Officer, Social Security Administration. DEPARTMENT OF STATE DEPARTMENT OF STATE [Public Notice: 10573] Notice of Determinations; Culturally Significant Objects Imported for Exhibition—Determinations: ‘‘The Orle´ans Collection’’ Exhibition Notice is hereby given of the following determinations: I hereby determine that certain objects to be included in the exhibition ‘‘The Orle´ans Collection,’’ 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 New Orleans Museum of Art, in New Orleans, Louisiana, from on or about October 26, 2018, until on or about January 27, 2019, 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. SUMMARY: Julie Simpson, Attorney-Adviser, 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. FOR FURTHER INFORMATION CONTACT: The foregoing determinations were made 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, and Delegation of Authority No. 236–3 of August 28, 2000. daltland on DSKBBV9HB2PROD with NOTICES Marie Therese Porter Royce, Assistant Secretary for Educational and Cultural Affairs, Department of State. [Public Notice: 10575] Advisory Committee on International Economic Policy; Notice of Open Meeting BILLING CODE 4191–02–P SUPPLEMENTARY INFORMATION: DEPARTMENT OF STATE [Public Notice: 10572] [FR Doc. 2018–21539 Filed 10–2–18; 8:45 am] The Advisory Committee on International Economic Policy (ACIEP) will meet from 1:30 until 4:00 p.m., Wednesday, October 17 in Washington, DC at the State Department, 320 21st St. NW. The meeting will be hosted by the Assistant Secretary of State for Economic and Business Affairs, Manisha Singh, and Committee Chair Paul R. Charron. The ACIEP serves the U.S. government in a solely advisory capacity, and provides advice concerning topics in international economic policy. During this meeting, subcommittees, such as the Stakeholder Advisory Board, can present updates. Topics for discussion will include concerns about Chinese global investment and the implications for U.S. business and economic interests’ postBrexit. This meeting is open to the public, though seating is limited. Entry to the building is controlled. To obtain preclearance for entry, members of the public planning to attend must, no later than Friday, October 5, provide their full name and professional affiliation (if any) to Rima Vydmantas by email: VydmantasRJ@state.gov. Requests for reasonable accommodation also should be made to Rima Vydmantas before Friday, October 12. Requests made after that date will be considered, but might not be possible to fulfill. This information is being collected pursuant to 22 U.S.C. 2651a and 22 U.S.C. 4802 for the purpose of screening and pre-clearing participants to enter the host venue at the U.S. Department of State, in line with standard security procedures for events of this size. The Department of State will use this information consistent with the routine uses set forth in the System of Records Notices for Protocol Records (STATE– 33) and Security Records (State-36). Provision of this information is voluntary, but failure to provide accurate information may impede your ability to register for the event. For additional information, contact Rima Vydmantas, Bureau of Economic and Business Affairs, at (202) 647–4301, or VydmantasRJ@state.gov. [FR Doc. 2018–21512 Filed 10–2–18; 8:45 am] Rima J. Vydmantas, Designated Federal Officer, U.S. Department of State. BILLING CODE 4710–05–P [FR Doc. 2018–21518 Filed 10–2–18; 8:45 am] BILLING CODE 4710–07–P VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 PO 00000 Frm 00065 Fmt 4703 49969 Sfmt 4703 Notice of Determinations; Culturally Significant Objects Imported for Exhibition—Determinations: ‘‘Contesting Modernity: Informalism in Venezuela, 1955–1975’’ Exhibition Notice is hereby given of the following determinations: I hereby determine that certain objects to be included in the exhibition ‘‘Contesting Modernity: Informalism in Venezuela, 1955–1975,’’ 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 Museum of Fine Arts, Houston, in Houston, Texas, from on or about October 26, 2018, until on or about January 21, 2019, 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: Julie Simpson, Attorney-Adviser, 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. SUPPLEMENTARY INFORMATION: The foregoing determinations were made 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, and Delegation of Authority No. 236–3 of August 28, 2000. SUMMARY: Marie Therese Porter Royce, Assistant Secretary for Educational and Cultural Affairs, Department of State. [FR Doc. 2018–21514 Filed 10–2–18; 8:45 am] BILLING CODE 4710–05–P SUSQUEHANNA RIVER BASIN COMMISSION Public Hearing Susquehanna River Basin Commission. ACTION: Notice. AGENCY: The Susquehanna River Basin Commission will hold a public hearing SUMMARY: E:\FR\FM\03OCN1.SGM 03OCN1

Agencies

[Federal Register Volume 83, Number 192 (Wednesday, October 3, 2018)]
[Notices]
[Pages 49965-49969]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-21539]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2018-0053]


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 extensions and 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: [email protected].
(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: [email protected].

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2018-0053].
    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 3, 2018. Individuals can obtain copies of the collection 
instruments by writing to the above email address.

[[Page 49966]]

    1. Response to Notice of Revised Determination--20 CFR 404.913-
404.914, 404.992(b), 416.1413-416.1414, and 416.1492(d)--0960-0347. 
When SSA determines: (1) Claimants for initial disability benefits do 
not actually have a disability; or (2) current disability recipients' 
records show their disability ceased, SSA notifies the disability 
claimants, or recipients of this decision. In response to this notice, 
the affected claimants and disability recipients have the following 
recourse: (1) They may request a disability hearing to contest SSA's 
decision; and (2) they may submit additional information or evidence 
for SSA to consider. Disability claimants, recipients, and their 
representatives use Form SSA-765 to accomplish these two actions. If 
respondents request the first option, SSA's Disability Hearings Unit 
uses the form to schedule a hearing; ensure an interpreter is present, 
if required; and ensure the disability recipients or claimants, and 
their representatives, receive a notice about the place and time of the 
hearing. If respondents choose the second option, SSA uses the form and 
other evidence to reevaluate the claimant's or recipients' case, and 
determine if the new information or evidence will change SSA's 
decision. The respondents are disability claimants, current disability 
recipients, or their representatives.
    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-765.....................................           1,925                1               30              963
----------------------------------------------------------------------------------------------------------------

    2. Site Review Questionnaire for Volume and Fee-for-Service Payees 
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665, 
416.701, and 416.708--0960-0633. SSA asks organizational representative 
payees to complete Form SSA-637, the Site Review Questionnaire for 
Volume and Fee-for-Service Payees, to provide information on how they 
carry out their responsibilities, including how they manage beneficiary 
funds. SSA then obtains information from the beneficiaries these 
organizations represent via Form SSA-639, Beneficiary Interview Form, 
to corroborate the payees' statements. Due to the sensitivity of the 
information, SSA employees always complete the forms based on the 
answers respondents give during the interview. The respondents are 
individuals; State and local governments; non-profit and for-profit 
organizations serving as representative payees; and the beneficiaries 
they serve.
    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-637.........................................           4,924               1             120           9,848
SSA-639.........................................          21,772               1              10           3,629
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Totals......................................          26,696  ..............  ..............          13,477
----------------------------------------------------------------------------------------------------------------

    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 November 2, 2018. Individuals can obtain copies of 
the OMB clearance packages by writing to [email protected].
    1. Medical Source Opinion of Patient's Capability to Manage 
Benefits --20 CFR 404.2015 and 416.615--0960-0024. SSA appoints a 
representative payee in cases where we determine beneficiaries are not 
capable of managing their own benefits. In these instances, we require 
medical evidence to determine the beneficiaries' capability of managing 
or directing their benefit payments. SSA collects medical evidence on 
Form SSA-787 to: (1) Determine beneficiaries' capability or inability 
to handle their own benefits; and (2) assist in determining the 
beneficiaries' need for a representative payee. The respondents are the 
beneficiary's physicians, or medical officers of the institution in 
which the beneficiary resides.
    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-787.....................................         131,556                1               20           43,852
----------------------------------------------------------------------------------------------------------------

    2. Work Activity Report--Employee--20 CFR 404.1520(b), 404.1571-
404.1576, 404.1584-404.1593, and 416.971-404.976 --0960-0059. SSA uses 
the SSA-821-BK to obtain work information during the initial claims 
process; the continuing disability review process; post-adjudicative 
work issue actions; and for the Supplemental Security Income (SSI) 
claims involving work issues. SSA reviews and evaluates the data to 
determine if the applicant or recipient meets the disability 
requirements of the law. The respondents are applicants and

[[Page 49967]]

recipients of Title II Social Security and Title XVI SSI disability 
payments.
    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-821-BK..................................         300,000                1               30          150,000
----------------------------------------------------------------------------------------------------------------

    3. State Supplementation Provisions: Agreement; Payments--20 CFR 
416.2095-416.2099--0960-0240. Section 1618 of the Social Security Act 
(Act) requires those states administering their own supplementary 
income payment program(s) to demonstrate compliance with the Act by 
passing Federal cost-of-living increases on to individuals who are 
eligible for state supplementary payments, and informing SSA of their 
compliance. In general, states report their supplementary payment 
information annually by the maintenance-of-payment levels method. 
However, SSA may ask them to report up to four times in a year by the 
total-expenditures method. Regardless of the method, the states confirm 
their compliance with the requirements, and provide any changes to 
their optional supplementary payment rates. SSA uses the information to 
determine each state's compliance or noncompliance with the pass-along 
requirements of the Act to determine eligibility for Medicaid 
reimbursement. If a state fails to keep payments at the required level, 
it becomes ineligible for Medicaid reimbursement under Title XIX of the 
Act. Respondents are state agencies administering supplemental 
programs.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
     Modality of completion          Number of     Frequency of      Number of     per response    total annual
                                    respondents      response       respondents      (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
Total Expenditures..............               7               4              28              60              28
Maintenance of Payment Levels...              26               1              26              60              26
                                 -------------------------------------------------------------------------------
    Total.......................              33  ..............              54  ..............              54
----------------------------------------------------------------------------------------------------------------

    4. Appointment of Representative--20 CFR 404.1707, 404.1720, 
408.1101, 416.1507, and 416.1520--0960-0527. Individuals claiming 
rights or benefits under the Act must notify SSA in writing when they 
appoint an individual to represent them in dealing with SSA. In 
addition, SSA requires representatives to sign the notice of 
appointment, or submit the equivalent in writing, if the representative 
is not an attorney. Recipients use Form SSA-1696-U4 to appoint a 
representative to handle their claim before SSA, and their appointed 
representative uses the SSA-1696-U4 to indicate whether they will 
charge a fee, and to show their eligibility for direct fee payment. In 
addition, representatives also use the SSA-1696-U4 to inform SSA of 
their disbarment; suspension from a court or bar in which they 
previously admitted to practice; or their disqualification from 
participating in or appearing before a Federal program or agency. 
Finally, SSA requires non-attorney appointed representatives to sign 
the SSA-1696-U4, or an equivalent written statement. SSA uses the 
information on the SSA-1696-U4 to document the appointment of the 
representative. Respondents are applicants for, or recipients of, 
Social Security disability benefits (SSDI) or SSI payments who are 
notifying SSA they have appointed a person to represent them in their 
dealings with SSA, and their non-attorney representatives who need to 
sign the form.
    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-1696-U4.................................         800,000                1               13          173,333
----------------------------------------------------------------------------------------------------------------

    5. Representative Payee Report of Benefits and Dedicated Account --
20 CFR 416.546, 416.635, 416.640, and 416.665--0960-0576. SSA requires 
representative payees (RPs) to submit a written report accounting for 
the use of money paid to Social Security or SSI recipients, and to 
establish and maintain a dedicated account for these payments. SSA uses 
Form SSA-6233 to: (1) Ensure the RPs use the payments for the 
recipient's current maintenance and personal needs; and (2) confirm the 
expenditures of funds from the dedicated account remain in compliance 
with the law. Respondents are RPs for SSI and Social Security 
recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 49968]]



----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-6233....................................          36,228                1               20           12,076
----------------------------------------------------------------------------------------------------------------

    6. Testimony by Employees and the Production of Records and 
Information in Legal Proceedings--20 CFR 403.100-403.155 --0960-0619. 
Regulations at 20 CFR 403.100-403.155 of the Code of Federal 
Regulations establish SSA's policies and procedures for an individual; 
organization; or government entity to request official agency 
information, records, or testimony of an agency employee in a legal 
proceeding when the agency is not a party. The request, which 
respondents submit in writing to SSA, must: (1) Fully set out the 
nature and relevance of the sought testimony; (2) explain why the 
information is not available by other means; (3) explain why it is in 
SSA's interest to provide the testimony; and (4) provide the date, 
time, and place for the testimony. Respondents are individuals or 
entities who request testimony from SSA employees in connection with a 
legal proceeding.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155......................             100                1               60              100
----------------------------------------------------------------------------------------------------------------

    7. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a 
Social Security card as verification of their Social Security Number 
(SSN) for school or work programs, or as proof of employment 
eligibility upon release from incarceration. Before SSA can issue a 
replacement Social Security card, applicants must show SSA proof of 
their identity. People who are in prison for an extended period 
typically do not have current identity documents. Therefore, under 
formal written agreement with the correctional institution, SSA allows 
prison officials to verify the identity of certain incarcerated U.S. 
citizens who need replacement Social Security cards. Information prison 
officials provide comes from the official prison files, sent on 
correctional facility letterhead. SSA uses this information to 
establish the applicant's identity in the replacement Social Security 
card process. The respondents are prison officials who certify the 
identity of prisoners applying for replacement Social Security cards.
    Type of Request: Extension of an OMB-approved Information 
Collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average burden  Estimated total
                       Modality of completion                           Number of       Frequency of      Number of       per response    annual burden
                                                                       respondents        response        responses        (minutes)         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity Statements.......................           1,000              200          200,000                3           10,000
--------------------------------------------------------------------------------------------------------------------------------------------------------

    8. Notification of a Social Security Number (SSN) to an Employer 
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying 
for employment must provide a SSN, or indicate they have applied for 
one. However, when an individual applies for an initial SSN, there is a 
delay between the assignment of the number and the delivery of the SSN 
card. At an individual's request, SSA uses Form SSA-132 to send the 
individual's SSN to an employer. Mailing this information to the 
employer: (1) Ensures the employer has the correct SSN for the 
individual; (2) allows SSA to receive correct earnings information for 
wage reporting purposes; and (3) reduces the delay in the initial SSN 
assignment and delivery of the SSN information directly to the 
employer. It also enables SSA to verify the employer as a safeguard for 
the applicant's personally identifiable information. The majority of 
individuals who take advantage of this option are in the United States 
with exchange visitor and student visas; however, we allow any 
applicant for an SSN to use the SSA-132. The respondents are 
individuals applying for an initial SSN who ask SSA to mail 
confirmation of their application or the SSN to their employers.
    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-132.....................................         326,000                1                2           10,867
----------------------------------------------------------------------------------------------------------------



[[Page 49969]]

    Dated: September 28, 2018.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2018-21539 Filed 10-2-18; 8:45 am]
 BILLING CODE 4191-02-P