Agency Information Collection Activities: Proposed Request and Comment Request, 4597-4600 [2019-02469]

Download as PDF 4597 Federal Register / Vol. 84, No. 32 / Friday, February 15, 2019 / Notices Electronic Comments • Use the Commission’s internet comment form (https://www.sec.gov/ rules/pcaob.shtml); or • Send an email to rule-comments@ sec.gov. Please include PCAOB–2019– 01 on the subject line. Paper Comments • Send paper comments in triplicate to Brent J. Fields, Secretary, Securities and Exchange Commission, 100 F Street NE, Washington, DC 20549–1090. All submissions should refer to PCAOB–2019–01. 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 (https://www.sec.gov/ rules/pcaob.shtml). Copies of the submission, all subsequent amendments, all written statements with respect to the proposed amendments that are filed with the Commission, and all written communications relating to the proposed amendments 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 20549–1090, on official business days between the hours of 10:00 a.m. and 3:00 p.m. Copies of such filing will also be available for inspection and copying at the principal office of the PCAOB. 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 available publicly. All submissions should refer to PCAOB– 2019–01 and should be submitted on or before March 8, 2019. For the Commission, by the Office of the Chief Accountant, pursuant to delegated authority.20 Eduardo A. Aleman, Deputy Secretary. [FR Doc. 2019–02450 Filed 2–14–19; 8:45 am] BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No SSA–2019–0007] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions 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 Number of respondents Modality of completion khammond on DSKBBV9HB2PROD with NOTICES SSA–7163A–F4 ............................................................................................... 2. Information About Joint Checking/ Savings Account—20 CFR 416.1201 and 416.1208—0960–0461. SSA considers a person’s resources when evaluating eligibility for Supplemental Security Income (SSI). Generally, we consider funds in checking and savings accounts as resources owned by the individuals whose names appear on the account. However, individuals applying for SSI may rebut this assumption of ownership in a joint account by submitting certain 20 17 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– 2019–0007]. 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 April 16, 2019. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Supplemental Statement Regarding Farming Activities of Person Living Outside the U.S.A.—0960–0103. When a beneficiary or claimant reports farm work from outside the United States, SSA documents this work on Form SSA–7163A–F4. Specifically, SSA uses the form to determine if we should apply foreign work deductions to the recipient’s Title II benefits. We collect the information either annually or every other year, depending on the respondent’s country of residence. Respondents are Social Security recipients engaged in farming activities outside the United States. Type of Request: Revision of an OMBapproved information collection. Frequency of response 1,000 evidence to establish the funds do not belong to them. SSA uses Form SSA– 2574 to collect information from SSI applicants and recipients who object to the assumption that they own all or part of the funds in a joint checking or savings account bearing their names. SSA collects information about the account from both the SSI applicant or recipient and the other account holder(s). After receiving the completed form, SSA determines if we should 1 19:41 Feb 14, 2019 Jkt 247001 PO 00000 Frm 00166 Fmt 4703 Sfmt 4703 60 Estimated total annual burden (hours) 1,000 consider the account to be a resource for the SSI applicant and recipient. The respondents are applicants and recipients of SSI, and individuals who list themselves as joint owners of financial accounts with SSI applicants or recipients. Type of Request: Revision of an OMBapproved information collection. CFR 200.30–11(b)(2). VerDate Sep<11>2014 Average burden per response (minutes) E:\FR\FM\15FEN1.SGM 15FEN1 4598 Federal Register / Vol. 84, No. 32 / Friday, February 15, 2019 / Notices Number of respondents Modality of completion Average burden per response (minutes) Estimated total annual burden (hours) SSA–2574 Paper version ................................................................................ Intranet version (SSI claims system) ............................................................... 50,000 150,000 1 1 7 7 5,833 17,500 Totals ........................................................................................................ 200,000 ........................ ........................ 23,333 3. Employer Verification of Earnings After Death—20 CFR 404.821 and 404.822—0960–0472. When SSA records show a wage earner is deceased, and we receive wage reports from an employer for the wage earner for a year Number of respondents SSA–L4112 ...................................................................................................... 4. Certificate of Election for Reduced Widow(er)s and Surviving Divorced Spouse’s Benefits—20 CFR 404.335— 0960–0759. Section 202(q) of the Act provides SSA the authority to reduce benefits under certain conditions when elected by a Title II beneficiary. However, reduced benefits are not payable to an already entitled spouse (or divorced spouse) who: Frequency of response 54,998 1 • Is at least age 62 and under full retirement age in the month of the number holder’s death; and • Is receiving both reduced spouse’s (or divorced spouse’s) benefits and either retirement or disability benefits in the month before the month of the number holder’s death. To elect reduced widow(er) benefits, a recipient completes Form SSA–4111. Number of respondents Modality of completion SSA–4111 ........................................................................................................ 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 March 18, 2019. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. the employer is correct for the employee and the year in question. The respondents are employers who report wages for employees who died. Type of Request: Revision of an OMBapproved information collection. subsequent to the year of death, SSA mails the employer Form SSA–L4112 (Employer Verification of Earnings After Death). SSA uses the information Form SSA–L4112 provides to verify wage information previously received from Modality of completion Number of respondents Average burden per response (minutes) Estimated total annual burden (hours) 10 9,166 SSA uses the information collected to pay a qualified dually entitled widow(er) (or surviving divorced spouse) who elects to receive a reduced widow(er) benefit. The respondents are qualified dually entitled widow(er)s (or surviving divorced spouse) who elect to receive a reduced widow(er) benefit. Type of Request: Revision of an OMBapproved information collection. Frequency of response 30,000 1. Application for Widow’s or Widower’s Insurance Benefits—20 CFR 404.335–404.338, & 404.603—0960– 0004. Section 2029(e) and 202(f) of the Act set forth the requirements for entitlement to widow(er)’s benefits, including the requirements to file an application. For SSA to make a formal determination for entitlement to widow(er)’s benefits, we use Form SSA– 10–BK to determine whether an applicant meets the statutory and Modality of completion khammond on DSKBBV9HB2PROD with NOTICES Frequency of response Average burden per response (minutes) 1 Estimated total annual burden (hours) 2 1,000 regulatory conditions for entitlement to widow(er)’s Title II benefits. SSA employees interview individuals applying for benefits either face-to-face or via telephone, and enter the information on the paper form or into the Modernized Claims System (MCS). The respondents are applicants for widow(er)’s benefits. Type of Request: Revision of an OMBapproved information collection. Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–10–BK MCS version ............................................................................... SSA–10–BK Paper version ............................................................................. 518,784 2,255 1 1 14 15 121,050 564 Totals ........................................................................................................ 521,039 ........................ ........................ 121,614 2. Notice Regarding Substitution of Party Upon Death of Claimant— VerDate Sep<11>2014 19:41 Feb 14, 2019 Jkt 247001 Reconsideration of Disability Cessation—20 CFR Sections 404.907– PO 00000 Frm 00167 Fmt 4703 Sfmt 4703 404.921 and 416.1407–416.1421—0960– 0351. When a claimant dies before we E:\FR\FM\15FEN1.SGM 15FEN1 4599 Federal Register / Vol. 84, No. 32 / Friday, February 15, 2019 / Notices make a determination on that person’s request for reconsideration of a disability cessation, SSA seeks a qualified substitute party to pursue the appeal. If SSA locates a qualified substitute party, the agency uses Form Number of respondents Modality of completion SSA–770 .......................................................................................................... 3. 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 Social Security Act (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, Frequency of response 1,200 Average burden per response (minutes) 1 Estimated total annual burden (hours) 5 100 revocation and withdrawal of a representative. Respondents are applicants for, or recipients of, Social Security disability benefits (SSDI); SSI payments; or anyone pursuing a benefit or invoking a right under SSA programs, 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. Note: We inadvertently published incorrect burden data both in our publication on 7/10/18 at 83 FR 31987, and again on 10/3/18 at 83 FR 49965. We are correcting for that oversight here. Type of Request: Revision of an OMBapproved information collection. 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. In addition, respondents use the SSA–1696–SUP2 to revoke their appointment of a representative, and representatives use the SSA–1696–SUP2 to withdraw their acceptance of the appointment. SSA uses this information to document the Number of respondents Modality of completion khammond on DSKBBV9HB2PROD with NOTICES substitute applicants who are pursuing a reconsideration request for a deceased claimant. Type of Request: Revision of an OMBapproved information collection. SSA–770 to collect information about whether to pursue or withdraw the reconsideration request. We use this information as the basis for the decision to continue or discontinue with the appeals process. Respondents are Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) SSA–1696–U4 ................................................................................................. SSA–1696–SUP1 ............................................................................................ SSA–1696–SUP2 ............................................................................................ 800,000 21,000 233,000 1 1 1 12 5 5 160,000 1,750 19,417 Totals ........................................................................................................ 1,054,000 ........................ ........................ 181,167 4. Centenarian and Medicare NonUtilization Project Development Worksheets: Face-to-Face Interview and Telephone Interview—20 CFR 416.204(b) and 422.135—0960–0780. SSA conducts interviews with centenary Title II beneficiaries and Title XVI recipients, and Medicare NonUtilization Project (MNUP) beneficiaries age 90 and older to: (1) Assess if the beneficiaries are still living; (2) prevent fraud through identity misrepresentation; and (3) evaluate the well-being of the recipients to determine if they need a representative payee, or a change in representative payee. SSA field office personnel obtain the information through one-time, in-person interviews with the centenarians and MNUP beneficiaries. If the centenarians and MNUP beneficiaries have representatives or caregivers, SSA personnel invite them to the interviews. During these interviews, SSA employees make overall observations of the centenarians, MNUP beneficiaries, and their representative payees (if applicable). The interviewer uses the appropriate Development Worksheet as a guide for the interview, in addition to Number of respondents Modality of completion Centenarian Project—Title XVI Only * ............................................................. MNUP—All Title II Responses ......................................................................... VerDate Sep<11>2014 19:41 Feb 14, 2019 Jkt 247001 PO 00000 Frm 00168 Fmt 4703 Sfmt 4703 documenting findings during the interview. Non-completion of the Worksheets, or refusal of the interviews, may result in the suspension of the centenarians’ or MNUP beneficiaries’ payments. SSA conducts the interviews either over the telephone or through a face-to-face discussion with the respondents. Respondents are Centenarian and MNUP beneficiaries; their representative payees; or their caregivers. Type of Request: Revision of an OMBapproved information collection. Frequency of response 194 4,413 E:\FR\FM\15FEN1.SGM 1 1 15FEN1 Average burden per response (minutes) 15 15 Estimated total annual burden (hours) 49 1,103 4600 Federal Register / Vol. 84, No. 32 / Friday, February 15, 2019 / Notices Frequency of response Average burden per response (minutes) ........................ ........................ Number of respondents Modality of completion Totals ........................................................................................................ 4,607 Estimated total annual burden (hours) 1,152 * Some cases are Title II and Title XVI rollovers from prior Centenarian workloads. Dated: February 12, 2019. Naomi Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2019–02469 Filed 2–14–19; 8:45 am] BILLING CODE 4191–02–P SURFACE TRANSPORTATION BOARD [Docket No. FD 36229] khammond on DSKBBV9HB2PROD with NOTICES Union Pacific Railroad Company— Trackage Rights Exemption—West Memphis Base Railroad, L.L.C. Union Pacific Railroad Company (UP) has filed a verified notice of exemption under 49 CFR 1180.2(d)(7) for exemption of overhead and local trackage rights over a rail line controlled by West Memphis Base Railroad, L.L.C. (WMBR) between milepost 355.539 and milepost 353.281 at West Memphis, Ark. (the Line), a total distance of approximately 2.25 miles. UP states that the trackage rights agreement between it and WMBR will allow UP to continue serving customers on the Line in the same manner as before WMBR acquired rights over the Line. According to UP, following the sale of the Line by UP’s predecessor, Missouri Pacific Railroad Company (Missouri Pacific) to the City of West Memphis, Ark., Missouri Pacific, and later UP, operated over the Line pursuant to an operating agreement between Missouri Pacific and the City of West Memphis.1 The transaction may be consummated on or after March 1, 2019, the effective date of the exemption (30 days after the verified notice of exemption was filed). As a condition to this exemption, any employees affected by the trackage rights will be protected by the conditions imposed in Norfolk & Western Railway—Trackage Rights— Burlington Northern, Inc., 354 I.C.C. 605 (1978), as modified in Mendocino Coast Railway—Lease & Operate—California Western Railroad, 360 I.C.C. 653 (1980). If the notice contains false or misleading information, the exemption 1 See City of W. Memphis, Ark.—Acquis. & Operation Exemption—Mo. Pac. R.R., FD 32121 (ICC served July 31, 1992); see also W. Memphis Base R.R.—Lease, Operation, & Future Purchase Exemption—City of W. Memphis, Ark., FD 36215 (STB served Sept. 13, 2018). VerDate Sep<11>2014 19:41 Feb 14, 2019 Jkt 247001 is void ab initio. Petitions to revoke the exemption under 49 U.S.C. 10502(d) may be filed at any time. The filing of a petition to revoke will not automatically stay the effectiveness of the exemption. Petitions to stay must be filed by February 22, 2019 (at least seven days before the exemption becomes effective). An original and 10 copies of all pleadings, referring to Docket No. FD 36229, must be filed with the Surface Transportation Board, 395 E Street SW, Washington, DC 20423–0001. In addition, a copy of each pleading must be served on Jeremy Berman, Union Pacific Railroad Company, 1400 Douglas Street, Stop 1580, Omaha, NE 68179. Board decisions and notices are available at www.stb.gov. Decided: February 12, 2019. By the Board, Scott M. Zimmerman, Acting Director, Office of Proceedings. Tammy Lowery, Clearance Clerk. [FR Doc. 2019–02556 Filed 2–14–19; 8:45 am] BILLING CODE 4915–01–P SURFACE TRANSPORTATION BOARD [Docket No. FD 36264] R.J. Corman Railroad Company/ Western Ohio Line—Renewal of Lease Exemption With Interchange Commitment—Norfolk Southern Railway Company R.J. Corman Railroad Company/ Western Ohio Line (RJCW), a Class III rail carrier, has filed a verified notice of exemption under 49 CFR 1150.41 to renew its lease of a rail line owned by Norfolk Southern Railway Company (NSR), located in the State of Ohio (the Line). The Line, known as the St. Mary’s Line, extends from milepost SP 120.0 at St. Mary’s, Auglaize County, to milepost SP 136.3 near the Ohio-Indiana border, Mercer County, a total distance of 16.3 miles. RJCW and NSR previously executed a lease agreement regarding the Line in 1993.1 RJCW states that the new lease agreement, dated November 12, 2018, has an initial ten-year term that may be 1 R.J. Corman R.R./W. Ohio Line—Acquis. & Operation Exemption—Certain Lines of Norfolk & W. Ry., FD 32294 (ICC served Aug. 20, 1993). PO 00000 Frm 00169 Fmt 4703 Sfmt 4703 extended by mutual agreement of the parties. RJCW certifies that its projected annual revenues from this transaction will not result in its becoming a Class I or Class II rail carrier and will not exceed $5 million. As required under 49 CFR 1150.43(h)(1), RJCW has disclosed in its verified notice that its new lease agreement with NSR contains an interchange commitment that charges RJCW an interchange charge for carloads that originate or terminate on the Line that are not interchanged to NSR.2 RJCW has provided additional information regarding the interchange commitment as required by 49 CFR 1150.43(h). RJCW states in its verified notice that it intends to consummate the proposed lease renewal on or shortly after March 2, 2019, the effective date of this exemption. If the verified notice contains false or misleading information, the exemption is void ab initio. Petitions to revoke the exemption under 49 U.S.C. 10502(d) may be filed at any time. The filing of a petition to revoke will not automatically stay the effectiveness of the exemption. Petitions to stay must be filed no later than February 22, 2019. An original and 10 copies of all pleadings, referring to Docket No. FD 36264, must be filed with the Surface Transportation Board, 395 E Street SW, Washington, DC 20423–0001. In addition, a copy of each pleading must be served on RJCW’s representative, Catherine S. Wright, Irvin Rigsby PLC, 110 N Main Street, Nicholasville, KY 40356. According to RJCW, this action is categorically excluded from environmental review under 49 CFR 1105.6(c) and from historic reporting under 49 CFR 1105.8(b). Board decisions and notices are available at www.stb.gov. Decided: February 11, 2019. By the Board, Scott M. Zimmerman, Acting Director, Office of Proceedings. Jeffrey Herzig, Clearance Clerk. [FR Doc. 2019–02384 Filed 2–14–19; 8:45 am] BILLING CODE 4915–01–P 2 RJCW filed under seal a copy of the new lease agreement with its verified notice of exemption. See 49 CFR 1150.43(h)(1). E:\FR\FM\15FEN1.SGM 15FEN1

Agencies

Social Security Administration

[Federal Register Volume 84, Number 32 (Friday, February 15, 2019)]
[Notices]
[Pages 4597-4600]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02469]

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SOCIAL SECURITY ADMINISTRATION

[Docket No SSA-2019-0007]

Agency Information Collection Activities: Proposed Request and
Comment Request

The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions 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-2019-0007].
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
April 16, 2019. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Supplemental Statement Regarding Farming Activities of Person
Living Outside the U.S.A.--0960-0103. When a beneficiary or claimant
reports farm work from outside the United States, SSA documents this
work on Form SSA-7163A-F4. Specifically, SSA uses the form to determine
if we should apply foreign work deductions to the recipient's Title II
benefits. We collect the information either annually or every other
year, depending on the respondent's country of residence. Respondents
are Social Security recipients engaged in farming activities outside
the United States.
Type of Request: Revision of an OMB-approved information
collection.

2. Information About Joint Checking/Savings Account--20 CFR
416.1201 and 416.1208--0960-0461. SSA considers a person's resources
when evaluating eligibility for Supplemental Security Income (SSI).
Generally, we consider funds in checking and savings accounts as
resources owned by the individuals whose names appear on the account.
However, individuals applying for SSI may rebut this assumption of
ownership in a joint account by submitting certain evidence to
establish the funds do not belong to them. SSA uses Form SSA-2574 to
collect information from SSI applicants and recipients who object to
the assumption that they own all or part of the funds in a joint
checking or savings account bearing their names. SSA collects
information about the account from both the SSI applicant or recipient
and the other account holder(s). After receiving the completed form,
SSA determines if we should consider the account to be a resource for
the SSI applicant and recipient. The respondents are applicants and
recipients of SSI, and individuals who list themselves as joint owners
of financial accounts with SSI applicants or recipients.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 4598]]

----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2574 Paper version.......................... 50,000 1 7 5,833
Intranet version (SSI claims system)............ 150,000 1 7 17,500
---------------------------------------------------------------
Totals...................................... 200,000 .............. .............. 23,333
----------------------------------------------------------------------------------------------------------------

3. Employer Verification of Earnings After Death--20 CFR 404.821
and 404.822--0960-0472. When SSA records show a wage earner is
deceased, and we receive wage reports from an employer for the wage
earner for a year subsequent to the year of death, SSA mails the
employer Form SSA-L4112 (Employer Verification of Earnings After
Death). SSA uses the information Form SSA-L4112 provides to verify wage
information previously received from the employer is correct for the
employee and the year in question. The respondents are employers who
report wages for employees who died.
Type of Request: Revision of an OMB-approved information
collection.

4. Certificate of Election for Reduced Widow(er)s and Surviving
Divorced Spouse's Benefits--20 CFR 404.335--0960-0759. Section 202(q)
of the Act provides SSA the authority to reduce benefits under certain
conditions when elected by a Title II beneficiary. However, reduced
benefits are not payable to an already entitled spouse (or divorced
spouse) who:
Is at least age 62 and under full retirement age in the
month of the number holder's death; and
Is receiving both reduced spouse's (or divorced spouse's)
benefits and either retirement or disability benefits in the month
before the month of the number holder's death.
To elect reduced widow(er) benefits, a recipient completes Form
SSA-4111. SSA uses the information collected to pay a qualified dually
entitled widow(er) (or surviving divorced spouse) who elects to receive
a reduced widow(er) benefit. The respondents are qualified dually
entitled widow(er)s (or surviving divorced spouse) who elect to receive
a reduced widow(er) benefit.
Type of Request: Revision of an OMB-approved information
collection.

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 March 18, 2019. Individuals can obtain copies of the
OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov.
1. Application for Widow's or Widower's Insurance Benefits--20 CFR
404.335-404.338, & 404.603--0960-0004. Section 2029(e) and 202(f) of
the Act set forth the requirements for entitlement to widow(er)'s
benefits, including the requirements to file an application. For SSA to
make a formal determination for entitlement to widow(er)'s benefits, we
use Form SSA-10-BK to determine whether an applicant meets the
statutory and regulatory conditions for entitlement to widow(er)'s
Title II benefits. SSA employees interview individuals applying for
benefits either face-to-face or via telephone, and enter the
information on the paper form or into the Modernized Claims System
(MCS). The respondents are applicants for widow(er)'s benefits.
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-10-BK MCS version........................... 518,784 1 14 121,050
SSA-10-BK Paper version......................... 2,255 1 15 564
---------------------------------------------------------------
Totals...................................... 521,039 .............. .............. 121,614
----------------------------------------------------------------------------------------------------------------

2. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR Sections 404.907-
404.921 and 416.1407-416.1421--0960-0351. When a claimant dies before
we

[[Page 4599]]

make a determination on that person's request for reconsideration of a
disability cessation, SSA seeks a qualified substitute party to pursue
the appeal. If SSA locates a qualified substitute party, the agency
uses Form SSA-770 to collect information about whether to pursue or
withdraw the reconsideration request. We use this information as the
basis for the decision to continue or discontinue with the appeals
process. Respondents are substitute applicants who are pursuing a
reconsideration request for a deceased claimant.
Type of Request: Revision of an OMB-approved information
collection.

3. 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 Social Security Act (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. In addition, respondents use the SSA-1696-SUP2 to
revoke their appointment of a representative, and representatives use
the SSA-1696-SUP2 to withdraw their acceptance of the appointment. SSA
uses this information to document the revocation and withdrawal of a
representative. Respondents are applicants for, or recipients of,
Social Security disability benefits (SSDI); SSI payments; or anyone
pursuing a benefit or invoking a right under SSA programs, 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.
Note: We inadvertently published incorrect burden data both in our
publication on 7/10/18 at 83 FR 31987, and again on 10/3/18 at 83 FR
49965. We are correcting for that oversight here.
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-1696-U4..................................... 800,000 1 12 160,000
SSA-1696-SUP1................................... 21,000 1 5 1,750
SSA-1696-SUP2................................... 233,000 1 5 19,417
---------------------------------------------------------------
Totals...................................... 1,054,000 .............. .............. 181,167
----------------------------------------------------------------------------------------------------------------

4. Centenarian and Medicare Non-Utilization Project Development
Worksheets: Face-to-Face Interview and Telephone Interview--20 CFR
416.204(b) and 422.135--0960-0780. SSA conducts interviews with
centenary Title II beneficiaries and Title XVI recipients, and Medicare
Non-Utilization Project (MNUP) beneficiaries age 90 and older to: (1)
Assess if the beneficiaries are still living; (2) prevent fraud through
identity misrepresentation; and (3) evaluate the well-being of the
recipients to determine if they need a representative payee, or a
change in representative payee. SSA field office personnel obtain the
information through one-time, in-person interviews with the
centenarians and MNUP beneficiaries. If the centenarians and MNUP
beneficiaries have representatives or caregivers, SSA personnel invite
them to the interviews. During these interviews, SSA employees make
overall observations of the centenarians, MNUP beneficiaries, and their
representative payees (if applicable). The interviewer uses the
appropriate Development Worksheet as a guide for the interview, in
addition to documenting findings during the interview. Non-completion
of the Worksheets, or refusal of the interviews, may result in the
suspension of the centenarians' or MNUP beneficiaries' payments. SSA
conducts the interviews either over the telephone or through a face-to-
face discussion with the respondents. Respondents are Centenarian and
MNUP beneficiaries; their representative payees; or their caregivers.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 4600]]

Totals...................................... 4,607 .............. .............. 1,152
----------------------------------------------------------------------------------------------------------------
* Some cases are Title II and Title XVI rollovers from prior Centenarian workloads.

Dated: February 12, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-02469 Filed 2-14-19; 8:45 am]
BILLING CODE 4191-02-P

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