Agency Information Collection Activities: Proposed Request, 18913-18915 [2019-08946]
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18913
Federal Register / Vol. 84, No. 85 / Thursday, May 2, 2019 / Notices
printing in the Commission’s Public
Reference Room, 100 F Street NE,
Washington, DC 20549 on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of the
filing also will be available for
inspection and copying at the principal
office of the Exchange. 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 File
Number SR–NYSEAMER–2019–16 and
should be submitted on or before May
23, 2019.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.17
Jill M. Peterson,
Assistant Secretary.
[FR Doc. 2019–08918 Filed 5–1–19; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2019–0014]
Agency Information Collection
Activities: Proposed Request
The Social Security Administration
(SSA) publishes a list of information
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 July 1, 2019. Individuals can
obtain copies of the collection
instruments by writing to the above
email address.
1. Real Property Current Market Value
Estimate—0960–0471. SSA considers an
individual’s resources when evaluating
eligibility for Supplemental Security
Income (SSI) payments. The value of an
individual’s resources, including nonhome real property, is one of the
eligibility requirements for SSI
payments. SSA obtains current market
value estimates of the claimant’s real
property through Form SSA–L2794. We
allow respondents to use readily
available records to complete the form,
or we can accept their best estimates.
We use this form as part of initial
applications and in post-entitlement
situations. The respondents are small
business operators in real estate; state
and local government employees tasked
with assessing real property values; and
other individuals knowledgeable about
local real estate values.
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–L2794 ......................................................................................................
300
1
20
100
2. Child Care Dropout
Questionnaire—20 CFR 404.211(e)(4)—
0960–0474. If individuals applying for
Title II disability benefits care for their
own or their spouse’s children under
age 3, and have no steady earnings
khammond on DSKBBV9HB2PROD with 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–
2019–0014].
during the time they care for those
children, they may exclude that period
of care from the disability computation
period. We call this the child-care
dropout exclusion. SSA uses the
information from Form SSA–4162 to
determine if an individual qualifies for
this exclusion. Respondents are
applicants for Title II disability benefits.
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–4162 ........................................................................................................
2,000
1
5
167
3. Medical Report on Adult with
Allegation of Human Immunodeficiency
Virus Infection; Medical Report on Child
with Allegation of Human
Immunodeficiency Virus Infection—20
CFR 416.933–20 CFR 416.934—0960–
0500. Section 1631(e)(i) of the Social
17 17
Security Act (Act) authorizes the
Commissioner of SSA to gather
information to make a determination
about an applicant’s claim for SSI
payments; this procedure is the
Presumptive Disability (PD). SSA uses
Forms SSA–4814–F5 and SSA–4815–F6
to collect information necessary to
determine if an individual with human
immunodeficiency virus infection, who
is applying for SSI disability benefits,
meets the requirements for PD. The
respondents are the medical sources of
CFR 200.30–3(a)(12).
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18:51 May 01, 2019
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Federal Register / Vol. 84, No. 85 / Thursday, May 2, 2019 / Notices
the applicants for SSI disability
payments.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Modality of completion
Estimated
total annual
burden
(hours)
SSA–4814–F5 ..................................................................................................
SSA–4815–F6 ..................................................................................................
9,600
80
1
1
8
10
1,280
13
Totals ........................................................................................................
9,680
........................
........................
1,293
4. Beneficiary Recontact Report—20
CFR 404.703 & 404.705—0960–0502.
SSA investigates recipients of disability
payments to determine their continuing
eligibility for payments. Research
indicates recipients may fail to report
circumstances that affect their
eligibility. Two such cases are: (1) When
parents receiving disability benefits for
their child marry; and (2) the removal of
an entitled child from parents’ care.
SSA uses Form SSA–1588–SM to ask
mothers or fathers about both their
marital status and children under their
care, to detect overpayments and avoid
continuing payment to those are no
longer entitled. Respondents are
recipients of mothers’ or fathers’ Social
Security benefits.
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–1588–SM ................................................................................................
76,944
1
5
6,412
5. Certification of Contents of
Document(s) or Record(s)—20 CFR
404.715—0960–0689. SSA established
procedures for individuals to provide
the evidence necessary to establish their
rights to Social Security benefits.
Examples of such evidence categories
include age, relationship, citizenship,
marriage, death, and military service.
Form SSA–704 allows SSA employees;
State record custodians; and other
custodians of evidentiary documents to
certify and record information from
original documents and records under
their custodial ownership to establish
these types of evidence. SSA uses Form
SSA–704 in situations where
individuals cannot produce the original
evidentiary documentation required to
establish benefits eligibility. The
respondents are State record custodians
and other custodians of evidentiary
documents.
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–704 ..........................................................................................................
293
1
10
49
6. Registration for Appointed
Representative Services and Direct
Payment—0960–0732. SSA uses Form
SSA–1699 to register appointed
representatives of claimants before SSA
who:
• Want to register for direct payment
of fees;
• Registered for direct payment of
fees prior to 10/31/09, but need to
update their information;
khammond on DSKBBV9HB2PROD with NOTICES
Average
burden per
response
(minutes)
Frequency of
response
• Registered as appointed
representatives on or after 10/31/09, but
need to update their information; or
• Received a notice from SSA
instructing them to complete this form.
By registering these individuals, SSA:
(1) Authenticates and authorizes them
to do business with us; (2) allows them
to access our records for the claimants
they represent; (3) facilitates direct
payment of authorized fees to appointed
representatives; and, (4) collects the
information we need to meet Internal
Revenue Service (IRS) requirements to
issue specific IRS forms if we pay an
appointed representative in excess of a
specific amount ($600). The
respondents are appointed
representatives who want to use Form
SSA–1699 for any of the purposes cited
in this Notice.
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–1699 ........................................................................................................
17,700
1
20
5,900
7. Certificate of Incapacity—5 CFR
890.302(d)—0960–0739. Rules
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18:51 May 01, 2019
Jkt 247001
governing the Federal Employee Health
Benefits (FEHB) plan require a
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physician to verify the disability of
Federal employees’ children ages 26 and
E:\FR\FM\02MYN1.SGM
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18915
Federal Register / Vol. 84, No. 85 / Thursday, May 2, 2019 / Notices
over for these children to retain health
benefits under their employed parents’
plans. The physician must verify the
adult child’s disability: (1) Pre-dates the
child’s 26th birthday; (2) is very serious;
and (3) will continue for at least one
year. Physicians use Form SSA–604, the
Certificate of Incapacity, to document
and certify this information, and the
Social Security Administration uses the
information provided to determine the
eligibility for these children, ages 26
and over, for coverage under a parent’s
FEHB plan. The respondents are
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
SSA–604 ..........................................................................................................
50
1
45
38
Dated: April 29, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
denied fair market opportunities in such
airport construction projects. As a
consequence, the United States Trade
Representative has decided not to list
any countries as denying fair market
opportunities for U.S. products,
suppliers, or bidders in foreign
government-funded airport construction
projects.
[FR Doc. 2019–08946 Filed 5–1–19; 8:45 am]
BILLING CODE 4191–02–P
OFFICE OF THE UNITED STATES
TRADE REPRESENTATIVE
Notice With Respect to List of
Countries Denying Fair Market
Opportunities for Government-Funded
Airport Construction Projects
Office of the United States
Trade Representative.
ACTION: Notice.
Jamieson Greer,
Chief of Staff, Office of the United States
Trade Representative.
[FR Doc. 2019–08974 Filed 5–1–19; 8:45 am]
BILLING CODE 3290–F9–P
AGENCY:
DEPARTMENT OF TRANSPORTATION
This notice announces that
the United States Trade Representative
has determined not to list any countries
as denying fair market opportunities for
U.S. products, suppliers, or bidders in
foreign government-funded airport
construction projects.
FOR FURTHER INFORMATION CONTACT: Kate
Psillos, International Procurement
Negotiator, Kathryn.W.Psillos@
ustr.eop.gov or 202–395–9581, or Arthur
Tsao, Assistant General Counsel,
Arthur_N_Tsao@ustr.eop.gov or 202–
395–6987.
SUPPLEMENTARY INFORMATION: Section
533 of the Airport and Airway
Improvement Act of 1982, as amended
by section 115 of the Airport and
Airway Safety and Capacity Expansion
Act of 1987, Public Law 100–223
(codified at 49 U.S.C. 50104), requires
the United States Trade Representative
to decide whether any foreign country
has denied fair market opportunities to
U.S. products, suppliers, or bidders in
connection with airport construction
projects of $500,000 or more that are
funded in whole or in part by the
government of such country. The Office
of the U.S. Trade Representative has not
received any complaints or other
information that indicates that U.S.
products, suppliers, or bidders are being
SUMMARY:
khammond on DSKBBV9HB2PROD with NOTICES
physicians of SSA employees’ children
ages 26 or over who are seeking to retain
health benefits under their parent’s
FEHB coverage.
Type of Request: Revision of an OMBapproved information collection.
VerDate Sep<11>2014
18:51 May 01, 2019
Jkt 247001
Federal Aviation Administration
[Docket No. 2018–0082]
Agency Information Collection
Activities: Requests for Comments;
Clearance of a Renewed Approval of
Information Collection: Suspected
Unapproved Parts Report
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice and request for
comments.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, FAA
invites public comments about our
intention to request the Office of
Management and Budget (OMB)
approval to renew an information
collection. The Federal Register Notice
with a 60-day comment period soliciting
comments on the following collection of
information was published on February
19, 2019. The information collected on
the FAA Form 8120–11 is reported
voluntarily by manufacturers, repair
stations, aircraft owner/operators, air
carriers, and the general public who
wish to report suspected unapproved
parts to the FAA for review. The report
information is collected and correlated
by the FAA, Aviation Safety Hotline
Program Office, and used to determine
SUMMARY:
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Frm 00153
Fmt 4703
Sfmt 4703
if an unapproved part investigation is
warranted.
Written comments should be
submitted by June 3, 2019.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, Office of Management and
Budget. Comments should be addressed
to the attention of the Desk Officer,
Department of Transportation/FAA, and
sent via electronic mail to oira_
submission@omb.eop.gov, or faxed to
(202) 395–6974, or mailed to the Office
of Information and Regulatory Affairs,
Office of Management and Budget,
Docket Library, Room 10102, 725 17th
Street NW, Washington, DC 20503.
FOR FURTHER INFORMATION CONTACT:
Joseph Palmisano by email at:
Joseph.Palmisano@faa.gov; phone: 202–
267–1638.
SUPPLEMENTARY INFORMATION:
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including (a)
Whether the proposed collection of
information is necessary for FAA’s
performance; (b) the accuracy of the
estimated burden; (c) ways for FAA to
enhance the quality, utility and clarity
of the information collection; and (d)
ways that the burden could be
minimized without reducing the quality
of the collected information. The agency
will summarize and/or include your
comments in the request for MB’s
clearance of this information collection.
OMB Control Number: 2120–0552.
Title: Suspected Unapproved Parts
Report.
Form Numbers: FAA Form 8120–1.
Type of Review: Renewal of an
information collection.
Background: The Federal Register
Notice with a 60-day comment period
soliciting comments on the following
collection of information was published
on February 19, 2019 (84 FR 4892). The
information collected on the FAA Form
8120–11 is reported voluntarily by
DATES:
E:\FR\FM\02MYN1.SGM
02MYN1
]]>Agencies
[Federal Register Volume 84, Number 85 (Thursday, May 2, 2019)]
[Notices]
[Pages 18913-18915]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-08946]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2019-0014]
Agency Information Collection Activities: Proposed Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(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-2019-0014].
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 July
1, 2019. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Real Property Current Market Value Estimate--0960-0471. SSA
considers an individual's resources when evaluating eligibility for
Supplemental Security Income (SSI) payments. The value of an
individual's resources, including non-home real property, is one of the
eligibility requirements for SSI payments. SSA obtains current market
value estimates of the claimant's real property through Form SSA-L2794.
We allow respondents to use readily available records to complete the
form, or we can accept their best estimates. We use this form as part
of initial applications and in post-entitlement situations. The
respondents are small business operators in real estate; state and
local government employees tasked with assessing real property values;
and other individuals knowledgeable about local real estate values.
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-L2794................................... 300 1 20 100
----------------------------------------------------------------------------------------------------------------
2. Child Care Dropout Questionnaire--20 CFR 404.211(e)(4)--0960-
0474. If individuals applying for Title II disability benefits care for
their own or their spouse's children under age 3, and have no steady
earnings during the time they care for those children, they may exclude
that period of care from the disability computation period. We call
this the child-care dropout exclusion. SSA uses the information from
Form SSA-4162 to determine if an individual qualifies for this
exclusion. Respondents are applicants for Title II disability benefits.
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-4162.................................... 2,000 1 5 167
----------------------------------------------------------------------------------------------------------------
3. Medical Report on Adult with Allegation of Human
Immunodeficiency Virus Infection; Medical Report on Child with
Allegation of Human Immunodeficiency Virus Infection--20 CFR 416.933-20
CFR 416.934--0960-0500. Section 1631(e)(i) of the Social Security Act
(Act) authorizes the Commissioner of SSA to gather information to make
a determination about an applicant's claim for SSI payments; this
procedure is the Presumptive Disability (PD). SSA uses Forms SSA-4814-
F5 and SSA-4815-F6 to collect information necessary to determine if an
individual with human immunodeficiency virus infection, who is applying
for SSI disability benefits, meets the requirements for PD. The
respondents are the medical sources of
[[Page 18914]]
the applicants for SSI disability payments.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4814-F5..................................... 9,600 1 8 1,280
SSA-4815-F6..................................... 80 1 10 13
---------------------------------------------------------------
Totals...................................... 9,680 .............. .............. 1,293
----------------------------------------------------------------------------------------------------------------
4. Beneficiary Recontact Report--20 CFR 404.703 & 404.705--0960-
0502. SSA investigates recipients of disability payments to determine
their continuing eligibility for payments. Research indicates
recipients may fail to report circumstances that affect their
eligibility. Two such cases are: (1) When parents receiving disability
benefits for their child marry; and (2) the removal of an entitled
child from parents' care. SSA uses Form SSA-1588-SM to ask mothers or
fathers about both their marital status and children under their care,
to detect overpayments and avoid continuing payment to those are no
longer entitled. Respondents are recipients of mothers' or fathers'
Social Security benefits.
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-1588-SM................................. 76,944 1 5 6,412
----------------------------------------------------------------------------------------------------------------
5. Certification of Contents of Document(s) or Record(s)--20 CFR
404.715--0960-0689. SSA established procedures for individuals to
provide the evidence necessary to establish their rights to Social
Security benefits. Examples of such evidence categories include age,
relationship, citizenship, marriage, death, and military service. Form
SSA-704 allows SSA employees; State record custodians; and other
custodians of evidentiary documents to certify and record information
from original documents and records under their custodial ownership to
establish these types of evidence. SSA uses Form SSA-704 in situations
where individuals cannot produce the original evidentiary documentation
required to establish benefits eligibility. The respondents are State
record custodians and other custodians of evidentiary documents.
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-704..................................... 293 1 10 49
----------------------------------------------------------------------------------------------------------------
6. Registration for Appointed Representative Services and Direct
Payment--0960-0732. SSA uses Form SSA-1699 to register appointed
representatives of claimants before SSA who:
Want to register for direct payment of fees;
Registered for direct payment of fees prior to 10/31/09,
but need to update their information;
Registered as appointed representatives on or after 10/31/
09, but need to update their information; or
Received a notice from SSA instructing them to complete
this form.
By registering these individuals, SSA: (1) Authenticates and
authorizes them to do business with us; (2) allows them to access our
records for the claimants they represent; (3) facilitates direct
payment of authorized fees to appointed representatives; and, (4)
collects the information we need to meet Internal Revenue Service (IRS)
requirements to issue specific IRS forms if we pay an appointed
representative in excess of a specific amount ($600). The respondents
are appointed representatives who want to use Form SSA-1699 for any of
the purposes cited in this Notice.
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-1699.................................... 17,700 1 20 5,900
----------------------------------------------------------------------------------------------------------------
7. Certificate of Incapacity--5 CFR 890.302(d)--0960-0739. Rules
governing the Federal Employee Health Benefits (FEHB) plan require a
physician to verify the disability of Federal employees' children ages
26 and
[[Page 18915]]
over for these children to retain health benefits under their employed
parents' plans. The physician must verify the adult child's disability:
(1) Pre-dates the child's 26th birthday; (2) is very serious; and (3)
will continue for at least one year. Physicians use Form SSA-604, the
Certificate of Incapacity, to document and certify this information,
and the Social Security Administration uses the information provided to
determine the eligibility for these children, ages 26 and over, for
coverage under a parent's FEHB plan. The respondents are physicians of
SSA employees' children ages 26 or over who are seeking to retain
health benefits under their parent's FEHB coverage.
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-604..................................... 50 1 45 38
----------------------------------------------------------------------------------------------------------------
Dated: April 29, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-08946 Filed 5-1-19; 8:45 am]
BILLING CODE 4191-02-P
