Agency Information Collection Activities: Proposed Request, 18913-18915 [2019-08946]

Download as PDF 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). VerDate Sep<11>2014 18:51 May 01, 2019 Jkt 247001 PO 00000 Frm 00151 Fmt 4703 Sfmt 4703 E:\FR\FM\02MYN1.SGM 02MYN1 18914 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 VerDate Sep<11>2014 18:51 May 01, 2019 Jkt 247001 governing the Federal Employee Health Benefits (FEHB) plan require a PO 00000 Frm 00152 Fmt 4703 Sfmt 4703 physician to verify the disability of Federal employees’ children ages 26 and E:\FR\FM\02MYN1.SGM 02MYN1 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: PO 00000 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]


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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