80 FR 12542 - Agency Information Collection Activities: Proposed Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 45 (March 9, 2015)
Federal Register Volume 80, Issue 45 (March 9, 2015)
| Page Range | 12542-12544 | |
| FR Document | 2015-05351 |
[Federal Register Volume 80, Number 45 (Monday, March 9, 2015)] [Notices] [Pages 12542-12544] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-05351] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0008] 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 and an extension 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-2015-0008]. 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 May 8, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Parent's Insurance Benefits--20 CFR 404.370- 404.374, and 404.601-404.603--0960-0012. Section 202(h) of the Social Security Act establishes the conditions of eligibility a claimant must meet to receive monthly benefits as a parent of a deceased worker. SSA uses information from Form SSA-7-F6 to determine if the claimant meets the eligibility and application criteria. The respondents are applicants for, and recipients of, Social Security Old Age, Survivors, and Disability Insurance (OASDI). Type of Request: Revision of an OMB-approved information collection. [[Page 12543]] ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Modernized Claims System (MCS).................. 153 1 15 38 MCS/Signature Proxy............................. 158 1 14 37 Paper Form...................................... 4 1 15 1 --------------------------------------------------------------- Total....................................... 315 .............. .............. 76 ---------------------------------------------------------------------------------------------------------------- 2. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. In cases where claimants request a hearing after denial of their disability claim for Social Security, SSA uses Form HA-4632 to request information from the claimant regarding the medications they use. This information helps the administrative law judge overseeing the case to fully investigate: (1) The claimant's medical treatment and (2) the effects of the medications on the claimant's medical impairments and functional capacity. The respondents are applicants (or their representatives) for OASDI benefits or Supplemental Security Income (SSI) payments who request a hearing to contest an agency denial of their claim. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- HA-4632 (paper)................................. 20,000 1 15 5,000 Electronic Records Express...................... 180,000 1 15 45,000 --------------------------------------------------------------- Total....................................... 200,000 .............. .............. 50,000 ---------------------------------------------------------------------------------------------------------------- 3. Permanent Residence in the United States Under Color of Law (PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. As per 20 CFR 416.1415 and 416.1618 of the Code of Federal Regulations, SSA requires claimants or recipients to submit evidence of their alien status when they apply for SSI payments, and periodically thereafter as part of the eligibility determination process for SSI. When SSA cannot verify evidence of alien status through the regular claimant interview process, SSA verifies the validity of the evidence of PRUCOL for grandfathered nonqualified aliens with the Department of Homeland Security (DHS), and determines if the individual qualifies for PRUCOL status based on the DHS response. SSA does not maintain any forms or applications for respondents to use, rather, the regulations listed in 20 CFR 416.1615 and 416.1618 specify the information respondents need to submit to SSA to show evidence of PRUCOL. Without this information, SSA is unable to determine whether the PRUCOL individual is eligible for SSI payments. Respondents are qualified and unqualified aliens who apply for SSI payments under PRUCOL. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Modality of completion respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Personal or Telephone Interview................. 1,049 1 5 87 ---------------------------------------------------------------------------------------------------------------- 4. Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare)--0960-0729. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for individuals with limited income and resources. The MMA mandates that the Government provide subsidies for those individuals who qualify for the program, and who meet eligibility criteria for help with premium, deductible, or co-payment costs. SSA uses the SSA-4640, Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare) to determine if subsidy applicants or recipients qualify, or continue to qualify, for the subsidy. SSA uses Form SSA- 4640 to: (1) Obtain the individual's consent to verify balances of financial institution (FI) accounts; and (2) obtain verification of such balances from the FI. Respondents are Medicare Part D program subsidy applicants or claimants, and their financial institutions. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Number of Frequency of burden per Estimated Respondent type respondents response response total annual (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-4640--Medicare Part D Subsidy Claimants..... 5,000 1 1 83 SSA-4640--Financial Institutions................ 5,000 1 4 333 --------------------------------------------------------------- [[Page 12544]] Totals...................................... 10,000 .............. .............. 416 ---------------------------------------------------------------------------------------------------------------- Dated: March 4, 2015. Faye Lipsky, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-05351 Filed 3-6-15; 8:45 am] BILLING CODE 4191-02-P
![12542 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices
arguments concerning the foregoing, SMALL BUSINESS ADMINISTRATION by the Office of Management and
including whether the proposed rule Budget (OMB) in compliance with
[License No. 03/03–0236]
change is consistent with the Act. Public Law 104–13, the Paperwork
Comments may be submitted by any of Legg Mason SBIC Mezzanine Fund, Reduction Act of 1995, effective October
the following methods: L.P.; Notice Seeking Exemption Under 1, 1995. This notice includes revisions
Section 312 of the Small Business and an extension of OMB-approved
Electronic Comments
Investment Act, Conflicts of Interest information collections.
• Use the Commission’s Internet SSA is soliciting comments on the
comment form (http://www.sec.gov/ Notice is hereby given that Legg accuracy of the agency’s burden
rules/sro.shtml); or Mason SBIC Mezzanine Fund, L.P., estimate; the need for the information;
• Send an email to rule-comments@ 2330 W. Joppa Road, Suite 320, its practical utility; ways to enhance its
sec.gov. Please include File Number SR– Lutherville, MD 21093, a Federal quality, utility, and clarity; and ways to
NYSEArca–2015–08 on the subject line. Licensee under the Small Business minimize burden on respondents,
Paper Comments Investment Act of 1958, as amended including the use of automated
(the ‘‘Act’’), in connection with the collection techniques or other forms of
• Send paper comments in triplicate financing of a small concern, has sought
to Brent J. Fields, Secretary, Securities information technology. Mail, email, or
an exemption under Section 312 of the fax your comments and
and Exchange Commission, 100 F Street Act and Section 107.730, Financings
NE., Washington, DC 20549–1090. recommendations on the information
which Constitute Conflicts of Interest of collection(s) to the OMB Desk Officer
All submissions should refer to File the Small Business Administration and SSA Reports Clearance Officer at
Number SR–NYSEArca–2015–08. This (‘‘SBA’’) Rules and Regulations (13 CFR the following addresses or fax numbers.
file number should be included on the 107.730). Legg Mason SBIC Mezzanine
subject line if email is used. To help the Fund, L.P. has provided equity (OMB)
Commission process and review your financing to Die Cast Holdings, Inc.,
comments more efficiently, please use Office of Management and Budget,
3400 Wentworth Drive SW., Wyoming, Attn: Desk Officer for SSA, Fax: 202–
only one method. The Commission will MI 49509. The proceeds were used to
post all comments on the Commission’s 395–6974, Email address: OIRA_
recapitalize the company. Submission@omb.eop.gov.
Internet Web site (http://www.sec.gov/ The financing is brought within the
rules/sro.shtml). Copies of the purview of § 107.730(a)(1) of the (SSA)
submission, all subsequent Regulations because an individual that
amendments, all written statements was an employee of Legg Mason SBIC Social Security Administration,
with respect to the proposed rule Mezzanine Fund, L.P.’s investment OLCA, Attn: Reports Clearance Director,
change that are filed with the advisor at the time of the financing 3100 West High Rise, 6401 Security
Commission, and all written became an officer of Die Cast Holdings, Blvd., Baltimore, MD 21235, Fax: 410–
communications relating to the Inc. within the six month period 966–2830, Email address:
proposed rule change between the following the financing, and therefore OR.Reports.Clearance@ssa.gov.
Commission and any person, other than this transaction is considered financing Or you may submit your comments
those that may be withheld from the an Associate requiring SBA prior online through www.regulations.gov,
public in accordance with the written exemption. referencing Docket ID Number [SSA–
provisions of 5 U.S.C. 552, will be Notice is hereby given that any 2015–0008].
available for Web site viewing and interested person may submit written The information collections below are
printing in the Commission’s Public comments on the transaction within pending at SSA. SSA will submit them
Reference Room, 100 F Street, NE., fifteen days of the date of this to OMB within 60 days from the date of
Washington, DC 20549, on official publication to the Associate this notice. To be sure we consider your
business days between the hours of Administrator for the Office of comments, we must receive them no
10:00 a.m. and 3:00 p.m. Copies of the Investment and Innovation, U.S. Small later than May 8, 2015. Individuals can
filing also will be available for Business Administration, 409 Third obtain copies of the collection
inspection and copying at the principal Street SW., Washington, DC 20416. instruments by writing to the above
office of the Exchange. All comments Dated: February 25, 2015. email address.
received will be posted without change; Javier E. Saade, 1. Application for Parent’s Insurance
the Commission does not edit personal Benefits—20 CFR 404.370–404.374, and
Associate Administrator for Office of
identifying information from Investment and Innovation. 404.601–404.603—0960–0012. Section
submissions. You should submit only 202(h) of the Social Security Act
[FR Doc. 2015–05321 Filed 3–6–15; 8:45 am]
information that you wish to make establishes the conditions of eligibility a
BILLING CODE 8025–01–P
available publicly. All submissions claimant must meet to receive monthly
should refer to File Number SR– benefits as a parent of a deceased
NYSEArca–2015–08 and should be worker. SSA uses information from
submitted on or before March 30, 2015. SOCIAL SECURITY ADMINISTRATION
Form SSA–7–F6 to determine if the
For the Commission, by the Division of [Docket No: SSA–2015–0008] claimant meets the eligibility and
Trading and Markets, pursuant to delegated application criteria. The respondents are
authority.17 Agency Information Collection applicants for, and recipients of, Social
mstockstill on DSK4VPTVN1PROD with NOTICES
Brent J. Fields, Activities: Proposed Request Security Old Age, Survivors, and
Secretary. The Social Security Administration Disability Insurance (OASDI).
[FR Doc. 2015–05291 Filed 3–6–15; 8:45 am] (SSA) publishes a list of information Type of Request: Revision of an OMB-
BILLING CODE 8011–01–P collection packages requiring clearance approved information collection.
17 17 CFR 200.30–3(a)(12).
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![12544 Federal Register / Vol. 80, No. 45 / Monday, March 9, 2015 / Notices
Average Estimated total
Number of Frequency of burden per
Respondent type annual burden
respondents response response (hours)
(minutes)
Totals ........................................................................................................ 10,000 ........................ ........................ 416
Dated: March 4, 2015. of State in the Delegation Memorandum, —Speedy Ship (a.k.a. SPD) (see Public
Faye Lipsky, the Secretary now has decided to Notice 7585, 76 FR 56866, September
Reports Clearance Officer, Social Security terminate sanctions on Belarusneft on 14, 2011)
Administration. the basis that the company is no longer —Sytrol (see Public Notice 8040, 77 FR
[FR Doc. 2015–05351 Filed 3–6–15; 8:45 am] engaging in sanctionable activity 59034, September 25, 2012)
BILLING CODE 4191–02–P described in section 5(a) of ISA, and —Zhuhai Zhenrong Company (see
that this person has provided reliable Public Notice 7776, 77 FR 4389,
assurances that they will not knowingly January 27, 2012)
DEPARTMENT OF STATE engage in such activities in the future. Dated: March 4, 2015.
The sanctions on Belarusneft, therefore, Kurt W. Tong,
[Public Notice 9061] are no longer in effect. Acting Assistant Secretary for Economic and
Pursuant to the authority delegated to Business Affairs.
Removal of Sanctions on Person on the Secretary of State in the Delegation
Whom Sanctions Have Been Imposed [FR Doc. 2015–05467 Filed 3–6–15; 8:45 am]
Memorandum, relevant agencies and
Under the Iran Sanctions Act of 1996, instrumentalities of the United States BILLING CODE 4710–07–P
as Amended Government shall take all appropriate
AGENCY: Department of State. measures within their authority to carry
out the provisions of this notice. DEPARTMENT OF TRANSPORTATION
ACTION: Notice. The following constitutes a current, as
of this date, list of persons on whom Federal Highway Administration
SUMMARY: The Secretary of State has
decided to terminate sanctions imposed sanctions are imposed under ISA. The Notice of Extension of Public
under the Iran Sanctions Act of 1996 particular sanctions imposed on an Comment Period for the Cross Harbor
(Pub. L. 104–172) (50 U.S.C. 1701 note) individual person are identified in the Freight Program, Tier 1 Draft
(‘‘ISA’’), as amended, on Republican relevant Federal Register Notice. Environmental Impact Statement
Unitary Enterprise Production —Bimeh Markazi-Central Insurance of
Association Belarusneft (a.k.a. Iran (See Public Notice 8268, 78 FR AGENCY: Federal Highway
Belarusneft, a.k.a. Belorusneft) on the 21183, April 9, 2013) Administration (FHWA), DOT.
basis that the company is no longer —Cambis, Dimitris (See Public Notice ACTION: Notice; Extension of public
engaging in sanctionable activity 8268, 78 FR 21183, April 9, 2013) comment period.
—FAL Oil Company Limited (see Public
described in section 5(a)[(1)?] of and SUMMARY: The FHWA and the Port
Notice 7776, 77 FR 4389, January 27,
that this person has provided reliable Authority of New York and New Jersey
2012)
assurances that it will not knowingly —Ferland Company Limited (See Public (PANYNJ) are extending the public
engage in such activities in the future. Notice 8352, 78 FR 35351, June 12, comment period for the Cross Harbor
Therefore, certain sanctions that were 2013) Freight Program Tier 1 Draft
imposed on Belarusneft on March 29, —Impire Shipping (See Public Notice Environmental Impact Statement (DEIS)
2011 are no longer in effect. 8268, 78 FR 21183, April 9, 2013) until Friday, March 20, 2015.
DATES: Effective Date: The sanctions on —Jam Petrochemical Company (See DATES: Comments on the Tier 1 DEIS
Belarusneft are lifted effective February Public Notice 8352 78 FR 35351, June should be received no later than Friday,
25, 2015. 12, 2013) March 20, 2015.
FOR FURTHER INFORMATION CONTACT: On —Kish Protection and Indemnity (a.k.a. FOR FURTHER INFORMATION CONTACT:
general issues: Office of Sanctions Kish P&I) (See Public Notice 8268, 78 Mark Hoffer, Port Authority of New
Policy and Implementation, Department FR 21183, April 9, 2013)
York and New Jersey, (212) 435–7276,
of State, Telephone: (202) 647–7489. —Kuo Oil (S) Pte. Ltd. (see Public
or Jonathan McDade, Federal Highway
Notice 7776, 77 FR 4389, January 27,
SUPPLEMENTARY INFORMATION: On March Administration—NY Division (518)
2012)
29, 2011, the Secretary of State made a —Naftiran Intertrade Company (see 431–4127.
determination to impose certain Public Notice 7197, 75 FR 62916, You may also visit the Project Web
sanctions on, inter alia, Republican October 13, 2010) site: www.crossharborstudy.com.
Unitary Enterprise Production —Niksima Food and Beverage JLT (See ADDRESSES: Comments on the Tier 1
Association Belarusneft (a.k.a. Public Notice 8352, 78 FR 35351, June DEIS can be mailed to the following
Belarusneft, a.k.a. Belorusneft) under 12, 2013) address: Cross Harbor Freight Program;
the Iran Sanctions Act of 1996, as —Petrochemical Commercial Company c/o InGroup, Inc.; P.O. Box 206,
amended (Pub. L. 104–172) (50 U.S.C. International (a.k.a. PCCI) (see Public Midland Park, NJ 07432; submitted via
mstockstill on DSK4VPTVN1PROD with NOTICES
1701 note). See 76 FR 18821 (April 5, Notice 7585, 76 FR 56866, September email to: crossharborstudy@
2011). Additional information regarding 14, 2011) ingroupinc.com; or provided as oral or
the basis for imposing sanctions and the —Petróleos de Venezuela S.A. (a.k.a. written testimony at the public hearings.
specific sanctions imposed on PDVSA) (see Public Notice 7585, 76 SUPPLEMENTARY INFORMATION:
Belarusneft is contained in the Federal FR 56866, September 14, 2011)
Register notice cited above. —Royal Oyster Group (see Public Notice Electronic Access
Pursuant to section 9(b)(1) of ISA and 7585, 76 FR 56866, September 14, An electronic copy of this document
the authority delegated to the Secretary 2011) may be downloaded from the Federal
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Document Created: 2015-12-18 12:05:33
Document Modified: 2015-12-18 12:05:33
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 80 FR 12542 |
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