80 FR 36393 - Agency Information Collection Activities: Proposed Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 121 (June 24, 2015)
Federal Register Volume 80, Issue 121 (June 24, 2015)
| Page Range | 36393-36395 | |
| FR Document | 2015-15480 |
[Federal Register Volume 80, Number 121 (Wednesday, June 24, 2015)] [Notices] [Pages 36393-36395] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-15480] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0039] 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]. [[Page 36394]] (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-2015-0039]. 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 August 24, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Substitution of Party Upon Death of Claimant--20 CFR 404.957(c)(4) and 416.1457(c)(4)--0960-0288. An administrative law judge (ALJ) may dismiss a request for a hearing on a pending claim of a deceased individual for Social Security benefits or Supplement Security Income (SSI) payments. Individuals who believe the dismissal may adversely affect them may complete Form HA-539, which allows them to request to become a substitute party for the deceased claimant. The ALJs and the hearing office support staff use this information from the HA-539 to: (1) Maintain a written record of request; (2) establish the relationship of the requester to the deceased claimant; (3) determine the substituted individual's wishes regarding an oral hearing or decision on the record; and (4) admit the data into the claimant's official record as an exhibit. The respondents are individuals requesting to be a substitute party for a deceased claimant. 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) ---------------------------------------------------------------------------------------------------------------- HA-539...................................... 4,000 1 5 333 ---------------------------------------------------------------------------------------------------------------- 2. Continuation of Supplemental Security Income Payments for the Temporarily Institutionalized--Certification of Period and Need to Maintain Home--20 CFR 416.212(b)(1)--0960-0516. When SSI recipients (1) enter a public institution or (2) enter a private medical treatment facility with Medicaid paying more than 50 percent of expenses, SSA must reduce recipients' SSI payments to a nominal sum. However, if this institutionalization is temporary (defined as a maximum of three months), SSA may waive the reduction. Before SSA can waive the SSI payment reduction, the agency must receive the following documentation: (1) A physician's certification stating the SSI recipient will only be institutionalized for a maximum of three months, and (2) certification from the recipient, the recipient's family, or friends, confirming the recipient needs SSI payments to maintain the living arrangements to which the individual will return post-institutionalization. To obtain this information, SSA employees contact the recipient (or a knowledgeable source) to obtain the required physician's certification and the statement of need. SSA does not require any specific format for these items, so long as we obtain the necessary attestations. The respondents are SSI recipients, their family or friends, as well as physicians or hospital staff members who treat the SSI recipient. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- Physician's Certifications and Statements 60,000 1 5 5,000 from Other Respondents..................... ---------------------------------------------------------------------------------------------------------------- 3. Claimant Statement about Loan of Food or Shelter; Statement about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148-- 0960-0529. SSA bases an SSI claimant or recipient's eligibility on need, as measured by the amount of income an individual receives. Per our calculations, income includes other people providing in-kind support and maintenance in the form of food and shelter to SSI applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to obtain statements about food or shelter provided to SSI claimants or recipients. SSA uses this information to determine whether food or shelters are bona fide loans or income for SSI purposes. This determination may affect claimants' or recipients' eligibility for SSI as well as the amounts of their SSI payments. The respondents are claimants and recipients for SSI payments, and individuals who provide loans of food or shelter to them. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of of response total annual responses response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-5062 Paper form............................. 34,752 1 10 5,792 SSA-L5063 Paper form............................ 34,752 1 10 5,792 SSA-5062 Modernized SSI Claims System (MSSICS).. 34,752 1 10 5,792 SSA-L5063 MSSICS................................ 34,752 1 10 5,792 --------------------------------------------------------------- Total....................................... 139,008 .............. .............. 23,168 ---------------------------------------------------------------------------------------------------------------- [[Page 36395]] Dated: June 19, 2015. Faye I. Lipsky, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-15480 Filed 6-23-15; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 80, No. 121 / Wednesday, June 24, 2015 / Notices 36393
choose an alternative method to connect C. Self-Regulatory Organization’s Commission and any person, other than
to the Exchange, its affiliates, or another Statement on Comments on the those that may be withheld from the
exchange or market center connected to Proposed Rule Change Received From public in accordance with the
the Exchange’s network. Such other Members, Participants or Others provisions of 5 U.S.C. 552, will be
services may also offer at no charge The Exchange has not solicited, and available for Web site viewing and
connectivity to certain exchanges or a does not intend to solicit, comments on printing in the Commission’s Public
group of exchanges.15 Therefore, the this proposed rule change. The Reference Room, 100 F Street, NE.,
Exchange believes that the providing Exchange has not received any Washington, DC 20549, on official
BATS Connect to subscribers at no unsolicited written comments from business days between the hours of
charge to route orders to or receive Members or other interested parties. 10:00 a.m. and 3:00 p.m. Copies of such
market data products from the filing will also be available for
III. Date of Effectiveness of the inspection and copying at the principal
Exchange’s affiliates is reasonable and Proposed Rule Change and Timing for office of the Exchange. All comments
equitable as they will continue to be Commission Action received will be posted without change;
liable to the Exchange or its affiliate for
The foregoing rule change has become the Commission does not edit personal
any required connectivity fees. identifying information from
effective pursuant to Section 19(b)(3)(A)
Lastly, the Exchange also believes that of the Act 16 and paragraph (f) of Rule submissions. You should submit only
the proposed amendments to its fee 19b–4 thereunder.17 At any time within information that you wish to make
schedule are non-discriminatory 60 days of the filing of the proposed rule available publicly. All submissions
because they will apply uniformly to all change, the Commission summarily may should refer to File Number SR–BATS–
subscribers. All subscribers that temporarily suspend such rule change if 2015–45 and should be submitted on or
voluntarily select various service it appears to the Commission that such before July 15, 2015.
options will be charged the same action is necessary or appropriate in the For the Commission, by the Division
amount for the same services. All public interest, for the protection of of Trading and Markets, pursuant to
subscribers have the option to select any investors, or otherwise in furtherance of delegated authority.18
connectivity option, and there is no the purposes of the Act.
Brent J. Fields,
differentiation among subscribers with IV. Solicitation of Comments Secretary.
regard to the fees charged for the Interested persons are invited to [FR Doc. 2015–15451 Filed 6–23–15; 8:45 am]
service. Further, the benefits of selecting submit written data, views and BILLING CODE 8011–01–P
such services are the same for all arguments concerning the foregoing,
subscribers, irrespective of whether including whether the proposed rule
their servers are located in the same change is consistent with the Act.
facility as the Exchange. SOCIAL SECURITY ADMINISTRATION
Comments may be submitted by any of
B. Self-Regulatory Organization’s the following methods: [Docket No: SSA–2015–0039]
Statement on Burden on Competition Electronic Comments Agency Information Collection
The Exchange believes its proposed • Use the Commission’s Internet Activities: Proposed Request
amendments to its Fee Schedule would comment form (http://www.sec.gov/
rules/sro.shtml); or The Social Security Administration
not impose any burden on competition (SSA) publishes a list of information
• Send an email to rule-comments@
that is not necessary or appropriate in sec.gov. Please include File Number SR– collection packages requiring clearance
furtherance of the purposes of the Act. BATS–2015–45 on the subject line. by the Office of Management and
The Exchange does not believe the Budget (OMB) in compliance with
proposed fees for BATS Connect will Paper Comments Public Law 104–13, the Paperwork
result in any burden on competition. • Send paper comments in triplicate Reduction Act of 1995, effective October
The proposed rule change is designed to to Secretary, Securities and Exchange 1, 1995. This notice includes revisions
provide subscribers with an alternative Commission, 100 F Street NE., and an extension of OMB-approved
means to access other market centers on Washington, DC 20549–1090. information collections.
the Exchange’s network if they choose All submissions should refer to File SSA is soliciting comments on the
or in the event of a market disruption Number SR–BATS–2015–45. This file accuracy of the agency’s burden
where other alternative connection number should be included on the estimate; the need for the information;
methods become unavailable. BATS subject line if email is used. To help the its practical utility; ways to enhance its
Connect is not the exclusive method to Commission process and review your quality, utility, and clarity; and ways to
connect to these market centers and comments more efficiently, please use minimize burden on respondents,
only one method. The Commission will including the use of automated
subscribers may utilize alternative
post all comments on the Commission’s collection techniques or other forms of
methods to connect to the product if
Internet Web site (http://www.sec.gov/ information technology. Mail, email, or
they believe the Exchange’s proposed
rules/sro.shtml). Copies of the fax your comments and
pricing is unreasonable or otherwise. recommendations on the information
Therefore, the Exchange does not submission, all subsequent
amendments, all written statements collection(s) to the OMB Desk Officer
believe the proposed rule change will and SSA Reports Clearance Officer at
with respect to the proposed rule
have any effect on competition.
tkelley on DSK3SPTVN1PROD with NOTICES
change that are filed with the the following addresses or fax numbers.
Commission, and all written (OMB), Office of Management and
communications relating to the Budget, Attn: Desk Officer for SSA, Fax:
15 See NYSE’s SFTI Americas Product and Service proposed rule change between the 202–395–6974, Email address: OIRA_
List available at http://www.nyxdata.com/docs/ Submission@omb.eop.gov.
connectivity (offering at no charge connectivity to 16 15 U.S.C. 78s(b)(3)(A).
the NYSE, NYSE MKT LLC, and NYSE Arca, Inc.). 17 17 CFR 240.19b–4(f). 18 17 CFR 200.30–3(a)(12).
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![36394 Federal Register / Vol. 80, No. 121 / Wednesday, June 24, 2015 / Notices
(SSA), Social Security can obtain copies of the collection claimant. The ALJs and the hearing
Administration, OLCA, Attn: Reports instruments by writing to the above office support staff use this information
Clearance Director, 3100 West High email address. from the HA–539 to: (1) Maintain a
Rise, 6401 Security Blvd., Baltimore, 1. Substitution of Party Upon Death of written record of request; (2) establish
MD 21235, Fax: 410–966–2830, Email Claimant—20 CFR 404.957(c)(4) and the relationship of the requester to the
address: OR.Reports.Clearance@ssa.gov. 416.1457(c)(4)—0960–0288. An deceased claimant; (3) determine the
Or you may submit your comments administrative law judge (ALJ) may substituted individual’s wishes
online through www.regulations.gov, dismiss a request for a hearing on a regarding an oral hearing or decision on
referencing Docket ID Number [SSA– pending claim of a deceased individual
the record; and (4) admit the data into
2015–0039]. for Social Security benefits or
the claimant’s official record as an
The information collections below are Supplement Security Income (SSI)
pending at SSA. SSA will submit them payments. Individuals who believe the exhibit. The respondents are individuals
to OMB within 60 days from the date of dismissal may adversely affect them requesting to be a substitute party for a
this notice. To be sure we consider your may complete Form HA–539, which deceased claimant.
comments, we must receive them no allows them to request to become a Type of Request: Revision of an OMB-
later than August 24, 2015. Individuals substitute party for the deceased approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
HA–539 ............................................................................................................ 4,000 1 5 333
2. Continuation of Supplemental months), SSA may waive the reduction. recipient (or a knowledgeable source) to
Security Income Payments for the Before SSA can waive the SSI payment obtain the required physician’s
Temporarily Institutionalized— reduction, the agency must receive the certification and the statement of need.
Certification of Period and Need to following documentation: (1) A SSA does not require any specific
Maintain Home—20 CFR physician’s certification stating the SSI format for these items, so long as we
416.212(b)(1)—0960–0516. When SSI recipient will only be institutionalized obtain the necessary attestations. The
recipients (1) enter a public institution for a maximum of three months, and (2) respondents are SSI recipients, their
or (2) enter a private medical treatment certification from the recipient, the family or friends, as well as physicians
facility with Medicaid paying more than recipient’s family, or friends, confirming or hospital staff members who treat the
50 percent of expenses, SSA must the recipient needs SSI payments to
SSI recipient.
reduce recipients’ SSI payments to a maintain the living arrangements to
nominal sum. However, if this which the individual will return post- Type of Request: Extension of an
institutionalization is temporary institutionalization. To obtain this OMB-approved information collection.
(defined as a maximum of three information, SSA employees contact the
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
Physician’s Certifications and Statements from Other Respondents .............. 60,000 1 5 5,000
3. Claimant Statement about Loan of support and maintenance in the form of may affect claimants’ or recipients’
Food or Shelter; Statement about Food food and shelter to SSI applicants or eligibility for SSI as well as the amounts
or Shelter Provided to Another—20 CFR recipients. SSA uses Forms SSA–5062 of their SSI payments. The respondents
416.1130–416.1148—0960–0529. SSA and SSA–L5063 to obtain statements are claimants and recipients for SSI
bases an SSI claimant or recipient’s about food or shelter provided to SSI payments, and individuals who provide
eligibility on need, as measured by the claimants or recipients. SSA uses this loans of food or shelter to them.
amount of income an individual information to determine whether food
Type of Request: Revision of an OMB-
receives. Per our calculations, income or shelters are bona fide loans or income
includes other people providing in-kind for SSI purposes. This determination approved information collection.
Average Estimated
Number of Frequency of burden of total annual
Modality of completion responses response response burden
(minutes) (hours)
SSA–5062 Paper form ..................................................................................... 34,752 1 10 5,792
tkelley on DSK3SPTVN1PROD with NOTICES
SSA–L5063 Paper form ................................................................................... 34,752 1 10 5,792
SSA–5062 Modernized SSI Claims System (MSSICS) .................................. 34,752 1 10 5,792
SSA–L5063 MSSICS ....................................................................................... 34,752 1 10 5,792
Total .......................................................................................................... 139,008 ........................ ........................ 23,168
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![Federal Register / Vol. 80, No. 121 / Wednesday, June 24, 2015 / Notices 36395
Dated: June 19, 2015. DEPARTMENT OF STATE DEPARTMENT OF TRANSPORTATION
Faye I. Lipsky,
Reports Clearance Officer, Social Security [Public Notice: 9172]
Federal Motor Carrier Safety
Administration. Administration
[FR Doc. 2015–15480 Filed 6–23–15; 8:45 am] Culturally Significant Objects Imported [Docket No. FMCSA–2013–0027]
BILLING CODE 4191–02–P for Exhibition Determinations: ‘‘The
Wrath of the Gods: Masterpieces by Qualification of Drivers; Exemption
Michelangelo, Titian and Rubens’’ Applications; Vision
Exhibition AGENCY: Federal Motor Carrier Safety
DEPARTMENT OF STATE Administration (FMCSA), DOT.
SUMMARY: Notice is hereby given of the
ACTION: Notice of renewal of
[Public Notice 9173] following determinations: Pursuant to
exemptions; request for comments.
the authority vested in me by the Act of
Culturally Significant Objects Imported October 19, 1965 (79 Stat. 985; 22 U.S.C. SUMMARY: FMCSA announces its
for Exhibition Determinations: 2459), Executive Order 12047 of March decision to renew the exemptions from
‘‘Picasso Sculpture’’ Exhibition 27, 1978, the Foreign Affairs Reform and the vision requirement in the Federal
Restructuring Act of 1998 (112 Stat. Motor Carrier Safety Regulations for 15
SUMMARY: Notice is hereby given of the 2681, et seq.; 22 U.S.C. 6501 note, et individuals. FMCSA has statutory
following determinations: Pursuant to seq.), Delegation of Authority No. 234 of authority to exempt individuals from
the authority vested in me by the Act of October 1, 1999, Delegation of Authority the vision requirement if the
October 19, 1965 (79 Stat. 985; 22 U.S.C. No. 236–3 of August 28, 2000 (and, as exemptions granted will not
2459), Executive Order 12047 of March appropriate, Delegation of Authority No. compromise safety. The Agency has
27, 1978, the Foreign Affairs Reform and 257 of April 15, 2003), I hereby concluded that granting these
Restructuring Act of 1998 (112 Stat. determine that certain objects to be exemption renewals will provide a level
2681, et seq.; 22 U.S.C. 6501 note, et included in the exhibition ‘‘The Wrath of safety that is equivalent to or greater
seq.), Delegation of Authority No. 234 of of the Gods: Masterpieces by than the level of safety maintained
October 1, 1999, Delegation of Authority Michelangelo, Titian and Rubens,’’ without the exemptions for these
No. 236–3 of August 28, 2000 (and, as imported from abroad for temporary commercial motor vehicle (CMV)
appropriate, Delegation of Authority No. exhibition within the United States, are drivers.
257 of April 15, 2003), I hereby of cultural significance. The objects are DATES: This decision is effective July 31,
determine that the objects to be imported pursuant to loan agreements 2015. Comments must be received on or
included in the exhibition ‘‘Picasso with the foreign owners or custodians. before July 24, 2015.
Sculpture,’’ imported from abroad for I also determine that the exhibition or ADDRESSES: You may submit comments
temporary exhibition within the United display of the imported objects at the bearing the Federal Docket
States, are of cultural significance. The Philadelphia Museum of Art, ManagementSystem (FDMS) numbers:
objects are imported pursuant to loan Philadelphia, Pennsylvania, from on or Docket No. [Docket No. FMCSA–2013–
agreements with the foreign owners or about September 12, 2015, until on or 0027], using any of the following
custodians. I also determine that the about December 6, 2015, and at possible methods:
exhibition or display of the imported additional exhibitions or venues yet to • Federal eRulemaking Portal: Go to
objects at The Museum of Modern Art, be determined, is in the national http://www.regulations.gov. Follow the
New York, New York, from on or about interest. I have ordered that Public on-line instructions for submitting
September 14, 2015, until on or about Notice of these Determinations be comments.
February 7, 2016, and at possible published in the Federal Register. • Mail: Docket Management Facility;
additional exhibitions or venues yet to U.S. Department of Transportation, 1200
be determined, is in the national FOR FURTHER INFORMATION CONTACT: For New Jersey Avenue SE., West Building
interest. I have ordered that Public further information, including a list of Ground Floor, Room W12–140,
Notice of these Determinations be the imported objects, contact the Office Washington DC, 20590–0001.
published in the Federal Register. of Public Diplomacy and Public Affairs • Hand Delivery or Courier: West
in the Office of the Legal Adviser, U.S. Building Ground Floor, Room W12–140,
FOR FURTHER INFORMATION CONTACT: For Department of State (telephone: 202– 1200 New Jersey Avenue SE.,
further information, including a list of 632–6471; email: section2459@ Washington, DC, between 9 a.m. and 5
the imported objects, contact the Office state.gov). The mailing address is U.S. p.m., Monday through Friday, except
of Public Diplomacy and Public Affairs Department of State, L/PD, SA–5, Suite Federal Holidays.
in the Office of the Legal Adviser, U.S. 5H03, Washington, DC 20522–0505. • Fax: 1–202–493–2251.
Department of State (telephone: 202– Instructions: Each submission must
Dated: June 18, 2015. include the Agency name and the
632–6471; email: section2459@
state.gov). The mailing address is U.S. Kelly Keiderling, docket number for this notice. Note that
Department of State, L/PD, SA–5, Suite Principal Deputy Assistant Secretary, Bureau DOT posts all comments received
5H03, Washington, DC 20522–0505. of Educational and Cultural Affairs, without change to http://
Department of State. www.regulations.gov, including any
Dated: June 19, 2015.
tkelley on DSK3SPTVN1PROD with NOTICES
[FR Doc. 2015–15540 Filed 6–23–15; 8:45 am] personal information included in a
Kelly Keiderling, comment. Please see the Privacy Act
BILLING CODE 4710–05–P
Principal Deputy Assistant Secretary, Bureau heading below.
of Educational and Cultural Affairs, Docket: For access to the docket to
Department of State. read background documents or
[FR Doc. 2015–15539 Filed 6–23–15; 8:45 am] comments, go to http://
BILLING CODE 4710–05–P www.regulations.gov at any time or
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Document Created: 2015-12-15 14:08:52
Document Modified: 2015-12-15 14:08:52
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 36393 |
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