80 FR 55705 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 179 (September 16, 2015)
Federal Register Volume 80, Issue 179 (September 16, 2015)
| Page Range | 55705-55707 | |
| FR Document | 2015-23275 |
[Federal Register Volume 80, Number 179 (Wednesday, September 16, 2015)] [Notices] [Pages 55705-55707] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-23275] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0053] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and extensions 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-2015-0053]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than November 16, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) & 404.1095--0960-0061. SSA collects the information on Form SSA-7156 on a voluntary and as-needed basis to determine the existence of an agriculture trade or business, which may affect the monthly benefit, or insured status of the applicant. SSA requires the existence of a trade or business before determining if an individual or partnership may have net earnings from self-employment. When an applicant indicates self- employment as a farmer, SSA uses the SSA-7165 to obtain the information we need to determine the existence of an agricultural trade or business, and subsequent covered earnings for Social Security entitlement purposes. As part of the application process, we conduct a personal interview, either face-to-face or via telephone, and document the interview using Form SSA-7165. The respondents are applicants for Social Security benefits, whose entitlement depends on workers having covered earnings from self-employment as farmers. Type of Request: Revision of an OMB-approved information collection. [[Page 55706]] ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-7156.................................... 47,500 1 10 7,917 ---------------------------------------------------------------------------------------------------------------- 2. Pain Report Child--20 CFR 404.1512 and 416.912--0960-0540. Before SSA can make a disability determination for a child, we require evidence from Supplemental Security Income (SSI) applicants or claimants to prove their disability. Form SSA-3371-BK provides disability interviewers, and SSI applicants or claimants in self-help situations, with a convenient way to record information regarding claimants' pain or other symptoms. The State disability determination services adjudicators and administrative law judges use the information from Form SSA-3371-BK to assess the effects of symptoms on claimants' ability to function, for purposes of determining disability under the Act. The respondents are applicants for, or claimants of, SSI payments. 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-3371.................................... 250,000 1 15 62,500 ---------------------------------------------------------------------------------------------------------------- 3. Internet Request for Replacement of Forms SSA-1099/SSA-1042S--20 CFR 401.45--0960-0583. Title II beneficiaries use Forms SSA-1099 and SSA-1042S, Social Security Benefit Statement, to determine (1) if their Social Security benefits are taxable, and (2) the amount they need to report to the Internal Revenue Service. In cases where the original forms are unavailable (e.g., lost, stolen, mutilated), an individual may use SSA's automated telephone application to request a replacement SSA-1099 or SSA-1042S. SSA uses the information from the automated telephone requests to verify the identity of the requestor and to provide replacement copies of the forms. The automated telephone options reduce requests to the National 800 Number Network (N8NN) and visits to local Social Security field offices (FO). The respondents are Title II beneficiaries who wish to request a replacement SSA-1099 or SSA-1042S via the Internet or telephone. 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) ---------------------------------------------------------------------------------------------------------------- Automated Telephone Requestors.............. 206,424 1 2 6,881 N8NN........................................ 483,021 1 3 24,151 Calls to local FOs.......................... 810,448 1 3 40,522 Other (program service centers)............. 78,375 1 3 3,919 ------------------------------------------------------------------- Totals.................................. 1,578,268 ............... ............... 75,473 ---------------------------------------------------------------------------------------------------------------- II. SSA submitted the information collections below to OMB for clearance. Your comments regarding the information collections would be most useful if OMB and SSA receive them 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than October 16, 2015. Individuals can obtain copies of the OMB clearance packages by writing to OR.Reports.Clearance@ssa.gov. 1. Employment Relationship Questionnaire--20 CFR 404.1007--0960- 0040. When SSA needs information to determine a worker's employment status for the purpose of maintaining a worker's earning records, the agency uses Form SSA-7160-F4 to determine the existence of an employer- employee relationship. We use the information to develop the employment relationship; specifically to determine whether a beneficiary is self- employed or an employee. The respondents are individuals seeking to establish their status as employees, and their alleged employers. Note: This is a correction notice. SSA published this information collection as a revision on July 17, 2015, at 80 FR 42600. Since we are not revising the Privacy Act Statement, this is now an extension of an OMB-approved information collection. 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) ---------------------------------------------------------------------------------------------------------------- Individuals................................. 8,000 1 25 3,333 Businesses.................................. 7,200 1 25 3,000 [[Page 55707]] State/Local Government...................... 800 1 25 333 ------------------------------------------------------------------- Totals.................................. 16,000 ............... ............... 6,666 ---------------------------------------------------------------------------------------------------------------- 2. Testimony by Employees and the Production of Records and Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619. Regulations at 20 CFR 403.100-403.155 of the Code of Federal Regulations establish SSA's policies and procedures for an individual, organization, or government entity to request official agency information, records, or testimony of an agency employee in a legal proceeding when the agency is not a party. The request, which respondents submit in writing to the Commissioner, must (1) fully set out the nature and relevance of the sought testimony; (2) explain why the information is not available by other means; (3) explain why it is in SSA's interest to provide the testimony; and (4) provide the date, time, and place for the testimony. Respondents are individuals or entities who request testimony from SSA employees in connection with a legal proceeding. 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) ---------------------------------------------------------------------------------------------------------------- 20 CFR 403.100-403.155...................... 100 1 60 100 ---------------------------------------------------------------------------------------------------------------- 3. Notification of a Social Security Number (SSN) To An Employer for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying for employment must provide a Social Security Number, or indicate they have applied for one. However, when an individual applies for an initial SSN, there is a delay between the assignment of the number and the delivery of the SSN card. At an individual's request, SSA uses Form SSA-132 to send the individual's SSN to an employer. Mailing this information to the employer: (1) Ensures the employer has the correct SSN for the individual; (2) allows SSA to receive correct earnings information for wage reporting purposes; and (3) reduces the delay in the initial SSN assignment and delivery of the SSN information directly to the employer. It also enables SSA to verify the employer as a safeguard for the applicant's personally identifiable information. The majority of individuals who take advantage of this option are in the United States with exchange visitor and student visas; however, we allow any applicant for an SSN to use the SSA-132. The respondents are individuals applying for an initial SSN who ask SSA to mail confirmation of their application or the SSN to their employers. 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-132..................................... 298,953 1 2 9,965 ---------------------------------------------------------------------------------------------------------------- Dated: September 11, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-23275 Filed 9-15-15; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 80, No. 179 / Wednesday, September 16, 2015 / Notices 55705
LOUISIANA, dated 07/13/2015, is United States Small Business recommendations on the information
hereby amended to include the Administration. collection(s) to the OMB Desk Officer
following areas as adversely affected by Dated: September 10, 2015. and SSA Reports Clearance Officer at
the disaster. Javier E. Saade, the following addresses or fax numbers.
Primary Parish: West Feliciana. Associate Administrator for Investment.
(OMB)
[FR Doc. 2015–23196 Filed 9–15–15; 8:45 am]
All other information in the original
declaration remains unchanged. BILLING CODE P Office of Management and Budget,
Attn: Desk Officer for SSA, Fax: 202–
(Catalog of Federal Domestic Assistance 395–6974, Email address: OIRA_
Numbers 59002 and 59008) SMALL BUSINESS ADMINISTRATION Submission@omb.eop.gov.
Joseph P. Loddo, (SSA)
Surrender of License of Small
Acting Associate Administrator for Disaster
Assistance. Business Investment Company Social Security Administration,
[FR Doc. 2015–23194 Filed 9–15–15; 8:45 am] OLCA, Attn: Reports Clearance Director,
Pursuant to the authority granted to
3100 West High Rise, 6401 Security
BILLING CODE 8025–01–P the United States Small Business
Administration under the Small Blvd., Baltimore, MD 21235, Fax: 410–
Business Investment Act of 1958, under 966–2830, Email address:
SMALL BUSINESS ADMINISTRATION Section 309 of the Act and Section OR.Reports.Clearance@ssa.gov.
107.1900 of the Small Business Or you may submit your comments
Surrender of License of Small online through www.regulations.gov,
Administration Rules and Regulations
Business Investment Company referencing Docket ID Number [SSA–
(13 CFR 107.1900) to function as a small
Pursuant to the authority granted to business investment company under the 2015–0053].
the United States Small Business Small business Investment Company I. The information collections below
Administration under the Small License No. 10/10–0192 issued to are pending at SSA. SSA will submit
Business Investment Act of 1958, under Tamarack Mezzanine Partners, L.P., said them to OMB within 60 days from the
Section 309 of the Act and Section license is hereby declared null and void. date of this notice. To be sure we
107.1900 of the Small Business United States Small Business consider your comments, we must
Administration Rules and Regulations Administration. receive them no later than November 16,
(13 CFR 107.1900) to function as a small Dated: September 10, 2015. 2015. Individuals can obtain copies of
business investment company under the Javier E. Saade, the collection instruments by writing to
Small business Investment Company Associate Administrator for Investment.
the above email address.
License No. 09/79–0454 issued to [FR Doc. 2015–23195 Filed 9–15–15; 8:45 am]
1. Farm Self-Employment
Emergence Capital Partners SBIC, L.P., BILLING CODE P
Questionnaire—20 CFR 404.1082(c) &
said license is hereby declared null and 404.1095—0960–0061. SSA collects the
void. information on Form SSA–7156 on a
United States Small Business
voluntary and as-needed basis to
SOCIAL SECURITY ADMINISTRATION
Administration. determine the existence of an
Dated: September 10, 2015.
[Docket No: SSA–2015–0053] agriculture trade or business, which
may affect the monthly benefit, or
Javier E. Saade, Agency Information Collection insured status of the applicant. SSA
Associate Administrator for Investment. Activities: Proposed Request and requires the existence of a trade or
[FR Doc. 2015–23197 Filed 9–15–15; 8:45 am] Comment Request business before determining if an
BILLING CODE P
The Social Security Administration individual or partnership may have net
(SSA) publishes a list of information earnings from self-employment. When
collection packages requiring clearance an applicant indicates self-employment
SMALL BUSINESS ADMINISTRATION as a farmer, SSA uses the SSA–7165 to
by the Office of Management and
Surrender of License of Small Budget (OMB) in compliance with obtain the information we need to
Business Investment Company Public Law 104–13, the Paperwork determine the existence of an
Reduction Act of 1995, effective October agricultural trade or business, and
Pursuant to the authority granted to 1, 1995. This notice includes revisions subsequent covered earnings for Social
the United States Small Business and extensions of OMB-approved Security entitlement purposes. As part
Administration under the Small information collections. of the application process, we conduct
Business Investment Act of 1958, under SSA is soliciting comments on the a personal interview, either face-to-face
Section 309 of the Act and Section accuracy of the agency’s burden or via telephone, and document the
107.1900 of the Small Business estimate; the need for the information; interview using Form SSA–7165. The
Administration Rules and Regulations its practical utility; ways to enhance its respondents are applicants for Social
(13 CFR 107.1900) to function as a small quality, utility, and clarity; and ways to Security benefits, whose entitlement
business investment company under the minimize burden on respondents, depends on workers having covered
Small business Investment Company including the use of automated earnings from self-employment as
asabaliauskas on DSK7TPTVN1PROD with NOTICES
License No. 02/02–5495 issued to collection techniques or other forms of farmers.
Jardine Capital Corporation., said information technology. Mail, email, or Type of Request: Revision of an OMB-
license is hereby declared null and void. fax your comments and approved information collection.
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![Federal Register / Vol. 80, No. 179 / Wednesday, September 16, 2015 / Notices 55707
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
State/Local Government .................................................................................. 800 1 25 333
Totals ........................................................................................................ 16,000 ........................ ........................ 6,666
2. Testimony by Employees and the information, records, or testimony of an interest to provide the testimony; and
Production of Records and Information agency employee in a legal proceeding (4) provide the date, time, and place for
in Legal Proceedings—20 CFR 403.100– when the agency is not a party. The the testimony. Respondents are
403.155—0960–0619. Regulations at 20 request, which respondents submit in individuals or entities who request
CFR 403.100–403.155 of the Code of writing to the Commissioner, must (1) testimony from SSA employees in
Federal Regulations establish SSA’s fully set out the nature and relevance of connection with a legal proceeding.
policies and procedures for an the sought testimony; (2) explain why
individual, organization, or government the information is not available by other Type of Request: Extension of an
entity to request official agency means; (3) explain why it is in SSA’s OMB-approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
20 CFR 403.100–403.155 ............................................................................... 100 1 60 100
3. Notification of a Social Security individual’s SSN to an employer. information. The majority of individuals
Number (SSN) To An Employer for Mailing this information to the who take advantage of this option are in
Wage Reporting—20 CFR 422.103(a)— employer: (1) Ensures the employer has the United States with exchange visitor
0960–0778. Individuals applying for the correct SSN for the individual; (2) and student visas; however, we allow
employment must provide a Social allows SSA to receive correct earnings any applicant for an SSN to use the
Security Number, or indicate they have information for wage reporting SSA–132. The respondents are
applied for one. However, when an purposes; and (3) reduces the delay in individuals applying for an initial SSN
individual applies for an initial SSN, the initial SSN assignment and delivery who ask SSA to mail confirmation of
there is a delay between the assignment of the SSN information directly to the their application or the SSN to their
of the number and the delivery of the employer. It also enables SSA to verify employers.
SSN card. At an individual’s request, the employer as a safeguard for the Type of Request: Revision of an OMB-
SSA uses Form SSA–132 to send the applicant’s personally identifiable approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–132 .......................................................................................................... 298,953 1 2 9,965
Dated: September 11, 2015. 27, 1978, the Foreign Affairs Reform and 2016, and at possible additional
Naomi R. Sipple, Restructuring Act of 1998 (112 Stat. exhibitions or venues yet to be
Reports Clearance Officer, Social Security 2681, et seq.; 22 U.S.C. 6501 note, et determined, is in the national interest.
Administration. seq.), Delegation of Authority No. 234 of I have ordered that Public Notice of
[FR Doc. 2015–23275 Filed 9–15–15; 8:45 am] October 1, 1999, Delegation of Authority these Determinations be published in
BILLING CODE 4191–02–P No. 236–3 of August 28, 2000 (and, as the Federal Register.
appropriate, Delegation of Authority No.
257 of April 15, 2003), I hereby FOR FURTHER INFORMATION CONTACT: For
determine that the objects to be further information, including a list of
DEPARTMENT OF STATE the imported objects, contact the Office
included in the exhibition ‘‘Jacqueline
[Public Notice: 9273] de Ribes: The Art of Style,’’ imported of Public Diplomacy and Public Affairs
from abroad for temporary exhibition in the Office of the Legal Adviser, U.S.
Culturally Significant Objects Imported Department of State (telephone: 202–
within the United States, are of cultural
asabaliauskas on DSK7TPTVN1PROD with NOTICES
for Exhibition Determinations: 632–6471; email:
significance. The objects are imported
‘‘Jacqueline de Ribes: The Art of section2459@state.gov). The mailing
pursuant to loan agreements with the
Style’’ Exhibition address is U.S. Department of State, L/
foreign owners or custodians. I also
SUMMARY: Notice is hereby given of the determine that the exhibition or display PD, SA–5, Suite 5H03, Washington, DC
following determinations: Pursuant to of the exhibit objects at The 20522–0505.
the authority vested in me by the Act of Metropolitan Museum of Art, New York,
October 19, 1965 (79 Stat. 985; 22 U.S.C. New York, from on or about November
2459), Executive Order 12047 of March 17, 2015, until on or about February 21,
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Document Created: 2018-02-26 10:16:22
Document Modified: 2018-02-26 10:16:22
| 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 55705 |
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