80 FR 78811 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 242 (December 17, 2015)
Federal Register Volume 80, Issue 242 (December 17, 2015)
| Page Range | 78811-78812 | |
| FR Document | 2015-31743 |
[Federal Register Volume 80, Number 242 (Thursday, December 17, 2015)] [Notices] [Pages 78811-78812] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-31743] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0073] 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 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-2015-0073]. I. The information collection below is pending at SSA. SSA will submit it 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 February 16, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. Application for Widow's or Widower's Insurance Benefits--20 CFR 404.335-404.338, & 404.603--0960-0004. Section 2029(e) and 202(f) of the Social Security Act set forth the requirements for entitlement to widow(er)'s benefits, including the requirements to file an application. For SSA to make a formal determination for entitlement to widow(er)'s benefits, we use Form SSA-10-BK to determine whether an applicant meets the statutory and regulatory conditions for entitlement to widow(er)'s Title II benefits. SSA employees interview individuals applying for benefits either face-to-face or via telephone and enter the information on the paper form or into the Modernized Claims System (MCS). The respondents are applicants for widow(er)'s benefits. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of per response total annual responses response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-10-BK paper version......................... 2,045 1 15 511 SSA-10-BK MCS version........................... 453,509 1 14 105,819 --------------------------------------------------------------- Totals...................................... 455,554 .............. .............. 106,330 ---------------------------------------------------------------------------------------------------------------- II. SSA submitted the information collection below to OMB for clearance. Your comments regarding the information collection 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 January 19, 2016. Individuals can obtain copies of the OMB clearance package by writing to OR.Reports.Clearance@ssa.gov. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b), 404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b), 416.2217(c)(1) & (2), 416.2201(b)&(c), 416.2221(a)--0960-0310. State vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to obtain reimbursement of costs incurred for providing VR services. SSA requires state VR agencies to submit reimbursement claims for the following categories: (1) Claiming reimbursement for VR services provided; (2) certifying adherence to cost containment policies and procedures; and (3) preparing causality statements. The respondents mail the paper copy of the SSA-199 to SSA for consideration and approval of the claim for reimbursement of costs incurred for SSA beneficiaries. For claims certifying adherence to cost containment policies and procedures, or for preparing causality statements, State VR agencies submit written requests as stipulated in SSA's regulations within the Code of Federal Regulations. In most containment policies and procedures as well as causality statements prior to determining whether to reimburse State VR agencies. SSA uses the information on the SSA-199, along with the written documentation, to determine whether, and how much, to pay State VR agencies under SSA's VR program. Respondents are State VR agencies offering vocational and employment services to Social Security and Supplemental Security Income (SSI) recipients. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of Number of per response total annual responses response responses (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-199 CFR 404.2108 & 416.2208. 80 160 (12,800) 23 4,907 CFR 404.2117 & 416.2217 Written 80 1 (80) 60 80 requests....................... CFR 404.2121 & 416.2221 Written 80 2.5 (200) 100 333 requests....................... ------------------------------------------------------------------------------- [[Page 78812]] Total....................... 80 .............. (13,080) .............. 5,320 ---------------------------------------------------------------------------------------------------------------- Dated: December 14, 2015. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-31743 Filed 12-16-15; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 80, No. 242 / Thursday, December 17, 2015 / Notices 78811
100 F Street NE., Washington, DC 20549 SSA is soliciting comments on the OMB within 60 days from the date of
or send an email to: PRA_Mailbox@ accuracy of the agency’s burden this notice. To be sure we consider your
sec.gov. Comments must be submitted to estimate; the need for the information; comments, we must receive them no
OMB within 30 days of this notice. its practical utility; ways to enhance its later than February 16, 2016.
December 11, 2015. quality, utility, and clarity; and ways to Individuals can obtain copies of the
minimize burden on respondents, collection instruments by writing to the
Robert W. Errett,
including the use of automated above email address.
Deputy Secretary.
collection techniques or other forms of Application for Widow’s or
[FR Doc. 2015–31679 Filed 12–16–15; 8:45 am] information technology. Mail, email, or Widower’s Insurance Benefits—20 CFR
BILLING CODE 8011–01–P fax your comments and 404.335–404.338, & 404.603—0960–
recommendations on the information 0004. Section 2029(e) and 202(f) of the
collection(s) to the OMB Desk Officer Social Security Act set forth the
and SSA Reports Clearance Officer at requirements for entitlement to
SOCIAL SECURITY ADMINISTRATION the following addresses or fax numbers. widow(er)’s benefits, including the
(OMB) Office of Management and requirements to file an application. For
[Docket No: SSA–2015–0073] SSA to make a formal determination for
Budget, Attn: Desk Officer for SSA,
Agency Information Collection Fax: 202–395–6974, Email address: entitlement to widow(er)’s benefits, we
Activities: Proposed Request and OIRA_Submission@omb.eop.gov. use Form SSA–10–BK to determine
Comment Request (SSA) Social Security Administration, whether an applicant meets the
OLCA, Attn: Reports Clearance statutory and regulatory conditions for
The Social Security Administration Director, 3100 West High Rise, 6401 entitlement to widow(er)’s Title II
(SSA) publishes a list of information Security Blvd., Baltimore, MD 21235, benefits. SSA employees interview
collection packages requiring clearance Fax: 410–966–2830, Email address: individuals applying for benefits either
by the Office of Management and OR.Reports.Clearance@ssa.gov. face-to-face or via telephone and enter
Budget (OMB) in compliance with Or you may submit your comments the information on the paper form or
Public Law 104–13, the Paperwork online through www.regulations.gov, into the Modernized Claims System
Reduction Act of 1995, effective October referencing Docket ID Number [SSA– (MCS). The respondents are applicants
1, 1995. This notice includes revisions 2015–0073]. for widow(er)’s benefits.
of OMB-approved information I. The information collection below is Type of Request: Revision of an OMB-
collections. pending at SSA. SSA will submit it to approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion responses response response burden
(minutes) (hours)
SSA–10–BK paper version .............................................................................. 2,045 1 15 511
SSA–10–BK MCS version ............................................................................... 453,509 1 14 105,819
Totals ........................................................................................................ 455,554 ........................ ........................ 106,330
II. SSA submitted the information rehabilitation (VR) agencies submit VR agencies submit written requests as
collection below to OMB for clearance. Form SSA–199 to SSA to obtain stipulated in SSA’s regulations within
Your comments regarding the reimbursement of costs incurred for the Code of Federal Regulations. In most
information collection would be most providing VR services. SSA requires containment policies and procedures as
useful if OMB and SSA receive them 30 state VR agencies to submit well as causality statements prior to
days from the date of this publication. reimbursement claims for the following determining whether to reimburse State
To be sure we consider your comments, categories: (1) Claiming reimbursement VR agencies. SSA uses the information
we must receive them no later than for VR services provided; (2) certifying on the SSA–199, along with the written
January 19, 2016. Individuals can obtain adherence to cost containment policies documentation, to determine whether,
copies of the OMB clearance package by and procedures; and (3) preparing
and how much, to pay State VR agencies
writing to OR.Reports.Clearance@ causality statements. The respondents
under SSA’s VR program. Respondents
ssa.gov. mail the paper copy of the SSA–199 to
are State VR agencies offering vocational
Vocational Rehabilitation Provider SSA for consideration and approval of
Claim—20 CFR 404.2108(b), the claim for reimbursement of costs and employment services to Social
404.2117(c)(1)&(2), 404.2101(b)&(c), incurred for SSA beneficiaries. For Security and Supplemental Security
404.2121(a), 416.2208(b), 416.2217(c)(1) claims certifying adherence to cost Income (SSI) recipients.
& (2), 416.2201(b)&(c), 416.2221(a)— containment policies and procedures, or Type of Request: Revision of an OMB-
0960–0310. State vocational for preparing causality statements, State approved information collection.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Average Estimated
Number of Frequency of Number of burden per total annual
Modality of completion responses response responses response burden
(minutes) (hours)
SSA–199 CFR 404.2108 & 416.2208 ................................. 80 160 (12,800) 23 4,907
CFR 404.2117 & 416.2217 Written requests ...................... 80 1 (80) 60 80
CFR 404.2121 & 416.2221 Written requests ...................... 80 2.5 (200) 100 333
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![78812 Federal Register / Vol. 80, No. 242 / Thursday, December 17, 2015 / Notices
Average Estimated
Number of Frequency of Number of burden per total annual
Modality of completion responses response responses response burden
(minutes) (hours)
Total ....................................................................... 80 ........................ (13,080) ........................ 5,320
Dated: December 14, 2015. States in nonimmigrant A–3 or G–5 visa and international organizations in the
Naomi R. Sipple, status. United States;
Reports Clearance Officer, Social Security The Department’s report was filed b. the authorization of the exemption
Administration. with the Office of Management and of taxes imposed on the purchases of
[FR Doc. 2015–31743 Filed 12–16–15; 8:45 am] Budget. The new system description, goods and services by eligible members
BILLING CODE 4191–02–P ‘‘Office of Foreign Missions Records, of foreign missions and international
State-81,’’ will read as set forth below. organizations in the United States;
c. the authorization of tax and duty-
Joyce A. Barr,
free importation privileges for eligible
DEPARTMENT OF STATE Assistant Secretary for Administration, U.S. members of foreign missions and
Department of State.
international organizations in the
[Public Notice: 9380]
STATE–81 United States;
Privacy Act; System of Records: Office d. Real property owned or leased by
SYSTEM NAME: certain members of foreign missions and
of Foreign Missions Records, State-81
Office of Foreign Missions Records international organizations in the
SUMMARY: Notice is hereby given that United States and the extension of any
SECURITY CLASSIFICATION:
the Department of State proposes to applicable privileges and immunities to
create a system of records, Office of Unclassified such properties;
Foreign Missions Records, State-81, SYSTEM LOCATION: e. Individuals or entities who sell or
pursuant to the provisions of the purchase real property from foreign
Office of Foreign Missions (OFM),
Privacy Act of 1974, as amended (5 missions and international
Department of State, 2201 C Street NW.,
U.S.C. 552a) and Office of Management organizations;
Washington, DC 20520; State Annex 33,
and Budget Circular No. A–130, f. Motor vehicle titling, registration,
OFM Regional Offices.
Appendix I. and licensing services and
DATES: This system of records will be CATEGORIES OF INDIVIDUALS COVERED BY THE documentation for eligible members of
effective on January 26, 2016, unless we SYSTEM: foreign missions and international
receive comments that will result in a Categories of individuals covered organizations in the United States,
contrary determination. include: (a) members and employees of including motor vehicle records/moving
ADDRESSES: Any persons interested in foreign missions and international violation records for individuals and
commenting on the new system of organizations in the United States; (b) information concerning an individual’s
records may do so by writing to the their immediate family and other motor vehicle liability insurance
Director; Office of Information Programs household members; (c) domestic coverage;
and Services, A/GIS/IPS; Department of workers who are in the United States in g. A foreign mission or international
State, SA–2; 515 22nd Street NW.; nonimmigrant A–3 or G–5 visa status; organization member’s notification or
Washington, DC 20522–8100. (d) officials/representatives of foreign request for approval of travel planned
governments; and (e) individuals within the United States that is outside
FOR FURTHER INFORMATION CONTACT: John
accompanying senior foreign embassy of an established geographic area;
Hackett, Director; Office of Information h. The extension of expedited port
officials on tours of the White House.
Programs and Services, A/GIS/IPS; clearance courtesies to senior foreign
Department of State, SA–2; 515 22nd CATEGORIES OF RECORDS IN THE SYSTEM: officials entering the United States;
Street NW; Washington, DC 20522– 1. Administrative files related to the i. The extension of airport security
8100, or at Privacy@state.gov. implementation of the Foreign Missions screening courtesies associated with the
SUPPLEMENTARY INFORMATION: The Act, provision of services and benefits. departure of senior foreign officials from
Department of State proposes that the Records in the system may include airports in the United States;
new system will be named ‘‘Office of biographic data, such as name, numeric j. Requests from foreign missions for
Foreign Missions Records.’’ The records identifier, gender, nationality, White House Tours; and
in State-81 were previously published citizenship, visa data, date and place of k. Assignment and management of
under STATE–36, Security Records. The birth, residential address, employer electronic accounts for individuals
records maintained in the Office of name and location, employee’s authorized to submit requests to the
Foreign Missions Records are related to function/title, employment start date, Department of State on behalf of foreign
the implementation of the Foreign and employment termination date. missions and international
Missions Act, the operation of foreign 2. Records associated with the organizations via OFM’s e-Government
missions, and the United States’ notification, accreditation, recognition, System.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
extension of privileges, exemptions, and termination of the appointment of 4. Records related to submissions of
immunities, benefits, and courtesies to members of foreign missions as well as Form I–508 ‘‘Waiver of Rights,
foreign government officials, members/ employees and officers of international Privileges, Exemptions, and
employees and officers of foreign organizations in the United States; Immunities’’ from individuals who are
missions and certain international 3. Records may include lawful permanent residents and are in
organizations in the United States, their documentation concerning: an occupational status making them
immediate family members, and a. Employment authorization for eligible for an ‘‘A,’’ ‘‘E,’’ or ‘‘G’’ visa to
domestic workers who are in the United eligible dependents of foreign missions waive rights, privileges, exemptions and
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Document Created: 2018-03-02 09:18:37
Document Modified: 2018-03-02 09:18:37
| 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 78811 |
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