81_FR_15831 81 FR 15774 - Agency Information Collection Activities: Proposed Request and Comment Request

81 FR 15774 - Agency Information Collection Activities: Proposed Request and Comment Request

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 81, Issue 57 (March 24, 2016)

Page Range15774-15776
FR Document2016-06642

Federal Register, Volume 81 Issue 57 (Thursday, March 24, 2016)
[Federal Register Volume 81, Number 57 (Thursday, March 24, 2016)]
[Notices]
[Pages 15774-15776]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-06642]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0007]


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 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-2016-0007].
    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 May 
23, 2016. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Representative Payee Evaluation Report--20 CFR 404.2065 & 
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Social 
Security Act (Act) state SSA may appoint a representative payee to 
receive Title II benefits or Title XVI payments on behalf of 
individuals unable to manage or direct the management of those funds 
themselves. SSA requires appointed representative payees to report once 
each year on how they used or conserved those funds. When a 
representative payee fails to adequately report to SSA as required, SSA 
conducts a face-to-face interview with the payee and completes Form 
SSA-624, Representative Payee Evaluation Report, to determine the 
continued suitability of the representative payee to serve as a payee. 
The respondents are individuals or organizations serving as 
representative payees for individuals receiving Title II benefits or 
Title XVI payments and who fail to comply with SSA's statutory annual 
reporting requirement.

[[Page 15775]]

    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-624.....................................         267,000                1               30          133,500
----------------------------------------------------------------------------------------------------------------

    2. Beneficiary Recontact Form--20 CFR 404.703, 404.705--0960-0502. 
SSA investigates recipients of disability payments to determine their 
continuing eligibility for payments. Research indicates recipients may 
fail to report circumstances that affect their eligibility. Two such 
cases are: (1) When parents receiving disability benefits for their 
child marry; and (2) the removal of an entitled child from parents' 
care. SSA uses Form SSA-1588-OCR-SM to ask mothers or fathers about 
both their marital status and children under their care, to detect 
overpayments and avoid continuing payment to those are no longer 
entitled. Respondents are recipients of mothers' or fathers' Social 
Security benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1588-OCR-SM.............................          94,293                1                5            7,858
----------------------------------------------------------------------------------------------------------------

    3. Technical Updates to Applicability of the Supplemental Security 
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical 
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section 
1611(e)(1)(A) of the Act states residents of public institutions are 
ineligible for Supplemental Security Income (SSI). However, Sections 
1611(e)(1)(B) and (G) list certain exceptions to this provision making 
it necessary for SSA to collect information about SSI recipients who 
enter or leave a medical treatment facility or other public or private 
institution. SSA's regulation 20 CFR 416.708(k) establishes the 
reporting guidelines that implement this legislative requirement. SSA 
collects the information to determine eligibility for SSI and the 
payment amount. The respondents are SSI recipients who enter or leave 
an institution.
    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)
----------------------------------------------------------------------------------------------------------------
Technical Updates Statement.................          34,200                1                7            3,990
----------------------------------------------------------------------------------------------------------------

    4. Waiver of Supplemental Security Income Payment Continuation--20 
CFR 416.1400-416.1422--0960-0783. SSI recipients who wish to 
discontinue their SSI payments while awaiting a determination on their 
appeal complete Form SSA-263-U2, Waiver of Supplemental Security Income 
Payment Continuation, to inform SSA of this decision. SSA collects the 
information to determine whether the SSI recipient meets the provisions 
of the Act regarding waiver of payment continuation and as proof 
respondents no longer want their payments to continue. Respondents are 
recipients of SSI payments who wish to discontinue receipt of payment 
while awaiting a determination on their appeal.
    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-263-U2..................................           3,000                1                5              250
----------------------------------------------------------------------------------------------------------------

    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 April 25, 2016. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Supplemental Statement Regarding Farming Activities of Person 
Living Outside the U.S.A.--0960-0103. When a beneficiary or claimant 
reports farm work from outside the United States, SSA documents this 
work on Form

[[Page 15776]]

SSA-7163A-F4. Specifically, SSA uses the form to determine if we should 
apply foreign work deductions to the recipient's Title II benefits. We 
collect the information either annually or every other year, depending 
on the respondent's country of residence. Respondents are Social 
Security recipients engaged in farming activities outside the United 
States.
    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-7163A-F4................................           1,000                1               60            1,000
----------------------------------------------------------------------------------------------------------------

    2. Employer Verification of Earnings After Death--20 CFR 404.821 
and 404.822--0960-0472. When SSA records show a wage earner is deceased 
and we receive wage reports from an employer for the wage earner for a 
year subsequent to the year of death, SSA mails the employer Form SSA-
L4112 (Employer Verification of Earnings After Death). SSA uses the 
information Form SSA-L4112 provides to verify wage information 
previously received from the employer is correct for the employee and 
the year in question. The respondents are employers who report wages 
for employees who have died.
    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-L4112...................................          50,000                1               10            8,333
----------------------------------------------------------------------------------------------------------------

    3. Certificate of Incapacity--5 CFR 890.302(d)--0960-0739. Rules 
governing the Federal Employee Health Benefits (FEHB) plan require a 
physician to verify the disability of Federal employees' children ages 
26 and over for these children to retain health benefits under their 
employed parents' plans. The physician must verify the adult child's 
disability: (1) Pre-dates the child's 26th birthday; (2) is very 
serious; and (3) will continue for at least one year. Physicians use 
Form SSA-604, the Certificate of Incapacity, to document and certify 
this information, and SSA uses the information provided to determine 
the eligibility for these children, ages 26 and over, for coverage 
under a parent's FEHB plan. The respondents are physicians of SSA 
employees' children ages 26 or over who are seeking to retain health 
benefits under their parent's FEHB coverage.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-604.....................................              50                1               45               38
----------------------------------------------------------------------------------------------------------------


    Dated: March 18, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-06642 Filed 3-23-16; 8:45 am]
 BILLING CODE 4191-02-P



                                                    15774                        Federal Register / Vol. 81, No. 57 / Thursday, March 24, 2016 / Notices

                                                    SECURITIES AND EXCHANGE                                   Section 19(b)(2) of the Act 7 provides              1, 1995. This notice includes revisions,
                                                    COMMISSION                                              that within 45 days of the publication of             and an extension, of OMB-approved
                                                                                                            notice of the filing of a proposed rule               information collections.
                                                    [Release No. 34–77405; File No. SR–
                                                    NYSEArca–2016–08)
                                                                                                            change, or within such longer period up                  SSA is soliciting comments on the
                                                                                                            to 90 days as the Commission may                      accuracy of the agency’s burden
                                                    Self-Regulatory Organizations; NYSE                     designate if it finds such longer period              estimate; the need for the information;
                                                    Arca, Inc.; Notice of Designation of a                  to be appropriate and publishes its                   its practical utility; ways to enhance its
                                                    Longer Period for Commission Action                     reasons for so finding, or as to which the            quality, utility, and clarity; and ways to
                                                    on Proposed Rule Change To Adopt                        self-regulatory organization consents,                minimize burden on respondents,
                                                    NYSE Arca Equities Rule 8.900 To                        the Commission shall either approve the               including the use of automated
                                                    Permit Listing and Trading of Managed                   proposed rule change, disapprove the                  collection techniques or other forms of
                                                    Portfolio Shares and To Permit Listing                  proposed rule change, or institute                    information technology. Mail, email, or
                                                    and Trading of Shares of Fifteen                        proceedings to determine whether the                  fax your comments and
                                                    Issues of the Precidian ETFs Trust                      proposed rule change should be                        recommendations on the information
                                                                                                            disapproved. The 45th day after                       collection(s) to the OMB Desk Officer
                                                    March 18, 2016.                                         publication of the notice for this                    and SSA Reports Clearance Officer at
                                                       On January 27, 2016, NYSE Arca, Inc.                 proposed rule change is April 3, 2016.                the following addresses or fax numbers.
                                                    (‘‘Exchange’’) filed with the Securities                The Commission is extending this 45-
                                                    and Exchange Commission                                                                                       (OMB), Office of Management and
                                                                                                            day time period.
                                                    (‘‘Commission’’), pursuant to Section                     The Commission finds it appropriate                    Budget, Attn: Desk Officer for SSA,
                                                    19(b)(1) of the Securities Exchange Act                 to designate a longer period within                      Fax: 202–395–6974, Email address:
                                                    of 1934 (‘‘Act’’) 1 and Rule 19b–4                      which to take action on the proposed                     OIRA_Submission@omb.eop.gov.
                                                    thereunder,2 a proposed rule change to:                 rule change so that it has sufficient time            (SSA), Social Security Administration,
                                                    (1) Adopt NYSE Arca Equities Rule                       to consider this proposed rule change.                   OLCA, Attn: Reports Clearance
                                                    8.900 to permit the listing and trading                 Accordingly, the Commission, pursuant                    Director, 3100 West High Rise, 6401
                                                    of Managed Portfolio Shares; (2) amend                  to Section 19(b)(2) of the Act,8                         Security Blvd., Baltimore, MD 21235,
                                                    NYSE Arca Equities Rule 7.34 to                         designates May 18, 2016, as the date by                  Fax: 410–966–2830, Email address:
                                                    reference securities described in                       which the Commission shall either                        OR.Reports.Clearance@ssa.gov.
                                                    proposed NYSE Arca Equities Rule                        approve or disapprove, or institute                      Or you may submit your comments
                                                    8.900 in Rule 7.34(a)(3)(A) relating to                 proceedings to determine whether to                   online through www.regulations.gov,
                                                    securities traded in the Core Trading                   disapprove, the proposed rule change                  referencing Docket ID Number [SSA–
                                                    Session; and (3) list and trade shares of               (File No. SR–NYSEArca–2016–08).                       2016–0007].
                                                    15 funds of the Precidian ETFs Trust
                                                                                                                                                                     I. The information collections below
                                                    (‘‘Trust’’) pursuant to proposed NYSE
                                                                                                                                                                  are pending at SSA. SSA will submit
                                                    Arca Equities Rule 8.900.3 The proposed
                                                                                                                                                                  them to OMB within 60 days from the
                                                    rule change was published for comment
                                                    in the Federal Register on February 18,                                                                       date of this notice. To be sure we
                                                    2016.4 On March 9, 2016, the Exchange                                                                         consider your comments, we must
                                                    filed Amendment No. 1 to the proposed                                                                         receive them no later than May 23,
                                                    rule change.5 The Commission has                          For the Commission, by the Division of              2016. Individuals can obtain copies of
                                                                                                            Trading and Markets, pursuant to delegated            the collection instruments by writing to
                                                    received one comment letter on the                      authority.9
                                                    proposal.6                                                                                                    the above email address.
                                                                                                            Robert W. Errett,                                        1. Representative Payee Evaluation
                                                      1 15
                                                                                                            Deputy Secretary.                                     Report—20 CFR 404.2065 & 416.665—
                                                            U.S.C. 78s(b)(1).
                                                      2 17  CFR 240.19b–4.                                  [FR Doc. 2016–06606 Filed 3–23–16; 8:45 am]           0960–0069. Sections 205(j) and
                                                       3 The Exchange proposes to list and trade shares     BILLING CODE 8011–01–P                                1631(a)(2) of the Social Security Act
                                                    of the following funds: (1) Precidian U.S. Managed                                                            (Act) state SSA may appoint a
                                                    Volatility Fund; (2) Precidian Strategic Value; (3)
                                                    Precidian Large Cap Value; (4) Precidian Focused                                                              representative payee to receive Title II
                                                    Dividend Strategy; (5) Precidian U.S. Large Cap         SOCIAL SECURITY ADMINISTRATION                        benefits or Title XVI payments on behalf
                                                    Growth; (6) Precidian U.S. Core Equity; (7)                                                                   of individuals unable to manage or
                                                    Precidian U.S. Mid Cap Growth; (8) Precidian Total      [Docket No: SSA–2016–0007]
                                                    Return; (9) Precidian High Dividend Yield; (10)
                                                                                                                                                                  direct the management of those funds
                                                    Precidian Small Cap Dividend Value; (11) Precidian      Agency Information Collection                         themselves. SSA requires appointed
                                                    Multi-factor Small Cap Core; (12) Precidian Multi-      Activities: Proposed Request and                      representative payees to report once
                                                    factor Small Cap Growth; (13) Precidian Large Cap                                                             each year on how they used or
                                                    Core Plus 130/30; (14) Precidian Mid Cap Core Plus      Comment Request
                                                    130/30; and (15) Precidian Small Cap Core Plus                                                                conserved those funds. When a
                                                    130/30.                                                   The Social Security Administration                  representative payee fails to adequately
                                                       4 See Securities Exchange Act Release No. 77117      (SSA) publishes a list of information                 report to SSA as required, SSA conducts
                                                    (Feb. 11, 2016), 81 FR 8269.                            collection packages requiring clearance               a face-to-face interview with the payee
                                                       5 In Amendment No. 1 to the proposed rule
                                                                                                            by the Office of Management and                       and completes Form SSA–624,
                                                    change, the Exchange corrected the citations to the
                                                    Trust’s Form N–1A and Exemptive Application,            Budget (OMB) in compliance with                       Representative Payee Evaluation Report,
                                                                                                            Public Law 104–13, the Paperwork                      to determine the continued suitability of
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    which were misstated in the proposal. Because
                                                    Amendment No. 1 is technical in nature and does         Reduction Act of 1995, effective October              the representative payee to serve as a
                                                    not materially alter the substance of the proposed
                                                    rule change or raise any novel regulatory issues, it
                                                                                                                                                                  payee. The respondents are individuals
                                                    is not subject to notice and comment. Amendment         Secretary, Commission, dated March 10, 2016. This     or organizations serving as
                                                    No. 1 to the proposed rule change is available on       comment letter is available on the Commission’s       representative payees for individuals
                                                    the Commission’s Web site at: http://www.sec.gov/       Web site at: http://www.sec.gov/comments/sr-
                                                                                                            nysearca-2016-08/nysearca201608-2.pdf.                receiving Title II benefits or Title XVI
                                                    comments/sr-nysearca-2016-08/nysearca201608-1.
                                                    pdf.                                                      7 15 U.S.C. 78s(b)(2).                              payments and who fail to comply with
                                                       6 See Letter from Gary L. Gastineau, President,        8 Id.                                               SSA’s statutory annual reporting
                                                    ETF Consultants.com, inc., to Brent J. Fields,            9 17 CFR 200.30–3(a)(31).                           requirement.


                                               VerDate Sep<11>2014   17:44 Mar 23, 2016   Jkt 238001   PO 00000   Frm 00098   Fmt 4703   Sfmt 4703   E:\FR\FM\24MRN1.SGM   24MRN1


                                                                                           Federal Register / Vol. 81, No. 57 / Thursday, March 24, 2016 / Notices                                                             15775

                                                      Type of Request: Revision of an OMB-
                                                    approved information collection.

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–624 ..........................................................................................................     267,000               1                30        133,500



                                                       2. Beneficiary Recontact Form—20                                      eligibility. Two such cases are: (1) When                       care, to detect overpayments and avoid
                                                    CFR 404.703, 404.705—0960–0502. SSA                                      parents receiving disability benefits for                       continuing payment to those are no
                                                    investigates recipients of disability                                    their child marry; and (2) the removal of                       longer entitled. Respondents are
                                                    payments to determine their continuing                                   an entitled child from parents’ care.                           recipients of mothers’ or fathers’ Social
                                                    eligibility for payments. Research                                       SSA uses Form SSA–1588–OCR–SM to                                Security benefits.
                                                    indicates recipients may fail to report                                  ask mothers or fathers about both their                           Type of Request: Revision of an OMB-
                                                    circumstances that affect their                                          marital status and children under their                         approved information collection.

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–1588–OCR–SM ......................................................................................                     94,293            1                 5         7,858



                                                      3. Technical Updates to Applicability                                  However, Sections 1611(e)(1)(B) and (G)                         legislative requirement. SSA collects the
                                                    of the Supplemental Security Income                                      list certain exceptions to this provision                       information to determine eligibility for
                                                    (SSI) Reduced Benefit Rate for                                           making it necessary for SSA to collect                          SSI and the payment amount. The
                                                    Individuals Residing in Medical                                          information about SSI recipients who                            respondents are SSI recipients who
                                                    Treatment Facilities—20 CFR                                              enter or leave a medical treatment                              enter or leave an institution.
                                                    416.708(k)—0960–0758. Section                                            facility or other public or private
                                                                                                                                                                                               Type of Request: Extension of an
                                                    1611(e)(1)(A) of the Act states residents                                institution. SSA’s regulation 20 CFR
                                                                                                                                                                                             OMB-approved information collection.
                                                    of public institutions are ineligible for                                416.708(k) establishes the reporting
                                                    Supplemental Security Income (SSI).                                      guidelines that implement this

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    Technical Updates Statement .........................................................................                      34,200            1                 7         3,990



                                                      4. Waiver of Supplemental Security                                     Supplemental Security Income Payment                            no longer want their payments to
                                                    Income Payment Continuation—20 CFR                                       Continuation, to inform SSA of this                             continue. Respondents are recipients of
                                                    416.1400–416.1422—0960–0783. SSI                                         decision. SSA collects the information                          SSI payments who wish to discontinue
                                                    recipients who wish to discontinue their                                 to determine whether the SSI recipient                          receipt of payment while awaiting a
                                                    SSI payments while awaiting a                                            meets the provisions of the Act                                 determination on their appeal.
                                                    determination on their appeal complete                                   regarding waiver of payment                                       Type of Request: Revision of an OMB-
                                                    Form SSA–263–U2, Waiver of                                               continuation and as proof respondents                           approved information collection.

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–263–U2 ...................................................................................................             3,000             1                 5          250
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                      II. SSA submitted the information                                      To be sure we consider your comments,                             1. Supplemental Statement Regarding
                                                    collections below to OMB for clearance.                                  we must receive them no later than                              Farming Activities of Person Living
                                                    Your comments regarding the                                              April 25, 2016. Individuals can obtain                          Outside the U.S.A.—0960–0103. When a
                                                    information collections would be most                                    copies of the OMB clearance packages                            beneficiary or claimant reports farm
                                                    useful if OMB and SSA receive them 30                                    by writing to OR.Reports.Clearance@                             work from outside the United States,
                                                    days from the date of this publication.                                  ssa.gov.                                                        SSA documents this work on Form



                                               VerDate Sep<11>2014        17:44 Mar 23, 2016         Jkt 238001      PO 00000       Frm 00099       Fmt 4703       Sfmt 4703    E:\FR\FM\24MRN1.SGM   24MRN1


                                                    15776                                  Federal Register / Vol. 81, No. 57 / Thursday, March 24, 2016 / Notices

                                                    SSA–7163A–F4. Specifically, SSA uses                                     the information either annually or every                        recipients engaged in farming activities
                                                    the form to determine if we should                                       other year, depending on the                                    outside the United States.
                                                    apply foreign work deductions to the                                     respondent’s country of residence.                                Type of Request: Revision of an OMB-
                                                    recipient’s Title II benefits. We collect                                Respondents are Social Security                                 approved information collection.

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–7163A–F4 ...............................................................................................               1,000             1                60         1,000



                                                      2. Employer Verification of Earnings                                   subsequent to the year of death, SSA                            the employer is correct for the employee
                                                    After Death—20 CFR 404.821 and                                           mails the employer Form SSA–L4112                               and the year in question. The
                                                    404.822—0960–0472. When SSA                                              (Employer Verification of Earnings After                        respondents are employers who report
                                                    records show a wage earner is deceased                                   Death). SSA uses the information Form                           wages for employees who have died.
                                                    and we receive wage reports from an                                      SSA–L4112 provides to verify wage                                 Type of Request: Revision of an OMB-
                                                    employer for the wage earner for a year                                  information previously received from                            approved information collection.

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–L4112 ......................................................................................................           50,000            1                10         8,333



                                                      3. Certificate of Incapacity—5 CFR                                     adult child’s disability: (1) Pre-dates the                     under a parent’s FEHB plan. The
                                                    890.302(d)—0960–0739. Rules                                              child’s 26th birthday; (2) is very serious;                     respondents are physicians of SSA
                                                    governing the Federal Employee Health                                    and (3) will continue for at least one                          employees’ children ages 26 or over
                                                    Benefits (FEHB) plan require a                                           year. Physicians use Form SSA–604, the                          who are seeking to retain health benefits
                                                    physician to verify the disability of                                    Certificate of Incapacity, to document                          under their parent’s FEHB coverage.
                                                    Federal employees’ children ages 26 and                                  and certify this information, and SSA
                                                                                                                                                                                               Type of Request: Revision of an OMB-
                                                    over for these children to retain health                                 uses the information provided to
                                                                                                                                                                                             approved information collection.
                                                    benefits under their employed parents’                                   determine the eligibility for these
                                                    plans. The physician must verify the                                     children, ages 26 and over, for coverage

                                                                                                                                                                                                                            Estimated
                                                                                                                                                                                                                 Average       total
                                                                                                                                                                          Number of        Frequency of        burden per
                                                                                            Modality of completion                                                                                                           annual
                                                                                                                                                                         respondents         response           response     burden
                                                                                                                                                                                                                (minutes)    (hours)

                                                    SSA–604 ..........................................................................................................          50               1                45           38


                                                      Dated: March 18, 2016.                                                 2016, in FR Doc. 2016–05916, on page                            DEPARTMENT OF STATE
                                                    Naomi R. Sipple,                                                         14172, in the second column; correct
                                                                                                                                                                                             [Public Notice: 9494]
                                                    Reports Clearance Officer, Social Security                               the ‘‘Effective Date’’ caption to read:
                                                    Administration.                                                                                                                          In the Matter of the Designation of
                                                                                                                               Effective Date: This SSR is effective
                                                    [FR Doc. 2016–06642 Filed 3–23–16; 8:45 am]                              on March 28, 2016.                                              Santoso Also Known as Abu Wardah
                                                    BILLING CODE 4191–02–P                                                                                                                   as-Syarqi Also Known as Abu Warda
                                                                                                                             Helen J. Droddy                                                 Also Known as Abu Yahya as a
                                                                                                                             Lead Regulations Writer, Office of Regulations                  Specially Designated Global Terrorist
                                                    SOCIAL SECURITY ADMINISTRATION                                           and Reports Clearance, Social Security                          Pursuant to Section 1(b) of Executive
                                                                                                                             Administration.                                                 Order 13224, as Amended
                                                    [Docket No. SSA–2015–0055]
                                                                                                                             [FR Doc. 2016–06598 Filed 3–23–16; 8:45 am]
                                                                                                                                                                                               Acting under the authority of and in
                                                    Social Security Ruling 16–3p; Titles II                                  BILLING CODE 4191–02–P
                                                                                                                                                                                             accordance with section 1(b) of
                                                    and XVI: Evaluation of Symptoms in
                                                                                                                                                                                             Executive Order 13224 of September 23,
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Disability Claims
                                                                                                                                                                                             2001, as amended by Executive Order
                                                    AGENCY:  Social Security Administration.                                                                                                 13268 of July 2, 2002, and Executive
                                                    ACTION: Notice of Social Security Ruling;                                                                                                Order 13284 of January 23, 2003, I
                                                    correction.                                                                                                                              hereby determine that the individual
                                                                                                                                                                                             known as Santoso, also known as Abu
                                                    SUMMARY:  The Social Security                                                                                                            Wardah as-Syarqi, also known as Abu
                                                    Administration published a document                                                                                                      Warda, also known as Abu Yahra,
                                                    in the Federal Register of March 16,                                                                                                     committed, or poses a significant risk of


                                               VerDate Sep<11>2014        17:44 Mar 23, 2016         Jkt 238001      PO 00000       Frm 00100       Fmt 4703       Sfmt 4703    E:\FR\FM\24MRN1.SGM   24MRN1



Document Created: 2016-03-24 00:57:58
Document Modified: 2016-03-24 00:57:58
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation81 FR 15774 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR