81 FR 24927 - Agency Information Collection Activities: Proposed Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 81, Issue 81 (April 27, 2016)
Federal Register Volume 81, Issue 81 (April 27, 2016)
| Page Range | 24927-24928 | |
| FR Document | 2016-09828 |
[Federal Register Volume 81, Number 81 (Wednesday, April 27, 2016)] [Notices] [Pages 24927-24928] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-09828] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2016-0018] Agency Information Collection Activities: Proposed Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes a new information collection and a revision of an OMB-approved information collection. 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-2016-0018]. 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 June 27, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Report of Adult Functioning-Employer--20 CFR 404.1512 and 20 CFR 416.912--0960--NEW. Section 205(a), 223(d)(5)(A), 1631(d)(1), and 1631(e)(1) of the Social Security Act (Act) require claimants applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits to provide SSA with medical and other evidence of their disability. 20 CFR 404.1512 and 20 CFR 416.912 of the Code of Federal Regulations provides detailed requirements of the types of evidence Social Security disability claimants and beneficiaries must provide showing how their impairment(s) affects their ability to work (e.g., evidence of age, education and training, work experience, daily activities, efforts to work, and any other evidence). Past employers familiar with the claimant's ability to perform work activities complete Form SSA-385-BK, Report of Adult Functioning-Employer to provide SSA with information about the employees day-to-day functioning in the work setting. SSA and Disability Determination Services use the information Form SSA-3385-BK collects as the basis to determine eligibility or continued eligibility for disability benefits. The respondents are claimants' past employers. Type of Request: This is a new information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3385-BK................................. 3,900 1 20 1,300 ---------------------------------------------------------------------------------------------------------------- 2. Work Incentives Planning and Assistance Program--0960-0629. As part of SSA's strategy to assist SSDI beneficiaries and SSI recipients who wish to return to work and achieve self-sufficiency, SSA established the Work Incentives Planning and Assistance (WIPA) program. This community based, work incentive, planning and assistance project collects identifying claimant information via project sites and community work incentives coordinators (CWIC). SSA uses this information to ensure proper management of the project, with particular emphasis on administration, budgeting, and training. In addition, project sites and CWIC's collect data from SSDI beneficiaries and SSI recipients on background employment, training, benefits, and work incentives. SSA is interested in identifying SSDI beneficiary and SSI recipient outcomes under the WIPA program, to determine the extent to which beneficiaries with disabilities and SSI recipients achieve their employment, financial, and healthcare goals. SSA will also use the data in its analysis for future planning for SSDI and SSI programs. Respondents are SSDI beneficiaries, SSI recipients, community project sites, and employment advisors. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Modality of completion Number of Frequency of per response total annual respondents response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- Small WIPA Site (under 150 beneficiaries served) 4,800 1 20 1,600 Medium WIPA Site (150-599 beneficiaries served). 7,500 1 20 2,500 [[Page 24928]] Large WIPA Site (600 or more beneficiaries 17,700 1 20 5,900 served)........................................ --------------------------------------------------------------- Total WIPA Sites............................ 30,000 .............. .............. 10,000 SSDI & SSI Beneficiaries........................ 30,000 1 25 12,500 Help Line....................................... 30,000 1 5 2,500 --------------------------------------------------------------- Total....................................... 60,000 .............. .............. 15,000 ================================================================================================================ Grand Total............................. 90,000 .............. .............. 25,000 ---------------------------------------------------------------------------------------------------------------- Dated: April 22, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016-09828 Filed 4-26-16; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 81, No. 81 / Wednesday, April 27, 2016 / Notices 24927
business days between the hours of 1, 1995. This notice includes a new 2016. Individuals can obtain copies of
10:00 a.m. and 3:00 p.m. Copies of such information collection and a revision of the collection instruments by writing to
filings also will be available for an OMB-approved information the above email address.
inspection and copying at the principal collection. 1. Report of Adult Functioning-
office of FICC and on FICC’s Web site SSA is soliciting comments on the Employer—20 CFR 404.1512 and 20
at http://www.dtcc.com/legal/sec-rule- accuracy of the agency’s burden CFR 416.912—0960—NEW. Section
filings.aspx. estimate; the need for the information; 205(a), 223(d)(5)(A), 1631(d)(1), and
All comments received will be posted its practical utility; ways to enhance its 1631(e)(1) of the Social Security Act
without change; the Commission does quality, utility, and clarity; and ways to (Act) require claimants applying for
not edit personal identifying minimize burden on respondents, Social Security Disability Insurance
information from submissions. You including the use of automated (SSDI) or Supplemental Security Income
should submit only information that collection techniques or other forms of (SSI) benefits to provide SSA with
you wish to make available publicly. All information technology. Mail, email, or medical and other evidence of their
submissions should refer to File fax your comments and disability. 20 CFR 404.1512 and 20 CFR
Number SR–FICC–2016–001 and should recommendations on the information 416.912 of the Code of Federal
be submitted on or before May 18, 2016. collection(s) to the OMB Desk Officer Regulations provides detailed
For the Commission, by the Division of and SSA Reports Clearance Officer at requirements of the types of evidence
Trading and Markets, pursuant to delegated the following addresses or fax numbers. Social Security disability claimants and
authority.31 (OMB) Office of Management and beneficiaries must provide showing how
Brent J. Fields, Budget, Attn: Desk Officer for SSA, their impairment(s) affects their ability
Secretary. Fax: 202–395–6974, Email address: to work (e.g., evidence of age, education
[FR Doc. 2016–09718 Filed 4–26–16; 8:45 am] OIRA_Submission@omb.eop.gov and training, work experience, daily
BILLING CODE 8011–01–P (SSA) Social Security Administration, activities, efforts to work, and any other
OLCA, Attn: Reports Clearance evidence). Past employers familiar with
Director, 3100 West High Rise, 6401 the claimant’s ability to perform work
SOCIAL SECURITY ADMINISTRATION Security Blvd., Baltimore, MD 21235, activities complete Form SSA–385–BK,
Fax: 410–966–2830, Email address: Report of Adult Functioning-Employer
[Docket No: SSA–2016–0018] OR.Reports.Clearance@ssa.gov to provide SSA with information about
Or you may submit your comments the employees day-to-day functioning in
Agency Information Collection the work setting. SSA and Disability
online through www.regulations.gov,
Activities: Proposed Request Determination Services use the
referencing Docket ID Number [SSA–
The Social Security Administration 2016–0018]. information Form SSA–3385–BK
(SSA) publishes a list of information I. The information collections below collects as the basis to determine
collection packages requiring clearance are pending at SSA. SSA will submit eligibility or continued eligibility for
by the Office of Management and them to OMB within 60 days from the disability benefits. The respondents are
Budget (OMB) in compliance with date of this notice. To be sure we claimants’ past employers.
Public Law 104–13, the Paperwork consider your comments, we must Type of Request: This is a new
Reduction Act of 1995, effective October receive them no later than June 27, information collection.
Average Estimated
Number of Frequency burden per total annual
Modality of completion respondents of response response burden
(minutes) (hours)
SSA–3385–BK ................................................................................................. 3,900 1 20 1,300
2. Work Incentives Planning and coordinators (CWIC). SSA uses this the extent to which beneficiaries with
Assistance Program—0960–0629. As information to ensure proper disabilities and SSI recipients achieve
part of SSA’s strategy to assist SSDI management of the project, with their employment, financial, and
beneficiaries and SSI recipients who particular emphasis on administration, healthcare goals. SSA will also use the
wish to return to work and achieve self- budgeting, and training. In addition, data in its analysis for future planning
sufficiency, SSA established the Work project sites and CWIC’s collect data for SSDI and SSI programs. Respondents
Incentives Planning and Assistance from SSDI beneficiaries and SSI are SSDI beneficiaries, SSI recipients,
(WIPA) program. This community recipients on background employment, community project sites, and
based, work incentive, planning and training, benefits, and work incentives. employment advisors.
assistance project collects identifying SSA is interested in identifying SSDI
claimant information via project sites beneficiary and SSI recipient outcomes Type of Request: Revision of an OMB-
and community work incentives under the WIPA program, to determine approved information collection.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Average Estimated
Number of Frequency burden per total annual
Modality of completion respondents of response response burden
(minutes) (hours)
Small WIPA Site (under 150 beneficiaries served) ......................................... 4,800 1 20 1,600
Medium WIPA Site (150–599 beneficiaries served) ........................................ 7,500 1 20 2,500
31 17 CFR 200.30–3(a)(12).
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![24928 Federal Register / Vol. 81, No. 81 / Wednesday, April 27, 2016 / Notices
Average Estimated
Number of Frequency burden per total annual
Modality of completion respondents of response response burden
(minutes) (hours)
Large WIPA Site (600 or more beneficiaries served) ..................................... 17,700 1 20 5,900
Total WIPA Sites ...................................................................................... 30,000 ........................ ........................ 10,000
SSDI & SSI Beneficiaries ................................................................................ 30,000 1 25 12,500
Help Line .......................................................................................................... 30,000 1 5 2,500
Total .......................................................................................................... 60,000 ........................ ........................ 15,000
Grand Total ....................................................................................... 90,000 ........................ ........................ 25,000
Dated: April 22, 2016. or misleading information, the 280.36 and 0VM1 280.39 to milepost
Naomi R. Sipple, exemption is void ab initio. Petitions to 0VM 281.32 in Camp Branch, Letcher
Reports Clearance Officer, Social Security revoke the exemption under 49 U.S.C. County, KY.1 The Line traverses United
Administration. 10502(d) may be filed at any time. The States Postal Service Zip Code 41858.
[FR Doc. 2016–09828 Filed 4–26–16; 8:45 am] filing of a petition to revoke will not CSXT has certified that: (1) No local
BILLING CODE 4191–02–P automatically stay the effectiveness of traffic has moved over the Line for at
the exemption. Petitions for stay must
least two years; (2) there is no overhead
be filed by May 4, 2016 (at least seven
traffic on the Line; (3) no formal
SURFACE TRANSPORTATION BOARD days before the exemption becomes
complaint filed by a user of rail service
effective).
[Docket No. FD 36020] An original and 10 copies of all on the Line (or by a state or local
pleadings, referring to Docket No. FD government entity acting on behalf of
Norfolk Southern Railway Company— 36020, must be filed with the Surface such user) regarding cessation of service
Trackage Rights Exemption—Southern Transportation Board, 395 E Street SW., over the Line either is pending before
Electric Railroad Company Washington, DC 20423–0001. In the Surface Transportation Board or any
Southern Electric Railroad Company addition, a copy of each pleading must U.S. District Court or has been decided
(SERC), pursuant to a written trackage be served on Aarthy S. Thamodaran, in favor of a complainant within the
rights agreement,1 has agreed to grant Norfolk Southern Corporation, Three two-year period; and (4) the
Norfolk Southern Railway Company Commercial Place, Norfolk, VA 23510. requirements at 49 CFR 1105.12
(NS) restricted overhead trackage rights According to NS, this action is (newspaper publication), and 49 CFR
over SERC’s mainline, between milepost categorically excluded from 1152.50(d)(1) (notice to governmental
0.0 and milepost 0.6 in the vicinity of environmental review under 49 CFR agencies) have been met.
Jefferson County, Ala., a distance of 1105.6(c). As a condition to this exemption, any
approximately 0.6 miles. Board decisions and notices are employee adversely affected by the
The transaction may be consummated available on our Web site at discontinuance shall be protected under
on May 11, 2016, the effective date of ‘‘WWW.STB.DOT.GOV.’’ Oregon Short Line Railroad—
the exemption (30 days after the Decided: April 22, 2016. Abandonment Portion Goshen Branch
exemption was filed). By the Board, Rachel D. Campbell, Between Firth & Ammon, in Bingham &
NS states that the proposed trackage Director, Office of Proceedings. Bonneville Counties, Idaho, 360 I.C.C.
rights will allow NS to access four
Tia Delano, 91 (1979). To address whether this
private storage tracks (APC Storage
Clearance Clerk. condition adequately protects affected
Yard) to serve the James H. Miller, Jr.
Electric Generating Plant owned by [FR Doc. 2016–09815 Filed 4–26–16; 8:45 am] employees, a petition for partial
Alabama Power Company near West BILLING CODE 4915–01–P revocation under 49 U.S.C. 10502(d)
Jefferson, in Jefferson County, Ala. must be filed.
As a condition to this exemption, any Provided no formal expression of
employees affected by the trackage SURFACE TRANSPORTATION BOARD intent to file an offer of financial
rights will be protected by the [Docket No. AB 55 (Sub-No. 756X)] assistance (OFA) to subsidize continued
conditions imposed in Norfolk & rail service has been received, this
Western Railway—Trackage Rights— CSX Transportation, Inc.— exemption will become effective on May
Burlington Northern, Inc., 354 I.C.C. 605 Discontinuance of Service 27, 2016 (50 days after the filing of the
(1978), as modified in Mendocino Coast Exemption—in Letcher County, KY exemption), unless stayed pending
Railway—Lease & Operate—California reconsideration. Petitions to stay that do
CSX Transportation, Inc. (CSXT), filed
Western Railroad, 360 I.C.C. 653 (1980). not involve environmental issues and
This notice is filed under 49 CFR a verified notice of exemption under 49
CFR part 1152 subpart F—Exempt formal expressions of intent to file an
asabaliauskas on DSK3SPTVN1PROD with NOTICES
1180.2(d)(7). If the notice contains false OFA to subsidize continued rail service
Abandonments and Discontinuances of
1 A redacted version of the draft trackage rights Service to discontinue service over an under 49 CFR 1152.27(c)(2) 2 must be
agreement between SERC and NS was filed with the approximately 1.17-mile line of railroad
1 CSXT states there is one station on the Line,
notice. NS states that an unredacted version of the (the Line), on its Southern Region,
agreement will be provided to any requesting party Sapphire, at milepost 0VM 281.0 (FSAC 42918/
Huntington Division, Rockhouse OPSL 17470).
upon the issuance by the Board of an appropriate
protective order. NS also states that it will submit
Subdivision, Engineering Appalachian 2 Each OFA must be accompanied by the filing
an executed copy of the agreement within 10 days Division (also known as the Pat fee, which is currently set at $1,600. See 49 CFR
of its execution, pursuant to 49 CFR 1180.6(a)(7)(ii). Kentucky Wye), from mileposts 0VM 1002.2(f)(25).
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Document Created: 2018-02-07 13:55:38
Document Modified: 2018-02-07 13:55:38
| 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 | 81 FR 24927 |
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