81 FR 43691 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 81, Issue 128 (July 5, 2016)
Federal Register Volume 81, Issue 128 (July 5, 2016)
| Page Range | 43691-43693 | |
| FR Document | 2016-15763 |
[Federal Register Volume 81, Number 128 (Tuesday, July 5, 2016)] [Notices] [Pages 43691-43693] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-15763] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2016-0030] 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 and one new 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, [[Page 43692]] 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-2016-0030]. 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 September 6, 2016. Individuals can obtain copies of the collection instrument by writing to the above email address. Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims--20 CFR parts 404, 405, and 416--0960-0710. Claimants have a statutory right under the Social Security Act (Act) and current regulations to apply for Disability (SSDI) benefits or Supplemental Security Income (SSI) payments. SSA collects information at each step of the administrative process to adjudicate claims fairly and efficiently. SSA collects this information to establish a claimant's right to administrative review and determine the severity of the claimant's alleged impairments. SSA uses the information we collect to determine entitlement or continuing eligibility to SSDI benefits or SSI payments, and to enable appeals of these determinations. In addition, SSA collects information on Forms HA-85 and HA-86 to allow claimants to withdraw a hearing request or an Appeals Council review request. The respondents are applicants for Title II SSDI or Title XVI SSI benefits; their appointed representatives; legal advocates; medical sources; and schools. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual 20 CFR section No. respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- 404.961, 416.1461, 405.330, and 405.366......... 12,220 1 20 4,073 404.950, 416.1450, and 405.332.................. 1,040 1 20 347 404.949 and 416.1449............................ 2,868 1 60 2,868 405.334......................................... 20 1 60 20 404.957, 416.1457, and 405.380.................. 21,041 1 10 3,507 405.381......................................... 37 1 30 19 405.401......................................... 5,310 1 10 885 404.971 and 416.1471 (HA-85; HA[dash]86)........ 1,606 1 10 268 404.982 and 416.1482............................ 1,687 1 30 844 404.987 & 404.988 and 416.1487 & 416.1488 and 12,425 1 30 6,213 405.601........................................ 405.372(c)...................................... 5,310 1 10 885 405.1(b)(5), 405.372(b)......................... 833 1 30 417 405.505......................................... 833 1 30 417 405.1(c)(2)..................................... 5,310 1 10 885 405.20.......................................... 5,310 1 10 885 --------------------------------------------------------------- Totals...................................... 75,850 .............. .............. 22,533 ---------------------------------------------------------------------------------------------------------------- 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 August 4, 2016. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 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 Act require claimants' applying for SSDI benefits or SSI payments 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 SSDI beneficiaries and SSI claimants 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 completes Form SSA-3385- 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 Modality of completion Number of Frequency of per response total annual respondents response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3385-BK................................. 3,900 1 20 1,300 ---------------------------------------------------------------------------------------------------------------- 2. Report to United States Social Security Administration by Person Receiving Benefits for a Child or for an Adult Unable to Handle Funds; Report to the United States Social Security Administration--0960-0049. Section 203(c) of the Act requires the Commissioner of SSA to make benefit deductions from the following [[Page 43693]] categories: (1) Entitled individuals who engage in remunerative activity outside of the United States in excess of 45 hours a month; and (2) beneficiaries who fail to have in their care the specified entitled child beneficiaries. SSA uses Forms SSA-7161-OCR-SM and SSA- 7162-OCR-SM to: (1) Determine continuing entitlement to Social Security benefits; (2) correct benefit amounts for beneficiaries outside the United States; and (3) monitor the performance of representative payees outside the United States. This collection is mandatory as an annual (or every other year, depending on the country of residence) review for fraud prevention. In addition, the results can affect benefits by increasing or decreasing payment amount or by causing SSA to suspend or terminate benefits. The respondents are individuals living outside the United States who are receiving benefits on their own (or on behalf of someone else) under Title II of the Act. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) -------------------------------------------------------------------------------------------------- SSA-7161-OCR-SM................... 42,176 1 15 10,544 SSA-7162-OCR-SM................... 394,419 1 5 32,868 ----------------------------------------------------------------------------- Totals........................ 436,595 .............. .............. 43,412 ---------------------------------------------------------------------------------------------------------------- Dated: June 28, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016-15763 Filed 7-1-16; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 81, No. 128 / Tuesday, July 5, 2016 / Notices 43691
development of the CDS business III. Date of Effectiveness of the communications relating to the
within the framework of the Dodd-Frank Proposed Rule Change and Timing for proposed rule change between the
Act and pending the final Commission Action Commission and any person, other than
implementation of new CFTC and SEC Because the foregoing proposed rule those that may be withheld from the
rules pursuant to Title VII of that change does not: (i) Significantly affect public in accordance with the
legislation. FINRA is considering the protection of investors or the public provisions of 5 U.S.C. 552, will be
proposing additional amendments to the interest; (ii) impose any significant available for Web site viewing and
Interim Pilot Program. burden on competition; and (iii) become printing in the Commission’s Public
FINRA has filed the proposed rule operative for 30 days from the date on Reference Room, 100 F Street NE.,
change for immediate effectiveness. which it was filed, or such shorter time Washington, DC 20549, on official
FINRA is proposing that the as the Commission may designate, it has business days between the hours of 10
implementation date of the proposed become effective pursuant to Section a.m. and 3 p.m. Copies of such filing
rule change will be July 18, 2016. The 19(b)(3)(A) of the Act 13 and Rule 19b– also will be available for inspection and
4(f)(6) thereunder.14 copying at the principal office of
proposed rule change will expire on
At any time within 60 days of the FINRA. All comments received will be
July 18, 2017.
filing of the proposed rule change, the posted without change; the Commission
2. Statutory Basis Commission summarily may does not edit personal identifying
temporarily suspend such rule change if information from submissions. You
FINRA believes that the proposed rule should submit only information that
it appears to the Commission that such
change is consistent with the provisions you wish to make available publicly. All
action is necessary or appropriate in the
of Section 15A(b)(6) of the Act,12 which submissions should refer to File
public interest, for the protection of
requires, among other things, that Number SR–FINRA–2016–020 and
investors, or otherwise in furtherance of
FINRA rules must be designed to should be submitted on or before July
the purposes of the Act. If the
prevent fraudulent and manipulative 26, 2016.
Commission takes such action, the
acts and practices, to promote just and Commission shall institute proceedings For the Commission, by the Division of
equitable principles of trade, and, in to determine whether the proposed rule Trading and Markets, pursuant to delegated
general, to protect investors and the should be approved or disapproved. authority.15
public interest. FINRA believes that the Robert W. Errett,
proposed rule change is consistent with IV. Solicitation of Comments
Deputy Secretary.
the Act because, in light of the Interested persons are invited to [FR Doc. 2016–15758 Filed 7–1–16; 8:45 am]
continuing development of the CDS submit written data, views and BILLING CODE 8011–01–P
business within the framework of the arguments concerning the foregoing,
Dodd-Frank Act and pending the final including whether the proposed rule
implementation of new CFTC and SEC change is consistent with the Act.
rules pursuant to Title VII of that SOCIAL SECURITY ADMINISTRATION
Comments may be submitted by any of
legislation, extending the the following methods: [Docket No: SSA–2016–0030]
implementation of the margin
requirements as set forth by FINRA Rule Electronic Comments Agency Information Collection
4240 will help to stabilize the financial • Use the Commission’s Internet Activities: Proposed Request and
markets. comment form (http://www.sec.gov/ Comment Request
rules/sro.shtml); or
B. Self-Regulatory Organization’s • Send an email to rule-comments@ The Social Security Administration
Statement on Burden on Competition sec.gov. Please include File Number SR– (SSA) publishes a list of information
FINRA–2016–020 on the subject line. collection packages requiring clearance
FINRA does not believe that the by the Office of Management and
proposed rule change will result in any Paper Comments Budget (OMB) in compliance with
burden on competition that is not • Send paper comments in triplicate Public Law 104–13, the Paperwork
necessary or appropriate in furtherance to Robert W. Errett, Deputy Secretary, Reduction Act of 1995, effective October
of the purposes of the Act. FINRA Securities and Exchange Commission, 1, 1995. This notice includes revisions
believes that extending the 100 F Street NE., Washington, DC of OMB-approved information
implementation of FINRA Rule 4240 for 20549–1090. collections and one new collection.
a limited period, to July 18, 2017, in SSA is soliciting comments on the
All submissions should refer to File
light of the continuing development of accuracy of the agency’s burden
Number SR–FINRA–2016–020. This file
the CDS business within the framework estimate; the need for the information;
number should be included on the
of the Dodd-Frank Act and pending the its practical utility; ways to enhance its
subject line if email is used. To help the
final implementation of new CFTC and quality, utility, and clarity; and ways to
Commission process and review your
SEC rules pursuant to Title VII of that minimize burden on respondents,
comments more efficiently, please use
legislation, helps to promote stability in including the use of automated
only one method. The Commission will
the financial markets and regulatory collection techniques or other forms of
post all comments on the Commission’s
certainty for members. information technology. Mail, email, or
Internet Web site (http://www.sec.gov/
C. Self-Regulatory Organization’s rules/sro.shtml). Copies of the fax your comments and
recommendations on the information
sradovich on DSK3GDR082PROD with NOTICES
Statement on Comments on the submission, all subsequent
Proposed Rule Change Received From amendments, all written statements collection(s) to the OMB Desk Officer
Members, Participants, or Others with respect to the proposed rule and SSA Reports Clearance Officer at
change that are filed with the the following addresses or fax numbers.
Written comments were neither Commission, and all written (OMB), Office of Management and
solicited nor received. Budget, Attn: Desk Officer for SSA,
13 15 U.S.C. 78s(b)(3)(A).
12 15 U.S.C. 78o–3(b)(6). 14 17 CFR 240.19b–4(f)(6). 15 17 CFR 200.30–3(a)(12).
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![43692 Federal Register / Vol. 81, No. 128 / Tuesday, July 5, 2016 / Notices
Fax: 202–395–6974, Email address: Individuals can obtain copies of the right to administrative review and
OIRA_Submission@omb.eop.gov, collection instrument by writing to the determine the severity of the claimant’s
(SSA), Social Security Administration, above email address. alleged impairments. SSA uses the
OLCA, Attn: Reports Clearance Request to Withdraw a Hearing information we collect to determine
Director, 3100 West High Rise, 6401 Request; Request to Withdraw an entitlement or continuing eligibility to
Security Blvd., Baltimore, MD 21235, Appeals Council Request for Review; SSDI benefits or SSI payments, and to
Fax: 410–966–2830, Email address: and Administrative Review Process for enable appeals of these determinations.
OR.Reports.Clearance@ssa.gov. Adjudicating Initial Disability Claims— In addition, SSA collects information on
20 CFR parts 404, 405, and 416—0960– Forms HA–85 and HA–86 to allow
Or you may submit your comments 0710. Claimants have a statutory right
online through www.regulations.gov, claimants to withdraw a hearing request
under the Social Security Act (Act) and
referencing Docket ID Number [SSA– or an Appeals Council review request.
current regulations to apply for
2016–0030]. The respondents are applicants for Title
Disability (SSDI) benefits or
I. The information collection below is Supplemental Security Income (SSI) II SSDI or Title XVI SSI benefits; their
pending at SSA. SSA will submit it to payments. SSA collects information at appointed representatives; legal
OMB within 60 days from the date of each step of the administrative process advocates; medical sources; and
this notice. To be sure we consider your to adjudicate claims fairly and schools.
comments, we must receive them no efficiently. SSA collects this Type of Request: Revision of an OMB-
later than September 6, 2016. information to establish a claimant’s approved information collection.
Average Estimated
Number of Frequency of burden per total
20 CFR section No. respondents response response annual burden
(minutes) (hours)
404.961, 416.1461, 405.330, and 405.366 ..................................................... 12,220 1 20 4,073
404.950, 416.1450, and 405.332 .................................................................... 1,040 1 20 347
404.949 and 416.1449 ..................................................................................... 2,868 1 60 2,868
405.334 ............................................................................................................ 20 1 60 20
404.957, 416.1457, and 405.380 .................................................................... 21,041 1 10 3,507
405.381 ............................................................................................................ 37 1 30 19
405.401 ............................................................................................................ 5,310 1 10 885
404.971 and 416.1471 (HA–85; HA-86) .......................................................... 1,606 1 10 268
404.982 and 416.1482 ..................................................................................... 1,687 1 30 844
404.987 & 404.988 and 416.1487 & 416.1488 and 405.601 .......................... 12,425 1 30 6,213
405.372(c) ........................................................................................................ 5,310 1 10 885
405.1(b)(5), 405.372(b) .................................................................................... 833 1 30 417
405.505 ............................................................................................................ 833 1 30 417
405.1(c)(2) ....................................................................................................... 5,310 1 10 885
405.20 .............................................................................................................. 5,310 1 10 885
Totals ........................................................................................................ 75,850 ........................ ........................ 22,533
II. SSA submitted the information 205(a), 223(d)(5)(A), 1631(d)(1), and employers familiar with the claimant’s
collections below to OMB for clearance. 1631(e)(1) of the Act require claimants’ ability to perform work activities
Your comments regarding the applying for SSDI benefits or SSI completes Form SSA–3385–BK, Report
information collections would be most payments to provide SSA with medical of Adult Functioning-Employer to
useful if OMB and SSA receive them 30 and other evidence of their disability. 20 provide SSA with information about the
days from the date of this publication. CFR 404.1512 and 20 CFR 416.912 of employees day-to-day functioning in the
To be sure we consider your comments, the Code of Federal Regulations work setting. SSA and Disability
we must receive them no later than provides detailed requirements of the Determination Services use the
August 4, 2016. Individuals can obtain types of evidence SSDI beneficiaries and information Form SSA–3385–BK
copies of the OMB clearance packages SSI claimants must provide showing collects as the basis to determine
by writing to OR.Reports.Clearance@ how their impairment(s) affects their eligibility or continued eligibility for
ssa.gov. ability to work (e.g., evidence of age, disability benefits. The respondents are
1. Report of Adult Functioning- education and training, work claimants’ past employers.
Employer—20 CFR 404.1512 and 20 experience, daily activities, efforts to Type of Request: This is a new
CFR 416.912—0960—NEW. Section work, and any other evidence). Past information collection.
Average Estimated
Number of Frequency of burden per total
Modality of completion respondents response response annual burden
(minutes) (hours)
sradovich on DSK3GDR082PROD with NOTICES
SSA–3385–BK ................................................................................................. 3,900 1 20 1,300
2. Report to United States Social Adult Unable to Handle Funds; Report 203(c) of the Act requires the
Security Administration by Person to the United States Social Security Commissioner of SSA to make benefit
Receiving Benefits for a Child or for an Administration—0960–0049. Section deductions from the following
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![Federal Register / Vol. 81, No. 128 / Tuesday, July 5, 2016 / Notices 43693
categories: (1) Entitled individuals who benefit amounts for beneficiaries payment amount or by causing SSA to
engage in remunerative activity outside outside the United States; and (3) suspend or terminate benefits. The
of the United States in excess of 45 monitor the performance of respondents are individuals living
hours a month; and (2) beneficiaries representative payees outside the outside the United States who are
who fail to have in their care the United States. This collection is receiving benefits on their own (or on
specified entitled child beneficiaries. mandatory as an annual (or every other behalf of someone else) under Title II of
SSA uses Forms SSA–7161–OCR–SM year, depending on the country of the Act.
and SSA–7162–OCR–SM to: (1) residence) review for fraud prevention.
Determine continuing entitlement to In addition, the results can affect Type of Request: Revision of an OMB-
Social Security benefits; (2) correct benefits by increasing or decreasing approved information collection.
Average Estimated
Number of Frequency of burden per total
Modality of completion respondents response response annual burden
(minutes) (hours)
SSA–7161–OCR–SM ...................................................................................... 42,176 1 15 10,544
SSA–7162–OCR–SM ...................................................................................... 394,419 1 5 32,868
Totals ........................................................................................................ 436,595 ........................ ........................ 43,412
Dated: June 28, 2016. This notice shall be published in the • Fax: 202–395–5806. Attention: Desk
Naomi R. Sipple, Federal Register. Officer for Department of State.
Reports Clearance Officer, Social Security Dated: June 24, 2016. FOR FURTHER INFORMATION CONTACT:
Administration. Direct requests for additional
John F. Kerry,
[FR Doc. 2016–15763 Filed 7–1–16; 8:45 am]
Secretary of State. information regarding the collection
BILLING CODE 4191–02–P listed in this notice, including requests
[FR Doc. 2016–15829 Filed 7–1–16; 8:45 am]
for copies of the proposed collection
BILLING CODE 4710–AD–P
instrument and supporting documents,
DEPARTMENT OF STATE by mail to PPT Forms Officer, U.S.
DEPARTMENT OF STATE Department of State, CA/PPT/S/L/LA
[Public Notice 9625] 44132 Mercure Cir, P.O. Box 1227
Sterling, VA 20166–1227, by phone at
Executive Order 13224 Designation of [Public Notice 9627]
(202) 485–6373, or by email at
Asim Umar, aka Asim Umer, aka PPTFormsOfficer@state.gov.
Maulana Asim Umar, aka Sanaul Haq, 30-Day Notice of Proposed Information
Collection: Statement of Consent: SUPPLEMENTARY INFORMATION:
as a Specially Designated Global
Issuance of a U.S. Passport to a Minor • Title of Information Collection:
Terrorist
Under Age 16 Statement of Consent: Issuance of a U.S.
Acting under the authority of and in Passport to a Minor Under Age 16.
accordance with section 1(b) of ACTION:Notice of request for public • OMB Control Number: 1405–0129.
Executive Order 13224 of September 23, comment and submission to OMB of • Type of Request: Revision of a
2001, as amended by Executive Order proposed collection of information. Currently Approved Collection.
13268 of July 2, 2002, and Executive • Originating Office: Bureau of
Order 13284 of January 23, 2003, I SUMMARY: The Department of State has Consular Affairs, Passport Services,
hereby determine that the entity known submitted the information collection Office of Legal Affairs and Law
as Asim Umar, aka Asim Umer, aka described below to the Office of Enforcement Liaison (CA/PPT/S/L/LA).
Maulana Asim Umar, aka Sanaul Haq, Management and Budget (OMB) for • Form Number: DS–3053.
approval. In accordance with the • Respondents: Individuals.
poses a significant risk of committing
Paperwork Reduction Act of 1995, we • Estimated Number of Respondents:
acts of terrorism that threaten the
are requesting comments on this 465,848.
security of U.S. nationals or the national • Estimated Number of Responses:
security, foreign policy, or economy of collection from all interested
individuals and organizations. The 465,848.
the United States. • Average Time per Response: 20
Consistent with the determination in purpose of this Notice is to allow 30
days for public comment. min.
section 10 of Executive Order 13224 that • Total Estimated Burden Time:
prior notice to persons determined to be DATES: Submit comments directly to the
155,127 hours.
subject to the Order who might have a Office of Management and Budget • Frequency: On Occasion.
constitutional presence in the United (OMB) up to August 4, 2016. • Obligation to Respond: Required To
States would render ineffectual the ADDRESSES: Direct comments to the Obtain a Benefit.
blocking and other measures authorized Department of State Desk Officer in the We are soliciting public comments to
in the Order because of the ability to Office of Information and Regulatory permit the Department to:
transfer funds instantaneously, I Affairs at the Office of Management and • Evaluate whether the proposed
sradovich on DSK3GDR082PROD with NOTICES
determine that no prior notice needs to Budget (OMB). You may submit information collection is necessary for
be provided to any person subject to this comments by the following methods: the proper functions of the Department.
determination who might have a • Email: oira_submission@ • Evaluate the accuracy of our
constitutional presence in the United omb.eop.gov. You must include the DS estimate of the time and cost burden for
States, because to do so would render form number, information collection this proposed collection, including the
ineffectual the measures authorized in title, and the OMB control number in validity of the methodology and
the Order. the subject line of your message. assumptions used.
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Document Created: 2016-07-01 23:49:47
Document Modified: 2016-07-01 23:49:47
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| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 81 FR 43691 |
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