81 FR 46752 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 81, Issue 137 (July 18, 2016)
Federal Register Volume 81, Issue 137 (July 18, 2016)
| Page Range | 46752-46754 | |
| FR Document | 2016-16865 |
[Federal Register Volume 81, Number 137 (Monday, July 18, 2016)] [Notices] [Pages 46752-46754] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-16865] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2016-0032] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions of OMB-approved information collections. SSA is soliciting comments on the accuracy of the agency's burden [[Page 46753]] 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-2016-0032]. 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 September 16, 2016. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Certificate of Coverage Request--20 CFR 404.1913--0960--0554. The United States holds agreements with 27 foreign countries to eliminate double Social Security coverage and taxation where, except for the provisions of the agreement, a worker would be subject to coverage and taxes in both countries. These agreements contain rules for determining the country under whose laws the worker's period of employment is covered, and to which country the worker will pay taxes. The agreements further dictate that, upon the request of the worker or employer, the country under whose system the period of work is covered will issue a certificate of coverage. The certificate serves as proof of exemption from coverage and taxation under the system of the other country. The information we collect assists us in determining a worker's coverage and in issuing a U.S. certificate of coverage as appropriate. Per our agreements, we ask a set number of questions to the workers and employers prior to issuing a certificate of coverage; however, our agreements with Denmark, Netherlands, Norway, and Sweden require us to ask more questions in those countries. Respondents are workers and employers wishing to establish exemption from foreign Social Security taxes. 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) ---------------------------------------------------------------------------------------------------------------- Requests via Letter--Individuals (minus Denmark, 6,272 1 40 4,181 Netherlands, Norway, Poland & Sweden).......... Requests via Internet--Individuals (minus 9,407 1 40 6,271 Denmark, Netherlands, Norway, Poland & Sweden). Requests via Letter--Individuals in Denmark, 280 1 44 205 Netherlands, Norway, & Sweden.................. Requests via Letter--Individuals in Poland...... 16 1 41 11 Requests via Internet--Individuals in Denmark, 421 1 44 309 Netherlands, Norway, & Sweden.................. Requests via Internet--Individuals in Poland.... 23 1 41 16 Requests via Letter--Employers (minus Denmark, 25,087 1 40 16,725 Netherlands, Norway, Poland & Sweden).......... Requests via Internet--Employers (minus Denmark, 37,632 1 40 25,088 Netherlands, Norway, Poland, & Sweden)......... Requests via Letter--Employers in Denmark, 1,121 1 44 822 Netherlands, Norway, & Sweden.................. Requests via Letter--Employers in Poland........ 62 1 41 42 Requests via Internet--Employers in Denmark, 1,680 1 44 1,232 Netherlands, Norway, & Sweden.................. Requests via Internet--Employers in Poland...... 93 1 41 64 --------------------------------------------------------------- Totals...................................... 82,094 .............. .............. 54,966 ---------------------------------------------------------------------------------------------------------------- 2. Disability Report--Child--20 CFR 416.912--0960-0577. Sections 223(d)(5)(A) and 1631(e)(1) of the Social Security Act require Supplemental Security Income (SSI) claimants to furnish medical and other evidence to prove they are disabled. SSA uses Form SSA-3820 to collect various types of information about a child's condition from treating sources or other medical sources of evidence. The State Disability Determination Services evaluators use the information from Form SSA-3820 to develop medical and school evidence, and to assess the alleged disability. The information, together with medical evidence, forms the evidentiary basis upon which SSA makes its initial disability evaluation. The respondents are claimants seeking SSI childhood disability payments. 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-3820 (Paper Form)........................... 279,002 1 90 418,503 Electronic Disability Collection System......... 1,000 1 120 2,000 i3820 (Internet)................................ 119,464 1 120 238,928 --------------------------------------------------------------- [[Page 46754]] Totals...................................... 399,466 .............. .............. 659,431 ---------------------------------------------------------------------------------------------------------------- 3. Request for Accommodation in Communication Method--0960-0777. SSA allows disabled or impaired Social Security applicants, beneficiaries, recipients, and representative payees to choose one of seven alternative methods of communication they want SSA to use when we send them benefit notices and other related communications. The seven alternative methods we offer are: (1) Standard print notice by first- class mail; (2) standard print mail with a follow-up telephone call; (3) certified mail; (4) Braille; (5) Microsoft Word file on data CD; (6) large print (18-point font); or (7) audio CD. However, respondents who want to receive notices from SSA through a communication method other than the seven methods listed above must explain their request to us. Those respondents use Form SSA-9000 to: (1) Describe the type of accommodation they want, (2) disclose their condition necessitating the need for a different type of accommodation, and (3) explain why none of the seven methods described above are sufficient for their needs. SSA uses Form SSA-9000 to determine, based on applicable law and regulation, whether to grant the respondents' requests for an accommodation based on their impairment or disability. SSA collects this information electronically through either an in-person interview or a telephone interview during which the SSA employee keys in the information on our iAccommodate Intranet screens. The respondents are disabled or impaired Social Security applicants, beneficiaries, recipients, and representative payees who ask SSA to send notices and other communications in an alternative method besides the seven modalities we currently offer. 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-9000/iAccommodate....................... 5,000 1 20 1,667 ---------------------------------------------------------------------------------------------------------------- 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 17, 2016. Individuals can obtain copies of the OMB clearance package by writing to [email protected]. Work Incentives Planning and Assistance Program--0960-0629. As part of SSA's strategy to assist Social Security Disability Insurance (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 and 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 Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- Small Site (Under 150 beneficiaries served)..... 4,800 1 20 1,600 Medium Site (150-599 beneficiaries served)...... 7,500 1 20 2,500 Large Site (600 or more beneficiaries served)... 17,700 1 20 5,900 --------------------------------------------------------------- Total Sites................................. 30,000 .............. .............. 10,000 SSDI & SSI Beneficiaries........................ 30,000 1 25 12,500 Help Line....................................... 30,000 1 5 2,500 ---------------------------------------------------------------------------------------------------------------- Dated: July 13, 2016. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2016-16865 Filed 7-15-16; 8:45 am] BILLING CODE 4191-02-P
![46752 Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices
Percent The following areas have been Administration, Processing and
determined to be adversely affected by Disbursement Center, 14925 Kingsport
Businesses Without Credit the disaster: Road, Fort Worth, TX 76155.
Available Elsewhere .............. 4.000 Primary Counties: Comanche FOR FURTHER INFORMATION CONTACT: A.
Non-Profit Organizations With Contiguous Counties: Escobar, Office of Disaster Assistance,
Credit Available Elsewhere ... 2.625 Oklahoma: Caddo, Cotton, Grady,
Non-Profit Organizations With- U.S. Small Business Administration,
Kiowa, Stephens, Tillman 409 3rd Street SW., Suite 6050,
out Credit Available Else- The Interest Rates are:
where ..................................... 2.625 Washington, DC 20416.
For Economic Injury: Percent SUPPLEMENTARY INFORMATION: Notice is
Businesses & Small Agricultural hereby given that as a result of the
Cooperatives Without Credit For Physical Damage: President’s major disaster declaration on
Available Elsewhere .............. 4.000 Homeowners With Credit 07/08/2016, Private Non-Profit
Non-Profit Organizations With- Available Elsewhere .......... 3.250
out Credit Available Else- organizations that provide essential
Homeowners Without Credit services of governmental nature may file
where ..................................... 2.625 Available Elsewhere .......... 1.625
disaster loan applications at the address
Businesses With Credit Avail-
The number assigned to this disaster able Elsewhere .................. 6.250 listed above or other locally announced
for physical damage is 14756 5 and for Businesses Without Credit locations.
economic injury is 14757 0. Available Elsewhere .......... 4.000 The following areas have been
The States which received an EIDL Non-Profit Organizations With determined to be adversely affected by
Declaration # are: Connecticut, Credit Available Elsewhere 2.625 the disaster:
Massachusetts. Non-Profit Organizations Primary Counties: Bandera, Bastrop,
Without Credit Available Brown, Caldwell, Eastland, Fayette,
(Catalog of Federal Domestic Assistance Elsewhere .......................... 2.625
Number 59008) Fort Bend, Grimes, Hood, Houston,
For Economic Injury: Jasper, Kleberg, Polk, San Jacinto,
Dated: July 8, 2016. Businesses & Small Agricul-
tural Cooperatives Without
Washington.
Maria Contreras-Sweet, The Interest Rates are:
Credit Available Elsewhere 4.000
Administrator. Non-Profit Organizations
[FR Doc. 2016–16818 Filed 7–15–16; 8:45 am] Without Credit Available Percent
BILLING CODE 8025–01–P Elsewhere .......................... 2.625
For Physical Damage:
Non-profit organizations with
The number assigned to this disaster credit available elsewhere ..... 2.625
SMALL BUSINESS ADMINISTRATION for physical damage is 14763 B and for Non-profit organizations without
[Disaster Declaration # 14763 and # 14764] economic injury is 14764 0. credit available elsewhere ..... 2.625
The State which received an EIDL For Economic Injury:
Oklahoma Disaster # OK–00104 Declaration # is Oklahoma Non-profit organizations without
(Catalog of Federal Domestic Assistance credit available elsewhere ..... 2.625
AGENCY: U.S. Small Business Number 59008)
Administration. The number assigned to this disaster
ACTION: Notice Dated: July 8, 2016. for physical damage is 147656 and for
Maria Contreras-Sweet, economic injury is 147666.
SUMMARY: This is a notice of an
Administrator. (Catalog of Federal Domestic Assistance
Administrative declaration of a disaster Number 59008)
for the State of Oklahoma dated 07/08/ [FR Doc. 2016–16825 Filed 7–15–16; 8:45 am]
2016 BILLING CODE 8025–01–P Lisa Lopez-Suarez,
Incident: Severe storms, tornadoes, Acting Associate Administrator for Disaster
straight-line winds and flooding Assistance.
Incident Period: 06/11/2016 Through SMALL BUSINESS ADMINISTRATION [FR Doc. 2016–16826 Filed 7–15–16; 8:45 am]
06/19/2016 [Disaster Declaration #14765 and #14766] BILLING CODE 8025–01–P
Effective Date: 07/08/2016
Physical Loan Application Deadline TEXAS Disaster #TX–00474
Date: 09/06/2016
Economic Injury (EIDL) Loan AGENCY: U.S. Small Business SOCIAL SECURITY ADMINISTRATION
Application Deadline Date: 04/10/2017 Administration. [Docket No: SSA–2016–0032]
ADDRESSES: Submit completed loan ACTION: Notice.
applications to: U.S. Small Business Agency Information Collection
SUMMARY: This is a Notice of the Activities: Proposed Request and
Administration, Processing And
Presidential declaration of a major Comment Request
Disbursement Center, 14925 Kingsport
disaster for Public Assistance Only for
Road, Fort Worth, TX 76155. The Social Security Administration
the State of Texas (FEMA–4272–DR),
FOR FURTHER INFORMATION CONTACT: A. dated 07/08/2016. (SSA) publishes a list of information
Escobar, Office of Disaster Assistance, Incident: Severe Storms and Flooding. collection packages requiring clearance
U.S. Small Business Administration, Incident Period: 05/26/2016 through by the Office of Management and
asabaliauskas on DSK3SPTVN1PROD with NOTICES
409 3rd Street SW., Suite 6050, 06/24/2016. Budget (OMB) in compliance with
Washington, DC 20416 Effective Date: 07/08/2016. Public Law 104–13, the Paperwork
SUPPLEMENTARY INFORMATION: Notice is Physical Loan Application Deadline Reduction Act of 1995, effective October
hereby given that as a result of the Date: 09/06/2016. 1, 1995. This notice includes revisions
Administrator’s disaster declaration, Economic Injury (EIDL) Loan of OMB-approved information
applications for disaster loans may be Application Deadline Date: 04/10/2017. collections.
filed at the address listed above or other ADDRESSES: Submit completed loan SSA is soliciting comments on the
locally announced locations. applications to: U.S. Small Business accuracy of the agency’s burden
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![Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices 46753
estimate; the need for the information; referencing Docket ID Number [SSA– further dictate that, upon the request of
its practical utility; ways to enhance its 2016–0032]. the worker or employer, the country
quality, utility, and clarity; and ways to I. The information collections below under whose system the period of work
minimize burden on respondents, are pending at SSA. SSA will submit is covered will issue a certificate of
including the use of automated them to OMB within 60 days from the coverage. The certificate serves as proof
collection techniques or other forms of date of this notice. To be sure we of exemption from coverage and
information technology. Mail, email, or consider your comments, we must taxation under the system of the other
fax your comments and receive them no later than September country. The information we collect
recommendations on the information 16, 2016. Individuals can obtain copies assists us in determining a worker’s
collection(s) to the OMB Desk Officer of the collection instruments by writing coverage and in issuing a U.S. certificate
and SSA Reports Clearance Officer at to the above email address. of coverage as appropriate. Per our
the following addresses or fax numbers. 1. Certificate of Coverage Request—20 agreements, we ask a set number of
(OMB) Office of Management and CFR 404.1913—0960—0554. The United questions to the workers and employers
Budget, Attn: Desk Officer for SSA, States holds agreements with 27 foreign prior to issuing a certificate of coverage;
Fax: 202–395–6974, Email address: countries to eliminate double Social
however, our agreements with Denmark,
OIRA_Submission@omb.eop.gov Security coverage and taxation where,
(SSA) Social Security Administration, Netherlands, Norway, and Sweden
except for the provisions of the
OLCA, Attn: Reports Clearance require us to ask more questions in
agreement, a worker would be subject to
Director, 3100 West High Rise, 6401 coverage and taxes in both countries. those countries. Respondents are
Security Blvd., Baltimore, MD 21235, These agreements contain rules for workers and employers wishing to
Fax: 410–966–2830, Email address: determining the country under whose establish exemption from foreign Social
OR.Reports.Clearance@ssa.gov laws the worker’s period of employment Security taxes.
Or you may submit your comments is covered, and to which country the Type of Request: Revision of an OMB-
online through www.regulations.gov, worker will pay taxes. The agreements approved information collection.
Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
Requests via Letter—Individuals (minus Denmark, Netherlands, Norway,
Poland & Sweden) ....................................................................................... 6,272 1 40 4,181
Requests via Internet—Individuals (minus Denmark, Netherlands, Norway,
Poland & Sweden) ....................................................................................... 9,407 1 40 6,271
Requests via Letter—Individuals in Denmark, Netherlands, Norway, & Swe-
den ............................................................................................................... 280 1 44 205
Requests via Letter—Individuals in Poland ..................................................... 16 1 41 11
Requests via Internet—Individuals in Denmark, Netherlands, Norway, &
Sweden ........................................................................................................ 421 1 44 309
Requests via Internet—Individuals in Poland .................................................. 23 1 41 16
Requests via Letter—Employers (minus Denmark, Netherlands, Norway,
Poland & Sweden) ....................................................................................... 25,087 1 40 16,725
Requests via Internet—Employers (minus Denmark, Netherlands, Norway,
Poland, & Sweden) ...................................................................................... 37,632 1 40 25,088
Requests via Letter—Employers in Denmark, Netherlands, Norway, & Swe-
den ............................................................................................................... 1,121 1 44 822
Requests via Letter—Employers in Poland ..................................................... 62 1 41 42
Requests via Internet—Employers in Denmark, Netherlands, Norway, &
Sweden ........................................................................................................ 1,680 1 44 1,232
Requests via Internet—Employers in Poland .................................................. 93 1 41 64
Totals ........................................................................................................ 82,094 ........................ ........................ 54,966
2. Disability Report—Child—20 CFR information about a child’s condition evidence, forms the evidentiary basis
416.912—0960–0577. Sections from treating sources or other medical upon which SSA makes its initial
223(d)(5)(A) and 1631(e)(1) of the Social sources of evidence. The State Disability disability evaluation. The respondents
Security Act require Supplemental Determination Services evaluators use are claimants seeking SSI childhood
Security Income (SSI) claimants to the information from Form SSA–3820 to disability payments.
furnish medical and other evidence to develop medical and school evidence,
Type of Request: Revision of an OMB-
prove they are disabled. SSA uses Form and to assess the alleged disability. The
approved information collection.
SSA–3820 to collect various types of information, together with medical
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–3820 (Paper Form) ................................................................................. 279,002 1 90 418,503
Electronic Disability Collection System ............................................................ 1,000 1 120 2,000
i3820 (Internet) ................................................................................................ 119,464 1 120 238,928
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![46754 Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
Totals ........................................................................................................ 399,466 ........................ ........................ 659,431
3. Request for Accommodation in respondents who want to receive accommodation based on their
Communication Method—0960–0777. notices from SSA through a impairment or disability. SSA collects
SSA allows disabled or impaired Social communication method other than the this information electronically through
Security applicants, beneficiaries, seven methods listed above must either an in-person interview or a
recipients, and representative payees to explain their request to us. Those telephone interview during which the
choose one of seven alternative methods respondents use Form SSA–9000 to: (1) SSA employee keys in the information
of communication they want SSA to use Describe the type of accommodation on our iAccommodate Intranet screens.
when we send them benefit notices and they want, (2) disclose their condition The respondents are disabled or
other related communications. The necessitating the need for a different impaired Social Security applicants,
seven alternative methods we offer are: type of accommodation, and (3) explain beneficiaries, recipients, and
(1) Standard print notice by first-class why none of the seven methods representative payees who ask SSA to
mail; (2) standard print mail with a described above are sufficient for their send notices and other communications
follow-up telephone call; (3) certified needs. SSA uses Form SSA–9000 to in an alternative method besides the
mail; (4) Braille; (5) Microsoft Word file determine, based on applicable law and seven modalities we currently offer.
on data CD; (6) large print (18-point regulation, whether to grant the Type of Request: Revision of an OMB-
font); or (7) audio CD. However, respondents’ requests for an approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–9000/iAccommodate ............................................................................... 5,000 1 20 1,667
II. SSA submitted the information beneficiaries and SSI recipients who recipients on background employment,
collections below to OMB for clearance. wish to return to work and achieve self- training, benefits, and work incentives.
Your comments regarding the sufficiency, SSA established the Work SSA is interested in identifying SSDI
information collections would be most Incentives Planning and Assistance beneficiary and SSI recipient outcomes
useful if OMB and SSA receive them 30 (WIPA) program. This community under the WIPA program, to determine
days from the date of this publication. based, work incentive, planning and the extent to which beneficiaries with
To be sure we consider your comments, assistance project collects identifying disabilities and SSI recipients achieve
we must receive them no later than claimant information via project sites their employment, financial, and
August 17, 2016. Individuals can obtain and community work incentives healthcare goals. SSA will also use the
copies of the OMB clearance package by coordinators (CWIC). SSA uses this data in its analysis and future planning
writing to OR.Reports.Clearance@ information to ensure proper for SSDI and SSI programs. Respondents
ssa.gov. management of the project, with are SSDI beneficiaries, SSI recipients,
Work Incentives Planning and particular emphasis on administration, community project sites, and
Assistance Program—0960–0629. As budgeting, and training. In addition, employment advisors.
part of SSA’s strategy to assist Social project sites and CWIC’s collect data Type of Request: Revision of an OMB-
Security Disability Insurance (SSDI) from SSDI beneficiaries and SSI approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
Small Site (Under 150 beneficiaries served) ................................................... 4,800 1 20 1,600
Medium Site (150–599 beneficiaries served) .................................................. 7,500 1 20 2,500
Large Site (600 or more beneficiaries served) ................................................ 17,700 1 20 5,900
Total Sites ................................................................................................. 30,000 ........................ ........................ 10,000
SSDI & SSI Beneficiaries ................................................................................ 30,000 1 25 12,500
Help Line .......................................................................................................... 30,000 1 5 2,500
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Dated: July 13, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2016–16865 Filed 7–15–16; 8:45 am]
BILLING CODE 4191–02–P
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Document Created: 2016-07-16 02:28:47
Document Modified: 2016-07-16 02:28:47
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
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| Section | Notices | |
| FR Citation | 81 FR 46752 |
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