81_FR_81446 81 FR 81224 - Agency Information Collection Activities: Proposed Request and Comment Request

81 FR 81224 - Agency Information Collection Activities: Proposed Request and Comment Request

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 81, Issue 222 (November 17, 2016)

Page Range81224-81228
FR Document2016-27627

Federal Register, Volume 81 Issue 222 (Thursday, November 17, 2016)
[Federal Register Volume 81, Number 222 (Thursday, November 17, 2016)]
[Notices]
[Pages 81224-81228]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-27627]


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

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2016-0059]


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

[[Page 81225]]

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-2016-0059].
    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 
January 17, 2017. Individuals can obtain copies of the collection 
instrument by writing to the above email address.
    Petition to Obtain Approval of a Fee for Representing a Claimant 
Before the Social Security Administration--20 CFR 404.1720, 404.1725, 
416.1520, and 416.1525--0960-0104. A Social Security claimant's 
representative, whether an attorney or a non-attorney, uses Form SSA-
1560-U4 to petition SSA for authorization to charge and collect a fee. 
A claimant may also use the form to agree or disagree with the 
requested fee amount or other information the representative provides 
on the form. The SSA official responsible for setting the fee uses the 
information from the form to determine a reasonable fee amount 
representatives may charge for their services. The respondents are 
attorneys and non-attorneys who represent Social Security claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                                       Estimated
                                                                                       Average burden    total
              Modality of completion                   Number of       Frequency of     per response     annual
                                                      respondents        response        (minutes)       burden
                                                                                                        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1560-U4.......................................          44,365                1               30   22,183
----------------------------------------------------------------------------------------------------------------

    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 December 19, 2016. Individuals can obtain copies of the 
OMB clearance packages by writing to [email protected].
    1. Request for Corrections of Earnings Record--20 CFR 404.820 and 
20 CFR 422.125--0960-0029. Individuals alleging inaccurate earnings 
records in SSA's files use paper Form SSA-7008, or a personal interview 
during which SSA employees key their answers into our electronic 
Earnings Modernization Item Correction system, to provide the 
information SSA needs to check earnings posted, and, as necessary, 
initiate development to resolve any inaccuracies. The respondents are 
individuals who request correction of earnings posted to their Social 
Security earnings record.
    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)
----------------------------------------------------------------------------------------------------------------
Paper form......................................          37,500               1              10           6,250
In person or telephone interview................         337,500               1              10          56,250
                                                 ---------------------------------------------------------------
    Totals......................................         375,000  ..............  ..............          62,500
----------------------------------------------------------------------------------------------------------------

    2. Supplemental Security Income (SSI)--Quality Review Case 
Analysis--0960-0133. To assess the SSI program and ensure the accuracy 
of its payments, SSA conducts legally mandated periodic SSI case 
analysis quality reviews. SSA uses Form SSA-8508 to conduct these 
reviews, collecting information on operating efficiency, the quality of 
underlying policies, and the effect of incorrect payments. SSA also 
uses the data to determine SSI program payment accuracy rate, which is 
a performance measure for the agency's service delivery goals. 
Respondents are recipients of SSI payments selected for quality 
reviews.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-8508-BK (paper interview)...................             225               1              60             225
SSA-8508-BK (electronic)........................           4,275               1              60           4,275
                                                 ---------------------------------------------------------------

[[Page 81226]]

 
    Totals......................................           4,500  ..............  ..............           4,500
----------------------------------------------------------------------------------------------------------------

    3. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA uses Form SSA-8001-BK to determine 
an applicant's eligibility for SSI, and SSI payment amounts. SSA 
employees also collect this information during interviews with members 
of the public who wish to file for SSI. SSA uses the information for 
two purposes: (1) To formally deny SSI for non-medical reasons when 
information the applicant provides results in ineligibility; or (2) to 
establish a disability claim, but defer the complete development of 
non-medical issues until SSA approves the disability. The respondents 
are applicants for SSI.
    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)
----------------------------------------------------------------------------------------------------------------
MSSICS/Signature Proxy..........................         937,207               1              20         312,402
Non-MSSICS (Paper)..............................           1,033               1              20             344
                                                 ---------------------------------------------------------------
    Totals......................................         938,240  ..............  ..............         312,746
----------------------------------------------------------------------------------------------------------------

    4. Employer Reports of Special Wage Payments--20 CFR 404.428-
404.429--0960-0565. SSA collects information on the SSA-131 to prevent 
earnings-related overpayments, and to avoid erroneous withholding of 
benefits. SSA field offices and program service centers also use Form 
SSA-131 for awards and post-entitlement events requiring special wage 
payment verification from employers. While we need this information to 
ensure the correct payment of benefits, we do not require employers to 
respond. The respondents are large and small businesses that make 
special wage payments to retirees.
    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)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without #6).............         105,000               1              20          35,000
Paper Version: SSA-131 (#6 only)................           1,050               1               2              35
Electronic Version: Business Services Online                  26               1               5               2
 Special Wage Payments..........................
                                                 ---------------------------------------------------------------
    Totals......................................         106,076  ..............  ..............          35,037
----------------------------------------------------------------------------------------------------------------

    5. Social Security Benefits Application--20 CFR 404.310-404.311; 
404.315-404.322; 404.330-404.333; 404.601-404.603; and 404.1501-
404.1512--0960-0618. Title II of the Social Security Act provides 
retirement, survivors, and disability benefits to members of the public 
who meet the required eligibility criteria and file the appropriate 
application. This collection comprises the various application methods 
for each type of benefits. SSA uses the information we gather through 
the multiple information collection tools in this information 
collection request to determine applicants' eligibility for specific 
Social Security benefits, as well as the amount of the benefits. 
Individuals filing for disability benefits can, and in some instances 
SSA may require them to, file applications under both Title II, Social 
Security disability benefits, and Title XVI, SSI payments. We refer to 
disability applications filed under both titles as ``concurrent 
applications.'' This collection comprises the various application 
methods for each type of benefits. These methods include the following 
modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized 
Claims System (MCS) screens for in-person interview applications; and 
Internet-based iClaim and iAppointment applications. SSA uses the 
information we collect through these modalities to determine: (1) The 
applicants' eligibility for the above-mentioned Social Security 
benefits, and (2) the amount of the benefits. The respondents are 
applicants for retirement, survivors, and disability benefits under 
Title II of the Social Security Act.
    Type of Request: Revision of an OMB-approved information 
collection.

                                                   Form SSA-1
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      Response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       2,793,597               1              10         465,600
Paper...........................................         115,678               1              11          21,208

[[Page 81227]]

 
Medicare-only MCS...............................         880,763               1               7         102,756
Medicare-only Paper.............................           9,549               1               7           1,114
                                                 ---------------------------------------------------------------
    Totals......................................       3,779,587  ..............  ..............         590,678
----------------------------------------------------------------------------------------------------------------


                                                   Form SSA-2
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................         518,598               1              14         121,006
Paper...........................................          54,661               1              15          13,665
                                                 ---------------------------------------------------------------
    Totals......................................         573,259  ..............  ..............         134,671
----------------------------------------------------------------------------------------------------------------


                                                   Form SSA-16
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
MCS/Signature Proxy.............................       2,483,952               1              19         786,585
Paper...........................................         116,294               1              20          38,765
                                                 ---------------------------------------------------------------
    Totals......................................       2,600,246  ..............  ..............         825,350
----------------------------------------------------------------------------------------------------------------


                                                 iClaim Screens
----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................         345,267               1              15          86,317
iClaim Applicant after 3rd Party Completion.....         345,267               1               5          28,772
First Party iClaim--Domestic Applicant..........       2,956,208               1              15         739,052
First Party iClaim--Foreign Applicant...........          11,650               1               3             583
Medicare-only iClaim............................         723,062               1              10         120,510
    Totals......................................       4,381,454  ..............  ..............         975,234
----------------------------------------------------------------------------------------------------------------


                                              iAppointment Screens
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
iAppointment................................          20,218                1               10            3,370
----------------------------------------------------------------------------------------------------------------


                                                   Grand Total
----------------------------------------------------------------------------------------------------------------
                                                                                 Average burden  Estimated total
           Modality of completion                Number of       Frequency of     per response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
Total.......................................      11,374,764   ...............  ...............       2,529,303
----------------------------------------------------------------------------------------------------------------



[[Page 81228]]

    Dated: November 11, 2016.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2016-27627 Filed 11-16-16; 8:45 am]
 BILLING CODE 4191-02-P



                                                    81224                         Federal Register / Vol. 81, No. 222 / Thursday, November 17, 2016 / Notices

                                                    reviewing DMM trading provides an                          subject to the reentry obligations                    and Exchange Commission, 100 F Street
                                                    appropriate framework in today’s                           associated with Conditional                           NE., Washington, DC 20549–1090.
                                                    market structure for ensuring that                         Transactions. Accordingly, during that                All submissions should refer to File
                                                    DMMs are not establishing a price to                       period, DMMs would have an obligation                 Number SR–NYSE–2016–71. This file
                                                    benefit their own account.                                 to reenter the market if their trading                number should be included on the
                                                      For all of the foregoing reasons, the                    both reaches across the market and                    subject line if email is used. To help the
                                                    Exchange believes that retaining                           increases or establishes a position.                  Commission process and review your
                                                    Prohibited Transactions is no longer                         For the foregoing reasons, the                      comments more efficiently, please use
                                                    necessary.                                                 Exchange believes that the proposal is                only one method. The Commission will
                                                    2. Statutory Basis                                         consistent with the Act.                              post all comments on the Commission’s
                                                                                                               B. Self-Regulatory Organization’s                     Internet Web site (http://www.sec.gov/
                                                       The Exchange believes that the
                                                                                                               Statement on Burden on Competition                    rules/sro.shtml). Copies of the
                                                    proposed rule change is consistent with
                                                                                                                                                                     submission, all subsequent
                                                    Section 6(b) of the Act,19 in general, and                    The Exchange does not believe that                 amendments, all written statements
                                                    furthers the objectives of Section 6(b)(5)                 the proposed rule change will impose                  with respect to the proposed rule
                                                    of the Act,20 in particular, because it is                 any burden on competition that is not                 change that are filed with the
                                                    designed to prevent fraudulent and                         necessary or appropriate in furtherance               Commission, and all written
                                                    manipulative acts and practices,                           of the purposes of the Act. The                       communications relating to the
                                                    promote just and equitable principles of                   proposed rule change is not intended to               proposed rule change between the
                                                    trade, remove impediments to and                           address competitive issues but rather to              Commission and any person, other than
                                                    perfect the mechanism of a free and                        eliminate redundant approvals of
                                                    open market and a national market                                                                                those that may be withheld from the
                                                                                                               manual trades on its trading Floor.                   public in accordance with the
                                                    system, and protect investors and the
                                                    public interest.                                           C. Self-Regulatory Organization’s                     provisions of 5 U.S.C. 552, will be
                                                       In particular, the Exchange believes                    Statement on Comments on the                          available for Web site viewing and
                                                    that eliminating Rule 104(g)(III) would                    Proposed Rule Change Received From                    printing in the Commission’s Public
                                                    remove impediments to and perfect the                      Members, Participants, or Others                      Reference Room, 100 F Street NE.,
                                                    mechanism of a free and open market                                                                              Washington, DC 20549 on official
                                                                                                                 No written comments were solicited                  business days between the hours of
                                                    and a national market system by                            or received with respect to the proposed
                                                    permitting DMMs to enter trades in the                                                                           10:00 a.m. and 3:00 p.m. Copies of the
                                                                                                               rule change.                                          filing also will be available for
                                                    last ten minutes of trading that establish
                                                    a new high or low in a security even                       III. Date of Effectiveness of the                     inspection and copying at the principal
                                                    though the DMM has a position in that                      Proposed Rule Change and Timing for                   office of the Exchange. All comments
                                                    security. As proprietary traders without                   Commission Action                                     received will be posted without change;
                                                    the ability to direct or influence trading                                                                       the Commission does not edit personal
                                                                                                                 Within 45 days of the date of
                                                    or control the quote, restricting DMM                                                                            identifying information from
                                                                                                               publication of this notice in the Federal
                                                    trading in the final ten minutes of                                                                              submissions.
                                                                                                               Register or up to 90 days (i) as the                     You should submit only information
                                                    trading is no longer necessary.                            Commission may designate if it finds
                                                       The Exchange believes that                                                                                    that you wish to make available
                                                                                                               such longer period to be appropriate                  publicly. All submissions should refer
                                                    eliminating Prohibited Transactions                        and publishes its reasons for so finding
                                                    would not be inconsistent with the                                                                               to File Number SR–NYSE–2016–71 and
                                                                                                               or (ii) as to which the self-regulatory               should be submitted on or before
                                                    public interest and the protection of                      organization consents, the Commission
                                                    investors because DMM trading                                                                                    December 8, 2016.
                                                                                                               will:
                                                    decisions going into the closing trade                       (A) By order approve or disapprove                    For the Commission, by the Division of
                                                    would continue to be evaluated from the                    the proposed rule change, or                          Trading and Markets, pursuant to delegated
                                                    perspective of their obligations to the                                                                          authority.21
                                                                                                                 (B) institute proceedings to determine
                                                    marketplace, including the obligation to                                                                         Brent J. Fields,
                                                                                                               whether the proposed rule change
                                                    arrange a fair and orderly close, as set                   should be disapproved.                                Secretary.
                                                    forth in Exchange rules. Further, the                                                                            [FR Doc. 2016–27594 Filed 11–16–16; 8:45 am]
                                                    Exchange believes that eliminating Rule                    IV. Solicitation of Comments                          BILLING CODE 8011–01–P
                                                    104(g)(i)(A)(III) would not be                               Interested persons are invited to
                                                    inconsistent with the public interest and                  submit written data, views, and
                                                    the protection of investors because                        arguments concerning the foregoing,                   SOCIAL SECURITY ADMINISTRATION
                                                    existing safeguards would remain in                        including whether the proposed rule
                                                                                                                                                                     [Docket No: SSA–2016–0059]
                                                    place to ensure that DMMs do not                           change is consistent with the Act.
                                                    inappropriately influence or manipulate                    Comments may be submitted by any of                   Agency Information Collection
                                                    the close, thereby establishing                            the following methods:                                Activities: Proposed Request and
                                                    substantially the same result without an                                                                         Comment Request
                                                    outright prohibition. As noted above,                      Electronic Comments
                                                    DMM trading would remain subject to                          • Use the Commission’s Internet                        The Social Security Administration
                                                                                                                                                                     (SSA) publishes a list of information
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Exchange rules, including the obligation                   comment form (http://www.sec.gov/
                                                    to maintain a fair and orderly market                      rules/sro.shtml); or                                  collection packages requiring clearance
                                                    under Rule 104. More specifically, in                        • Send an email to rule-comments@                   by the Office of Management and
                                                    lieu of the obligations associated with                    sec.gov. Please include File Number SR–               Budget (OMB) in compliance with
                                                    Rule 104(g)(i)(A)(III), in the last ten                    NYSE–2016–71 on the subject line.                     Public Law 104–13, the Paperwork
                                                    minutes of trading the DMMs would be                                                                             Reduction Act of 1995, effective October
                                                                                                               Paper Comments                                        1, 1995. This notice includes revisions
                                                      19 15   U.S.C. 78f(b).                                     • Send paper comments in triplicate
                                                      20 15   U.S.C. 78f(b)(5).                                to Brent J. Fields, Secretary, Securities               21 17   CFR 200.30–3(a)(12).



                                               VerDate Sep<11>2014      21:24 Nov 16, 2016   Jkt 241001   PO 00000   Frm 00172   Fmt 4703   Sfmt 4703   E:\FR\FM\17NON1.SGM     17NON1


                                                                                       Federal Register / Vol. 81, No. 222 / Thursday, November 17, 2016 / Notices                                                                                       81225

                                                    of OMB-approved information                                                (SSA)                                                                Petition to Obtain Approval of a Fee
                                                    collections.                                                                                                                                 for Representing a Claimant Before the
                                                       SSA is soliciting comments on the                                       Social Security Administration, OLCA,                             Social Security Administration—20 CFR
                                                    accuracy of the agency’s burden                                              Attn: Reports Clearance Director, 3100                          404.1720, 404.1725, 416.1520, and
                                                    estimate; the need for the information;                                      West High Rise, 6401 Security Blvd.,                            416.1525—0960–0104. A Social Security
                                                    its practical utility; ways to enhance its                                   Baltimore, MD 21235, Fax: 410–966–                              claimant’s representative, whether an
                                                    quality, utility, and clarity; and ways to                                   2830, Email address:                                            attorney or a non-attorney, uses Form
                                                    minimize burden on respondents,                                              OR.Reports.Clearance@ssa.gov                                    SSA–1560–U4 to petition SSA for
                                                    including the use of automated                                                Or you may submit your comments                                authorization to charge and collect a fee.
                                                    collection techniques or other forms of                                    online through www.regulations.gov,                               A claimant may also use the form to
                                                    information technology. Mail, email, or                                                                                                      agree or disagree with the requested fee
                                                                                                                               referencing Docket ID Number [SSA–
                                                    fax your comments and                                                                                                                        amount or other information the
                                                                                                                               2016–0059].
                                                    recommendations on the information                                                                                                           representative provides on the form.
                                                    collection(s) to the OMB Desk Officer                                         I. The information collection below is                         The SSA official responsible for setting
                                                    and SSA Reports Clearance Officer at                                       pending at SSA. SSA will submit it to                             the fee uses the information from the
                                                    the following addresses or fax numbers.                                    OMB within 60 days from the date of                               form to determine a reasonable fee
                                                                                                                               this notice. To be sure we consider your                          amount representatives may charge for
                                                    (OMB)                                                                      comments, we must receive them no                                 their services. The respondents are
                                                    Office of Management and Budget, Attn:                                     later than January 17, 2017. Individuals                          attorneys and non-attorneys who
                                                      Desk Officer for SSA, Fax: 202–395–                                      can obtain copies of the collection                               represent Social Security claimants.
                                                      6974, Email address: OIRA_                                               instrument by writing to the above                                   Type of Request: Revision of an OMB-
                                                      Submission@omb.eop.gov                                                   email address.                                                    approved information collection.

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

                                                    SSA–1560–U4 ..............................................................................................................         44,365                       1                         30           22,183



                                                      II. SSA submitted the information                                        packages by writing to                                            Item Correction system, to provide the
                                                    collections below to OMB for clearance.                                    OR.Reports.Clearance@ssa.gov.                                     information SSA needs to check
                                                    Your comments regarding the                                                   1. Request for Corrections of Earnings                         earnings posted, and, as necessary,
                                                    information collections would be most                                      Record—20 CFR 404.820 and 20 CFR                                  initiate development to resolve any
                                                    useful if OMB and SSA receive them 30                                      422.125—0960–0029. Individuals                                    inaccuracies. The respondents are
                                                    days from the date of this publication.                                    alleging inaccurate earnings records in                           individuals who request correction of
                                                    To be sure we consider your comments,                                      SSA’s files use paper Form SSA–7008,                              earnings posted to their Social Security
                                                    we must receive them no later than                                         or a personal interview during which                              earnings record.
                                                    December 19, 2016. Individuals can                                         SSA employees key their answers into                                 Type of Request: Revision of an OMB-
                                                    obtain copies of the OMB clearance                                         our electronic Earnings Modernization                             approved information collection.

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

                                                    Paper form .......................................................................................................             37,500                         1                        10               6,250
                                                    In person or telephone interview .....................................................................                        337,500                         1                        10              56,250

                                                          Totals ........................................................................................................         375,000    ........................   ........................           62,500



                                                      2. Supplemental Security Income                                          conduct these reviews, collecting                                 service delivery goals. Respondents are
                                                    (SSI)—Quality Review Case Analysis—                                        information on operating efficiency, the                          recipients of SSI payments selected for
                                                    0960–0133. To assess the SSI program                                       quality of underlying policies, and the                           quality reviews.
                                                    and ensure the accuracy of its payments,                                   effect of incorrect payments. SSA also                              Type of Request: Revision of an OMB
                                                    SSA conducts legally mandated                                              uses the data to determine SSI program
                                                                                                                                                                                                 approved information collection.
                                                    periodic SSI case analysis quality                                         payment accuracy rate, which is a
                                                    reviews. SSA uses Form SSA–8508 to                                         performance measure for the agency’s
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–8508–BK (paper interview) .....................................................................                                225                         1                       60                 225
                                                    SSA–8508–BK (electronic) ..............................................................................                          4,275                         1                       60               4,275




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                                                    81226                               Federal Register / Vol. 81, No. 222 / Thursday, November 17, 2016 / Notices

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

                                                          Totals ........................................................................................................            4,500    ........................   ........................            4,500



                                                      3. Application for Supplemental                                          interviews with members of the public                              complete development of non-medical
                                                    Security Income—20 CFR 416.305–                                            who wish to file for SSI. SSA uses the                             issues until SSA approves the disability.
                                                    416.335, Subpart C—0960–0444. SSA                                          information for two purposes: (1) To                               The respondents are applicants for SSI.
                                                    uses Form SSA–8001–BK to determine                                         formally deny SSI for non-medical                                     Type of Request: Revision of an OMB-
                                                    an applicant’s eligibility for SSI, and SSI                                reasons when information the applicant                             approved information collection.
                                                    payment amounts. SSA employees also                                        provides results in ineligibility; or (2) to
                                                    collect this information during                                            establish a disability claim, but defer the

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

                                                    MSSICS/Signature Proxy ................................................................................                        937,207                          1                       20            312,402
                                                    Non-MSSICS (Paper) ......................................................................................                        1,033                          1                       20                344

                                                          Totals ........................................................................................................          938,240    ........................   ........................         312,746



                                                      4. Employer Reports of Special Wage                                      offices and program service centers also                           payment of benefits, we do not require
                                                    Payments—20 CFR 404.428–404.429—                                           use Form SSA–131 for awards and post-                              employers to respond. The respondents
                                                    0960–0565. SSA collects information on                                     entitlement events requiring special                               are large and small businesses that make
                                                    the SSA–131 to prevent earnings-related                                    wage payment verification from                                     special wage payments to retirees.
                                                    overpayments, and to avoid erroneous                                       employers. While we need this                                        Type of Request: Revision of an OMB-
                                                    withholding of benefits. SSA field                                         information to ensure the correct                                  approved information collection.

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

                                                    Paper Version: SSA–131 (without #6) .............................................................                              105,000                         1                         20             35,000
                                                    Paper Version: SSA–131 (#6 only) .................................................................                               1,050                         1                          2                 35
                                                    Electronic Version: Business Services Online Special Wage Payments ........                                                         26                         1                          5                  2

                                                          Totals ........................................................................................................          106,076    ........................   ........................           35,037



                                                      5. Social Security Benefits                                              eligibility for specific Social Security                           screens for in-person interview
                                                    Application—20 CFR 404.310–404.311;                                        benefits, as well as the amount of the                             applications; and Internet-based iClaim
                                                    404.315–404.322; 404.330–404.333;                                          benefits. Individuals filing for disability                        and iAppointment applications. SSA
                                                    404.601–404.603; and 404.1501–                                             benefits can, and in some instances SSA                            uses the information we collect through
                                                    404.1512—0960–0618. Title II of the                                        may require them to, file applications                             these modalities to determine: (1) The
                                                    Social Security Act provides retirement,                                   under both Title II, Social Security                               applicants’ eligibility for the above-
                                                    survivors, and disability benefits to                                      disability benefits, and Title XVI, SSI                            mentioned Social Security benefits, and
                                                    members of the public who meet the                                         payments. We refer to disability                                   (2) the amount of the benefits. The
                                                    required eligibility criteria and file the                                 applications filed under both titles as                            respondents are applicants for
                                                    appropriate application. This collection                                   ‘‘concurrent applications.’’ This
                                                                                                                                                                                                  retirement, survivors, and disability
                                                    comprises the various application                                          collection comprises the various
                                                                                                                                                                                                  benefits under Title II of the Social
                                                    methods for each type of benefits. SSA                                     application methods for each type of
                                                    uses the information we gather through                                     benefits. These methods include the                                Security Act.
                                                    the multiple information collection                                        following modalities: Paper forms                                    Type of Request: Revision of an OMB-
                                                    tools in this information collection                                       (Forms SSA–1, SSA–2, and SSA–16);                                  approved information collection.
                                                    request to determine applicants’                                           Modernized Claims System (MCS)
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                       FORM SSA–1
                                                                                                                                                                                                                              Average               Estimated total
                                                                                                                                                                             Number of         Frequency of                 burden per
                                                                                             Modality of completion                                                                                                                                 annual burden
                                                                                                                                                                            respondents         Response                     response                   (hours)
                                                                                                                                                                                                                             (minutes)

                                                    MCS/Signature Proxy ......................................................................................                    2,793,597                        1                         10           465,600
                                                    Paper ...............................................................................................................           115,678                        1                         11            21,208



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                                                                                        Federal Register / Vol. 81, No. 222 / Thursday, November 17, 2016 / Notices                                                                                         81227

                                                                                                                                            FORM SSA–1—Continued
                                                                                                                                                                                                                                Average               Estimated total
                                                                                                                                                                               Number of         Frequency of                 burden per
                                                                                             Modality of completion                                                                                                                                   annual burden
                                                                                                                                                                              respondents         Response                     response                   (hours)
                                                                                                                                                                                                                               (minutes)

                                                    Medicare-only MCS .........................................................................................                      880,763                         1                          7           102,756
                                                    Medicare-only Paper ........................................................................................                       9,549                         1                          7             1,114

                                                          Totals ........................................................................................................           3,779,587   ........................   ........................         590,678


                                                                                                                                                        FORM SSA–2
                                                                                                                                                                                                                                Average               Estimated total
                                                                                                                                                                               Number of         Frequency of                 burden per
                                                                                             Modality of completion                                                                                                                                   annual burden
                                                                                                                                                                              respondents          response                    response                   (hours)
                                                                                                                                                                                                                               (minutes)

                                                    MCS/Signature Proxy ......................................................................................                       518,598                          1                       14            121,006
                                                    Paper ...............................................................................................................             54,661                          1                       15             13,665

                                                          Totals ........................................................................................................            573,259    ........................   ........................         134,671


                                                                                                                                                       FORM SSA–16
                                                                                                                                                                                                                                Average               Estimated total
                                                                                                                                                                               Number of         Frequency of                 burden per
                                                                                             Modality of completion                                                                                                                                   annual burden
                                                                                                                                                                              respondents          response                    response                   (hours)
                                                                                                                                                                                                                               (minutes)

                                                    MCS/Signature Proxy ......................................................................................                      2,483,952                        1                         19           786,585
                                                    Paper ...............................................................................................................             116,294                        1                         20            38,765

                                                          Totals ........................................................................................................           2,600,246   ........................   ........................         825,350


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

                                                    iClaim 3rd Party ...............................................................................................                  345,267                         1                        15            86,317
                                                    iClaim Applicant after 3rd Party Completion ...................................................                                   345,267                         1                          5           28,772
                                                    First Party iClaim—Domestic Applicant ...........................................................                               2,956,208                         1                        15           739,052
                                                    First Party iClaim—Foreign Applicant ..............................................................                                11,650                         1                          3              583
                                                    Medicare-only iClaim .......................................................................................                      723,062                         1                        10           120,510
                                                         Totals ........................................................................................................            4,381,454   ........................   ........................         975,234


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

                                                    iAppointment ....................................................................................................           20,218                    1                         10                    3,370


                                                                                                                                                        GRAND TOTAL
                                                                                                                                                                                                                                Average               Estimated total
                                                                                                                                                                               Number of         Frequency of                 burden per
                                                                                             Modality of completion                                                                                                                                   annual burden
                                                                                                                                                                              respondents          response                    response
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                                                                                                                          (hours)
                                                                                                                                                                                                                               (minutes)

                                                    Total .................................................................................................................   11,374,764        ........................   ........................     2,529,303




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                                                    81228                     Federal Register / Vol. 81, No. 222 / Thursday, November 17, 2016 / Notices

                                                      Dated: November 11, 2016.                             California, Chairman; Mr. William Hybl                Office of Public Diplomacy and Public
                                                    Naomi R. Sipple,                                        of Colorado, Vice Chairman;                           Affairs in the Office of the Legal
                                                    Reports Clearance Officer, Social Security              Ambassador Lyndon Olson of Texas,                     Adviser, U.S. Department of State
                                                    Administration.                                         Vice Chairman; Ambassador Penne                       (telephone: 202–632–6471; email:
                                                    [FR Doc. 2016–27627 Filed 11–16–16; 8:45 am]            Korth-Peacock of Texas; Anne Terman                   section2459@state.gov). The mailing
                                                    BILLING CODE 4191–02–P                                  Wedner of Illinois; and Ms. Georgette                 address is U.S. Department of State,
                                                                                                            Mosbacher of New York. One seat on                    L/PD, SA–5, Suite 5H03, Washington,
                                                                                                            the Commission is currently vacant.                   DC 20522–0505.
                                                    DEPARTMENT OF STATE                                       The following individuals have been                   Dated: November 7, 2016.
                                                                                                            nominated to the Commission but await
                                                    [Public Notice: 9794]                                                                                         Evan Ryan,
                                                                                                            Senate confirmation as of this writing:
                                                                                                                                                                  Assistant Secretary, Bureau of Educational
                                                                                                            Douglas Wilson of Delaware and Markos
                                                    U.S. Advisory Commission on Public                                                                            and Cultural Affairs, Department of State.
                                                                                                            Kounalakis of California.
                                                    Diplomacy; Notice of Meeting                              To request further information about                [FR Doc. 2016–27662 Filed 11–16–16; 8:45 am]

                                                       The U.S. Advisory Commission on                      the meeting or the U.S. Advisory                      BILLING CODE 4710–05–P

                                                    Public Diplomacy will hold a public                     Commission on Public Diplomacy, you
                                                    meeting from 10:00a.m. until 11:30a.m.,                 may contact its Senior Advisor, Chris
                                                    Thursday, December 8, 2016 in the                       Hensman, at HensmanCD@state.gov.                      TENNESSEE VALLEY AUTHORITY
                                                    Russell Senate Office Building, Room                      Dated: November 1, 2016.
                                                    385 in Washington, DC 20515.                                                                                  Agency Information Collection
                                                                                                            Martha Estell,                                        Activities: Proposed Collection;
                                                       The meeting will be a discussion on
                                                                                                            Senior Advisor, Department of State.                  Comment Request
                                                    the use of public diplomacy tools to
                                                                                                            [FR Doc. 2016–27664 Filed 11–16–16; 8:45 am]
                                                    combat violent extremism and will                                                                             AGENCY:  Tennessee Valley Authority.
                                                    feature a panel of experts.                             BILLING CODE 4710–05–P
                                                                                                                                                                  ACTION: 30-Day Notice of submission of
                                                       This meeting is open to the public,
                                                                                                                                                                  information collection approval and
                                                    Members and staff of Congress, the State
                                                                                                            DEPARTMENT OF STATE                                   request for comments.
                                                    Department, Defense Department, the
                                                    media, and other governmental and                       [Public Notice: 9793]                                 SUMMARY:   This is a renewal request for
                                                    non-governmental organizations. To                                                                            approval of Employment Application
                                                    attend and make any requests for                        Culturally Significant Objects Imported               (OMB No. 3316–0063). The information
                                                    reasonable accommodation, email                         for Exhibition Determinations:                        collection described below will be
                                                    pdcommission@state.gov by 5pm on                        ‘‘Bouchardon: Royal Artist of the                     submitted to the Office of Management
                                                    Tuesday, December 6, 2016. Please                       Enlightenment’’ Exhibition                            and Budget (OMB) at oira_submission@
                                                    arrive for the meeting by 9:45am to                                                                           omb.eop.gov, for review, as required by
                                                    allow for a prompt meeting start.                          Notice is hereby given of the
                                                                                                            following determinations: Pursuant to                 the Paperwork Reduction Act of 1995.
                                                       The United States Advisory                                                                                 The Tennessee Valley Authority is
                                                    Commission on Public Diplomacy                          the authority vested in me by the Act of
                                                                                                            October 19, 1965 (79 Stat. 985; 22 U.S.C.             soliciting public comments on this
                                                    appraises U.S. Government activities                                                                          proposed collection.
                                                    intended to understand, inform, and                     2459), E.O. 12047 of March 27, 1978, the
                                                                                                            Foreign Affairs Reform and                            ADDRESSES: Requests for information,
                                                    influence foreign publics. The Advisory
                                                                                                            Restructuring Act of 1998 (112 Stat.                  including copies of the information
                                                    Commission may conduct studies,
                                                                                                            2681, et seq.; 22 U.S.C. 6501 note, et                collection proposed and supporting
                                                    inquiries, and meetings, as it deems
                                                                                                            seq.), Delegation of Authority No. 234 of             documentation, should be directed to
                                                    necessary. It may assemble and
                                                    disseminate information and issue                       October 1, 1999, Delegation of Authority              the Senior Privacy Program Manager:
                                                    reports and other publications, subject                 No. 236–3 of August 28, 2000 (and, as                 Christopher A. Marsalis, Tennessee
                                                    to the approval of the Chairperson, in                  appropriate, Delegation of Authority No.              Valley Authority, 400 W. Summit Hill
                                                    consultation with the Executive                         257 of April 15, 2003), I hereby                      Dr. (WT 5D), Knoxville, Tennessee
                                                    Director. The Advisory Commission                       determine that the objects to be                      37902–1401; telephone (865) 632–2467
                                                    may undertake foreign travel in pursuit                 included in the exhibition                            or by email at camarsalis@tva.gov; or to
                                                    of its studies and coordinate, sponsor, or              ‘‘Bouchardon: Royal Artist of the                     Joy L. Lloyd, Tennessee Valley
                                                    oversee projects, studies, events, or                   Enlightenment,’’ imported from abroad                 Authority, 400 W. Summit Hill Dr. (WT
                                                    other activities that it deems desirable                for temporary exhibition within the                   5A), Knoxville, Tennessee 37902–1401;
                                                    and necessary in fulfilling its functions.              United States, are of cultural                        telephone (865) 632–8370 or by email at
                                                       The Commission consists of seven                     significance. The objects are imported                jllloyd@tva.gov; or to the Agency
                                                    members appointed by the President, by                  pursuant to loan agreements with the                  Clearance Officer: Philip D. Propes,
                                                    and with the advice and consent of the                  foreign owners or custodians. I also                  Tennessee Valley Authority, 1101
                                                    Senate. The members of the                              determine that the exhibition or display              Market Street (MP 2C), Chattanooga,
                                                    Commission shall represent the public                   of the exhibit objects at the J. Paul Getty           Tennessee 37402–2801; telephone (423)
                                                    interest and shall be selected from a                   Museum at the Getty Center, Los                       751–8593 or email at pdpropes@tva.gov.
                                                    cross section of educational,                           Angeles, California, from on or about                 DATES: Comments should be sent to the
                                                    communications, cultural, scientific,                   January 10, 2017, until on or about April             Agency Clearance Officer and the OMB
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    technical, public service, labor,                       2, 2017, and at possible additional                   Office of Information & Regulatory
                                                    business, and professional backgrounds.                 exhibitions or venues yet to be                       Affairs, Attention: Desk Officer for
                                                    Not more than four members shall be                     determined, is in the national interest.              Tennessee Valley Authority,
                                                    from any one political party. The                       I have ordered that Public Notice of                  Washington, DC 20503, or email: oira_
                                                    President designates a member to chair                  these Determinations be published in                  submission@omb.eop.gov, no later than
                                                    the Commission.                                         the Federal Register.                                 December 19, 2016.
                                                       The current members of the                              For further information, including a               SUPPLEMENTARY INFORMATION:
                                                    Commission are: Mr. Sim Farar of                        list of the imported objects, contact the                Type of Request: Reauthorization.


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Document Created: 2016-11-17 03:00:24
Document Modified: 2016-11-17 03:00:24
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 81224 

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