82 FR 19304 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 82, Issue 79 (April 26, 2017)
Federal Register Volume 82, Issue 79 (April 26, 2017)
| Page Range | 19304-19308 | |
| FR Document | 2017-08403 |
[Federal Register Volume 82, Number 79 (Wednesday, April 26, 2017)] [Notices] [Pages 19304-19308] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-08403] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2017-0020] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions and on extension of OMB-approved information collections. SSA is soliciting comments on the accuracy of the agency's burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202-395-6974, Email address: [email protected]. (SSA), Social Security Administration, OLCA, Attn: Reports Clearance Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235, Fax: 410-966-2830, Email address: [email protected] Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA-2017-0020]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than June 26, 2017. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Application for Benefits under a U.S. International Social Security Agreement--20 CFR 404.1925--0960-0448. Section 233(a) of the Social Security Act (Act) authorizes the President to broker international Social Security agreements (Totalization Agreements) between the United States and foreign countries. SSA collects information using Form SSA-2490-BK to determine entitlement to Social Security benefits from the United States, or from a country that enters into a Totalization Agreement with the United States. The respondents are individuals applying for Old Age Survivors and Disability Insurance (OASDI) benefits from the United States or from a Totalization Agreement country. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-2490-BK (MCS)............................... 15,030 1 30 7,515 SSA-2490-BK (paper)............................. 2,120 1 30 1,060 --------------------------------------------------------------- Totals...................................... 17,150 .............. .............. 8,575 ---------------------------------------------------------------------------------------------------------------- 2. Medicare Part D Subsidies Regulations--20 CFR 418.3625(c), 418.3645, 418.3665(a), and 418.3670--0960-0702. The Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003 established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low- income individuals. The MMA also mandated the provision of subsidies for those individuals who qualify for the program and who meet eligibility criteria for help with premium, deductible, or co-payment costs. This law requires SSA to make eligibility determinations, and to provide a process for appealing SSA's determinations. Regulation sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain public reporting requirements pertaining to administrative review hearings. Respondents are applicants for the [[Page 19305]] Medicare Part D subsidies who request an administrative review hearing. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- 418.3625(c)..................................... 140 1 5 12 418.3645........................................ 10 1 10 2 418.3665(a)..................................... 275 1 5 23 418.3670 *...................................... 0 1 10 0 --------------------------------------------------------------- Total....................................... 425 .............. .............. 37 ---------------------------------------------------------------------------------------------------------------- * Regulation section 418.3670 could be used at any time; however, we currently have no data showing usage over the past three years. II. SSA submitted the information collections below to OMB for clearance. Your comments regarding these 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 May 26, 2017. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Government Pension Questionnaire--20 CFR 404.408a--0960-0160. The basic Social Security benefits application (OMB No. 0960-0618) contains a lead question asking if the applicants are qualified (or will qualify) to receive a government pension. If the respondent is qualified, or will qualify, to receive a government pension, the applicant completes Form SSA-3885 either on paper or through a personal interview with an SSA claims representative. If the applicants are not entitled to receive a government pension at the time they apply for Social Security benefits, SSA requires them to provide the government pension information as beneficiaries when they become eligible to receive their pensions. Regardless of the timing, at some point the applicants or beneficiaries must complete and sign Form SSA-3885 to report information about their government pensions before the pensions begin. SSA uses the information to: (1) Determine whether the Government Pension Offset provision applies; (2) identify exceptions as stated in 20 CFR 404.408a; and (3) determine the benefit reduction amount and effective date. If the applicants and beneficiaries do not respond using this questionnaire, SSA offsets their entire benefit amount. The respondents are applicants or recipients of spousal benefits who are eligible for or already receiving a Government pension. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3885.................................... 76,000 1 13 16,467 ---------------------------------------------------------------------------------------------------------------- 2. Request for Review of Hearing Decision/Order--20 CFR 404.967- 404.981, 416.1467-416.1481--0960-0277. Claimants have a statutory right under the Act and current regulations to request review of an administrative law judge's (ALJ) hearing decision or dismissal of a hearing request on Title II and Title XVI claims. Claimants may request Appeals Council review by filing a written request using Form HA-520. SSA uses the information to establish the claimant filed the request for review within the prescribed time and to ensure the claimant completed the requisite steps permitting the Appeals Council review. The Appeals Council uses the information to: (1) Document the claimant's reason(s) for disagreeing with the ALJ's decision or dismissal; (2) determine whether the claimant has additional evidence to submit; and (3) determine whether the claimant has a representative or wants to appoint one. The respondents are claimants requesting review of an ALJ's decision or dismissal of hearing. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- HA-520...................................... 175,000 1 10 29,167 ---------------------------------------------------------------------------------------------------------------- 3. Modified Benefit Formula Questionnaire--0960-0395. SSA collects information on Form SSA-150 to determine which formula to use in computing the Social Security benefit for someone who receives a pension from employment not covered by Social Security. The Windfall Elimination Provision (WEP) requires use of a benefit formula replacing a smaller percentage of a worker's pre-retirement earnings. However, the resulting amount cannot show a difference in the benefit computed using the modified and regular formulas greater than one-half the amount of the pension received in the first month an individual is entitled to both the pension and the Social Security benefit. The SSA- 150 collects the information needed to make all the necessary benefit computations. SSA requires respondents to furnish the information on Form SSA-150 so we can calculate their benefits using the [[Page 19306]] data they supply. SSA calculates the benefits of applicants who do not respond to this questionnaire using the full WEP reduction. SSA employees collect this information once from the applicant at the time they file their claim. The respondents are applicants for old age and disability benefits. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-150..................................... 90,000 1 8 12,000 ---------------------------------------------------------------------------------------------------------------- 4. Modified Benefit Formula Questionnaire-Employer--20 CFR 401 & 402--0960-0477. Sections 215(a)(7) and 215(d)(3) of the Act require SSA to use a modified benefit formula to compute Social Security retirement or disability benefits for persons first eligible (after 1985) for both a Social Security benefit and a pension or annuity, based on employment not covered by Social Security. This method is the WEP. SSA makes a determination regarding whether the WEP is applicable and when to apply it to a person's benefit. SSA uses Form SSA-58 to verify the claimant's allegations on Form SSA-150 (OMB #0906-0395, Modified Benefits Formula Questionnaire). SSA also uses Form SSA-58 to determine if the modified benefit formula is applicable and when to apply it to a person's benefits. SSA sends Form SSA-58 to an employer for pension related information, if the claimant is unable to provide it. The respondents are employers of people who are eligible after 1985 for both Social Security benefits and a pension based on work not covered by SSA. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-58...................................... 30,000 1 20 10,000 ---------------------------------------------------------------------------------------------------------------- 5. Questionnaire for Children Claiming Supplemental Security Income (SSI) Benefits--0960-0499. Section 1631(d)(2) of the Act allows SSA to determine the eligibility of an applicant's claim for Supplemental Security Income (SSI) payments. Parents or legal guardians seeking to obtain or retain SSI eligibility for their children use Form SSA-3881- BK to provide SSA with the addresses of non-medical sources such as schools, counselors, agencies, organizations, or therapists who would have information about a child's functioning. SSA uses this information to help determine a child's claim or continuing eligibility for SSI. The respondents are applicants who appeal SSI childhood disability decisions or recipients undergoing a continuing disability review. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3881-BK (Paper Version)..................... 84,500 1 30 42,250 SSA-3881-BK (Electronic Disability Collect 45,500 1 30 22,750 System)........................................ --------------------------------------------------------------- Totals...................................... 130,000 .............. .............. 65,000 ---------------------------------------------------------------------------------------------------------------- 6. Work History Report--20 CFR 404.1515, 404.1560, 404.1565, 416.960 and 416.3965--0960-0578. Under certain circumstances, SSA asks individuals applying for disability about work they have performed in the past. Applicants use Form SSA-3369, Work History Report, to provide detailed information about jobs held prior to becoming unable to work. State Disability Determination Services evaluate the information, together with medical evidence, to determine eligibility for disability payments. Respondents are disability applicants and third parties assisting applicants. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-3369 (Paper Version)........................ 1,553,900 1 60 1,553,900 SSA-3369 (Electronic Disability Collect System). 38,049 1 60 38,049 --------------------------------------------------------------- Totals...................................... 1,591,949 .............. .............. 1,591,949 ---------------------------------------------------------------------------------------------------------------- [[Page 19307]] 7. Authorization To Obtain Earnings Data From the Social Security Administration--0960-0602. On occasion, public and private organizations and agencies need to obtain detailed earnings information about specific Social Security number (SSN) holding wage earners for business purposes (e.g., pension funds, State agencies, etc.). Respondents use Form SSA-581 to identify the SSN holder whose information they are requesting, and provide authorization from the SSN holder, when applicable. SSA uses the information provided on Form SSA- 581 to: (1) Identify the wage earner; (2) establish the period of earnings information requested; (3) verify the wage earner authorized SSA to release this information to the requesting party; and (4) produce the Itemized Statement of Earnings (SSA-1826). The respondents are private businesses, state or local agencies, and other federal agencies. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-581......................................... 24,000 1 2 800 ---------------------------------------------------------------------------------------------------------------- 8. Appeal of Determination for Help With Medicare Prescription Drug Plan Costs--0960-0695. Public Law 108-173, the MMA of 2003 established the Medicare Part D program for voluntary prescription drug coverage for certain low-income individuals. The MMA stipulates the provision of subsidies for individuals who are eligible for the program and who meet eligibility criteria for help with premium, deductible, and co-payment costs. SSA uses Form SSA-1021, Appeal of Determination for Help With Medicare Prescription Drug Plan Costs, to obtain information from individuals who appeal SSA's decisions regarding eligibility or continuing eligibility for a Medicare Part D subsidy. The respondents are Medicare beneficiaries, or proper applicants acting on behalf of a Medicare beneficiary, who do not agree with the outcome of an SSA subsidy eligibility determination, and are filing an appeal. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1021 (Paper Version)........................ 3,283 1 10 547 SSA-1021 (Internet Version; Medicare Application 11,037 1 10 1,840 Processing System)............................. --------------------------------------------------------------- Totals...................................... 14,320 .............. .............. 2,387 ---------------------------------------------------------------------------------------------------------------- 9. Sheltered Workshop Wage Reporting--0960-0771. Sheltered workshops are non-profit organizations or institutions that implement a recognized program of rehabilitation for handicapped workers, or provide such workers with remunerative employment or other occupational rehabilitating activity of an educational or therapeutic nature. Sheltered workshops perform a service for their clients by reporting monthly wages directly to SSA. SSA uses the information these workshops provide to verify and post monthly wages to the SSI recipient's record. Most workshops report monthly wage totals to their local SSA office so we can adjust the client's SSI payment amount in a timely manner and prevent overpayments. Sheltered workshops are motivated to report wages voluntarily as a service to their clients. Respondents are sheltered workshops that report monthly wages for services performed in the workshop. Type of Request: Extension of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- Sheltered Workshop Wage Reporting........... 800 12 15 2,400 ---------------------------------------------------------------------------------------------------------------- 10. Medicare Income-Related Monthly Adjustment Amount--Life- Changing Event Form--0960-0784. Federally mandated reductions in the Federal Medicare Part B and prescription drug coverage subsidies result in selected Medicare recipients paying higher premiums with income above a specific threshold. The amount of the premium subsidy reduction is an income-related monthly adjustment amount (IRMAA). The Internal Revenue Service (IRS) transmits income tax return data to SSA for SSA to determine the IRMAA. SSA uses the Form SSA-44 to determine if a recipient qualifies for a reduction in the IRMAA. If affected Medicare recipients believe SSA should use more recent tax data because of a life-changing event that significantly reduces their income, they can report these changes to SSA and ask for a new initial determination of their IRMAA. The respondents are Medicare Part B and prescription drug coverage recipients and enrollees with modified adjusted gross income over a high-income threshold who experience one of eight significant life-changing events. Type of Request: Revision of an OMB-approved information collection. [[Page 19308]] ---------------------------------------------------------------------------------------------------------------- Average Estimated Number of Frequency of burden per total annual Modality of completion respondents response response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-44 (Personal Interview in SSA field office). 140,378 1 30 70,189 SSA-44 (Paper Version).......................... 60,162 1 45 45,122 --------------------------------------------------------------- Totals...................................... 200,540 .............. .............. 115,311 ---------------------------------------------------------------------------------------------------------------- Dated: April 21, 2017. Naomi R. Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2017-08403 Filed 4-25-17; 8:45 am] BILLING CODE 4191-02-P
![19304 Federal Register / Vol. 82, No. 79 / Wednesday, April 26, 2017 / Notices
including whether the proposed rule received will be posted without change; and SSA Reports Clearance Officer at
change is consistent with the Act. the Commission does not edit personal the following addresses or fax numbers.
Comments may be submitted by any of identifying information from (OMB), Office of Management and
the following methods: submissions. You should submit only Budget, Attn: Desk Officer for SSA,
information that you wish to make Fax: 202–395–6974, Email address:
Electronic Comments
available publicly. All submissions OIRA_Submission@omb.eop.gov.
• Use the Commission’s Internet should refer to File Number SR–
comment form (http://www.sec.gov/ (SSA), Social Security Administration,
NYSEMKT–2017–21, and should be
rules/sro.shtml); or OLCA, Attn: Reports Clearance
submitted on or before May 17, 2017.
• Send an email to rule-comments@ Director, 3100 West High Rise, 6401
sec.gov. Please include File Number SR– For the Commission, by the Division of Security Blvd., Baltimore, MD 21235,
Trading and Markets, pursuant to delegated Fax: 410–966–2830, Email address:
NYSEMKT–2017–21 on the subject line. authority.22
OR.Reports.Clearance@ssa.gov
Paper Comments Eduardo A. Aleman,
Or you may submit your comments
• Send paper comments in triplicate Assistant Secretary.
online through www.regulations.gov,
to Secretary, Securities and Exchange [FR Doc. 2017–08388 Filed 4–25–17; 8:45 am]
referencing Docket ID Number [SSA–
Commission, 100 F Street NE., BILLING CODE 8011–01–P
2017–0020].
Washington, DC 20549–1090.
I. The information collections below
All submissions should refer to File are pending at SSA. SSA will submit
Number SR–NYSEMKT–2017–21. This SOCIAL SECURITY ADMINISTRATION them to OMB within 60 days from the
file number should be included on the
[Docket No: SSA–2017–0020] date of this notice. To be sure we
subject line if email is used. To help the
consider your comments, we must
Commission process and review your Agency Information Collection receive them no later than June 26,
comments more efficiently, please use Activities: Proposed Request and 2017. Individuals can obtain copies of
only one method. The Commission will Comment Request the collection instruments by writing to
post all comments on the Commission’s
The Social Security Administration the above email address.
Internet Web site (http://www.sec.gov/
rules/sro.shtml). Copies of the (SSA) publishes a list of information 1. Application for Benefits under a
submission, all subsequent collection packages requiring clearance U.S. International Social Security
amendments, all written statements by the Office of Management and Agreement—20 CFR 404.1925—0960–
with respect to the proposed rule Budget (OMB) in compliance with 0448. Section 233(a) of the Social
change that are filed with the Public Law 104–13, the Paperwork Security Act (Act) authorizes the
Commission, and all written Reduction Act of 1995, effective October President to broker international Social
communications relating to the 1, 1995. This notice includes revisions Security agreements (Totalization
proposed rule change between the and on extension of OMB-approved Agreements) between the United States
Commission and any person, other than information collections. and foreign countries. SSA collects
those that may be withheld from the SSA is soliciting comments on the information using Form SSA–2490–BK
public in accordance with the accuracy of the agency’s burden to determine entitlement to Social
provisions of 5 U.S.C. 552, will be estimate; the need for the information; Security benefits from the United States,
available for Web site viewing and its practical utility; ways to enhance its or from a country that enters into a
printing in the Commission’s Public quality, utility, and clarity; and ways to Totalization Agreement with the United
Reference Room, 100 F Street NE., minimize burden on respondents, States. The respondents are individuals
Washington, DC 20549, on official including the use of automated applying for Old Age Survivors and
business days between the hours of collection techniques or other forms of Disability Insurance (OASDI) benefits
10:00 a.m. and 3:00 p.m. Copies of the information technology. Mail, email, or from the United States or from a
filing also will be available for fax your comments and Totalization Agreement country.
inspection and copying at the principal recommendations on the information Type of Request: Revision of an OMB-
office of the Exchange. All comments collection(s) to the OMB Desk Officer approved information collection.
Average Estimated
Number of Frequency burden per total annual
Modality of completion respondents of response response burden
(minutes) (hours)
SSA–2490–BK (MCS) ..................................................................................... 15,030 1 30 7,515
SSA–2490–BK (paper) .................................................................................... 2,120 1 30 1,060
Totals ........................................................................................................ 17,150 ........................ ........................ 8,575
2. Medicare Part D Subsidies deductible, and co-payment costs for eligibility determinations, and to
Regulations—20 CFR 418.3625(c), certain low-income individuals. The provide a process for appealing SSA’s
418.3645, 418.3665(a), and 418.3670— MMA also mandated the provision of determinations. Regulation sections
mstockstill on DSK30JT082PROD with NOTICES
0960–0702. The Medicare Prescription subsidies for those individuals who 418.3625(c), 418.3645, 418.3665(a), and
Drug Improvement and Modernization qualify for the program and who meet 418.3670 contain public reporting
Act (MMA) of 2003 established the eligibility criteria for help with requirements pertaining to
Medicare Part D program for voluntary premium, deductible, or co-payment administrative review hearings.
prescription drug coverage of premium, costs. This law requires SSA to make Respondents are applicants for the
22 17 CFR 200.30–3(a)(12).
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![19308 Federal Register / Vol. 82, No. 79 / Wednesday, April 26, 2017 / Notices
Average Estimated
Number of Frequency burden per total annual
Modality of completion respondents of response response burden
(minutes) (hours)
SSA–44 (Personal Interview in SSA field office) ............................................. 140,378 1 30 70,189
SSA–44 (Paper Version) ................................................................................. 60,162 1 45 45,122
Totals ........................................................................................................ 200,540 ........................ ........................ 115,311
Dated: April 21, 2017. DEPARTMENT OF STATE • Type of Request: Revision of a
Naomi R. Sipple, Currently Approved Collection.
Reports Clearance Officer, Social Security
[Public Notice: 9966] • Originating Office: PRM/A.
Administration. • Form Number: DS–7699.
30-Day Notice of Proposed Information • Respondents: Lawfully present
[FR Doc. 2017–08403 Filed 4–25–17; 8:45 am] Collection: Affidavit of Relationship parents in the U.S. with children in El
BILLING CODE 4191–02–P (AOR) for Minors Who Are Nationals of Salvador, Guatemala, and Honduras.
El Salvador, Guatemala, or Honduras • Estimated Number of Respondents:
5,000.
ACTION:Notice of request for public
• Estimated Number of Responses:
DEPARTMENT OF STATE comment and submission to OMB of
5,000.
proposed collection of information. • Average Time Per Response: 120
[Public Notice: 9977] SUMMARY: The Department of State has minutes per response.
submitted the information collection • Total Estimated Burden Time:
Designation of Mubarak Mohammed A described below to the Office of 10,000 hours.
Alotaibi, aka Abu Ghayth, aka Waqqas Management and Budget (OMB) for • Frequency: Once per respondent.
al-Jazrawi, as a Specially Designated • Obligation to Respond: Required to
approval. In accordance with the
Global Terrorist Obtain or Retain a Benefit.
Paperwork Reduction Act of 1995 we
We are soliciting public comments to
are requesting comments on this
Acting under the authority of and in permit the Department to:
collection from all interested • Evaluate whether the proposed
accordance with section 1(b) of individuals and organizations. The
Executive Order 13224 of September 23, information collection is necessary for
purpose of this Notice is to allow 30 the proper functions of the Department.
2001, as amended by Executive Order days for public comment.
13268 of July 2, 2002, and Executive • Evaluate the accuracy of our
DATES: Submit comments directly to the estimate of the time and cost burden for
Order 13284 of January 23, 2003, I Office of Management and Budget this proposed collection, including the
hereby determine that the person known (OMB) up to May 26, 2017. validity of the methodology and
as Mubarak Mohammed A Alotaibi, aka
ADDRESSES: Direct comments to the assumptions used.
Abu Ghayth, aka Waqqas al-Jazrawi, • Enhance the quality, utility, and
Department of State Desk Officer in the
poses a significant risk of committing clarity of the information to be
Office of Information and Regulatory
acts of terrorism that threaten the collected.
Affairs at the Office of Management and
security of U.S. nationals or the national Budget (OMB). You may submit • Minimize the reporting burden on
security, foreign policy, or economy of comments by the following methods: those who are to respond, including the
the United States. • Email: use of automated collection techniques
Consistent with the determination in oira_submission@omb.eop.gov. You or other forms of information
section 10 of Executive Order 13224 that must include the DS form number, technology.
prior notice to persons determined to be information collection title, and the Please note that comments submitted
subject to the Order who might have a OMB control number in the subject line in response to this Notice are public
constitutional presence in the United of your message. record. Before including any detailed
States would render ineffectual the • Fax: 202–395–5806. Attention: Desk personal information, you should be
blocking and other measures authorized Officer for Department of State. aware that your comments as submitted,
in the Order because of the ability to FOR FURTHER INFORMATION CONTACT:
including your personal information,
transfer funds instantaneously, I Direct requests for additional will be available for public review.
determine that no prior notice needs to information regarding the collection Abstract of Proposed Collection
be provided to any person subject to this listed in this notice, including requests The Department of State Bureau of
determination who might have a for copies of the proposed collection Population, Refugees, and Migration
constitutional presence in the United instrument and supporting documents, (PRM) is responsible for coordinating
States, because to do so would render to Monica Greco, PRM/Office of and managing the U.S. Refugee
ineffectual the measures authorized in Admissions, 2025 E Street NW., Admissions Program (USRAP). PRM
the Order. Washington DC 20522, who may be coordinates within the Department of
This notice shall be published in the reached on 202–453–9251 or at State, as well as with the Department of
mstockstill on DSK30JT082PROD with NOTICES
Federal Register. GrecoMC@state.gov. Homeland Security’s U.S. Citizenship
Dated: March 23, 2017. SUPPLEMENTARY INFORMATION: and Immigration Services (DHS/USCIS),
• Title of Information Collection: in carrying out this responsibility. A
Rex W. Tillerson,
Affidavit of Relationship (AOR) for critical part of the State Department’s
Secretary of State. Minors Who Are Nationals Of El responsibility is determining which
[FR Doc. 2017–08431 Filed 4–25–17; 8:45 am] Salvador, Guatemala, and Honduras. individuals, from among millions of
BILLING CODE 4710–AD–P • OMB Control Number: 1405–0217. refugees worldwide, will have access to
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Document Created: 2017-04-26 03:15:46
Document Modified: 2017-04-26 03:15:46
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