82_FR_23793 82 FR 23695 - Agency Information Collection Activities: Proposed Request and Comment Request

82 FR 23695 - Agency Information Collection Activities: Proposed Request and Comment Request

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 82, Issue 98 (May 23, 2017)

Page Range23695-23698
FR Document2017-10470

Federal Register, Volume 82 Issue 98 (Tuesday, May 23, 2017)
[Federal Register Volume 82, Number 98 (Tuesday, May 23, 2017)]
[Notices]
[Pages 23695-23698]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-10470]


-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2017-0028]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA,

[[Page 23696]]

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-2017-0028].
    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 July 
24, 2017. Individuals can obtain copies of the collection instrument by 
writing to the above email address.
    Statement Regarding Date of Birth and Citizenship--20CFR 404.716--
0960-0016. Section 205(a) of the Social Security Act (Act) gives the 
Commissioner of SSA the authority to make rules and regulations and to 
establish procedures for collecting evidence from individuals applying 
for Social Security benefits. When individuals apply for Social 
Security benefits and cannot provide preferred methods of proving age 
or citizenship, SSA uses Form SSA-702 to establish these facts. 
Specifically, SSA uses the SSA-702 to establish age as a factor of 
entitlement to Social Security benefits, or U.S. citizenship as a 
payment factor. Respondents are individuals with knowledge about the 
date of birth or citizenship of applicants filing for one or more 
Social Security benefits who need to establish age or citizenship.
    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-702.....................................           1,200                1               10              200
----------------------------------------------------------------------------------------------------------------

    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 June 22, 2017. Individuals can obtain copies of the OMB 
clearance package by writing to [email protected].
    1. Authorization for the Social Security Administration to Obtain 
Wage and Employment Information from Payroll Data Providers--0960-NEW. 
Section 824 of the Bipartisan Budget Act (BBA) of 2015, Public Law 114-
74, authorizes the Social Security Administration (SSA) to enter into 
information exchanges with payroll data providers for the purposes of 
improving program administration and preventing improper payments in 
the Social Security Disability Insurance (SSDI) and Supplemental 
Security Income (SSI) programs. SSA will use Form SSA-8240, 
``Authorization for the Social Security Administration to Obtain Wage 
and Employment Information from Payroll Data Providers,'' to secure the 
authorization needed from the relevant members of the public to obtain 
their wage and employment information from payroll data providers. 
Ultimately, SSA will use this wage and employment information to help 
determine program eligibility and payment amounts.
    The public will be able to complete form SSA-8240 using the 
following modalities: A paper form; the Internet; and an in-office or 
telephone interview, during which an SSA employee will document the 
wage and employment information authorization information on one of 
SSA's internal systems ((the Modernized Claims System (MCS); the 
Modernized Supplemental Security Income Claims System (MSSICS); eWork; 
or iMain)). The individual's authorization will remain effective until 
one of the following four events occurs:
     SSA makes a final adverse decision on the application for 
benefits, and the applicant has filed no other claims or appeals under 
the Title for which SSA obtained the authorization;
     the individual's eligibility for payments ends, and the 
individual has not filed other claims or appeals under the Title for 
which SSA obtained the authorization;
     the individual revokes the authorization verbally or in 
writing; or
     the deeming relationship ends (for SSI purposes only).
    SSA will request authorization on an as-needed basis as part of the 
following processes: (a) SSDI and SSI initial claims; (b) SSI 
redeterminations; and (c) SSDI Work Continuing Disability Reviews. The 
respondents are individuals who file for or are currently receiving 
SSDI or SSI payments, and any person whose income and resources SSA 
counts when determining an individual's SSI eligibility or payment 
amount.
    Type of Request: Request for a new information collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of  completion                respondents   response  (per     response         burden
                                                                      annum)         (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8240 (paper)................................         136,150               1               6          13,615
Title II & Title XVI Electronic (MCS, MSSICS,          2,769,800               1               2          92,327
 and eWork).....................................
Internet........................................         927,504               1               2          30,917
Revoking Authorization..........................         191,673               1              10          31,946
                                                 ---------------------------------------------------------------
    Totals......................................       4,025,127  ..............  ..............         168,805
----------------------------------------------------------------------------------------------------------------

    2. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064. 
When self-employed workers submit earnings data to SSA, they cannot 
count rental income from a farm unless they demonstrate ``material 
participation'' in the farm's operation. A material participation 
arrangement means the farm owners must perform a combination of 
physical duties; management decisions; and capital investment in the 
farm they rent out. SSA uses Form SSA-7157, the Farm Arrangement 
Questionnaire, to document material participation. The

[[Page 23697]]

respondents are workers who are renting farmland to others; are 
involved in the operation of the farm; and want to claim countable 
income from work they perform relating to the farm.
    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-7157....................................           2,304                1               30            1,152
----------------------------------------------------------------------------------------------------------------

    3. Railroad Employment Questionnaire--20 CFR 404.1401, 404.1406-
404.1408--0960-0078. Railroad workers, their dependents, or survivors 
can concurrently apply for railroad retirement and Social Security 
benefits at SSA if the number holder, or claimant on the number 
holder's Social Security Number, worked in the railroad industry. SSA 
uses Form SSA-671 to coordinate Social Security claims processing with 
the Railroad Retirement Board, and to determine benefit entitlement and 
amount. The respondents are Social Security benefit applicants 
previously employed by a railroad or dependents of railroad workers.
    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-671.....................................         125,000                1                5           10,417
----------------------------------------------------------------------------------------------------------------

    4. Employee Identification Statement--20 CFR 404.702--0960-0473. 
When two or more individuals report earnings under the same Social 
Security Number (SSN), SSA collects information on Form SSA-4156 to 
credit the earnings to the correct individual and SSN. We send the SSA-
4156 to the employer to: (1) Identify the employees involved; (2) 
resolve the discrepancy; and (3) credit the earnings to the correct 
SSN. The respondents are employers involved in erroneous wage reporting 
for an employee.
    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-4156....................................           4,750                1               10              792
----------------------------------------------------------------------------------------------------------------

    5. 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 burden     Estimated
             Modality of completion                  Number of     Frequency of    per response    total annual
                                                    respondents      response        (minutes)    burden (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
----------------------------------------------------------------------------------------------------------------



[[Page 23698]]

    Dated: May 17, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-10470 Filed 5-22-17; 8:45 am]
 BILLING CODE 4191-02-P



                                                                               Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices                                                   23695

                                                denying a person’s benefits or                          data (collectively referred to herein as              records maintained in our SORs. Data
                                                payments.                                               ‘‘data’’) made by us to various State                 elements disclosed in computer
                                                   We have taken action to ensure that                  agencies and departments (State                       matching governed by this Agreement
                                                all of our computer matching programs                   Agencies), tribal agencies, and U.S.                  are Personally Identifiable Information
                                                comply with the requirements of the                     territories that administer federally                 from our specified SORs, including
                                                Privacy Act, as amended.                                funded benefit programs, including                    names, SSNs, addresses, amounts, and
                                                                                                        those under various provisions of the                 other information related to our benefits
                                                Mary Ann Zimmerman,
                                                                                                        Act, such as section 1137 (42 U.S.C.                  and earnings information. Specific
                                                Acting Executive Director, Office of Privacy            1320b–7), as well as the state-funded                 listings of data elements are available at:
                                                and Disclosure, Office of the General Counsel.
                                                                                                        state supplementary payment programs                  http://www.ssa.gov/dataexchange/.
                                                   Participating Agencies: SSA and the                  under Title XVI of the Act. SSA                          Systems of Records (SOR): Our SORs
                                                States, tribal agencies, and U.S.                       provides electronic data to the States,               used for purposes of the subject data
                                                territories                                             tribal agencies, and U.S. territories for             exchanges include:
                                                   Authority for Conducting the                         use in determining entitlement and                       • 60–0058—Master Files of SSN
                                                Matching Program: The legal authority                   eligibility for federally funded benefit              Holders and SSN Applications;
                                                to disclose data and the States’ authority              programs—such as Medicare and                            • 60–0059—Earnings Recording and
                                                to collect, maintain, and use data                      Medicaid, subsidized housing,                         Self-Employment Income System;
                                                protected under our systems of records                  Supplemental Nutrition Assistance                        • 60–0090—Master Beneficiary
                                                (SOR) for specified purposes is:                        Program, and Temporary Assistance to                  Record;
                                                   • Sections 453, 1106(b), and 1137 of                 Needy Families—as well as other                          • 60–0103—Supplemental Security
                                                the Social Security Act (Act) (42 U.S.C.                federally funded, state administered                  Income Record (SSR) and Special
                                                653, 1306(b), and 1320b–7) (income and                  benefit programs. To receive SSA data                 Veterans Benefits (SVB);
                                                eligibility verification data);                         to administer federally funded, state-                   • 60–0269—Prisoner Update
                                                   • 26 U.S.C. 6103(l)(7) and (8) (tax                  administered benefit programs, the State              Processing System (PUPS); and
                                                return data);                                                                                                    • 60–0321—Medicare Part D and Part
                                                                                                        or State agency, tribal agency, or U.S.
                                                   • Section 202(x)(3)(B)(iv) of the Act                                                                      D Subsidy File.
                                                                                                        territory must sign a Computer
                                                (42 U.S.C. 402(x)(3)(B)(iv)) and Section                Matching Agreement and an                             States will ensure that the tax return
                                                1611(e)(1)(I)(iii) of the Act (42 U.S.C.                Information Exchange Agreement. The                   data contained in SOR 60–0059
                                                1382(e)(1)(I)(iii)) (prisoner data);                    terms and conditions of this Agreement                (Earnings Recording and Self-
                                                   • Section 205(r)(3) of the Act (42                   ensure that we make such disclosures of               Employment Income System) will only
                                                U.S.C. 405(r)(3)) and the Intelligence                  data, and the States, tribal agencies, and            be used in accordance with 26 U.S.C.
                                                Reform and Terrorism Prevention Act of                  U.S. territories use such disclosed data,             6103.
                                                2004, Public Law 108–458, 7213(a)(2)                    in accordance with the requirements of                [FR Doc. 2017–10484 Filed 5–22–17; 8:45 am]
                                                (death data);                                           the Privacy Act of 1974, as amended by                BILLING CODE 4191–02–P
                                                   • Sections 402, 412, 421, and 435 of                 the CMPPA, 5 U.S.C. 552a.
                                                Public Law 104–193 (8 U.S.C. 1612,                         Under section 1137 of the Act, States
                                                1622, 1631, and 1645) (quarters of                      are required to use an income and                     SOCIAL SECURITY ADMINISTRATION
                                                coverage data);                                         eligibility verification system to                    [Docket No: SSA–2017–0028]
                                                   • Children’s Health Insurance                        administer specified federally funded
                                                Program Reauthorization Act of 2009                     benefit programs, including the state-                Agency Information Collection
                                                (CHIPRA), Public Law 111–3                              funded state supplementary payment                    Activities: Proposed Request and
                                                (citizenship data); and                                 programs under Title XVI of the Act. To               Comment Request
                                                   • Routine use exception to the                       assist the States, tribal agencies, and
                                                Privacy Act, 5 U.S.C. 552a(b)(3) (data                  U.S. territories in determining                          The Social Security Administration
                                                necessary to administer other programs                  entitlement to and eligibility for benefits           (SSA) publishes a list of information
                                                compatible with our programs).                          under those programs, as well as other                collection packages requiring clearance
                                                   This Agreement further carries out                   federally funded benefit programs, we                 by the Office of Management and
                                                section 1106(a) of the Act (42 U.S.C.                   disclose certain data about applicants                Budget (OMB) in compliance with
                                                1306), the regulations promulgated                      (and in limited circumstances, members                Public Law 104–13, the Paperwork
                                                pursuant to that section (20 CFR part                   of an applicant’s household), for state               Reduction Act of 1995, effective October
                                                401), the Privacy Act of 1974 (5 U.S.C.                 benefits from our Privacy Act SORs and                1, 1995. This notice includes revisions
                                                552a), as amended by the Computer                       verify the Social Security numbers                    of OMB-approved information
                                                Matching and Privacy Protection Act of                  (SSN) of the applicants.                              collections.
                                                1988 (CMPPA), related Office of                            Individual agreements with the States,                SSA is soliciting comments on the
                                                Management and Budget (OMB)                             tribal agencies, or U.S. territories                  accuracy of the agency’s burden
                                                guidelines, the Federal Information                     describe the information we will                      estimate; the need for the information;
                                                Security Management Act of 2002 (44                     disclose and the conditions under                     its practical utility; ways to enhance its
                                                U.S.C. 3541, et seq.), as amended by the                which we agree to disclose the                        quality, utility, and clarity; and ways to
                                                Federal Information Security                            information.                                          minimize burden on respondents,
                                                Modernization Act of 2014 (Pub. L. 113–                    Categories of Individuals: Individuals             including the use of automated
                                                283), and related National Institute of                 whose information is involved in the                  collection techniques or other forms of
                                                                                                                                                              information technology. Mail, email, or
sradovich on DSK3GMQ082PROD with NOTICES




                                                Standards and Technology guidelines,                    matching program are those who apply
                                                which provide the requirements that                     for federally funded, state-administered              fax your comments and
                                                States must follow with regard to use,                  benefits, as well as current beneficiaries,           recommendations on the information
                                                treatment, and safeguarding of data.                    recipients, and annuitants under the                  collection(s) to the OMB Desk Officer
                                                   Purpose: The purpose of this                         programs covered by this Agreement.                   and SSA Reports Clearance Officer at
                                                matching program is to set forth the                       Categories of Records: The maximum                 the following addresses or fax numbers.
                                                terms and conditions governing                          number of records involved in this                    (OMB) Office of Management and
                                                disclosures of records, information, or                 matching activity is the number of                       Budget, Attn: Desk Officer for SSA,


                                           VerDate Sep<11>2014   21:15 May 22, 2017   Jkt 241001   PO 00000   Frm 00175   Fmt 4703   Sfmt 4703   E:\FR\FM\23MYN1.SGM   23MYN1


                                                23696                                       Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices

                                                  Fax: 202–395–6974, Email address:                                         this notice. To be sure we consider your                           individuals apply for Social Security
                                                  OIRA_Submission@omb.eop.gov.                                              comments, we must receive them no                                  benefits and cannot provide preferred
                                                (SSA) Social Security Administration,                                       later than July 24, 2017. Individuals can                          methods of proving age or citizenship,
                                                  OLCA, Attn: Reports Clearance                                             obtain copies of the collection                                    SSA uses Form SSA–702 to establish
                                                  Director, 3100 West High Rise, 6401                                       instrument by writing to the above                                 these facts. Specifically, SSA uses the
                                                  Security Blvd., Baltimore, MD 21235,                                      email address.                                                     SSA–702 to establish age as a factor of
                                                  Fax: 410–966–2830, Email address:                                            Statement Regarding Date of Birth and                           entitlement to Social Security benefits,
                                                  OR.Reports.Clearance@ssa.gov.                                             Citizenship—20CFR 404.716—0960–                                    or U.S. citizenship as a payment factor.
                                                  Or you may submit your comments                                           0016. Section 205(a) of the Social                                 Respondents are individuals with
                                                online through www.regulations.gov,                                         Security Act (Act) gives the                                       knowledge about the date of birth or
                                                referencing Docket ID Number [SSA–                                          Commissioner of SSA the authority to                               citizenship of applicants filing for one
                                                2017–0028].                                                                 make rules and regulations and to                                  or more Social Security benefits who
                                                  I. The information collection below is                                    establish procedures for collecting                                need to establish age or citizenship.
                                                pending at SSA. SSA will submit it to                                       evidence from individuals applying for                                Type of Request: Revision of an OMB-
                                                OMB within 60 days from the date of                                         Social Security benefits. When                                     approved information collection.

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

                                                SSA–702 ..........................................................................................................             1,200                 1                         10                    200



                                                  II. SSA submitted the information                                         8240, ‘‘Authorization for the Social                               applicant has filed no other claims or
                                                collections below to OMB for clearance.                                     Security Administration to Obtain Wage                             appeals under the Title for which SSA
                                                Your comments regarding the                                                 and Employment Information from                                    obtained the authorization;
                                                information collections would be most                                       Payroll Data Providers,’’ to secure the                              • the individual’s eligibility for
                                                useful if OMB and SSA receive them 30                                       authorization needed from the relevant                             payments ends, and the individual has
                                                days from the date of this publication.                                     members of the public to obtain their                              not filed other claims or appeals under
                                                To be sure we consider your comments,                                       wage and employment information from                               the Title for which SSA obtained the
                                                we must receive them no later than June                                     payroll data providers. Ultimately, SSA                            authorization;
                                                22, 2017. Individuals can obtain copies                                     will use this wage and employment                                    • the individual revokes the
                                                of the OMB clearance package by                                             information to help determine program                              authorization verbally or in writing; or
                                                writing to OR.Reports.Clearance@                                            eligibility and payment amounts.
                                                                                                                               The public will be able to complete                               • the deeming relationship ends (for
                                                ssa.gov.
                                                  1. Authorization for the Social                                           form SSA–8240 using the following                                  SSI purposes only).
                                                Security Administration to Obtain Wage                                      modalities: A paper form; the Internet;                              SSA will request authorization on an
                                                and Employment Information from                                             and an in-office or telephone interview,                           as-needed basis as part of the following
                                                Payroll Data Providers—0960–NEW.                                            during which an SSA employee will                                  processes: (a) SSDI and SSI initial
                                                Section 824 of the Bipartisan Budget Act                                    document the wage and employment                                   claims; (b) SSI redeterminations; and (c)
                                                (BBA) of 2015, Public Law 114–74,                                           information authorization information                              SSDI Work Continuing Disability
                                                authorizes the Social Security                                              on one of SSA’s internal systems ((the                             Reviews. The respondents are
                                                Administration (SSA) to enter into                                          Modernized Claims System (MCS); the                                individuals who file for or are currently
                                                information exchanges with payroll data                                     Modernized Supplemental Security                                   receiving SSDI or SSI payments, and
                                                providers for the purposes of improving                                     Income Claims System (MSSICS);                                     any person whose income and resources
                                                program administration and preventing                                       eWork; or iMain)). The individual’s                                SSA counts when determining an
                                                improper payments in the Social                                             authorization will remain effective until                          individual’s SSI eligibility or payment
                                                Security Disability Insurance (SSDI) and                                    one of the following four events occurs:                           amount.
                                                Supplemental Security Income (SSI)                                             • SSA makes a final adverse decision                              Type of Request: Request for a new
                                                programs. SSA will use Form SSA–                                            on the application for benefits, and the                           information collection.

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

                                                SSA–8240 (paper) ...........................................................................................                     136,150                         1                         6           13,615
                                                Title II & Title XVI Electronic (MCS, MSSICS, and eWork) ............................                                          2,769,800                         1                         2           92,327
                                                Internet .............................................................................................................           927,504                         1                         2           30,917
                                                Revoking Authorization ....................................................................................                      191,673                         1                        10           31,946

                                                      Totals ........................................................................................................          4,025,127   ........................   ........................        168,805
sradovich on DSK3GMQ082PROD with NOTICES




                                                  2. Farm Arrangement Questionnaire—                                        demonstrate ‘‘material participation’’ in                          management decisions; and capital
                                                20 CFR 404.1082(c)—0960–0064. When                                          the farm’s operation. A material                                   investment in the farm they rent out.
                                                self-employed workers submit earnings                                       participation arrangement means the                                SSA uses Form SSA–7157, the Farm
                                                data to SSA, they cannot count rental                                       farm owners must perform a                                         Arrangement Questionnaire, to
                                                income from a farm unless they                                              combination of physical duties;                                    document material participation. The


                                           VerDate Sep<11>2014         21:15 May 22, 2017          Jkt 241001       PO 00000        Frm 00176       Fmt 4703       Sfmt 4703    E:\FR\FM\23MYN1.SGM         23MYN1


                                                                                           Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices                                                                                     23697

                                                respondents are workers who are                                            to claim countable income from work                                  Type of Request: Revision of an OMB-
                                                renting farmland to others; are involved                                   they perform relating to the farm.                                 approved information collection.
                                                in the operation of the farm; and want

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

                                                SSA–7157 ........................................................................................................             2,304                 1                         30                   1,152



                                                  3. Railroad Employment                                                   claimant on the number holder’s Social                             respondents are Social Security benefit
                                                Questionnaire—20 CFR 404.1401,                                             Security Number, worked in the railroad                            applicants previously employed by a
                                                404.1406–404.1408—0960–0078.                                               industry. SSA uses Form SSA–671 to                                 railroad or dependents of railroad
                                                Railroad workers, their dependents, or                                     coordinate Social Security claims                                  workers.
                                                survivors can concurrently apply for                                       processing with the Railroad Retirement                              Type of Request: Revision of an OMB-
                                                railroad retirement and Social Security                                    Board, and to determine benefit
                                                                                                                                                                                              approved information collection.
                                                benefits at SSA if the number holder, or                                   entitlement and amount. The

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

                                                SSA–671 ..........................................................................................................        125,000                   1                          5                  10,417



                                                  4. Employee Identification                                               credit the earnings to the correct                                 employers involved in erroneous wage
                                                Statement—20 CFR 404.702—0960–                                             individual and SSN. We send the SSA–                               reporting for an employee.
                                                0473. When two or more individuals                                         4156 to the employer to: (1) Identify the                            Type of Request: Revision of an OMB-
                                                report earnings under the same Social                                      employees involved; (2) resolve the                                approved information collection.
                                                Security Number (SSN), SSA collects                                        discrepancy; and (3) credit the earnings
                                                information on Form SSA–4156 to                                            to the correct SSN. The respondents are

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

                                                SSA–4156 ........................................................................................................             4,750                 1                         10                    792



                                                   5. Appeal of Determination for Help                                     program and who meet eligibility                                   Medicare Part D subsidy. The
                                                with Medicare Prescription Drug Plan                                       criteria for help with premium,                                    respondents are Medicare beneficiaries,
                                                Costs—0960–0695. Public Law 108–173,                                       deductible, and co-payment costs. SSA                              or proper applicants acting on behalf of
                                                the MMA of 2003 established the                                            uses Form SSA–1021, Appeal of                                      a Medicare beneficiary, who do not
                                                Medicare Part D program for voluntary                                      Determination for Help With Medicare                               agree with the outcome of an SSA
                                                prescription drug coverage for certain                                     Prescription Drug Plan Costs, to obtain                            subsidy eligibility determination, and
                                                low-income individuals. The MMA                                            information from individuals who                                   are filing an appeal.
                                                stipulates the provision of subsidies for                                  appeal SSA’s decisions regarding                                     Type of Request: Revision of an OMB-
                                                individuals who are eligible for the                                       eligibility or continuing eligibility for a                        approved information collection.

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

                                                SSA–1021 (Paper Version) .............................................................................                            3,283                         1                        10                 547
                                                SSA–1021 (Internet Version; Medicare Application Processing System) .......                                                      11,037                         1                        10               1,840

                                                      Totals ........................................................................................................            14,320   ........................   ........................             2,387
sradovich on DSK3GMQ082PROD with NOTICES




                                           VerDate Sep<11>2014        21:15 May 22, 2017          Jkt 241001       PO 00000        Frm 00177       Fmt 4703       Sfmt 9990    E:\FR\FM\23MYN1.SGM         23MYN1


                                                23698                             Federal Register / Vol. 82, No. 98 / Tuesday, May 23, 2017 / Notices

                                                  Dated: May 17, 2017.                                    do not involve environmental issues                   ADDRESSES:   Written comments should
                                                Naomi R. Sipple,                                          and formal expressions of intent to file              be identified as ‘‘Paperwork Reduction
                                                Reports Clearance Officer, Social Security                an OFA to subsidize continued rail                    Act Comments, Surface Transportation
                                                Administration.                                           service under 49 CFR 1152.27(c)(2) 2                  Board: Report of Fuel Cost,
                                                [FR Doc. 2017–10470 Filed 5–22–17; 8:45 am]               must be filed by June 1, 2017.3 Petitions             Consumption, and Surcharge Revenue.’’
                                                BILLING CODE 4191–02–P                                    to reopen must be filed by June 9, 2017,              These comments should be directed to
                                                                                                          with the Surface Transportation Board,                the Office of Management and Budget,
                                                                                                          395 E Street SW., Washington, DC                      Office of Information and Regulatory
                                                SURFACE TRANSPORTATION BOARD                              20423–0001.                                           Affairs, Attention: Chad Lallemand,
                                                                                                             A copy of any petition filed with the              Surface Transportation Board Desk
                                                [Docket No. AB 33 (Sub-No. 282X)]                         Board should be sent to Mack H.                       Officer, by email at oira_submission@
                                                                                                          Shumate, Jr., Union Pacific Railroad                  omb.eop.gov; by fax at (202) 395–6974;
                                                Union Pacific Railroad Company—
                                                                                                          Company, 101 North Wacker Drive,                      or by mail to Room 10235, 725 17th
                                                Discontinuance of Service
                                                                                                          Room 1920, Chicago, IL 60606.                         Street NW., Washington, DC 20503.
                                                Exemption—in Iroquois County, IL
                                                                                                             If the verified notice contains false or           Please also direct comments to Chris
                                                   Union Pacific Railroad Company (UP)                    misleading information, the exemption                 Oehrle, PRA Officer, Surface
                                                has filed a verified notice of exemption                  is void ab initio.                                    Transportation Board, 395 E Street SW.,
                                                under 49 CFR part 1152 subpart F—                            Board decisions and notices are                    Washington, DC 20423–0001, or to pra@
                                                Exempt Abandonments and                                   available on our Web site at                          stb.gov.
                                                Discontinuances of Service to                             ‘‘WWW.STB.GOV.’’                                      FOR FURTHER INFORMATION CONTACT: For
                                                discontinue service over a 6.03-mile                        Decided: May 17, 2017.                              further information regarding this
                                                portion of the Cissna Park Industrial                       By the Board, Rachel D. Campbell,                   collection, contact Pedro Ramirez at
                                                Lead between milepost 98.20 and                           Director, Office of Proceedings.                      (202) 245–0333 or at pedro.ramirez@
                                                milepost 104.23 at Cissna Park in                         Jeffrey Herzig,                                       stb.gov. Assistance for the hearing
                                                Iroquois County, Ill. (the Line). The Line                                                                      impaired is available through the
                                                                                                          Clearance Clerk.
                                                traverses United States Postal Service                                                                          Federal Information Relay Service
                                                                                                          [FR Doc. 2017–10611 Filed 5–22–17; 8:45 am]
                                                Zip Codes 60924 and 60953.                                                                                      (FIRS) at 1–800–877–8339.
                                                   UP has certified that: (1) no local or                 BILLING CODE 4915–01–P
                                                overhead traffic has moved over the                                                                             SUPPLEMENTARY INFORMATION: For each
                                                Line for at least two years; (2) there is                                                                       collection, comments are requested
                                                no need to reroute any traffic over other                 SURFACE TRANSPORTATION BOARD                          concerning: (1) The accuracy of the
                                                lines; (3) no formal complaint filed by                                                                         Board’s burden estimates; (2) ways to
                                                                                                          30-Day Notice of Intent To Seek                       enhance the quality, utility, and clarity
                                                a user of rail service on the Line (or by
                                                                                                          Extension of Approval: Information                    of the information collected; (3) ways to
                                                a state or local government entity acting
                                                                                                          Collection Activities (Report of Fuel                 minimize the burden of the collection of
                                                on behalf of such user) regarding
                                                                                                          Cost, Consumption, and Surcharge                      information on the respondents,
                                                cessation of service over the Line is
                                                                                                          Revenue)                                              including the use of automated
                                                pending either with the Surface
                                                Transportation Board (Board) or with                            Surface Transportation Board.
                                                                                                          AGENCY:                                               collection techniques or other forms of
                                                any U.S. District Court or has been                                                                             information technology, when
                                                                                                                Notice and request for
                                                                                                          ACTION:
                                                decided in favor of complainant within                                                                          appropriate; and (4) whether the
                                                                                                          comments.
                                                the two-year period; and (4) the                                                                                collection of information is necessary
                                                requirements at 49 CFR 1105.12                            SUMMARY:   As part of its continuing effort           for the proper performance of the
                                                (newspaper publication) and 49 CFR                        to reduce paperwork burdens, and as                   functions of the Board, including
                                                1152.50(d)(1) (notice to governmental                     required by the Paperwork Reduction                   whether the collection has practical
                                                agencies) have been met.                                  Act of 1995 (PRA), the Surface                        utility. Submitted comments will be
                                                   As a condition to this exemption, any                  Transportation Board (STB or Board)                   summarized and included in the
                                                employee adversely affected by the                        gives notice that it is requesting from               Board’s request for OMB approval.
                                                discontinuance of service shall be                        the Office of Management and Budget                   Description of Collection
                                                protected under Oregon Short Line                         (OMB) an extension of approval for the
                                                Railroad—Abandonment Portion                              collection of the Report of Fuel Cost,                  Title: Report of Fuel Cost,
                                                Goshen Branch Between Firth &                             Consumption, and Surcharge Revenue.                   Consumption, and Surcharge Revenue
                                                Ammon, in Bingham & Bonneville                            The Board previously published a                      49 CFR 1243.3.
                                                Counties, Idaho, 360 I.C.C. 91 (1979). To                 notice about this collection in the                     OMB Control Number: 2140–0014.
                                                address whether this condition                            Federal Register on March 8, 2017. That                 STB Form Number: None.
                                                adequately protects affected employees,                   notice allowed for a 60-day public                      Type of Review: Extension without
                                                a petition for partial revocation under                   review and comment period. No                         change.
                                                49 U.S.C. 10502(d) must be filed.                         comments were received.                                 Respondents: Class I railroads
                                                   Provided no formal expression of                                                                             (carriers having revenues more than 250
                                                                                                          DATES: Comments on this information
                                                intent to file an offer of financial                                                                            million dollars in 1991 dollars).
                                                                                                          collection should be submitted by June
                                                assistance (OFA) to subsidize continued                                                                           Number of Respondents: Seven.
                                                                                                          22, 2017.
                                                rail service has been received, this                                                                              Estimated Time per Response: One
                                                                                                                                                                hour.
sradovich on DSK3GMQ082PROD with NOTICES




                                                exemption will be effective on June 21,                     2 Each OFA must be accompanied by the filing
                                                2017, unless stayed pending                               fee, which is currently set at $1,700. See 49 CFR       Frequency: Quarterly.
                                                reconsideration.1 Petitions to stay that                  1002.2(f)(25).                                          Total Burden Hours (annually
                                                                                                            3 Because this is a discontinuance proceeding and   including all respondents): 28.
                                                   1 Although UP states in its verified notice that the   not an abandonment, interim trail use/rail banking      Total ‘‘Non-hour Burden’’ Cost: None
                                                proposed consummation date of this transaction is         and public use conditions are not appropriate.
                                                June 19, 2017, this transaction cannot be                 Because there will be an environmental review
                                                                                                                                                                identified.
                                                consummated until June 21, 2017 (50 days from its         during abandonment, this discontinuance does not        Needs and Uses: Under 49 U.S.C.
                                                filing date). 49 CFR 1152.50(d)(2).                       require an environmental review.                      10702, the Board has the authority to


                                           VerDate Sep<11>2014    21:15 May 22, 2017   Jkt 241001   PO 00000   Frm 00178   Fmt 4703   Sfmt 4703   E:\FR\FM\23MYN1.SGM   23MYN1



Document Created: 2017-05-23 02:14:32
Document Modified: 2017-05-23 02:14:32
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 Citation82 FR 23695 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR