Federal Register / Vol. 76, No. 42 / Thursday, March 3, 2011 / Notices 11835 

SMALL BUSINESS ADMINISTRATION 

[Disaster Declaration #12477 and #12478] 

Oregon Disaster #OR–00036 

AGENCY: U.S. Small Business 

Administration. 

ACTION: Notice. 

SUMMARY: This is a Notice of the 

Presidential declaration of a major 

disaster for Public Assistance Only for 

the State of Oregon (FEMA–1956–DR), 

dated 02/17/2011. 

Incident: Severe Winter Storm, 

Flooding, Mudslides, Landslides, and 

Debris Flows. 

Incident Period: 01/13/2011 through 

01/21/2011. 

Effective Date: 02/17/2011. 

Physical Loan Application Deadline 

Date: 04/18/2011. 

Economic Injury (EIDL) Loan 

Application Deadline Date: 11/17/2011. 

ADDRESSES: Submit completed loan 

applications to: U.S. Small Business 

Administration, Processing And 

Disbursement Center, 14925 Kingsport 

Road, Fort Worth, TX 76155. 

FOR FURTHER INFORMATION CONTACT: A. 

Escobar, Office of Disaster Assistance, 

U.S. Small Business Administration, 

409 3rd Street, SW., Suite 6050, 

Washington, DC 20416 

SUPPLEMENTARY INFORMATION: Notice is 

hereby given that as a result of the 

President’s major disaster declaration on 

02/17/2011, Private Non-Profit 

organizations that provide essential 

services of governmental nature may file 

disaster loan applications at the address 

listed above or other locally announced 

locations. 

The following areas have been 

determined to be adversely affected by 

the disaster: 

Primary Counties: Clackamas, Clatsop, 

Crook, Douglas, Lincoln, Tillamook. 

The Interest Rates are: 

Percent 

For Physical Damage: 

Non-Profit Organizations With 

Credit Available Elsewhere 3.250 

Non-Profit Organizations 

Without Credit Available 

Elsewhere .......................... 3.000 

For Economic Injury: 

Non-Profit Organizations 

Without Credit Available 

Elsewhere .......................... 3.000 

The number assigned to this disaster 

for physical damage is 12477B and for 

economic injury is 12478B. 

(Catalog of Federal Domestic Assistance 

Numbers 59002 and 59008) 

James E. Rivera, 

Associate Administrator for Disaster 

Assistance. 

[FR Doc. 2011–4426 Filed 3–2–11; 8:45 am] 

BILLING CODE 8025–01–M 

SOCIAL SECURITY ADMINISTRATION 

Agency Information Collection 

Activities: Proposed 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, e-mail, 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: 

OIRA_Submission@omb.eop.gov. 

(SSA) 

Social Security Administration, 

DCBFM, Attn: Reports Clearance 

Officer, 1333 Annex Building, 6401 

Security Blvd., Baltimore, MD 21235, 

Fax: 410–965–6400, E-mail address: 

OPLM.RCO@ssa.gov. 

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 May 2, 2011. Individuals can 

obtain copies of the collection 

instruments by calling the SSA Reports 

Clearance Officer at 410–965–8783 or by 

writing to the above email address. 

1. Statement Regarding Marriage—20 

CFR 404.726—0960–0017. Section 

216(h)(1)(A) of the Social Security Act 

(the Act) directs SSA to apply state law 

to determine an individual’s marital 

relationship. Some state laws recognize 

marriages without a ceremony (i.e., 

common-law marriages). In such cases, 

SSA provides the same spouse/ 

widow(er) benefits to the common-law 

spouses as it does to ceremonially 

married spouses. To determine 

common-law spouses, SSA must elicit 

information from blood relatives or 

other persons who are knowledgeable 

about the alleged common-law 

relationship. SSA uses Form SSA–753, 

Statement Regarding Marriage, to collect 

information from third parties to verify 

the applicant’s statements about intent, 

cohabitation, and holding out to the 

public as married, which are the basic 

tenets of a common-law marriage. SSA 

uses the information to determine if a 

valid marital relationship exists, and if 

the common-law spouse is entitled to 

Social Security spouse or widow(er) 

benefits. The respondents are third 

parties who can confirm or deny the 

alleged common-law marriage. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 40,000. 

Frequency of Response: 1. 

Average Burden per Response: 9 

minutes. 

Estimated Annual Burden: 6,000 

hours. 

2. Railroad Employment 

Questionnaire—20CFR 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 whenever the number 

holder, or claimant on the number 

holder’s SSN, worked in the railroad 

industry. SSA uses the information from 

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 employed by 

a railroad or dependents of railroad 

workers. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 125,000. 

Frequency of Response: 1. 

Average Burden of Response: 5 

minutes. 

Estimated Annual Burden: 10,417 

hours. 

3. Statement of Death by Funeral 

Director—20 CFR 404.715 and 

404.720—0960–0142. When a Social 

Security-insured worker dies, the 

funeral director or funeral home 

responsible for the worker’s burial or 

cremation completes Form SSA–721 

and sends it to SSA. SSA uses this 

information for three purposes: (1) To 

establish proof of death for the insured 

worker; (2) to determine if the insured 

worker was receiving any pre-death 


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