17978 Federal Register / Vol. 76, No. 62 / Thursday, March 31, 2011 / Notices 

Form No. Number of respondents 

Frequency of 

response 

Average burden per response (minutes) 

Total annual 

burden (hours) 

SSA–623 .......................................................................................................... 2,378,400 1 15 594,600 

SSA–6230 ........................................................................................................ 2,875,900 1 15 718,975 

SSA–6234 ........................................................................................................ 702,100 1 15 175,525 

iRPA* ............................................................................................................... 652,500 1 15 163,125 

Totals ........................................................................................................ 6,608,900 ........................ ........................ 1,652,225 

II. SSA submitted the information 

collections listed below to OMB for 

clearance. Your comments on the 

information collections would be most 

useful if OMB and SSA receive them 

within 30 days from the date of this 

publication. To be sure we consider 

your comments, we must receive them 

no later than May 2, 2011. You can 

obtain a copy of the OMB clearance 

package by calling the SSA Reports 

Clearance Officer at 410–965–8783 or by 

writing to the above e-mail address. 

1. Petition To Obtain Approval of a 

Fee for Representing a Claimant Before 

the SSA— 20 CFR 404.1720 and 

404.1725; 20 CFR 416.1520 and 

416.1525—0960–0104. A Social Security 

claimant’s representative, whether an 

attorney or a non-attorney, uses Form 

SSA–1560–U4 to petition SSA for 

authorization to charge and collect a fee. 

A claimant may also use the form to 

agree or disagree with the requested fee 

amount or other information the 

representative provides on the form. 

The SSA official responsible for setting 

the fee uses the information from the 

form to determine a reasonable fee 

amount representatives may charge for 

their services. The respondents are 

attorneys and non-attorneys who 

represent Social Security claimants. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 48,110. 

Frequency of Response: 1. 

Average Burden per Response: 

30 minutes. 

Estimated Annual Burden: 

24,055 hours 

2. Questionnaire for Children 

Claiming SSI Benefits—0960–0499. 

Section 1631(d)(2) of the Social Security 

Act gives the agency the authority to 

collect information needed to determine 

the validity of an applicant’s claim for 

SSI benefits. Section 20 CFR 416.912(a) 

of the Code of Federal Regulations states 

an applicant must furnish medical and 

other evidence SSA can use to reach 

conclusions about a child’s medical 

condition. Parents or legal guardians use 

the SSA–3881–BK to provide SSA with 

the names and 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 

eligibility or continuing eligibility for 

SSI when conducting a continuing 

disability review or in the appeals 

process. The respondents are applicants 

who appeal SSI childhood disability 

decisions or recipients undergoing a 

continuing disability review. This is a 

correction notice: SSA published this 

information collection as an extension 

on January 28, 2011 at 76 FR 5233. 

Since we are revising the Privacy Act 

Statement, this is now a revision of an 

OMB-approved information collection. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 253,000. 

Frequency of Response: 1. 

Average Burden per Response: 

30 minutes. 

Estimated Annual Burden: 

126,500 hours. 

3. Electronic Benefit Verification 

Information (BEVE)—20 CFR 401.40— 

0960–0595. The electronic proof of 

income (POI) verification Internet 

service, BEVE, provides SSI recipients, 

Social Security beneficiaries, and 

Medicare beneficiaries the convenience 

of requesting a POI statement through 

the Internet. Beneficiaries and SSI 

recipients often require POI to obtain 

housing, food stamps, or other public 

services. After verifying the requester’s 

identity, SSA uses the information from 

BEVE to provide the POI statement. The 

respondents are Social Security 

beneficiaries, Medicare beneficiaries, 

and SSI recipients. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 870,958. 

Frequency of Response: 1. 

Average Burden per Response: 

5 minutes. 

Estimated Annual Burden: 

72,580 hours. 

Dated: March 25, 2011. 

Liz Davidson, 

Center Director, Center for Reports Clearance, 

Social Security Administration. 

[FR Doc. 2011–7503 Filed 3–30–11; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

Agency Information Collection 

Activities: Emergency Clearance 

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 a new 

collection. 

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 to the OMB Desk Officer and 

SSA Reports Clearance Officer to the 

following addresses or fax numbers. 

(OMB), Office of Management and 

Budget, Attn: Desk Officer for SSA, 

Fax: 202–395–6974, E-mail 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. 

SSA submitted the information 

collection below to OMB for Emergency 

Clearance. SSA is requesting Emergency 

Clearance from OMB no later than April 

5, 2011. Individuals can obtain copies of 

the collection instrument by calling the 

SSA Reports Clearance Officer at 410– 

965–8783 or by writing to the above email address. 


wwoods2 on DSK1DXX6B1PROD with NOTICES
Federal Register / Vol. 76, No. 62 / Thursday, March 31, 2011 / Notices 17979 

Statement of Claimant or Other PersonMedical Resident Federal Insurance 

Contributions Act (FICA) Refund 

Claims—20 CFR 404.702 and 416.570— 

0960–NEW 

Background 

A recent Internal Revenue Service 

(IRS) ruling allows doctors who worked 

as medical residents from 1993 through 

2005 to consider their residencies to be 

student training, not employment. 

Accordingly, these doctors may request 

a FICA refund from IRS for those years. 

However, if they choose this option, 

SSA will remove their earnings for those 

years from their earnings records, 

ultimately reducing their Social 

Security benefits. 

Information Collection Description 

SSA will conduct outreach with those 

medical residents (or their survivors, 

next of kin, representative payees, etc.) 

who (1) meet the above criteria, (2) are 

currently entitled to Social Security 

benefits, and (3) will experience a 

reduction of their benefits if they 

request the FICA refund. SSA will call 

the affected beneficiaries, and explain 

how accepting the refund would affect 

their Social Security benefits. We will 

then mail form SSA–795–OP2 and ask 

them to confirm or change their 

decision to receive the FICA refund and 

have SSA reduce their earnings records 

accordingly. If SSA cannot first reach 

the respondents by phone, we will mail 

them an explanatory letter together with 

form SSA–795–OP2. 

The respondents for this collection 

are beneficiaries who served as medical 

residents from 1993 through 2005 and 

who filed a request with IRS for a FICA 

refund for those years. The collection is 

voluntary; if SSA does not receive a 

response, IRS will assume the original 

request for a FICA refund stands. 

Emergency Clearance 

Because IRS is holding the FICA 

refund payments until we receive 

confirmation from the respondents of 

their decision, we are requesting 

emergency OMB approval for this 

collection. We will undergo the 

standard OMB clearance process after 

receiving emergency approval. 

Type of Request: Request for a new 

information collection. 

Number of Respondents: 496. 

Frequency of Response: 1. 

Average Burden per Response: 4 

minutes. 

Estimated Annual Burden: 33 hours. 

Dated: March 28, 2011. 

Faye Lipsky, 

Reports Clearance Officer, Center for Reports 

Clearance, Social Security Administration. 

[FR Doc. 2011–7591 Filed 3–30–11; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 7392] 

In the Matter of the Review of the 

Designation of al-Aqsa Martyrs’ 

Brigade aka al-Aqsa Martyrs’ Battalion 

as a Foreign Terrorist Organization 

Pursuant to Section 219 of the 

Immigration and Nationality Act, As 

Amended 

Based upon a review of the 

Administrative Record assembled in 

this matter pursuant to Section 

219(a)(4)(C) of the Immigration and 

Nationality Act, as amended (8 U.S.C. 

1189(a)(4)(C)) (‘‘INA’’), and in 

consultation with the Attorney General 

and the Secretary of the Treasury, I 

conclude that the circumstances that 

were the basis for the 2004 redesignation of the aforementioned 

organization as a foreign terrorist 

organization have not changed in such 

a manner as to warrant revocation of the 

designation and that the national 

security of the United States does not 

warrant a revocation of the designation. 

Therefore, I hereby determine that the 

designation of the aforementioned 

organization as a foreign terrorist 

organization, pursuant to Section 219 of 

the INA (8 U.S.C. 1189), shall be 

maintained. 

This determination shall be published 

in the Federal Register. 

Dated: March 24, 2011. 

James B. Steinberg, 

Deputy Secretary of State. 

[FR Doc. 2011–7624 Filed 3–30–11; 8:45 am] 

BILLING CODE 4710–10–P 

DEPARTMENT OF STATE 

[Public Notice 7390] 

Bureau of Educational and Cultural 

Affairs (ECA) Request for Grant 

Proposals: Timor-Leste and South 

Pacific Scholarship Programs 

Announcement Type: New 

Cooperative Agreement. 

Funding Opportunity Number: ECA/ 

A/E/EAP–11–03. 

Catalog of Federal Domestic 

Assistance Number: 19.011. 

Application Deadline: May 12, 2011. 

Executive Summary: The Office of 

Academic Programs of the Bureau of 

Educational and Cultural Affairs 

announces an open competition to 

administer the United States TimorLeste (USTL) Scholarship Program and 

the United States South Pacific (USSP) 

Scholarship Program. Eligible 

applicants may submit a proposal to 

administer one or both of the 

scholarship programs. Public and 

private non-profit organizations meeting 

the provisions described in Internal 

Revenue Code section 26 U.S.C. 

501(c)(3) may submit proposals to 

organize and carry out academic 

exchange program activities for 

approximately ten (10) students, i.e. 

approximately five (5) from Timor-Leste 

and five (5) from the sovereign island 

nations of the South Pacific (eligible 

nations are listed below in the Overview 

section). The recipient(s) will be 

responsible for all aspects of the 

programs, including publicity and 

recruitment of applicants; merit-based 

competitive selection; placement of 

students at an accredited U.S. academic 

institution; student travel to the U.S.; 

orientation; up to four years of U.S. 

degree study at the bachelor’s or up to 

three years at the master’s level 

(including one year of preparatory 

study); enrichment programming; 

advising, monitoring and support; prereturn activities; evaluation; and followup with program alumni. The duration 

of the cooperative agreement(s) will be 

up to five years, beginning 

approximately on August 1, 2011. These 

programs will be implemented pending 

the availability of FY 2011 funds. 

I. Funding Opportunity Description 

Authority: Overall grant making 

authority for this program is contained 

in the Mutual Educational and Cultural 

Exchange Act of 1961, Public Law 87– 

256, as amended, also known as the 

Fulbright-Hays Act. The purpose of the 

Act is ‘‘to enable the Government of the 

United States to increase mutual 

understanding between the people of 

the United States and the people of 

other countries; to strengthen the ties 

which unite us with other nations by 

demonstrating the educational and 

cultural interests, developments, and 

achievements of the people of the 

United States and other nations * * * 

and thus to assist in the development of 

friendly, sympathetic and peaceful 

relations between the United States and 

the other countries of the world.’’ The 

funding authority for the program above 

is provided through legislation. 

Purpose: In response to Public Law 

103–236, which directed the Bureau of 

Educational and Cultural Affairs (ECA) 

to provide scholarships to students from 

Timor-Leste and from the sovereign 


wwoods2 on DSK1DXX6B1PROD with NOTICES