67380 Federal Register / Vol. 69, No. 221 / Wednesday, November 17, 2004 / Notices 

collection packages that will require 

clearance by the Office of Management 

and Budget (OMB) in compliance with 

Public Law 104–13 effective October 1, 

1995, The Paperwork Reduction Act of 

1995. The information collection 

packages that may be included in this 

notice are for new 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 on ways 

to minimize burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Written 

comments and recommendations 

regarding the information collection(s) 

should be submitted to the OMB Desk 

Officer and the SSA Reports Clearance 

Officer.

(OMB), Office of Management and 

Budget, Attn: Desk Officer for SSA, 

Fax: 202–395–6974. 

(SSA), Social Security Administration, 

DCFAM, Attn: Reports Clearance 

Officer, Fax: 410–965–6400, E-mail: 

OPLM.RCO@ssa.gov.

The information collections listed 

below have been submitted to OMB for 

clearance. In order for your comments to 

be considered, you must send them by 

December 17, 2004. You can obtain a 

copy of the OMB clearance package by 

calling the SSA Reports Clearance 

Officer at 410–965–0454, or by writing 

to the e-mail address listed above. 

1. Application for Help With Medicare 

Prescription Drug Plan Costs—0960–

NEW 

SSA published a notice in the Federal 

Register on September 30 (69 FR 58578) 

informing the public that OMB is 

reviewing form SSA–1020, the 

Application for Help with Medicare 

Prescription Drug Plan Costs. At the 

time this notice was published, SSA 

received public comments and withheld 

submission of the forms in order to 

evaluate these comments. As a result, 

SSA has revised form SSA–1020, 

submitted it to OMB for its review, and 

is republishing the Notice below. 

Comments must be received within 30 

days of publication of this Notice in 

order to be considered. 

The Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (Pub. L. 108–173; MMA) 

establishes a new Medicare Part D 

program for voluntary prescription drug 

coverage for premium, deductible and 

cost-sharing subsidies for certain lowincome individuals. The MMA 

stipulates that subsidies must be 

available for individuals who are 

eligible for the program and who meet 

eligibility criteria for help with 

premium, deductible, and/or copayment costs. Form SSA–1020, the 

Application for Help with Medicare 

Prescription Drug Plan Costs, collects 

information about an applicant’s 

resources and is used by SSA to 

determine eligibility for this assistance. 

The respondents are individuals who 

are eligible for enrollment in the new 

program and are requesting assistance 

with the related costs.

Note: Since publishing the 60-day Federal 

Register Notice (69 FR 45879), SSA has 

decided to conduct a pilot test of form SSA–

1020 in March 2005. This test is intended to 

assist SSA in: (1) Determining how eligible 

individuals will respond to its Part D 

Subsidy application outreach (scheduled to 

begin in June 2005) and (2) testing its systems 

processing of the SSA–1020 application. SSA 

will use the information to make actual 

subsidy eligibility determinations. The 

Agency will conduct the test with 

approximately 2,000 beneficiaries potentially 

eligible for Part D cost-sharing subsidies by 

providing them with copies of form SSA–

1020.

Type of Request: New information 

collection. 

Number of Respondents: 5,000,000. 

Frequency of Response: 1. 

Average Burden Per Response: 35 

minutes. 

Estimated Annual Burden: 2,916,667 

hours. 

2. Appeal of Determination for Help 

With Medicare Prescription Drug Plan 

Costs—0960–NEW 

SSA published a notice in the Federal 

Register on September 30 (69 FR 58578) 

informing the public that OMB is 

reviewing form SSA–1021, Appeal of 

Determination for Help with Medicare 

Prescription Drug Plan Costs. At the 

time this notice was published, SSA 

received public comments and withheld 

submission of the form in order to 

evaluate the comments. As a result, SSA 

has revised form SSA–1021, submitted 

it to OMB for its review, and is 

republishing the Notice below. 

Comments must be received within 30 

days of publication of this Notice in 

order to be considered. 

The Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (Pub. L. 108–173; MMA) 

establishes a new Medicare Part D 

program for voluntary prescription drug 

coverage for premium, deductible, and 

cost-sharing subsidies for certain lowincome individuals. The MMA 

stipulates that subsidies must be 

available for individuals who are 

eligible for the program and who meet 

eligibility criteria for help with 

premium, deductible, and/or copayment costs. Form SSA–1021, the 

Appeal of Determination for Help with 

Medicare Prescription Drug Plan Costs, 

was developed to obtain information 

from individuals who appeal SSA’s 

decisions regarding eligibility or 

continuing eligibility for a Medicare 

Part D subsidy. The respondents are 

applicants who are appealing SSA’s 

eligibility or continuing eligibility 

decisions. 

Type of Request: New information 

collection. 

Number of Respondents: 75,000. 

Frequency of Response: 1. 

Average Burden Per Response: 10 

minutes. 

Estimated Annual Burden: 12,500 

hours.

Dated: November 12, 2004. 

Elizabeth A. Davidson, 

Reports Clearance Officer, Social Security 

Administration.

[FR Doc. 04–25489 Filed 11–16–04; 8:45 am] 

BILLING CODE 4191–02–P

OFFICE OF THE UNITED STATES 

TRADE REPRESENTATIVE 

North American Free Trade 

Agreement; Invitation for Applications 

for Inclusion on the Chapter 19 Roster

AGENCY: Office of the United States 

Trade Representative.

ACTION: Invitation for applications.

SUMMARY: Chapter 19 of the North 

American Free Trade Agreement 

(‘‘NAFTA’’) provides for the 

establishment of a roster of individuals 

to serve on binational panels convened 

to review final determinations in 

antidumping or countervailing duty 

(‘‘AD/CVD’’) proceedings and 

amendments to AD/CVD statutes of a 

NAFTA Party. The United States 

annually renews its selections for the 

Chapter 19 roster. Applications are 

invited from eligible individuals 

wishing to be included on the roster for 

the period April 1, 2005 through March 

31, 2006.

DATES: Applications should be received 

no later than December 10, 2004.

ADDRESSES: Comments should be 

submitted (i) electronically, to 

FR0501@ustr.eop.gov, Attn: ‘‘Chapter 19 

Roster Applications’’ in the subject line, 

or (ii) by fax to Sandy McKinzy at 202–

395–3640.

FOR FURTHER INFORMATION CONTACT:

Jeffrey G. Weiss, Assistant General 

Counsel, Office of the United States 

Trade Representative, (202) 395–4498.

SUPPLEMENTARY INFORMATION:

Federal Register / Vol. 69, No. 221 / Wednesday, November 17, 2004 / Notices 67381

Binational Panel Reviews Under 

NAFTA Chapter 19 

Article 1904 of the NAFTA provides 

that a party involved in an AD/CVD 

proceeding may obtain review by a 

binational panel of a final AD/CVD 

determination of one NAFTA Party with 

respect to the products of another 

NAFTA Party. Binational panels decide 

whether such AD/CVD determinations 

are in accordance with the domestic 

laws of the importing NAFTA Party, and 

must use the standard of review that 

would have been applied by a domestic 

court of the importing NAFTA Party. A 

panel may uphold the AD/CVD 

determination, or may remand it to the 

national administering authority for 

action not inconsistent with the panel’s 

decision. Panel decisions may be 

reviewed in specific circumstances by a 

three-member extraordinary challenge 

committee, selected from a separate 

roster composed of fifteen current or 

former judges.

Article 1903 of the NAFTA provides 

that a NAFTA Party may refer an 

amendment to the AD/CVD statutes of 

another NAFTA Party to a binational 

panel for a declaratory opinion as to 

whether the amendment is inconsistent 

with the General Agreement on Tariffs 

and Trade (‘‘GATT’’), the GATT 

Antidumping or Subsidies Codes, 

successor agreements, or the object and 

purpose of the NAFTA with regard to 

the establishment of fair and predictable 

conditions for the liberalization of trade. 

If the panel finds that the amendment is 

inconsistent, the two NAFTA Parties 

shall consult and seek to achieve a 

mutually satisfactory solution. 

Chapter 19 Roster and Composition of 

Binational Panels 

Annex 1901.2 of the NAFTA provides 

for the maintenance of a roster of at least 

75 individuals for service on Chapter 19 

binational panels, with each NAFTA 

Party selecting at least 25 individuals. A 

separate five-person panel is formed for 

each review of a final AD/CVD 

determination or statutory amendment. 

To form a panel, the two NAFTA Parties 

involved each appoint two panelists, 

normally by drawing upon individuals 

from the roster. If the Parties cannot 

agree upon the fifth panelist, one of the 

Parties, decided by lot, selects the fifth 

panelist from the roster. The majority of 

individuals on each panel must consist 

of lawyers in good standing, and the 

chair of the panel must be a lawyer. 

Upon each request for establishment 

of a panel, roster members from the two 

involved NAFTA Parties will be 

requested to complete a disclosure form, 

which will be used to identify possible 

conflicts of interest or appearances 

thereof. The disclosure form requests 

information regarding financial interests 

and affiliations, including information 

regarding the identity of clients of the 

roster member and, if applicable, clients 

of the roster member’s firm. 

Criteria for Eligibility for Inclusion on 

Chapter 19 Roster 

Section 402 of the NAFTA 

Implementation Act (Pub. L. 103–182, 

as amended (19 U.S.C. 3432)) (‘‘Section 

402’’) provides that selections by the 

United States of individuals for 

inclusion on the Chapter 19 roster are to 

be based on the eligibility criteria set 

out in Annex 1901.2 of the NAFTA, and 

without regard to political affiliation. 

Annex 1901.2 provides that Chapter 19 

roster members must be citizens of a 

NAFTA Party, must be of good character 

and of high standing and repute, and are 

to be chosen strictly on the basis of their 

objectivity, reliability, sound judgment, 

and general familiarity with 

international trade law. Aside from 

judges, roster members may not be 

affiliated with any of the three NAFTA 

Parties. Section 402 also provides that, 

to the fullest extent practicable, judges 

and former judges who meet the 

eligibility requirements should be 

selected.

Procedures for Selection of Chapter 19 

Roster Members 

Section 402 establishes procedures for 

the selection by the Office of the United 

States Trade Representative (‘‘USTR’’) of 

the individuals chosen by the United 

States for inclusion on the Chapter 19 

roster. The roster is renewed annually, 

and applies during the one-year period 

beginning April 1 of each calendar year. 

Under Section 402, an interagency 

committee chaired by USTR prepares a 

preliminary list of candidates eligible 

for inclusion on the Chapter 19 Roster. 

After consultation with the Senate 

Committee on Finance and the House 

Committee on Ways and Means, USTR 

selects the final list of individuals 

chosen by the United States for 

inclusion on the Chapter 19 roster. 

Remuneration 

Roster members selected for service 

on a Chapter 19 binational panel will be 

remunerated at the rate of 800 Canadian 

dollars per day. 

Applications 

Eligible individuals who wish to be 

included on the Chapter 19 roster for 

the period April 1, 2005 through March 

31, 2006 are invited to submit 

applications. Persons submitting 

applications may either send one copy 

by fax to Sandy McKinzy at 202–395–

3640, or transmit a copy electronically 

to FR0501@ustr.eop.gov, with ‘‘Chapter 

19 Roster Applications’’ in the subject 

line. USTR encourages the submission 

of documents in Adobe PDF format, as 

attachments to an electronic mail. 

Interested persons who make 

submissions by electronic mail should 

not provide separate cover letters; 

information that might appear in a cover 

letter should be included in the 

submission itself. Similarly, to the 

extent possible, any attachments to the 

submission should be included in the 

same file as the submission itself, and 

not as separate files. 

Applications must be typewritten, 

and should be headed ‘‘Application for 

Inclusion on NAFTA Chapter 19 

Roster.’’ Applications should include 

the following information, and each 

section of the application should be 

numbered as indicated: 

1. Name of the applicant. 

2. Business address, telephone 

number, fax number, and e-mail 

address. 

3. Citizenship(s). 

4. Current employment, including 

title, description of responsibility, and 

name and address of employer. 

5. Relevant education and 

professional training.

6. Spanish language fluency, written 

and spoken. 

7. Post-education employment 

history, including the dates and 

addresses of each prior position and a 

summary of responsibilities. 

8. Relevant professional affiliations 

and certifications, including, if any, 

current bar memberships in good 

standing. 

9. A list and copies of publications, 

testimony, and speeches, if any, 

concerning AD/CVD law. Judges or 

former judges should list relevant 

judicial decisions. Only one copy of 

publications, testimony, speeches, and 

decisions need be submitted. 

10. Summary of any current and past 

employment by, or consulting or other 

work for, the Governments of the United 

States, Canada, or Mexico. 

11. The names and nationalities of all 

foreign principals for whom the 

applicant is currently or has previously 

been registered pursuant to the Foreign 

Agents Registration Act, 22 U.S.C. 611 

et seq., and the dates of all registration 

periods. 

12. List of proceedings brought under 

U.S., Canadian, or Mexican AD/CVD 

law regarding imports of U.S., Canadian, 

or Mexican products in which the 

applicant advised or represented (for 

example, as consultant or attorney) any 

U.S., Canadian, or Mexican party to

67382 Federal Register / Vol. 69, No. 221 / Wednesday, November 17, 2004 / Notices 

such proceeding and, for each such 

proceeding listed, the name and country 

of incorporation of such party. 

13. A short statement of qualifications 

and availability for service on Chapter 

19 panels, including information 

relevant to the applicant’s familiarity 

with international trade law and 

willingness and ability to make time 

commitments necessary for service on 

panels. 

14. On a separate page, the names, 

addresses, telephone and fax numbers of 

three individuals willing to provide 

information concerning the applicant’s 

qualifications for service, including the 

applicant’s character, reputation, 

reliability, judgment, and familiarity 

with international trade law. 

Current Roster Members and Prior 

Applicants 

Current members of the Chapter 19 

roster who remain interested in 

inclusion on the Chapter 19 roster must 

submit updated applications. 

Individuals who have previously 

applied but have not been selected may 

reapply. If an applicant, including a 

current or former roster member, has 

previously submitted materials referred 

to in item 9, such materials need not be 

resubmitted.

Public Disclosure 

Applications normally will be subject 

to public disclosure. An applicant who 

wishes to exempt information from 

public disclosure should follow the 

procedures set forth in 15 CFR 2003.6. 

False Statements 

Pursuant to section 402(c)(5) of the 

NAFTA Implementation Act, false 

statements by applicants regarding their 

personal or professional qualifications, 

or financial or other relevant interests 

that bear on the applicants’ suitability 

for placement on the chapter 19 roster 

or for appointment to binational panels, 

are subject to criminal sanctions under 

18 U.S.C. 1001. 

Paperwork Reduction Act 

This notice contains a collection of 

information provision subject to the 

Paperwork Reduction Act (‘‘PRA’’) that 

has been approved by the Office of 

Management and Budget (‘‘OMB’’). 

Notwithstanding any other provision of 

law, no person is required to respond to 

nor shall a person be subject to a 

penalty for failure to comply with a 

collection of information subject to the 

requirements of the PRA unless that 

collection of information displays a 

currently valid OMB number. This 

notice’s collection of information 

burden is only for those persons who 

wish voluntarily to apply for 

nomination to the NAFTA chapter 19 

roster. It is expected that the collection 

of information burden will be under 3 

hours. This collection of information 

contains no annual reporting or record 

keeping burden. This collection of 

information was approved by OMB 

under OMB Control Number 0350–0009. 

Please send comments regarding the 

collection of information burden or any 

other aspect of the information 

collection to USTR at the above e-mail 

address or fax number. 

Privacy Act 

The following statements are made in 

accordance with the Privacy Act of 

1974, as amended (5 U.S.C. 552a). The 

authority for requesting information to 

be furnished is section 402 of the 

NAFTA Implementation Act. Provision 

of the information requested above is 

voluntary; however, failure to provide 

the information will preclude your 

consideration as a candidate for the 

NAFTA Chapter 19 roster. This 

information is maintained in a system of 

records entitled ‘‘Dispute Settlement 

Panelists Roster.’’ Notice regarding this 

system of records was published in the 

Federal Register on November 30, 2001. 

The information provided is needed, 

and will be used by USTR, other federal 

government trade policy officials 

concerned with NAFTA dispute 

settlement, and officials of the other 

NAFTA Parties to select well-qualified 

individuals for inclusion on the chapter 

19 roster and for service on chapter 19 

binational panels.

Daniel E. Brinza, 

Assistant United States Trade Representative 

for Monitoring and Enforcement.

[FR Doc. 04–25457 Filed 11–16–04; 8:45 am] 

BILLING CODE 3190–W5–P

DEPARTMENT OF TRANSPORTATION

Federal Aviation Administration 

High Density Airports; Notice of 

Reagan National Airport Lottery 

Allocation Procedures

AGENCY: Federal Aviation 

Administration.

ACTION: Notice of lottery and allocation 

procedures for slots at Washington 

Reagan National Airport. 

SUMMARY: This notice announces a 

lottery to allocate a limited number of 

commuter slots at Washington’s Reagan 

National Airport in accordance with 

Title 14 of the Code of Federal 

Regulations § 93.225, Lottery of 

available slots.

DATE/LOCATION OF LOTTERY: The lottery 

will be held in the Federal Aviation 

Administration, Conference Room 9 

ABC, 800 Independence Avenue, SW., 

Washington, DC 20591 on December 3, 

2004, beginning at 11:30 a.m. Carriers 

that wish to participate in the lottery 

must notify, in writing, the FAA Slot 

Administration Office, Attention: AGC–

220, 800 Independence Avenue, SW., 

Washington, DC 20591, or by facsimile 

to (202) 267–7277. Notification must be 

received no later than 5 p.m. e.d.t. on 

November 18, 2004.

FOR FURTHER INFORMATION CONTACT:

Lorelei Peter, Operations and Air Traffic 

Law Branch, Regulations Division, 

Office of the Chief Counsel, Federal 

Aviation Administration, 800 

Independence Avenue, SW., 

Washington, DC 20591; telephone 

number (202) 267–3134.

SUPPLEMENTARY INFORMATION: 

Background 

The High Density Traffic Airports 

Rule, or ‘‘High Density Rule,’’ 14 CFR 

part 93, subpart K, was promulgated in 

1968 to reduce delays at five congested 

airports: John F. Kennedy International 

Airport (JFK), LaGuardia, O’Hare 

International Airport (O’Hare), Ronald 

Reagan Washington National Airport 

(Reagan National) and Newark 

International Airport (33 FR 17896; 

December 3, 1968). The regulation 

limits the number of instrument flight 

rule (IFR) operations at each airport, 

during certain hours of the day. It 

provides for the allocation to carriers of 

operational authority, in the form of a 

‘‘slot’’ for each IFR takeoff or landing 

during a specific 30- or 60-minute 

period. The restrictions at Newark were 

lifted in the early 1970s. The restrictions 

at O’Hare were lifted in July 2002. 

Slots during peak hours and not 

required for Essential Air Service are 

allocated by lottery. (See CFR 93.225.) 

the FAA will follow the lottery 

procedures of 14 CFR § 93.225 and 

certain special procedures described 

further in this notice will also apply. 

A limited incumbent carrier is now 

defined as a carrier with fewer than 20 

slots and slot exemptions. (49 U.S.C. 

41714(h)(5)(A)) (The regulatory 

definition of a limited incumbent carrier 

was amended by the above statutory 

provision.) Also, section 426 of Vision 

100—Century of Aviation 

Reauthorization Act amended the 

definition of commuter aircraft in 14 

CFR 93.123(c)(2), as applied to aircraft 

operations at Washington’s Reagan 

National Airport, to mean aircraft 

operations using aircraft having a