Federal Register / Vol. 75, No. 226 / Wednesday, November 24, 2010 / Notices 71785 

8 17 CFR 200.30–3(a)(12). 

amendments, all written statements 

with respect to the proposed rule 

change that are filed with the 

Commission, and all written 

communications relating to the 

proposed rule change between the 

Commission and any person, other than 

those that may be withheld from the 

public in accordance with the 

provisions of 5 U.S.C. 552, will be 

available for Web site viewing and 

printing in the Commission’s Public 

Reference Room, on official business 

days between the hours of 10 a.m. and 

3 p.m. Copies of the filing also will be 

available for inspection and copying at 

the principal office of the Exchange. All 

comments received will be posted 

without change; the Commission does 

not edit personal identifying 

information from submissions. You 

should submit only information that 

you wish to make available publicly. All 

submissions should refer to File 

Number SR–EDGA–2010–18 and should 

be submitted on or before December 15, 

2010. 

For the Commission, by the Division of 

Trading and Markets, pursuant to delegated 

authority.8

Florence E. Harmon, 

Deputy Secretary. 

[FR Doc. 2010–29590 Filed 11–23–10; 8:45 am] 

BILLING CODE 8011–01–P 

SMALL BUSINESS ADMINISTRATION 

Escalate Capital Partners SBIC I, L.P., 

License No. 06/06–0335; Notice 

Seeking Exemption Under Section 312 

of the Small Business Investment Act, 

Conflicts of Interest 

Notice is hereby given that Escalate 

Capital Partners, SBIC I, L.P., 300 W. 6th 

Street, Suite 2250, Austin, TX 78701, a 

Federal Licensee under the Small 

Business Investment Act of 1958, as 

amended (‘‘the Act’’), in connection with 

the financing of a small concern, has 

sought an exemption under Section 312 

of the Act and Section 107.730, 

Financings which Constitute Conflicts 

of Interest of the Small Business 

Administration (‘‘SBA’’) Rules and 

Regulations (13 CFR 107.730). Escalate 

Capital Partners, SBIC I, L.P. proposes to 

provide debt security financing to 

WhaleShark Media, Inc., 515 S. 

Congress Avenue, Suite 700, Austin, TX 

78704. The financing is contemplated to 

provide capital for operations and 

contingent payments to prior 

acquisitions. 

The financing is brought within the 

purview of § 107.730(a)(1) of the 

Regulations because AV–EC Partners I, 

L.P., an Associate of Escalate Capital 

Partners, SBIC I, L.P., owns more than 

ten percent of WhaleShark Media, Inc. 

Therefore, this transaction is considered 

a financing of an Associate requiring an 

exemption. 

Notice is hereby given that any 

interested person may submit written 

comments on the transaction within 

fifteen days of the date of this 

publication to the Associate 

Administrator for Investment, U.S. 

Small Business Administration, 409 

Third Street, SW., Washington, DC 

20416. 

Dated: November 17, 2010. 

Sean Greene, 

Associate Administrator for Investment. 

[FR Doc. 2010–29603 Filed 11–23–10; 8:45 am] 

BILLING CODE 8025–01–P 

SMALL BUSINESS ADMINISTRATION 

Senior Executive Service: Performance 

Review Board Members 

AGENCY: U.S. Small Business 

Administration. 

ACTION: Notice of Members for the FY 

2010 Performance Review Board. 

SUMMARY: Title 5 U.S.C. 4314(c)(4) 

requires each agency to publish 

notification of the appointment of 

individuals who may serve as members 

of that Agency’s Performance Review 

Board (PRB). The following individuals 

have been designated to serve on the FY 

2010 Performance Review Board for the 

U.S. Small Business Administration. 

1. David B. Robbins, Chair, Associate 

Administrator for Management and 

Administration. 

2. Jonathan I. Carver, Chief Financial 

Officer and Associate Administrator for 

Performance Management. 

3. James E. Rivera, Deputy Associate 

Administrator for Disaster Assistance. 

4. Sara D. Lipscomb, General Counsel. 

5. Ana M. Ma, Chief of Staff. 

Karen G. Mills, 

Administrator. 

[FR Doc. 2010–29611 Filed 11–23–10; 8:45 am] 

BILLING CODE 8025–01–P 

SOCIAL SECURITY ADMINISTRATION 

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 (Pub. L.) 104–13, the 

Paperwork Reduction Act of 1995, 

effective October 1, 1995. This notice 

includes revisions to OMB-approved 

information collections. 

SSA is soliciting comments on the 

accuracy of the agency’s burden 

estimate; the need for the information; 

its practical utility; ways to enhance its 

quality, utility, and clarity; and ways to 

minimize burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Mail, email, or 

fax your comments and 

recommendations on the information 

collection(s) to the OMB Desk Officer 

and SSA Reports Clearance Officer at 

the following addresses or fax numbers. 

(OMB), Office of Management and 

Budget, Attn: Desk Officer for SSA. 

Fax: 202–395–6974. 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. 

I. The information collections below 

are pending at SSA. SSA will submit 

them to OMB within 60 days from the 

date of this notice. To be sure we 

consider your comments, we must 

receive them no later than January 24, 

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. Continuing Disability Review 

Report—20 CFR 404.1589, 416.989– 

0960–0072. SSA conducts periodic 

reviews to determine whether 

individuals receiving disability benefits 

continue their entitlement to or 

eligibility for those benefits. SSA 

collects the necessary information on 

Form SSA–454 to complete the review 

for continued disability for current 

Supplemental Security Income 

recipients. SSA conducts reviews on a 

periodic basis depending on the 

respondent’s disability. We obtain 

information on sources of medical 

treatment, participation in vocational 

rehabilitation programs (if any), 

attempts to work (if any), and the 

opinions of individuals regarding 

whether their conditions have 

improved. The respondents are Title II 

and/or Title XVI disability recipients or 

their representatives. 

WReier-Aviles on DSKGBLS3C1PROD with NOTICES

71786 Federal Register / Vol. 75, No. 226 / Wednesday, November 24, 2010 / Notices 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total annual 

burden 

(hours) 

SSA–454–BK (Paper version) ......................................................................... 1,500 1 60 1,500 

EDCS * ............................................................................................................. 1,500 1 59 1,475 

SSA–454–ICR .................................................................................................. 541,000 1 30 270,500 

Abbreviated EDCS interview to supplement SSA–454–ICR ........................... 541,000 ........................ 25 225,417 

Totals ........................................................................................................ 1,085,000 ........................ ........................ 498,892 

* Claims representatives may choose to complete the EDCS 454 rather than the SSA–454–BK. 

2. State Death Match Collections—20 

CFR 404.301, 404.310–404.311, 404.316, 

404.330–404–341, 404.350–404.352, 

404.371; 416.912—0960–0700. SSA uses 

the State Death Match Collections to 

ensure the accuracy of payment files by 

detecting unreported or inaccurate 

deaths of beneficiaries. Under the Social 

Security Act, entitlement to retirement, 

disability, wife’s, husband’s, or parent’s 

benefits terminates when the beneficiary 

dies. The States furnish death certificate 

information to SSA via the Manual 

Registration Process or the Electronic 

Death Registration Process (EDR). Both 

Death Match processes are automated 

electronic transfers between the States 

and SSA. The respondents are the 

States’ bureaus of vital statistics. 

Type of Request: Revision of an OMBapproved information collection. 

Collection 

format 

Number of 

respondents 

Frequency of 

responses 

(per state) 

Average cost 

per record 

request 

Estimated 

annual cost 

burden 

State Death Match—Manual Process ............................................................. 23 50,000 .80 $920,000 

State Death Match—EDR ................................................................................ 30 50,000 2.86 4,290,000 

Totals ........................................................................................................ 53 ........................ ........................ * 5,210,000 

* Please note both data matching processes are electronic and there is no hourly burden for the respondent to provide this information. 

II. SSA has submitted the information 

collection listed below to OMB for 

clearance. Your comments on the 

information collection 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 December 27, 2010. 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. Work History Report—20 CFR 

404.1515, 404.1560, 404.1565, 416.960 

and 4163965—0960–0578. Under 

certain circumstances, SSA asks 

individuals about work they performed 

in the past. Applicants use Form SSA– 

3369 to provide detailed information 

about jobs held prior to becoming 

unable to work. State Disability 

Determination Services evaluate the 

information, together with medical 

evidence, to determine eligibility for 

disability. 

Type of Request: Revision of an OMBapproved information collection. 

Collection 

method 

Number of 

respondents 

Frequency 

of 

response 

Average 

burden per 

response 

(hours) 

Estimated 

annual 

burden 

(hours) 

SSA–3369 (Paper form) .................................................................................. 1,090,346 1 1 1,090,346 

EDCS 3369 ...................................................................................................... 607,122 1 1 607,122 

Totals ........................................................................................................ 1,697,468 ........................ ........................ 1,697,468 

2. Appeal of Determination for Help 

with Medicare Prescription Drug Plan 

Costs—0960–0695. Public Law 108–173, 

the Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (MMA), established the Medicare 

Part D program for voluntary 

prescription drug coverage for certain 

low-income individuals. The MMA 

stipulates subsidies must be available 

for individuals who are eligible for the 

program and who meet eligibility 

criteria for help with premium, 

deductible, or co-payment costs. Form 

SSA–1021, Appeal of Determination for 

Help with Medicare Prescription Drug 

Plan Costs, obtains 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: Revision of an OMBapproved 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 18, 2010. 

Liz Davidson, 

Center Director, Center for Reports Clearance, 

Social Security Administration. 

[FR Doc. 2010–29576 Filed 11–23–10; 8:45 am] 

BILLING CODE 4191–02–P 

WReier-Aviles on DSKGBLS3C1PROD with NOTICES