Federal Register / Vol. 75, No. 245 / Wednesday, December 22, 2010 / Notices 80565 

II. SSA has 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 January 21, 2011. You can 

obtain a copy of the OMB clearance 

packages by calling the SSA Reports 

Clearance Officer at 410–965–8783 or by 

writing to the above email address. 

1. State Mental Institution Policy 

Review Booklet—20 CFR 404.2035, 

404.2065, 416.635, & 416.665—0960– 

0110. SSA uses the information 

collected on Form SSA–9584–BK to 

determine whether: 1) The policies and 

practices of a State mental institution 

acting as a representative payee for SSA 

beneficiaries conform to SSA’s 

regulations in the use of benefits; and 2) 

the institution is performing other 

duties and responsibilities required of a 

representative payee. SSA also uses the 

information as the basis for conducting 

onsite reviews of the institution and 

preparing subsequent reports of 

findings. The respondents are State 

mental institutions serving as 

representative payees for Social Security 

beneficiaries and SSI recipients. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 88. 

Frequency of Response: 1. 

Average Burden per Response: 60 

minutes. 

Estimated Annual Burden: 88 hours. 

2. 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 the SSA–4156 so we can 

credit earnings to the correct individual 

and the correct SSN. We send this form 

to the employer to identify the 

employees involved, to resolve the 

discrepancy, and to post earnings to the 

correct SSN. The respondents are 

employers reporting erroneous wage 

information for an employee. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 4,750. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 792 hours. 

3. Modified Benefit Formula 

Questionnaire—Employer—20 CFR 401 

& 402—0960–0477. SSA collects 

information on Form SSA–58 to verify 

the claimant’s allegations on Form SSA– 

150 (OMB # 0906–0395, Modified 

Benefits Formula Questionnaire). SSA 

uses the SSA–58 to determine if the 

modified benefit formula is applicable 

and when to apply it to a person’s 

benefit. SSA sends Form SSA–58 to an 

employer for pension-related 

information, if the claimant is unable to 

provide it. The respondents are 

employers of people who are eligible 

after 1985 for both Social Security 

benefits and a pension based on work 

not covered by SSA. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 30,000. 

Frequency of Response: 1. 

Average Burden per Response: 20 

minutes. 

Estimated Average Burden: 10,000 

hours. 

4. Work Activity Report (SelfEmployed Person)—20 CFR 404.1520(b), 

20 CFR 1571–.1576, 20 CFR 404.1584– 

.1593, and 20 CFR 416.971–.976—0960– 

0598. SSA uses the information on Form 

SSA–820–U4 to determine initial or 

continuing eligibility for SSI payments 

or Social Security disability benefits. 

Under titles II and XVI of the Social 

Security Act, applicants for disability 

benefits and SSI payments must prove 

they cannot perform any kind of 

substantial gainful activity (SGA) 

generally available in the national 

economy for which we expect them to 

qualify based on age, education, and 

work experience. SSA needs 

information about this work to 

determine whether the applicant was (or 

is) engaging in SGA. Working, after a 

claimant becomes entitled, can cause 

SSA to discontinue disability benefits or 

SSI payments. Using information from 

Form SSA–820–U4, SSA can determine 

if we should stop the respondent’s 

payments. The respondents are 

applicants and claimants for SSI or 

Social Security disability benefits. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 100,000. 

Frequency of Response: 1. 

Average Burden per Response: 30 

minutes. 

Estimated Annual Burden: 50,000 

hours. 

Dated: December 16, 2010. 

Faye Lipsky, 

Reports Clearance Officer, Center for Reports 

Clearance, Social Security Administration. 

[FR Doc. 2010–32107 Filed 12–21–10; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice: 7272] 

60-Day Notice of Proposed Renewal of 

Information Collection: Form DS–0064, 

Statement Regarding a Lost or Stolen 

Passport, 1405–0014. 

ACTION: Notice of request for public 

comments. 

SUMMARY: The Department of State is 

seeking Office of Management and 

Budget (OMB) approval for the 

information collection renewal 

described below. The purpose of this 

notice is to allow 60 days for public 

comment in the Federal Register 

preceding submission to OMB. We are 

conducting this process in accordance 

with the Paperwork Reduction Act of 

1995. 

• Title of Information Collection: 

Statement Regarding a Lost or Stolen 

Passport. 

• OMB Control Number: 1405–0014. 

• Type of Request: Extension of a 

Currently Approved Collection. 

• Originating Office: CA/PPT/PMO/ 

PC. 

• Form Number: DS–0064. 

• Respondents: Individuals or 

Households. 

• Estimated Number of Respondents: 

122,500. 

• Estimated Number of Responses: 

122,500. 

• Average Hours Per Response: 5 

minutes. 

• Total Estimated Burden: 10,208 

hours. 

• Frequency: On occasion. 

• Obligation to Respond: Required to 

Obtain a Benefit. 

DATES: The Department will accept 

comments from the public up to 60 days 

from December 22, 2010. 

ADDRESSES: You may submit comments 

by any of the following methods: 

• E-mail: PPT-FormsOfficer@state.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): Passport Forms 

Management Officer, U.S. Department of 

State, Office of Program Management 

and Operational Support, 2100 

Pennsylvania Avenue, NW., Room 3031, 

Washington, DC 20037. 

You must include the DS form number 

(if applicable), information collection 

title, and OMB control number in any 

correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Direct requests for additional 

information regarding the collection 

listed in this notice, including requests 

for copies of the proposed information 

collection and supporting documents, to 


srobinson on DSKHWCL6B1PROD with NOTICES
80566 Federal Register / Vol. 75, No. 245 / Wednesday, December 22, 2010 / Notices 

Passport Forms Management Officer, 

U.S. Department of State, Office of 

Program Management and Operational 

Support, 2100 Pennsylvania Avenue, 

NW., Room 3031, Washington, DC 

20037, who may be reached on 202– 

663–2457 or at PPT-FormsOfficer@state.gov. 

SUPPLEMENTARY INFORMATION: 

We are soliciting public comments to 

permit the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper performance of our 

functions. 

• Evaluate the accuracy of our 

estimate of the burden of the proposed 

collection, including the validity of the 

methodology and assumptions used. 

• Enhance the quality, utility, and 

clarity of the information to be 

collected. 

• Minimize the reporting burden on 

those who are to respond, including the 

use of automated collection techniques 

or other forms of technology. 

Abstract of Proposed Collection 

The form is used prior to passport 

issuance and solicits information 

relating to the loss or theft of a valid 

U.S. passport. The information is used 

by the United States Department of State 

to ensure that no person shall bear more 

than one valid or potentially valid U.S. 

passport book and passport card at any 

one time, except as authorized by the 

Department, and is also used to combat 

passport fraud and misuse. 

Methodology 

This form is used in conjunction with 

the Form DS–11, Application for a U.S. 

Passport, or submitted separately to 

report loss or theft of a U.S. passport. 

Passport Services collects the 

information when a U.S. citizen or noncitizen national applies for a new U.S. 

passport and has been issued a 

previous, still valid U.S. passport that 

has been lost or stolen, or when a 

passport holder independently reports it 

lost or stolen. Passport applicants can 

either download the form from the 

Internet or pick one up at any Passport 

Agency or Acceptance Facility. 

Dated: December 15, 2010. 

Barry Conway, 

Deputy Assistant Secretary for Passport 

Services, Acting Bureau of Consular Affairs, 

Department of State. 

[FR Doc. 2010–32135 Filed 12–21–10; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice Number 7171] 

Overseas Schools Advisory Council 

Notice of Meeting 

The Overseas Schools Advisory 

Council, Department of State, will hold 

its Executive Committee Meeting on 

Thursday, January 20, 2011, at 9:30 a.m. 

in Conference Room 1107, Department 

of State Building, 2201 C Street, NW., 

Washington, DC. The meeting is open to 

the public and will last until 

approximately 12 p.m. 

The Overseas Schools Advisory 

Council works closely with the U.S. 

business community in improving those 

American-sponsored schools overseas 

that are assisted by the Department of 

State and attended by dependents of 

U.S. Government families and children 

of employees of U.S. corporations and 

foundations abroad. 

This meeting will deal with issues 

related to the work and the support 

provided by the Overseas Schools 

Advisory Council to the Americansponsored overseas schools. The agenda 

includes a review of the projects 

selected for the 2009 and 2010 

Educational Assistance Program and a 

presentation on current education issues 

in the United States and their impact on 

American-sponsored overseas schools. 

Members of the public may attend the 

meeting and join in the discussion, 

subject to the instructions of the Chair. 

Admittance of public members will be 

limited to the seating available. Access 

to the State Department is controlled, 

and individual building passes are 

required for all attendees. Persons who 

plan to attend should so advise the 

office of Dr. Keith D. Miller, Department 

of State, Office of Overseas Schools, 

Room H328, SA–1, Washington, DC 

20522–0132, telephone 202–261–8200, 

prior to January 10, 2011. Each visitor 

will be asked to provide his/her date of 

birth and either driver’s license or 

passport number at the time of 

registration and attendance, and must 

carry a valid photo ID to the meeting. 

Personal data is requested pursuant to 

Public Law 99–399 (Omnibus 

Diplomatic Security and Antiterrorism 

Act of 1986), as amended; Public Law 

107–56 (USA PATRIOT Act); and 

Executive Order 13356. The purpose of 

the collection is to validate the identity 

of individuals who enter Department 

facilities. The data will be entered into 

the Visitor Access Control System 

(VACS–D) database. Please see the 

Privacy Impact Assessment for VACS–D 

at http://www.state.gov/documents/ 

organization/100305.pdf for additional 

information. 

Any requests for reasonable 

accommodation should be made at the 

time of registration. All such requests 

will be considered, however, requests 

made after January 10th might not be 

possible to fill. All attendees must use 

the C Street entrance to the building. 

Dated: December 16, 2010. 

Keith D. Miller, 

Executive Secretary, Overseas Schools 

Advisory Council. 

[FR Doc. 2010–32136 Filed 12–21–10; 8:45 am] 

BILLING CODE 4710–05–P 

TENNESSEE VALLEY AUTHORITY 

Meeting of the Regional Resource 

Stewardship Council 

AGENCY: Tennessee Valley Authority 

(TVA). 

ACTION: Notice of Meeting. 

SUMMARY: The TVA Regional Resource 

Stewardship Council (RRSC) will hold a 

meeting on Wednesday, January 19 and 

Thursday, January 20, 2011, to consider 

various matters. 

The RRSC was established to advise 

TVA on its natural resource stewardship 

activities. Notice of this meeting is given 

under the Federal Advisory Committee 

Act (FACA), 5 U.S.C. App. 2. 

The management of the Tennessee 

Valley reservoirs and the lands adjacent 

to them has long been an integral 

component of TVA’s mission. As part of 

implementing the TVA Environmental 

Policy, TVA is developing a Natural 

Resource Plan (NRP) that will help 

prioritize techniques for the 

management of TVA’s biological and 

cultural resource management activities, 

recreation management activities, water 

resource protection and improvement 

activities, and lands planning. In 

accordance with the National 

Environmental Policy Act, TVA is also 

developing an accompanying 

Environmental Impact Statement (EIS) 

in which TVA will evaluate the 

preferred strategy for the NRP, as well 

as other viable alternative strategies. 

TVA would like to utilize the RRSC as 

a key stakeholder group throughout the 

development of the NRP to advise TVA 

on the issues, tradeoffs, and focus of 

environmental stewardship activities. 

At the January 2011 meeting, TVA will 

be seeking advice from the RRSC on 

issues regarding the key programs in 

each resource area, the management 

options and scenario planning described 

in the NRP, and the valuation of natural 

resource programs. 

The meeting agenda includes the 

following: 

1. Introductions 


srobinson on DSKHWCL6B1PROD with NOTICES