39728 Federal Register / Vol. 74, No. 151 / Friday, August 7, 2009 / Notices 

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 and extensions of 

OMB-approved information collections 

and 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 the 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 the SSA Director for Reports 

Clearance to the addresses or fax 

numbers shown below. 

(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: Director, Center for 

Reports Clearance, 1333 Annex 

Building, 6401 Security Blvd., 

Baltimore, MD 21235, Fax: 410–965– 

0454, E-mail address: 

OPLM.RCO@ssa.gov. 

I. The information collection below is 

pending at SSA. SSA will submit it 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 October 6, 2009. Individuals 

can obtain copies of the collection 

instrument by calling the SSA Director 

for Reports Clearance at 410–965–0454 

or by writing to the email address we 

list above. 

1. Employment Relationship 

Questionnaire—20 CFR 404.1007— 

0960–0040. SSA obtains information on 

Form SSA–7160–F4 to determine a 

worker’s employment status; i.e., 

whether, under the definition of an 

employee found in Section 210(j)(2) of 

the Act and 20 CFR 404.1007 of the 

Code of Federal Regulations, a worker is 

an employee under the ‘‘usual commonlaw rules’’ applicable in determining the 

existence of an employer-employee 

relationship. We use the information to 

develop the employment relationship, 

and to determine whether a beneficiary 

is self-employed or an employee. The 

respondents are individuals questioning 

their status as employees and their 

alleged employers. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 16,000. 

Frequency of Response: 1. 

Average Burden per Response: 25 

minutes. 

Estimated Annual Burden: 6,667 

hours. 

2. Continuing Disability Review 

Report—20 CFR 404.1589, 416.989— 

0960–0072. SSA may conduct a review 

to determine whether individuals 

receiving disability benefits continue to 

be entitled to or eligible for those 

benefits. SSA uses Form SSA–454 to 

collect the information needed to 

complete the review for continued 

disability from recipients or from their 

representatives. 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. 

Type of Request: Revision of an OMB 

approved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average burden per 

response 

(minutes) 

Total annual 

burden 

(hours) 

SSA–454–BK ................................................................................................... 258,700 1 60 258,700 

SSA–454–ICR .................................................................................................. 300 1 30 150 

EDCS Interview ............................................................................................... 300 1 30 150 

Total .......................................................................................................... 259,300 ........................ ........................ 259,000 

3. Authorization for the Social 

Security Administration To Obtain 

Account Records From a Financial 

Institution and Request for Records—20 

CFR 416.200, 416.203—0960–0293. 

Individuals must authorize financial 

institutions to disclose records to SSA 

by signing an SSA–4641–U2. Financial 

institutions use the Form to provide 

financial information to SSA. We need 

the information if an individual’s 

records are incomplete, unavailable, or 

appear altered. SSA uses the records to 

verify the existence, ownership, and 

value of accounts owned by 

Supplemental Security Income (SSI) 

applicants, recipients, and deemors. The 

financial institution’s report is used, in 

part, to determine whether SSI resource 

eligibility requirements are met. The 

respondents are SSI applicants’, 

recipients’, or deemors’ financial 

institutions. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 500,000. 

Frequency of Response: 1. 

Average Burden per Response: 6 

minutes. 

Estimated Annual Burden: 50,000 

hours. 

1. Internet Request for Replacement of 

Forms SSA–1099/SSA–1042S—20 CFR 

401.45—0960–0583. Recipients use the 

SSA–1099 and SSA–1042S to determine 

if their Social Security benefits are 

taxable and the amount they need to 

report to the Internal Revenue Service. 

An individual may use SSA’s Internet 

request form to obtain a replacement 

SSA–1099 and SSA–1042S. SSA uses 

the information from the Internet 

request form to verify the identity of the 

requestor and to provide replacement 

copies of the forms. The Internet option 

eliminates the need for phone calls to 

the national 800 number, or visits to a 

local field office. The respondents are 

Title II recipients who wish to request 

a replacement SSA–1099/SSA–1042S 

via the Internet. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 136,455. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 22,743 

hours. 

II. SSA has submitted the information 

collections we list below to OMB for 

clearance. Your comments on the 

information collections would be most 


pwalker on DSK8KYBLC1PROD with NOTICES
Federal Register / Vol. 74, No. 151 / Friday, August 7, 2009 / Notices 39729 

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 September 8, 2009. You 

can obtain a copy of the OMB clearance 

packages by calling the SSA Director for 

Reports Clearance at 410–965–0454 or 

by writing to the above email address. 

1. Questionnaire about Special 

Veterans Benefits—0960–NEW. SSA 

must make deductions to Social 

Security Special Veterans benefits when 

an individual receives income, in excess 

of set limits, from an activity outside the 

United States. SSA collects information 

on Form SSA–2010 to determine 

continuing entitlement to Social 

Security Special Veterans Benefits and 

the proper benefit amount for 

beneficiaries living outside the U.S. 

Based on the information, SSA may 

increase, decrease, suspend or terminate 

benefits. The respondents are Special 

Veterans Benefits recipients. 

Type of Request: Request for a new 

information collection. 

Number of Respondents: 2,500. 

Frequency of Response: 1. 

Average Burden per Response: 20 

minutes. 

Estimated Annual Burden: 833 hours. 

1. Certificate of Election for Reduced 

Spouse’s Benefits—20 CFR 404.421— 

0960–0398. SSA will not pay reduced 

benefits to an already entitled spouse, at 

least age 62 but under full retirement 

age, who no longer has a child in care 

unless the spouse elects to receive 

reduced benefits. To elect reduced 

benefits, the spouse must complete 

Form SSA–25. SSA uses the information 

from Form SSA–25 to pay a qualified 

spouse a reduced benefit. Respondents 

are entitled spouses seeking reduced 

benefits. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 30,000. 

Frequency of Response: 1. 

Average Burden per Response: 2 

minutes. 

Estimated Annual Burden: 1,000 

hours. 

Dated: July 3, 2009. 

Elizabeth A. Davidson, 

Director, Center for Reports Clearance, Social 

Security Administration. 

[FR Doc. E9–18937 Filed 8–6–09; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF TRANSPORTATION 

Federal Highway Administration 

Notice of Final Federal Agency Actions 

on Proposed Highway in California 

AGENCY: Federal Highway 

Administration (FHWA), DOT. 

ACTION: Notice of Limitation on Claims 

for Judicial Review of Actions by the 

California Department of Transportation 

(Caltrans), pursuant to 23 USC 327. 

SUMMARY: The FHWA, on behalf of 

Caltrans, is issuing this notice to 

announce actions taken by Caltrans that 

are final within the meaning of 23 

U.S.C. 139(l)(1). The actions relate to a 

proposed highway project, the State 

Route 99 project, Tulare to Goshen SixLane Project between post miles 30.6 to 

41.3 in Tulare County, State of 

California. Those actions grant licenses, 

permits, and approvals for the project. 

DATES: By this notice, the FHWA, on 

behalf of Caltrans, is advising the public 

of final agency actions subject to 23 

U.S.C. 139(l)(1). A claim seeking 

judicial review of the Federal agency 

actions on the highway project will be 

barred unless the claim is filed on or 

before February 3, 2010. If the Federal 

law that authorizes judicial review of a 

claim provides a time period of less 

than 180 days for filing such claim, then 

that shorter time period still applies. 

FOR FURTHER INFORMATION CONTACT: For 

Caltrans: Sarah Gassner, Chief, Southern 

Sierra Environmental Branch, Caltrans, 

2015 East Shields Avenue, Suite 100, 

Fresno, California 93726 Monday 

through Friday 8 a.m. to 5 p.m. (559) 

243–8243 or sarah_gassner@dot.ca.gov. 

SUPPLEMENTARY INFORMATION: Effective 

July 1, 2007, the Federal Highway 

Administration (FHWA) assigned, and 

the California Department of 

Transportation (Caltrans) assumed, 

environmental responsibilities for this 

project pursuant to 23 U.S.C. 327. 

Notice is hereby given that the Caltrans 

has taken final agency actions subject to 

23 U.S.C. 139(l)(1) by issuing licenses, 

permits, and approvals for the following 

highway project in the State of 

California. The Tulare to Goshen SixLane Project would alleviate traffic 

congestion and delays, improve safety 

and operations, and attain an acceptable 

Level of Service to meet the existing and 

projected traffic volumes within the 

project limits. The 10.7-mile project is 

located on State Route 99 between the 

community of Goshen and the City of 

Tulare in Tulare County, California. 

The actions by the Federal agencies, 

and the laws under which such actions 

were taken, are described in the 

Environmental Assessment (EA)/ 

Finding of No Significant Impact 

(FONSI) for the project, approved on 

October 30, 2008. The EA/FONSI and 

other documents are available by 

contacting Caltrans at the addresses 

provided above. The Caltrnas EA/FONSI 

can be viewed and downloaded from 

the project Web site at: http:// 

www.dot.ca.gov/dist6/environmental/ 

envdocs/d6/ 

sr99_tularegoshen6lane.pdf. 

This notice applies to all Federal 

agency decisions as of the issuance date 

of this notice and all laws under which 

such actions were taken, including but 

not limited to: 

1. General: National Environmental 

Policy Act (NEPA) [42 U.S.C. 4321– 

4351]; and Federal-Aid Highway Act [23 

U.S.C. 109 and 23 U.S.C. 128]. 

2. Air: Clean Air Act [42 U.S.C. 7401– 

7671(q)]. 

3. Land: Landscape and Scenic 

Enhancement (Wildflowers) [23 U.S.C. 

319]. 

4. Wetlands and Water Resources: 

Safe Drinking Water Act [42 U.S.C. 

300(f)–300(j)(6)]; and Wetlands 

Mitigation [23 U.S.C. 103(b)(6)(m) and 

133(b)(11)]. 

5. Wildlife: Endangered Species Act 

[16 U.S.C. 1531–1544 and Section 

1536]; Fish and Wildlife Coordination 

Act [16 U.S.C. 661–667(d)]; and 

Migratory Bird Treaty Act [16 U.S.C. 

703–712]. 

6. Historic and Cultural Resources: 

Section 106 of the National Historic 

Preservation Act of 1966, as amended 

[16 U.S.C. 470(f) et seq.]; Archaeological 

and Historic Preservation Act [16 U.S.C. 

469–469c]; Archaeological Resources 

Protection Act of 1979 [16 U.S.C. 470aa 

et seq.]; and Native American Graves 

Protection and Repatriation Act [25 

U.S.C. 3001–3013]. 

7. Social and Economic: Civil Rights 

Act of 1964 [42 U.S.C. 2000(d)– 

2000(d)(1)]; Farmland Protection Policy 

Act [7 U.S.C. 4201–4209]; and The 

Uniform Relocation Assistance and Real 

Property Acquisition Act of 1970, as 

amended. 

8. Hazardous Materials: 

Comprehensive Environmental 

Response, Compensation, and Liability 

Act [42 U.S.C. 9601–9675]; Superfund 

Amendments and Reauthorization Act 

of 1986; and Resource Conservation and 

Recovery Act [42 U.S.C. 6901–6992(k)]. 

9. Executive Orders: E.O. 11990 

Protection of Wetlands; E.O. 11988 

Floodplain Management; E.O.12898 

Federal Actions to Address 

Environmental Justice in Minority 

Populations and Low Income 

Populations; E.O. 11593 Protection and 

Enhancement of the Cultural 


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