Federal Register / Vol. 76, No. 203 / Thursday, October 20, 2011 / Notices 65317 

Claimant’s Work Background—20 

CFR 404.1565(b) and 20 CFR 

416.965(b)—0960–0300. Sections 205(a) 

and 1631(e) of the Social Security Act 

provide the Commissioner of Social 

Security with the authority to establish 

procedures for determining if a claimant 

is entitled to disability benefits. The 

administrative law judge (ALJ) may ask 

individuals to provide background 

information on Form HA–4633 about 

work they performed in the past 15 

years. The ALJ uses the information to 

assess an individual’s disability based 

on an updated summary of the 

individual’s relevant work history. The 

HA–4633 becomes part of the 

documentary evidence of record. The 

respondents are claimants for disability 

benefits under title II or title XVI who 

requested a hearing before an ALJ. 

Type of Request: Revision of an OMBapproved information collection. 

Collection instrument Number of 

responses 

Frequency of 

response 

Average burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

HA–4633 .................................................................................. 200,000 1 15 50,000 

Dated: October 17, 2011. 

Faye Lipsky, 

Reports Clearance Officer, Center for Reports 

Clearance, Social Security Administration. 

[FR Doc. 2011–27222 Filed 10–19–11; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 7662] 

60-Day Notice of Proposed Information 

Collection: DS–4184, Risk Management 

and Analysis (RAM) 

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 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: Risk 

Analysis and Management. 

• OMB Control Number: None. 

• Type of Request: New. 

• Originating Office: Bureau of 

Administration, Office of Logistics 

Management (A/LM). 

• Form Number: DS–4184. 

• Respondents: Potential contractors 

and grantees. 

• Estimated Number of Respondents: 

1250. 

• Estimated Number of Responses: 

6250. 

• Average Hours per Response: 1 

hour 15 minutes. 

• Total Estimated Burden: 7813 

hours. 

• Frequency: On occasion. 

• Obligation to Respond: Voluntary. 

DATES: The Department will accept 

comments from the public up to 60 days 

from October 20, 2011. 

ADDRESSES You may submit comments 

by any of the following methods: 

• E-mail: Vazquezeh@State.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): U.S. Department of State, 

2201 C St., NW., SA–15 Room 3200, 

Washington, DC 20520. 

• Fax: 703–812–2307. 

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 

Edward H. Vazquez, U.S. Department of 

State who may be reached by the 

following methods: Mail: U.S. 

Department of State, 2201 C St., NW., 

SA–15 Room 3200, Washington, DC 

20520; Tel: 703–812–2308 or e-mail: 

Vazquezeh@State.gov. 

If you have access to the internet you 

may submit comments online by going 

to: http://www.regulations.gov/search/ 

Regs/home.html#home. 

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 information collected from 

individuals and organizations is 

specifically used to conduct screening 

to ensure that State funded activities do 

not provide support to entities or 

individuals deemed to be a risk to 

national security. 

Methodology: 

The State Department, is 

implementing a Risk Analysis and 

Management Program to vet potential 

contractors and grantees seeking 

funding from the Department of State to 

mitigate the risk that such funds might 

benefit terrorists or their supporters. To 

conduct this vetting program the 

Department envisions collecting 

information from contractors, subcontractors, grantees and sub-grantees 

regarding their directors, officers or key 

employees. The information collected 

will be compared to information 

gathered from commercial, public, and 

U.S. government databases to determine 

the risk that the applying organization, 

entity or individual might use 

Department funds or programs to benefit 

terrorist entities. This program will 

initially be conducted as a pilot program 

as directed by Congress in the FY 2010 

Department of State, Foreign 

Operations, and Related Programs 

Appropriations Act, as carried forward 

in the FY 2011 Full-Year Continuing 

Appropriations Act. 

Methodology: We will collect this 

information either through mail, fax or 

electronic submission. 

Dated: October 14, 2011. 

Catherine I. Ebert-Gray, 

Deputy Assistant Secretary, Bureau of 

Administration, Department of State. 

[FR Doc. 2011–27191 Filed 10–19–11; 8:45 am] 

BILLING CODE 4710–24–P 

DEPARTMENT OF STATE 

[Public Notice 7661] 

Determination Under the Foreign 

Assistance Act and the Department of 

State, Foreign Operations, and Related 

Programs Appropriations Acts 

Pursuant to Section 654(c) of the 

Foreign Assistance Act of 1961, as 

amended (FAA), notice is hereby given 

that the Deputy Secretary of State has 

made a determination pursuant to 

Section 620H of the FAA, and Section 


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