Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices 48795 

WORKBOOK (2): AGGREGATE INFORMATION—Continued 

Eligible mailer information 

Month (for each month) 

October–06 November–06 December–09 January–10 

Flats.

Cards.

First Class Presort Residual* 

Letters.

Flats.

Cards.

Standard 

Letters.

Flats.

Carrier Route Letters.

Carrier Route Flats.

High Density and Saturation Letters.

High Density and Saturation Flats.

Rebate Calculation for each Mailer ............... Formula Calculation 

Threshold 

Incremental Volume 

Volume Shift Adjustment 

Volume Eligible for Discount 

Average Revenue Per Piece 

Rebate 

1Formulas used in the determination of Volume Threshold, Incremental Volume, October 2009 Adjustment, Average Revenue Per Piece, and 

Summer Sale Rebate should be shown on each mailer page. Only mailer input data should be hardcoded. 

* Presort Residual refers to mail entered with bulk presort mailings that does not qualify for presort rates. 

[FR Doc. E9–23024 Filed 9–23–09; 8:45 am] 

BILLING CODE 7710–FW–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 104–13, the Paperwork 

Reduction Act of 1995, effective October 

1, 1995. This notice includes revisions 

and extensions of 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 the burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Mail, e-mail, 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 November 23, 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 above email address. 

1. Application for Widow’s or 

Widower’s Insurance Benefits—20 CFR 

404.335–404.338, 404.603—0960–0004. 

SSA uses the information on the SSA– 

10–BK to determine whether the 

applicant meets the statutory and 

regulatory conditions for entitlement to 

widow(er)’s Social Security Title II 

benefits. The respondents are applicants 

for widow’s or widower’s benefits. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 341,560. 

Collection method Number of 

respondents 

Average 

burden per 

response 

(minutes) 

Burden hours 

MCS ............................................................................................................................................. 162,241 15 40,560 

MCS/Signature Proxy .................................................................................................................. 162,241 14 37,856 

Paper ........................................................................................................................................... 17,078 15 4,270 

Totals: ................................................................................................................................... 341,560 ........................ 82,686 

Estimated Annual Burden: 82,686 

hours. 

2. Substitution of Party upon Death of 

Claimant—20 CFR 404.957(c)(4) and 

416.1457(c)(4)—0960–0288. SSA 

collects information on Form HA–539 


srobinson on DSKHWCL6B1PROD with NOTICES
48796 Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices 

when a claimant for Social Security or 

Supplemental Security Income benefits 

dies while his or her request for a 

hearing is pending. The information 

SSA collects establishes a written record 

of the request of any individual who 

asks to be made a substitute party for a 

deceased claimant. It also facilitates a 

decision by SSA on whom, if anyone, 

should become a substitute party for the 

deceased. The Administrative Law 

Judge and the hearing office support 

staff use this information to: (1) 

Establish the relationship of the 

requester to the deceased claimant; (2) 

determine the substituted individual’s 

wishes regarding an oral hearing or 

decision on the record; and (3) admit 

the data into the claimant’s official 

record as an exhibit. The respondents 

are individuals requesting to be made a 

substitute party for a deceased claimant. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 4,000. 

Frequency of Response: 1. 

Average Burden Per Response: 5 

minutes. 

Estimated Annual Burden: 333 hours. 

3. Non-Attorney Representative 

Demonstration Project Application—20 

CFR 404.1745–404.1799 and 20 CFR 

416.1545–416.1599—0960–0699. 

Section 303 of the Social Security 

Protection Act of 2004 (SSPA) provides 

for a 5-year demonstration project under 

which SSA extends the direct payment 

of approved fees to certain non-attorney 

claimant representatives. Under the 

SSPA, to be eligible for direct payment 

of fees, a non-attorney representative 

must fulfill the following statutory 

requirements: (1) Possess a bachelors 

degree or have equivalent qualifications 

from training and work experience; (2) 

pass an examination that tests 

knowledge of the relevant provisions of 

the Social Security Act; (3) secure 

professional liability insurance or 

equivalent insurance; (4) pass a criminal 

background check; and (5) demonstrate 

completion of relevant continuing 

education courses. Through the services 

of a private contractor, SSA must collect 

the requested information to determine 

if a non-attorney representative has met 

the statutory requirements to be eligible 

for direct payment of fees for his or her 

claimant representation services. SSA 

needs this information to comply with 

the legislation. The respondents are 

non-attorney representatives who apply 

for direct payment of fees. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 700. 

Frequency of Response: 1. 

Average Burden Per Response: 60 

minutes. 

Estimated Annual Burden: 700 hours. 

4. Medicare Part B Income-Related 

Monthly Adjustment Amount Subsidies 

Regulations—20 CFR 418—0960–0741. 

The Medicare Prescription Drug, 

Improvement, and Modernization Act 

(MMA) of 2003 established the 

Medicare Part B program for voluntary 

prescription drug coverage of premium, 

deductible, and co-payment costs for 

certain low-income individuals. The 

income-related monthly adjustment 

amount represents the amount of 

decrease in the Medicare Part B 

premium subsidy; i.e., the amount of the 

Federal Government’s contribution to 

the Federal Supplementary Medical 

Insurance Trust Fund. SSA uses these 

regulations to determine when a 

monthly adjustment amount to a 

beneficiary’s standard monthly 

premium under Medicare Part B occurs. 

The respondents are applicants for the 

Medicare Part B income-related monthly 

adjustment amount. The regulations 

sections below contain public reporting 

requirements for which no OMBapproved forms exist. 

Type of Request: Extension of an 

OMB-approved information collection. 

Section 

Number 

of 

respondents 

Frequency 

of 

response 

Average 

burden 

per 

response 

(minutes) 

Estimated 

annual 

burden 

(hours) 

Situation in which beneficiaries ask SSA to examine a different tax return 

than the one they originally used to make their determination: 

§ 418.1310(a) 9,820 1 30 4,910 

Situations related to requests for new initial determinations based on beneficiary reports that a major life-changing event has significantly reduced 

their MAGI: § 418.1005(c) § 418.1250 § 418.1255 § 418.1265 160,000 1 30 80,000 

Situations related to requests for additional new initial determinations and 

updates of MAGI that a beneficiary provided for a new initial determination: § 418.1235 (c)–(d)§ 418.1240 § 418.1245 1,045 1 30 523 

Total 170,865 ........................ ........................ 85,433 

Estimated Annual Burden: 85,433. 

II. SSA has submitted the information 

collections we list 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 October 26, 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 e-mail address. 

1. Waiver of Right to Appear— 

Disability Hearing—20 CFR 404.913– 

404.914, 404.916(b)(5), 416.1413– 

416.1414, 416.1416(b)(5)—0960–0534. 

SSA uses Form SSA–773–U4 for 

claimants, or their representatives, to 

officially waive their right to appear at 

a disability hearing. The disability 

hearing officer uses the signed form as 

a basis for not holding a hearing and for 

preparing a written decision on the 

claimants request for disability based 

solely on the evidence of record. The 

respondents are claimants, or their 

representatives, for disability under 

Titles II and XVI of the Social Security 

Act, who wish to waive their right to 

appear at a disability hearing. 

Note: This is a correction notice. SSA 

published this information collection as an 

extension on July 27, 2009 at 74 FR 37081. 

Since we are revising the Privacy Act 

Statement, this is now a revision of an OMBapproved information collection. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 200. 

Frequency of Response: 1. 

Average Burden Per Response: 3 

minutes. 

Estimated Annual Burden: 10 hours. 

2. Medical Consultant’s Review of 

Physical Residual Functional Capacity 

Assessment—20 CFR 404.1545–.1546, 

404.1640, 404.1643, 404.1645, 416.945– 

.946—0960–0680. SSA uses Form SSA– 

392 to facilitate the medical/ 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 74, No. 184 / Thursday, September 24, 2009 / Notices 48797 

psychological consultant’s review of the 

Physical Residual Functional Capacity 

Form, SSA–4734. The SSA–392 records 

the reviewing medical/psychological 

consultant’s assessment of the SSA– 

4734. It also documents whether the 

reviewer agrees or disagrees with how 

the adjudicator completed the SSA– 

4734. Medical/psychological 

consultants prepare the SSA–392 for 

each SSA–4734 an adjudicator 

completes. The respondents are 

medical/psychological consultants who 

conduct a quality review of adjudicating 

components’ completion of SSA’s 

medical assessment forms. 

Note: This is a correction notice. SSA 

published this information collection as an 

extension on July 27, 2009 at 74 FR 37081. 

Since we are revising the Privacy Act 

Statement, this is now a revision of an OMBapproved information collection. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 256. 

Frequency of Response: 359. 

Average Burden Per Response: 12 

minutes. 

Estimated Annual Burden: 18,381 

hours. 

3. Statement of Reclamation Action— 

31 CFR 210—0960–0734. SSA uses 

Form SSA–1713 to collect information 

to determine if a Canadian bank is able 

to return erroneous payments, and to 

determine how and when it can return 

the payments made after the death of a 

beneficiary who elected to have 

payments sent to Canada. Form SSA– 

1712 (or SSA–1712 CN) is the cover 

sheet SSA prepares to request return of 

a payment erroneously made after the 

death of the recipient. SSA sends Form 

SSA—1712 with Form SSA–1713. The 

respondents are Canadian financial 

institutions that received Social 

Security payments. 

Note: This is a correction notice. SSA 

published this information collection as an 

extension on July 10, 2009 at 74 FR 33313. 

Since we are revising the Privacy Act 

Statement, this is now a revision of an OMBapproved information collection. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 15. 

Frequency of Response: 1. 

Average Burden Per Response: 5 

minutes. 

Estimated Annual Burden: 1 hour. 

Dated: September 18, 2009. 

Elizabeth A. Davidson, 

Director, Center for Reports Clearance, Social 

Security Administration. 

[FR Doc. E9–23074 Filed 9–23–09; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No. SSA–2009–0061] 

Modifications to the Disability 

Determination Procedures; Extension 

of Testing of Some Disability Redesign 

Features 

AGENCY: Social Security Administration. 

ACTION: Notice of the extension of tests 

involving modifications to the disability 

determination procedures. 

SUMMARY: We are announcing the 

extension of tests involving 

modifications to disability 

determination procedures authorized by 

20 CFR 404.906 and 416.1406. These 

rules authorize us to test several 

modifications to the disability 

determination procedures for 

adjudicating claims for disability 

insurance benefits under title II of the 

Social Security Act (Act) and for 

supplemental security income payments 

based on disability under title XVI of 

the Act. 

DATES: We are extending our selection 

of cases to be included in these tests 

from September 30, 2009 until no later 

than September 28, 2012. If we decide 

to continue selection of cases for these 

tests beyond this date, we will publish 

another notice in the Federal Register. 

FOR FURTHER INFORMATION CONTACT: 

Michele Schaefer, Office of Disability 

Programs, Social Security 

Administration, 6401 Security 

Boulevard, Baltimore, MD 21235–6401, 

410–594–0083, for information about 

this notice. For information on 

eligibility or filing for benefits, call our 

national toll-free number, 1–800–772– 

1213 or TTY 1–800–325–0778, or visit 

our Internet site, Social Security Online, 

at http://www.socialsecurity.gov. 

SUPPLEMENTARY INFORMATION: Our 

current rules authorize us to test, 

individually or in any combination, 

certain modifications of the disability 

determination procedures. 20 CFR 

404.906 and 416.1406. We have 

conducted several tests under the 

authority of these rules. In the ‘‘single 

decisionmaker,’’ test, a disability 

examiner may make the initial disability 

determination in most cases without 

obtaining the signature of a medical or 

psychological consultant. We also have 

conducted a separate test, which we call 

the ‘‘prototype,’’ in 10 States. 64 FR 

47218. Currently, the prototype 

combines the single decisionmaker 

approach described above with the 

elimination of the reconsideration level 

of our administrative review process. 

We have extended the time period for 

selecting claims for these tests several 

times. Most recently, on August 10, 

2006, we extended the time period until 

September 30, 2009. 71 FR 45890. We 

have decided to extend case selection 

for the current disability prototype 

process (single decisionmaker and 

elimination of the reconsideration step) 

and for the separate test of the single 

decisionmaker until September 28, 

2012. If we decide to end case selection 

for any part of the disability prototype 

in any the 10 States in which we are 

conducting the tests prior to September 

28, 2012, we will publish another notice 

in the Federal Register. 

Dated: September 18, 2009. 

David A. Rust, 

Deputy Commissioner for Retirement and 

Disability Policy. 

[FR Doc. E9–23110 Filed 9–23–09; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 6768] 

Bureau of Educational and Cultural 

Affairs (ECA) Request for Grant 

Proposals: FY–2010 Study of the 

United States Institutes for Scholars 

Announcement Type: New 

Cooperative Agreement. 

Funding Opportunity Number: ECA/ 

A/E/USS–10–02–04. 

Catalog of Federal Domestic 

Assistance Number: 19.401. 

Key Dates 

Application Deadline: December 3, 

2009. 

Executive Summary: The Branch for 

the Study of the United States, Office of 

Academic Exchange Programs, Bureau 

of Educational and Cultural Affairs, 

invites proposal submissions for the 

design and implementation of three 

Study of the United States Institutes to 

take place over the course of six weeks 

beginning in June 2010. These Institutes 

should provide a multinational group of 

experienced educators with a deeper 

understanding of U.S. society, culture, 

values, and institutions. 

Two of these Institutes will be for 

groups of 18 foreign university level 

faculty, focusing on U.S. Culture and 

Society, and Journalism and Media. The 

third Institute will be a general survey 

course on the study of the United States 

for a group of 30 foreign secondary 

educators. 

Applicants may propose to host only 

one Institute listed under this 

competition. Should an applicant 

submit multiple proposals under this 

competition, all proposals will be 

declared technically ineligible and 


srobinson on DSKHWCL6B1PROD with NOTICES