Federal Register / Vol. 74, No. 192 / Tuesday, October 6, 2009 / Notices 51353 

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_Submion@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 December 7, 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 e-mail 

address. 

1. Response to Notice of Revised 

Determination—20 CFR 404.913–.914, 

404.992(b), 416.1413–.1414 and 

416.1492(d)–0960–0347. When SSA 

determines that (1) claimants for initial 

disability benefits do not actually have 

a disability or (2) current disability 

recipients’ disability ceased, the agency 

must notify the disability claimants/ 

recipients of this decision. In response 

to this notice, the affected claimants and 

disability recipients have the following 

recourse: (1) They may request a 

disability hearing to contest SSA’s 

decision, and (2) they may submit 

additional information or evidence for 

SSA to consider. Disability claimants, 

recipients, and their representatives use 

Form SSA–765, the Response to Notice 

of Revised Determination, to accomplish 

these two actions. The respondents are 

disability claimants, current disability 

recipients, or their representatives. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 1,925. 

Frequency of Response: 1. 

Average Burden Per Response: 30 

minutes. 

Estimated Annual Burden: 963 hours. 

2. Statement of Household Expenses 

and Contributions—20 CFR 416.1130– 

416.1148–0960–0456. SSA uses the 

information from Form SSA–8011–F3, 

to determine whether the claimant or 

recipient receives in-kind support and 

maintenance. This is necessary to 

determine the claimant or recipient’s 

eligibility for Supplemental Security 

Income (SSI) and the amount of benefits 

payable. SSA does not use this form for 

all claims and post eligibility 

determinations. SSA uses this form only 

in cases where SSA needs the 

householder’s (head of household) 

corroboration of in-kind support and 

maintenance. Respondents are 

householders where an SSI applicant or 

recipient resides. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 400,000. 

Frequency of Response: 1. 

Average Burden Per Response: 15 

minutes. 

Estimated Annual Burden: 100,000 

hours. 

3. Request for Reinstatement (Title 

II)—20 CFR 404.1592b–404.1592f–0960– 

0742. Through Form SSA–371, SSA 

obtains a signed statement from 

individuals stating a request for 

Expedited Reinstatement (EXR) of their 

Title II disability benefits, and proof the 

requestor meets the EXR requirements. 

SSA maintains the form in the disability 

folder of the applicant to demonstrate 

the individual’s awareness of the EXR 

requirements and their choice to request 

EXR. Respondents are individuals 

requesting expedited reinstatement of 

his or her Title II disability benefits. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 10,000. 

Frequency of Response: 1. 

Average Burden Per Response: 2 

minutes. 

Estimated Annual Burden: 333 hours. 

4. Request for Reinstatement (Title 

XVI)—20 CFR 416.999–416.999d–0960– 

0744. Through the SSA–372, SSA 

obtains a signed statement from 

individuals stating a request for 

Expedited Reinstatement (EXR) of their 

Title XVI SSI payments, and proof the 

requestor meets the EXR requirements. 

SSA maintains the form in the disability 

folder of the applicant to demonstrate 

the individual’s awareness of the EXR 

requirements and their choice to request 

EXR. Respondents are individuals 

requesting expedited reinstatement of 

his or her Title XVI SSI payments. 

Type of Request: Revision of an OMB 

approved information collection. 

Number of Respondents: 2,000. 

Frequency of Response: 1. 

Average Burden Per Response: 2 

minutes. 

Estimated Annual Burden: 67 hours. 

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 November 5, 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. Continuing Disability Review 

Report—20 CFR 404.1589, 416.989– 

0960–0072. SSA may conduct a review 

to determine whether individuals 

receiving disability benefits are still 

entitled to or eligible for those benefits. 

SSA uses Form SSA–454 to collect the 

information it needs 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. 


jlentini on DSKJ8SOYB1PROD with NOTICES
51354 Federal Register / Vol. 74, No. 192 / Tuesday, October 6, 2009 / Notices 

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 

Dated: September 30, 2009. 

Elizabeth A. Davidson, 

Director, Center for Reports Clearance, Social 

Security Administration. 

[FR Doc. E9–24054 Filed 10–5–09; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice: 6777] 

Bureau of Consular Affairs; 

Registration for the Diversity 

Immigrant (DV–2011) Visa Program 

AGENCY: Department of State. 

ACTION: Notice. 

SUMMARY: This public notice provides 

information on how to apply for the 

DV–2011 Program. This notice is issued 

pursuant to 22 CFR 42.33(b)(3) which 

implements sections 201(a)(3), 201(e), 

203(c) and 204(a)(1)(I) of the 

Immigration and Nationality Act, as 

amended, (8 U.S.C. 1151, 1153, and 

1154(a)(1)(I)). 

Instructions for the 2011 Diversity 

Immigrant Visa Program (DV–2011) 

The congressionally mandated 

Diversity Immigrant Visa Program (DV– 

2011) is administered on an annual 

basis by the Department of State and 

conducted under the terms of Section 

203(c) of the Immigration and 

Nationality Act (INA). Section 131 of 

the Immigration Act of 1990 (Pub. L. 

101–649) amended INA 203 and 

provides for a class of immigrants 

known as ‘‘diversity immigrants.’’ 

Section 203(c) of the INA provides a 

maximum of 55,000 Diversity Visas 

(DVs) each fiscal year to be made 

available to persons from countries with 

low rates of immigration to the United 

States. 

The annual DV program makes 

permanent residence visas available to 

persons meeting the simple, but strict, 

eligibility requirements. A computergenerated random lottery drawing 

chooses selectees for DVs. The visas are 

distributed among six geographic 

regions with a greater number of visas 

going to regions with lower rates of 

immigration, and with no visas going to 

nationals of countries sending more 

than 50,000 immigrants to the United 

States over the period of the past five 

years. Within each region, no single 

country may receive more than seven 

percent of the available DVs in any one 

year. 

For DV–2011, natives of the following 

countries are not eligible to apply 

because the countries sent a total of 

more than 50,000 immigrants to the 

United States in the previous five years: 

Brazil, Canada, China (Mainland-Born), 

Colombia, Dominican Republic, Ecuador, El 

Salvador, Guatemala, Haiti, India, Jamaica, 

Mexico, Pakistan, Peru, Philippines, Poland, 

South Korea, United Kingdom (Except 

Northern Ireland) and Its Dependent 

Territories, and Vietnam. 

Persons born in Hong Kong SAR, 

Macau SAR, and Taiwan are eligible. 

For DV–2011, no countries have been 

added or removed from the previous 

year’s list of eligible countries. 

The Department of State implemented 

the electronic registration system 

beginning with DV–2005 in order to 

make the DV process more efficient and 

secure. The Department utilizes special 

technology and other means to identify 

those who commit fraud for the 

purposes of illegal immigration or who 

submit multiple entries. 

DV Registration Period 

Entries for the DV–2011 DV Lottery 

must be submitted electronically 

between noon, Eastern Daylight Time 

(EDT) (GMT–4), Friday, October 2, 2009, 

and noon, Eastern Standard Time (EST) 

(GMT–5) Monday, November 30, 2009. 

Applicants may access the electronic 

Diversity Visa (E–DV) Entry Form at 

http://www.dvlottery.state.gov during 

the registration period. Paper entries 

will not be accepted. Applicants are 

strongly encouraged not to wait until 

the last week of the registration period 

to enter. Heavy demand may result in 

Web site delays. No entries will be 

accepted after noon, EST, on November 

30, 2009. 

Requirements for Entry 

To enter the DV lottery, you must be 

a native of one of the listed countries. 

See ‘‘List of Countries by Region Whose 

Natives Qualify.’’ In most cases, this 

means the country in which you were 

born. However, there are two other ways 

you may be able to qualify. First, if you 

were born in a country whose natives 

are ineligible but your spouse was born 

in a country whose natives are eligible, 

you can claim your spouse’s country of 

birth, provided both you and your 

spouse are on the selected entry, are 

issued visas, and enter the United States 

simultaneously. Second, if you were 

born in a country whose natives are 

ineligible, but neither of your parents 

was born there or resided there at the 

time of your birth, you may claim 

nativity in one of your parents’ country 

of birth, if it is a country whose natives 

qualify for the DV–2011 program. 

To enter the lottery, you must meet 

either the education or work experience 

requirement of the DV program. You 

must have either a high school 

education or its equivalent, defined as 

successful completion of a 12-year 

course of elementary and secondary 

education OR two years of work 

experience within the past five years in 

an occupation requiring at least two 

years of training or experience to 

perform. The U.S. Department of Labor’s 

O*Net OnLine database will be used to 

determine qualifying work experience. 

For more information about qualifying 

work experience, see Frequently Asked 

Question #13. If you cannot meet either 

of these requirements, you should not 

submit an entry to the DV program. 

Procedures for Submitting an Entry to 

DV–2011 

The Department of State will only 

accept completed E–DV Entry Forms 

submitted electronically at http:// 

www.dvlottery.state.gov during the 

registration period between noon, EDT 

(GMT–4), Friday, October 2, 2009 and 

noon, EST (GMT–5) Monday, November 

30, 2009. 

All entries by an individual will be 

disqualified if more than ONE entry for 

that individual is received, regardless of 

who submitted the entry. You may 

prepare and submit your own entry, or 

have someone submit the entry for you. 

A successfully registered entry will 

result in the display of a confirmation 

screen containing your name and a 


jlentini on DSKJ8SOYB1PROD with NOTICES