Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices 28543 

4. Claimant Travel Reimbursement 

Request—20 CFR 404.999a–d—0960–

NEW 

The claimants have the right to be 

reimbursed for their travel expenses to 

and from a consultative examination 

(CE). In order to be reimbursed, the 

claimants must submit an itemized list 

of what they spent to travel round trip 

to the CE. The SSA–104 is sent to the 

claimants with the CE appointment 

notice. If the claimants want to be 

reimbursed for their travel expenses, 

they must complete, sign and return the 

SSA–104 to SSA. SSA uses the 

information collected on this form to 

determine the amount of 

reimbursement. Respondents are 

applicants for disability claims. 

Type of Request: Collection in Use 

without an OMB Number. 

Number of Respondents: 11,092. 

Frequency of Response: 1. 

Average Burden Per Response: 10 

minutes. 

Estimated Annual Burden: 1,849 

hours. 

Dated: May 15, 2007. 

Elizabeth A. Davidson, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. E7–9712 Filed 5–18–07; 8:45 am] 

BILLING CODE 4191–02–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 that will require 

clearance by the Office of Management 

and Budget (OMB) in compliance with 

Pub. L. 104–13, the Paperwork 

Reduction Act of 1995, effective October 

1, 1995. The information collection 

packages that included in this notice are 

for new information collections and 

revisions to existing 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 on ways 

to minimize burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Written 

comments and recommendations 

regarding the information collection(s) 

should be submitted to the OMB Desk 

Officer and the SSA Reports Clearance 

Officer. The information can be mailed, 

faxed or emailed to the individuals at 

the addresses and fax numbers listed 

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, 

DCFAM, Attn: Reports Clearance 

Officer, 1333 Annex Building, 6401 

Security Blvd., Baltimore, MD 21235. 

Fax: 410–965–6400. E-mail address: 

OPLM.RCO@ssa.gov. 

I. The information collection listed 

below is pending at SSA and will be 

submitted to OMB within 60 days from 

the date of this notice. Therefore, your 

comments should be submitted to SSA 

within 60 days from the date of this 

publication. You can obtain copies of 

the collection instrument by calling the 

SSA Reports Clearance Officer at 410–

965–0454 or by writing to the address 

listed above. 

Medicare Quality Review Forms—20 

CFR 418(b)(5)—0960–0707. The Social 

Security Administration (SSA) uses the 

Medicare Quality Review Forms 

collection to verify the information 

reported on Medicare Part D Subsidy 

applications (OMB No. 0960–0696) for a 

selected number of applicants. SSA is 

planning to expand the scope of this 

collection by conducting Quality 

Reviews with some current recipients of 

Medicare Part D subsidies who have 

recently undergone the redetermination 

process (OMB No. 0960–0723). This ICR 

is for two new appointment letters 

(forms SSA–9313 and SSA–9314) that 

such beneficiaries will complete to 

schedule an appointment for their 

Quality Review. The respondents are 

current recipients of Medicare Part D 

subsidies who have recently undergone 

a redetermination and who were 

selected for a Quality Review. 

Type of Request: Revision to an 

existing OMB-approved information 

collection. 

Form number and name Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

annual burden 

(hours) 

SSA–9301 (Medicare Subsidy Quality Review Case Analysis Questionnaire) 10,000 1 35 5,833 

SSA–9302 (Notice of Quality Review Acknowledgement Form for those with 

Phones) ........................................................................................................ 10,000 1 15 2,500 

SSA–9303 (Notice of Quality Review Acknowledgement Form for those 

without Phones) ........................................................................................... 1,000 1 15 250 

SSA–9304 (Checklist of Required Information; burden accounted for with 

forms SSA–9302, SSA–9303).

SSA–9308 (Request for Information) .............................................................. 20,000 1 15 5,000 

SSA–9310 (Request for Documents) .............................................................. 10,000 1 5 833 

SSA–9309 (Life Insurance Verification Form) ................................................. 8,000 1 15 2,000 

SSA–8510 (Authorization to the Social Security Administration to Obtain 

Personal Information) ................................................................................... 10,000 1 5 833 

SSA–9313 (Notice of Appointment Quality Review Acknowledgement 

Form)* .......................................................................................................... 4,500 1 15 1,125 

SSA–9314 (Notice of Quality Review Acknowledgement Form (unknown 

phone numbers)* .......................................................................................... 500 1 15 125 

Total .......................................................................................................... ........................ ........................ ........................ 18,499 

* These are the two new forms being cleared in the current ICR for this collection. 

II. The information collection listed 

below has been submitted to OMB for 

clearance. Your comments on the 

information collection would be most 

useful if received by OMB and SSA 

within 30 days from the date of this 


pwalker on PROD1PC71 with NOTICES
28544 Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices 

publication. You can obtain a copy of 

the OMB clearance package by calling 

the SSA Reports Clearance Officer at 

410–965–0454, or by writing to the 

address listed above. 

Electronic Records Express—0960—

NEW. Electronic Records Express (ERE) 

is a new Internet-based platform which 

facilitates the electronic submission of 

medical and school records needed for 

the disability process. These records are 

currently mailed as hard paper copies to 

SSA and state Disability Determination 

Services (DDSs) under the aegis of OMB 

No. 0960–0555, the Clearance of 

Information Collections Conducted by 

State Disability Determination Services 

on Behalf of SSA. While SSA and the 

DDSs will continue to accept paper 

copies, ERE offers respondents the 

opportunity to submit these records 

electronically. The revised burden for 

the actual document submission will 

continue to be covered under 0960–

0555; this new collection covers the ERE 

registration and user training process. 

The respondents are medical providers 

and school professionals who submit 

information to SSA on behalf of 

disability applicants or beneficiaries. 

Type of Request: New information 

collection. 

Number of Respondents: 20,000. 

Frequency of Response: 1. 

Average Burden Per Response: 5 

minutes. 

Estimated Annual Burden: 1,667 

hours. 

Dated: May 15, 2007. 

Elizabeth A. Davidson, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. E7–9726 Filed 5–18–07; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice: 5799] 

60-Day Notice of Proposed Information 

Collection: DS–156, Nonimmigrant 

Visa Application, OMB Control Number 

1405–0018 

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: 

Nonimmigrant Visa Application. 

• OMB Control Number: 1405–0018. 

• Type of Request: Extension of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs (CA/VO). 

• Form Number: DS–156. 

• Respondents: Nonimmigrant visa 

applicants. 

• Estimated Number of Respondents: 

12,000,000. 

• Estimated Number of Responses: 

12,000,000. 

• Average Hours Per Response: 1 

hour. 

• Total Estimated Burden: 12,000,000 

hours per year. 

• Frequency: Once per respondent. 

• Obligation to Respond: Required to 

Obtain or Retain a Benefit. 

DATES: The Department will accept 

comments from the public up to 60 days 

from May 21, 2007. 

ADDRESSES: You may submit comments 

by any of the following methods: 

• E-mail: VisaRegs@state.gov (Subject 

line must read DS–156 Reauthorization). 

• Mail (paper, disk, or CD–ROM 

submissions): Chief, Legislation and 

Regulation Division, Visa Services—DS–

156 Reauthorization, 2401 E Street, 

NW., Washington DC 20520–30106. 

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 

Lauren Prosnik of the Office of Visa 

Services, U.S. Department of State, 2401 

E Street, NW., L–603, Washington, DC 

20522, who may be reached at (202) 

663–2951 or prosnikla@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: 

Form DS–156 is completed by aliens 

seeking nonimmigrant visas to the U.S. 

The Department will use the DS–156 to 

elicit information necessary to 

determine an applicant’s visa eligibility. 

Methodology: 

The DS–156 is completed by 

applicants online or, in exceptional 

circumstances, applicants may submit a 

paper application to posts abroad. The 

applicant prints the application and a 

2–D barcode. When the applicant 

appears at the interview the barcode is 

scanned and the information 

electronically received. 

Dated: April 23, 2007. 

Stephen A. Edson, 

Deputy Assistant Secretary, Bureau of 

Consular Affairs, Department of State. 

[FR Doc. E7–9746 Filed 5–18–07; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice 5800] 

Determination and Certification Under 

Section 40A of the Arms Export 

Control Act 

Pursuant to section 40A of the Arms 

Export Control Act (22 U.S.C. 2781), and 

Executive Order 11958, as amended, I 

hereby determine and certify to the 

Congress that the following countries 

are not cooperating fully with United 

States antiterrorism efforts: Cuba, Iran, 

North Korea, Syria, Venezuela. 

This determination and certification 

shall be transmitted to the Congress and 

published in the Federal Register. 

Dated: May 14, 2007. 

John D. Negroponte, 

Deputy Secretary of State, Department of 

State. 

[FR Doc. E7–9727 Filed 5–18–07; 8:45 am] 

BILLING CODE 4710–10–P 

DEPARTMENT OF STATE 

[Delegation of Authority 301] 

Delegation by the Secretary of State to 

Henrietta Fore Authorities Normally 

Vested in the Director of Foreign 

Assistance 

By virtue of the authority vested in 

me as Secretary of State by the laws of 

the United States, including the Foreign 

Assistance Act of 1961, as amended (22 

U.S.C. 2151 et seq.), Executive Order 

12163 of September 29, 1979, as 

amended (44 FR 56673), the Migration 

and Refugee Assistance Act of 1962 (22 

U.S.C. 2601) the United Nations 

Participation Act of 1945, as amended 

(22 U.S.C. 287 et seq.) Executive Order 

10206 of January 19, 1951, the 

President’s Memorandum Delegation of 

Authority dated February 16, 1995, the 


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