Federal Register / Vol. 62, No. 160 / Tuesday, August 19, 1997 / Notices 44163

Annual Responses: 10,000.

Annual Burden: 2,000.

Title: ‘‘Mentor’s Report’’.

Type of Request: New Information

Collection.

Form No: N/A.

Description of Respondents:

Organizations which foster the growth

of Women’s Business Ownership.

Annual Responses: 10,000.

Annual Burden: 2,000.

Title: ‘‘Protege Business Assessment

Questionnaire’’.

Type of Request: New Information

Collection.

Form No: N/A.

Description of Respondents:

Organizations which foster the growth

of Women’s Business Ownership.

Annual Responses: 10,000.

Annual Burden: 2,000.

Title: ‘‘Wise Success Team Evaluation

Survey’’.

Type of Request: New Information

Collection.

Form No: N/A.

Description of Respondents:

Organizations which foster the growth

of Women’s Business Ownership.

Annual Responses: 10,000.

Annual Burden: 2,000.

Title: ‘‘Group Sharing and Feedback

Survey’’.

Type of Request: New Information

Collection.

Form No: N/A.

Description of Respondents:

Organizations which foster the growth

of Women’s Business Ownership.

Annual Responses: 10,000.

Annual Burden: 2,000.

Title: ‘‘Action Planning Sheet

Survey’’.

Type of Request: New Information

Collection.

Form No: N/A.

Description of Respondents:

Organizations which foster the growth

of Women’s Business Ownership.

Annual Responses: 10,000.

Annual Burden: 2,000.

Comments

Send all comments regarding these

information collections to Julia M.

Taylor, Office of Women Business

Ownership, Small Business

Administration, 409 3rd Street, SW.,

Suite 4200, Washington, DC 20416.

Phone No: 202–205–6673. Send

comments regarding whether these

information collections are necessary for

the proper performance of the function

of the agency, accuracy of burden

estimate, in addition to ways to

minimize this estimate, and ways to

enhance the quality.

Dated: August 13, 1997.

Jacqueline White,

Chief, Administrative Information Branch.

[FR Doc. 97–21857 Filed 8–18–97; 8:45 am]

BILLING CODE 8025–01–P

SOCIAL SECURITY ADMINISTRATION

Information Collection Activities:

Proposed Collection Requests and

Comment Requests

This notice lists information

collection packages that will require

submission to the Office of Management

and Budget (OMB), as well as

information collection packages

submitted to OMB for clearance, in

compliance with Public Law 104–13

effective October 1, 1995, The

Paperwork Reduction Act of 1995.

I. The information collection(s) listed

below require(s) extension(s) of the

current OMB approval(s) or are

proposed new collection(s):

1. Railroad Employment

Questionnaire—0960–0078. Form SSA–

671 is used to secure sufficient

information for required coordination

with the Railroad Retirement Board for

Social Security claims processing. The

form is completed whenever claimants

indicate that they have been employed

in the railroad industry. The

respondents are retired employees of the

railroad industry or their dependents.

Number of Respondents: 125,000.

Frequency of Response: 1.

Average Burden Per Response: 5

minutes.

Estimated Annual Burden: 10,417

hours.

2. Employment Relationship

Questionnaire—0960–0040. Form SSA–

7160 covers all possible employment

situations, and is used by the Social

Security Administration to determine an

individual’s work status. The

respondents are applicants for Social

Security benefits.

Number of Respondents: 47,500.

Frequency of Response: 1.

Average Burden Per Response: 25

minutes.

Estimated Annual Burden: 19,792

hours.

3. Questionnaire About Employment

or Self-Employment Outside the United

States—0960–0050. The information on

Form SSA–7163 is needed to determine

whether work performed outside the

United States by beneficiaries is cause

for deductions from their monthly

benefits; to determine whether the

foreign work test or the regular work test

is applicable; and to determine the

months, if any, for which deductions

should be imposed. The respondents are

beneficiaries who live and work outside

the United States.

Number of Respondents: 20,000.

Frequency of Response: 1.

Average Burden Per Response: 12

minutes.

Estimated Annual Burden: 4,000

hours.

4. Disability Report—0960–0573. The

information collected on Form SSA–

3368 is needed for the determination of

disability by the State Disability

Determination Services. The

information will be used to develop

medical evidence and to assess the

alleged disability. The respondents are

applicants for disability benefits.

Number of Respondents: 2,438,496.

Frequency of Response: 1.

Average Burden Per Response: 45

minutes.

Estimated Annual Burden: 1,828,872

hours.

5. Work History Report—0960–0572.

The information collected on Form

SSA–3369 is needed for the

determination of disability by the State

Disability Determination Services. The

respondents are applicants for disability

benefits. The information will be used

to document an individual’s past work

history.

Number of Respondents: 1,000,000.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 500,000

hours.

6. Medical History and Disability

Report, Disabled Child—0960–0574.

The information collected on Form

SSA–3820 is needed for the

determination of disability by the State

Disability Determination Services. The

SSA–3820 will be used to obtain various

types of information about a child’s

condition, his/her treating sources and/

or other medical sources of evidence.

The respondents are applicants for

disability benefits.

Number of Respondents: 523,000.

Frequency of Response: 1.

Average Burden Per Response: 20

minutes.

Estimated Annual Burden: 174,333

hours.

Written comments and

recommendations regarding the

information collection(s) should be sent

within 60 days from the date of this

publication, directly to the SSA Reports

Clearance Officer at the following

address: Social Security Administration,

DCFAM, Attn: Nicholas E. Tagliareni,

6401 Security Blvd., 1–A–21 Operations

Bldg., Baltimore, MD 21235.

In addition to your comments on the

accuracy of the agency’s burden

estimate, we are soliciting comments on
44164 Federal Register / Vol. 62, No. 160 / Tuesday, August 19, 1997 / Notices

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.

II. The information collection(s) listed

below have been submitted to OMB:

1. Subpart T—State Supplementation

Provisions; Agreement; Payments, 20

CFR 416.2099—0960–0240. Section

1618 of the Social Security Act contains

pass-along provisions of the Social

Security amendments. These provisions

require that States which supplement

the Federal SSI benefit pass along

Federal cost-of-living increases to

individuals who are eligible for State

supplementary payments. If a State fails

to keep payments at the required level,

it becomes ineligible for Medicaid

reimbursement under Title XIX of the

Social Security Act. Regulations in 20

CFR 416.2099 require States to report

mandatory minimum and optional

supplementary payment data to SSA.

The information is used to determine

compliance with laws and regulations.

The respondents are States which

supplement Federal SSI payments.

Number of Respondents: 26.

Frequency of Response: 15 States

report quarterly; 11 States report

annually.

Average Burden Per Response: 1 hour.

Estimated Annual Burden: 71 hours.

2. Application for Lump-Sum Death

Payment—0960–0013. The information

collected on Form SSA–8-F4 is required

to authorize payment of the lump-sum

death benefit to a widow, widower, or

children as defined in Section 202(i) of

the Social Security Act. The

respondents are widows, widowers or

children who receive lump-sum death

benefits.

Number of Respondents: 735,000.

Frequency of Response: 1.

Average Burden Per Response: 10

minutes.

Estimated Annual Burden: 122,500

hours.

3. Statement Regarding

Contributions—0960–0020. Form SSA–

783 collects the information necessary

to make a determination of one-half

support, or contributions to support, in

order to entitle certain child applicants

to Social Security benefits. The

respondents are children who apply for

Social Security benefits.

Number of Respondents: 30,000.

Frequency of Response: 1.

Average Burden Per Response: 15

minutes.

Estimated Annual Burden: 7,500

hours.

4. Application for Search of Census

Record for Proof of Age—0960–0097.

The information collected on Form

SSA–1535–U3 is required to provide the

Census Bureau with sufficient

identifying information, which will

allow an accurate search of census

records to establish proof of age for an

individual applying for Social Security

benefits. It is used for individuals who

must establish age as a factor of

entitlement. The respondents are

individuals applying for Social Security

benefits.

Number of Respondents: 18,000.

Frequency of Response: 1.

Average Burden Per Response: 12

minutes.

Estimated Annual Burden: 3,600

hours.

5. Claimant’s Statement About Loan

of Food or Shelter, and Statement About

Food or Shelter Provided to Another—

0960–0529. Form SSA–5062 will be

used to obtain an SSI applicant’s

statement about whether the food and/

or shelter provided to him/her is a loan.

Form SSA–5063 will be used to obtain

an individual’s statement about whether

the food and/or shelter he/she provides

to an SSI applicant is a loan. SSA needs

to know if a bona fide loan exists in

order to determine whether the food

and/or shelter should (or should not) be

counted as income, which can affect

eligibility for SSI and the amount of SSI

benefits payable. The respondents are

SSI applicants who receive food and/or

shelter (SSA–5062) and individuals who

provide food and/or shelter to SSI

applicants (SSA–5063).

Number of Respondents: 131,080.

Frequency of Response: 1.

Average Burden Per Response: 10

minutes.

Estimated Annual Burden: 21,847

hours.

Written comments and

recommendations regarding the

information collection(s) should be

directed within 30 days to the OMB

Desk Officer and SSA Reports Clearance

Officer at the following addresses:

(OMB)

Office of Management and Budget,

OIRA, Attn: Laura Oliven, New

Executive Office Building, Room

10230, 725 17th St., NW.,

Washington, D.C. 20503

(SSA)

Social Security Administration,

DCFAM, Attn: Nicholas E. Tagliareni,

1–A–21 Operations Bldg., 6401

Security Blvd., Baltimore, MD 21235

To receive a copy of any of the forms

or clearance packages, call the SSA

Reports Clearance Officer on (410) 965–

4125 or write to him at the address

listed above.

Dated: August 12, 1997.

Nicholas E. Tagliareni,

Reports Clearance Officer, Social Security

Administration.

[FR Doc. 97–21783 Filed 8–18–97; 8:45 am]

BILLING CODE 4190–29–P

DEPARTMENT OF STATE

[Public Notice No. 2582]

United States International

Telecommunications Advisory

Committee (ITAC) Standardization

Sector (ITAC–T) Study Group A And

ITAC–T; Meeting

The Department of State announces

that the United States International

Telecommunications Advisory

Committee (ITAC), Telecommunications

Standardization Sector (ITAC–T)

National Study Group and Study Group

A have scheduled several meetings to

develop United States positions and

contributions for upcoming ITU–T

meetings dealing with standardization

activities of the International

Telecommunications Union. These

meetings will take place at the

Department of State, at 2201 C Street

N.W., Washington, D.C. beginning at

9:30 a.m. each day and are scheduled to

meet all day. The ITAC–T National

group dealing primarily with the

upcoming January 1998 session of the

Telecommunications Standardization

Advisory Group (TSAG) will meet

September 3 in Room 1105, October 7,

Room 1105, November 18 Room 1205

and December 16, Room 1207.

ITAC–T Study Group A will meet

October 15, in Room 1207 and

November 19, Room 1105 to continue

preparations to develop positions and

contributions for (1) ITU–T Study Group

3’s (Tariff and Accounting Principles

including related telecommunications

economic and policy issues) meeting

scheduled for December 2–11, 1997 and

(2) the ITU–T Study Group 2 meetings

scheduled for Hungary in October 1997

and February 1998 in Geneva. A more

extensive agenda may be developed and

distributed by fax or electronic mail to

members prior to the announced

meetings including the scheduling of

appropriate Ad-Hoc meetings—one for

numbering and routing issues of Study

Group 2 and one for accounting rates

and call back applications within ITU–

T Study Group 3.

Members of the General Public may

attend this meeting and join in the

discussions, subject to the instructions

of the Chair. Admittance of public

members will be limited to the seating

available. In this regard, entrance to the