58760 Federal Register / Vol. 62, No. 210 / Thursday, October 30, 1997 / Notices

Management and Budget for review and

approval.

Summary of Proposal(s)

(1) Collection title: Public Service

Pension Questionnaires.

(2) Form(s) submitted: G–208, G–212.

(3) OMB Number: 3220–0136.

(4) Expiration date of current OMB

clearance: 12/31/97.

(5) Type of request: Revision of a

currently approved collection.

(6) Respondents: Individuals or

households.

(7) Estimated annual number of

respondents: 7,700.

(8) Total annual responses: 7,700.

(9) Total annual reporting hours:

1,200.

(10) Collection description: A spouse

or survivor annuity under the Railroad

Retirement Act may be subjected to a

reduction for a public service pension.

The questionnaires obtain information

needed to determine if the reduction

applies and the amount of such

reduction.

ADDITIONAL INFORMATION OR COMMENTS:

Copies of the forms and supporting

documents can be obtained from Chuck

Mierzwa, the agency clearance officer

(312–751–3363). Comments regarding

the information collection should be

addressed to Ronald J. Hodapp, Railroad

Retirement Board, 844 North Rush

Street, Chicago, Illinois 60611–2092 and

the OMB reviewer, Laura Oliven (202–

395–7316), Office of Management and

Budget, Room 10230, New Executive

Office Building, Washington, D.C.

20503.

Chuck Mierzwa,

Clearance Officer.

[FR Doc. 97–28707 Filed 10–29–97; 8:45 am]

BILLING CODE 7905–01–M

SECURITIES AND EXCHANGE

COMMISSION

Great Northern Finance Corporation;

Order of Suspension of Trading

[File No. 500–1]

October 27, 1997.

It appears to the Securities and

Exchange Commission that there is a

lack of adequate and accurate current

information concerning the securities of

Great Northern Finance Corporation

(‘‘GNFL’’), of Denver, Colorado.

Questions have been raised about

publicly-disseminated information

concerning, among other things: (1)

arrangements, understandings or

agreements to artificially control the

market for GNFL’s securities; (2) the

ownership of GNFL’s securities; (3) the

status of a proposed acquisition of

Lazer-Tek Designs, Inc. by GNFL; (4) the

business prospects of Lazer-Tek; and (5)

the business prospects of GNFL.

The Commission is of the opinion that

the public interest and the protection of

investors require a suspension of trading

in the securities of the above listed

company.

Therefore, it is ordered, pursuant to

Section 12(k) of the Securities Exchange

Act of 1934, that trading in the above

listed company is suspended for the

period from 9:00 a.m. EST, October 27,

1997 through 11:59 p.m. EST, on

November 7, 1997.

By the Commission.

Margaret H. McFarland,

Deputy Secretary.

[FR Doc. 97–28836 Filed 10–27–97; 4:36 pm]

BILLING CODE 8010–01–M

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 P.L. 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. Request to be Selected as Payee—

0960–0014. The information collected

on Form SSA–11–BK is used to

determine the proper payee for a Social

Security beneficiary, and it is designed

to aid in the investigation of a payee

applicant. The form will establish the

applicant’s relationship to the

beneficiary, the justification, the

concern for the beneficiary and the

manner in which the benefits will be

used. The respondents are applicants for

selection as representative payee for

Old-Age, Survivors and Disability

Insurance (OASDI), Supplemental

Security Income (SSI) and Black Lung

benefits.

Number of Respondents: 1,709,657.

Frequency of Response: 1.

Average Burden Per Response: 10.5

minutes.

Estimated Annual Burden: 229,190

hours.

2. Application for Benefits Under the

Federal Mine Safety and Health Act of

1977, as Amended; (Widow’s Claim,

Child’s Claim and Dependent’s Claim)—

0960–0118. Sections 402(g) and 412(a)

of the Federal Mine Safety and Health

Act provide that those widows,

surviving children, and dependent

parents, brothers or sisters who are not

currently receiving benefits on the

deceased miner’s account must file the

appropriate application within 6

months of the deceased miner’s death,

using Forms SSA–47, 48 and 49. This

information is used to determine

eligibility for benefits.

Number of Respondents: 1,800.

Frequency of Response: 1.

Average Burden Per Response: 11

minutes.

Estimated Annual Burden: 330 hours.

3. Work History Report—0960–0552.

Form SSA–3369–BK is used by the State

Disability Determination Services

(DDSs) to determine disability and to

record information about the claimant’s

work history during the past 15 years.

The respondents are claimants who live

in Virginia and are applying for OASDI

and SSI benefits.

Number of Respondents: 32,000.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 16,000

hours.

4. Disability Report-Child—0960–

0504. Form SSA–3820–BK is used by

the State DDSs to record claimants’

allegations and sources of evidence in

determining eligibility for children

filing for SSI disability benefits. The

respondents are SSI claimants who live

in Virginia and are applying for disabled

child’s benefits.

Number of Respondents: 10,900.

Frequency of Response: 1.

Average Burden Per Response: 40

minutes.

Estimated Annual Burden: 7,267

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

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.
Federal Register / Vol. 62, No. 210 / Thursday, October 30, 1997 / Notices 58761

II. The information collection(s) listed

below have been submitted to OMB:

1. Disability Report—0960–0573. The

information collected on Form SSA–

3368–F6 is needed for the determination

of disability by the State DDSs. 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.

2. Work History Report–0960–0572.

The information collected on Form

SSA–3369–F6 is needed for the

determination of disability by the State

DDSs. The information will be used to

document an individual’s past work

history. The respondents are applicants

for OASDI and SSI benefits.

Number of Respondents: 1,000,000.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated annual Burden: 500,000

hours.

3. Medical History and Disability

Report, Disabled Child—0960–0574.

The information collected on Form

SSA–3820–F4 is needed for the

determination of disability by the State

DDSs 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 SSI claimants who are

applying for disabled child’s 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

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, DC 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: October 24, 1997.

Nicholas E. Tagliareni,

Reports Clearance Officer, Social Security

Administration.

[FR Doc. 97–28831 Filed 10–29–97; 8:45 am]

BILLING CODE 4190–29–M

SOCIAL SECURITY ADMINISTRATION

Finding Regarding the Social

Insurance System of The Czech

Republic

AGENCY: Social Security Administration.

ACTION: Notice of Finding Regarding the

Social Insurance System of The Czech

Republic.

FINDING: Section 202(t)(1) of the Social

Security Act (42 U.S.C. 402(t)(1))

prohibits payment of monthly benefits

to any individual who is not a United

States citizen or national for any month

after he or she has been outside the

United States for 6 consecutive months,

and prior to the first month thereafter

for all of which, the individual has been

in the United States. This prohibition

does not apply to such an individual

where one of the exceptions described

in sections 202(t)(2) through 202(t)(5) of

the Social Security Act (42 U.S.C.

402(t)(2)–(5)) affects his or her case.

Section 202(t)(2) of the Social

Security Act provides that, subject to

certain residency requirements of

section 202(t)(11), the prohibition

against payment shall not apply to any

individual who is a citizen of a country

which the Commissioner of Social

Security finds has in effect a social

insurance system which is of general

application in such country and which:

(a) pays periodic benefits, or the

actuarial equivalent thereof, on account

of old age, retirement, or death; and

(b) permits individuals who are

United States citizens but not citizens of

that country and who qualify for such

benefits to receive those benefits, or the

actuarial equivalent thereof, while

outside the foreign country regardless of

the duration of the absence.

The Commissioner of Social Security

has delegated the authority to make

such a finding to the Associate

Commissioner for International Policy.

Under that authority, the Associate

Commissioner for International Policy

has approved a finding that the Czech

Republic, as of January 1, 1993, has a

social insurance system of general

application which:

(a) pays periodic benefits, or the

actuarial equivalent thereof, on account

of old age, retirement, or death; and

(b) permits United States citizens who

are not citizens of the Czech Republic

and who qualify for the relevant benefits

to receive those benefits, or their

actuarial equivalent, while outside of

the Czech Republic, regardless of the

duration of the absence of these

individuals from the Czech Republic.

Accordingly, it is hereby determined

and found that the Czech Republic has

in effect, as of January 1, 1993, a social

insurance system which meets the

requirements of section 202(t)(2) of the

Social Security Act (42 U.S.C. 402(t)(2)).

This is our first finding under section

202(t) of the Social Security Act for the

Czech Republic. Before January 1993,

the United States did not recognize the

Czech Republic as an independent

nation. Czechoslovakia divided into two

separate states, the Czech Republic and

the Slovak Republic, on January 1, 1993.

At that time, and until January 1996, the

Czech Republic continued to use the old

Czechoslovak social insurance system

which was determined to meet the

provisions of Section 202(t)(2) of the

Social Security Act on July 1, 1968. The

Czech Republic also considered itself

bound by the Diplomatic Notes on

reciprocity of payments that were

exchanged between the United States

and Czechoslovakia in 1968 and the

addendum in 1969.

The new social insurance law, the

Pension Insurance Act, entered into

force in the Czech Republic on January

1, 1996. Prior to that date, Czech

citizens met an exception under the

provisions of section 202(t)(2) based on

the old Czechoslovak law that was still

in effect.

FOR FURTHER INFORMATION CONTACT:

Donna Powers, Room 1104, West High

Rise Building, P.O. Box 17741, 6401

Security Boulevard, Baltimore, MD

21235, (410) 965–3568.

(Catalog of Federal Domestic Assistance:

Program Nos. 96.001 Social Security—

Disability Insurance; 96.002 Social

Security—Retirement Insurance; 96.004

Social Security—Survivors Insurance)

Dated: October 24, 1997.

James A. Kissko,

Associate Commissioner for International

Policy.

[FR Doc. 97–28770 Filed 10–29–97; 8:45 am]

BILLING CODE 4190–29–P

SOCIAL SECURITY ADMINISTRATION

Senior Executive Service; Performance

Review Board Membership

AGENCY: Social Security Administration.

ACTION: Notice of Senior Executive

Service Performance Review Board

Membership.