35526 Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 

SMALL BUSINESS ADMINISTRATION 

Data Collection Available for Public 

Comments 

ACTION: 60-Day notice and request for 

comments. 

SUMMARY: The Small Business 

Administration (SBA) intends to request 

approval, from the Office of 

Management and Budget (OMB) for the 

collection of information described 

below. The Paperwork Reduction Act 

(PRA) of 1995 requires federal agencies 

to publish a notice in the Federal 

Register concerning each proposed 

collection of information before 

submission to OMB, and to allow 60 

days for public comment in response to 

the notice. This notice complies with 

that requirement. 

DATES: Submit comments on or before 

September 24, 2018. 

ADDRESSES: Send all comments to Edsel 

Brown, Deputy Director, Office of 

Innovation and Technology, Small 

Business Administration, 409 3rd Street, 

Suite 6300, Washington, DC 20416. 

FOR FURTHER INFORMATION CONTACT: 

Edsel Brown, Deputy Director, Office of 

Innovation and Technology, 

edsel.brown@sba.gov, 202–205–7343, or 

Curtis B. Rich, Management Analyst, 

202–205–7030, curtis.rich@sba.gov. 

SUPPLEMENTARY INFORMATION: The Small 

Business Act, as amended by the Small 

Business Innovation Research (SBIR) 

and Small Business Technology 

Transfer Program (STTR) 

Reauthorization Act of 2011, requires 

SBA to collect regarding the SBIR and 

STTR awards made by the federal 

agencies that participate in those 

programs. SBA is required to maintain 

this information in searchable electronic 

databases and also to report the 

information to Congress annually. 

Solicitation of Public Comments 

SBA is requesting comments on (a) 

Whether the collection of information is 

necessary for the agency to properly 

perform its functions; (b) whether the 

burden estimates are accurate; (c) 

whether there are ways to minimize the 

burden, including through the use of 

automated techniques or other forms of 

information technology; and (d) whether 

there are ways to enhance the quality, 

utility, and clarity of the information. 

Summary of Information Collection 

Title: Small Business Innovation 

Research (SBIR) and Small Business 

Technology Transfer (STTR) SBIR.gov 

Business Intelligent Database System 

formerly known as the Tech-Net 

Database. 

Description of Respondents: SBA to 

collect regarding the registration of 

firms in the SBIR.gov database system, 

SBIR and STTR awards made by the 

federal agencies, and company updates 

of company commercialization 

information. 

Form Number: N/A. 

Total Estimated Annual Responses 

(Registrations): 8,200. 

Total Estimated Annual Hour Burden: 

1,367. 

Curtis Rich, 

Management Analyst. 

[FR Doc. 2018–15966 Filed 7–25–18; 8:45 am] 

BILLING CODE 8025–01–P 

SMALL BUSINESS ADMINISTRATION 

Reporting and Recordkeeping 

Requirements Under OMB Review 

AGENCY: Small Business Administration. 

ACTION: 30-Day notice. 

SUMMARY: The Small Business 

Administration (SBA) is publishing this 

notice to comply with requirements of 

the Paperwork Reduction Act (PRA) 

which requires agencies to submit 

proposed reporting and recordkeeping 

requirements to OMB for review and 

approval, and to publish a notice in the 

Federal Register notifying the public of 

that submission. 

DATES: Submit comments on or before 

August 27, 2018. 

ADDRESSES: Comments should refer to 

the information collection by name and/ 

or OMB Control Number and should be 

sent to: Agency Clearance Officer, Curtis 

Rich, Small Business Administration, 

409 3rd Street SW, 5th Floor, 

Washington, DC 20416; and SBA Desk 

Officer, Office of Information and 

Regulatory Affairs, Office of 

Management and Budget, New 

Executive Office Building, Washington, 

DC 20503. 

FOR FURTHER INFORMATION CONTACT: 

Curtis Rich, Agency Clearance Officer, 

(202) 205–7030 curtis.rich@sba.gov. 

Copies: A copy of the Form OMB 83– 

1, supporting statement, and other 

documents submitted to OMB for 

review may be obtained from the 

Agency Clearance Officer. 

SUPPLEMENTARY INFORMATION: Small 

Business Administration (SBA) Forms 

856 and 856A are used by SBA 

examiners as part of their examination 

of licensed small business investment 

companies (SBICs). This information 

collection obtains representations from 

an SBIC’s management regarding certain 

obligations, transactions and 

relationships of the SBIC and helps SBA 

to evaluate the SBIC’s financial 

condition and compliance with 

applicable laws and regulations. 

Solicitation of Public Comments 

Comments may be submitted on (a) 

whether the collection of information is 

necessary for the agency to properly 

perform its functions; (b) whether the 

burden estimates are accurate; (c) 

whether there are ways to minimize the 

burden, including through the use of 

automated techniques or other forms of 

information technology; and (d) whether 

there are ways to enhance the quality, 

utility, and clarity of the information. 

Summary of Information Collections 

Title: Disclosures Statement 

Leveraged Licenses; Disclosure Nonleveraged Licensees. 

Description of Respondents: SBA 

Examiners. 

Form Numbers: SBA Forms 856 and 

856A. 

Estimated Annual Respondents: 271. 

Estimated Annual Responses: 271. 

Estimated Annual Hour Burden: 254. 

Curtis Rich, 

Management Analyst. 

[FR Doc. 2018–15954 Filed 7–25–18; 8:45 am] 

BILLING CODE 8025–01–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No: SSA–2018–0040] 

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 extensions 

and revisions 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 burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Mail, email, or 

fax your comments and 

recommendations on the information 

collection(s) to the OMB Desk Officer 

and SSA Reports Clearance Officer at 

the following addresses or fax numbers. 

(OMB) Office of Management and 

Budget, Attn: Desk Officer for SSA, 


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Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 35527 

1The six-state consortium project goes by the 

name Achieving Success by Promoting Readiness 

for Education and Employment (ASPIRE) rather 

than by PROMISE. 

Fax: 202–395–6974, Email address: 

OIRA_Submission@omb.eop.gov 

(SSA) Social Security Administration, 

OLCA, Attn: Reports Clearance 

Director, 3100 West High Rise, 6401 

Security Blvd., Baltimore, MD 21235, 

Fax: 410–966–2830, Email address: 

OR.Reports.Clearance@ssa.gov 

Or you may submit your comments 

online through www.regulations.gov, 

referencing Docket ID Number [SSA– 

2018–0040]. 

I. The information collections below 

are pending at SSA. SSA will submit 

them 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 September 

24, 2018. Individuals can obtain copies 

of the collection instruments by writing 

to the above email address. 

1. Credit Card Payment Form—0960– 

0648. SSA uses Form SSA–1414 to 

process: (1) Credit card payments from 

former employees and vendors with 

outstanding debts to the agency; (2) 

advance payments for reimbursable 

agreements; and (3) credit card 

payments for all Freedom of Information 

Act (FOIA) requests requiring payment. 

The respondents are former employees 

and vendors who have outstanding 

debts to the agency; entities who have 

reimbursable agreements with SSA; and 

individuals who request information 

through FOIA. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–1414 ........................................................................................................ 6,000 1 2 200 

2. Promoting Readiness of Minors in 

SSI (PROMISE) Evaluation—0960–0799. 

Background 

The Promoting Readiness of Minors in 

SSI (PROMISE) demonstration pursues 

positive outcomes for children with 

disabilities who receive Supplemental 

Security Income (SSI) and their families 

by reducing dependency on SSI. The 

Department of Education (ED) awarded 

six cooperative agreements to states to 

improve the provision and coordination 

of services and support for children 

with disabilities who receive SSI and 

their families to achieve improved 

education and employment outcomes. 

ED awarded PROMISE funds to five 

single-state projects, and to one six-state 

consortium.1 With support from ED, the 

Department of Labor (DOL), and the 

Department of Health and Human 

Services (HHS), SSA is evaluating the 

six PROMISE projects. SSA contracted 

with Mathematica Policy Research to 

conduct the evaluation. 

Under PROMISE, targeted outcomes 

for youth include an enhanced sense of 

self-determination; achievement of 

secondary and post-secondary 

educational credentials; an attainment 

of early work experiences culminating 

with competitive employment in an 

integrated setting; and long-term 

reduction in reliance on SSI. Outcomes 

of interest for families include 

heightened expectations for and support 

of the long-term self-sufficiency of their 

youth; parent or guardian attainment of 

education and training credentials; and 

increases in earnings and total income. 

To achieve these outcomes, we expect 

the PROMISE projects to make better 

use of existing resources by improving 

service coordination among multiple 

state and local agencies and programs. 

ED, SSA, DOL, and HHS intend the 

PROMISE projects to address key 

limitations in the existing service 

system for youth with disabilities. By 

intervening early in the lives of these 

young people, at ages 14–16, the 

projects engage the youth and their 

families well before critical decisions 

regarding the age 18 redetermination are 

upon them. We expect the required 

partnerships among the various state 

and Federal agencies that serve youth 

with disabilities to result in improved 

integration of services and fewer 

dropped handoffs as youth move from 

one agency to another. By requiring the 

programs to engage and serve families 

and provide youth with paid work 

experiences, the initiative is mandating 

the adoption of critical best practices in 

promoting the independence of youth 

with disabilities. 

Project Description 

SSA is requesting clearance for the 

collection of data needed to implement 

and evaluate PROMISE. The evaluation 

provides empirical evidence on the 

impact of the intervention for youth and 

their families in several critical areas, 

including: (1) Improved educational 

attainment; (2) increased employment 

skills, experience, and earnings; and (3) 

long-term reduction in use of public 

benefits. We base the PROMISE 

evaluation on a rigorous design that 

entails the random assignment of 

approximately 2,000 youth in each of 

the six projects to treatment or control 

groups (12,000 total). The PROMISE 

projects provide enhanced services for 

youth in the treatment groups; whereas 

youth in the control groups are eligible 

only for those services already available 

in their communities independent of the 

interventions. 

The evaluation assesses the effect of 

PROMISE services on educational 

attainment, employment, earnings, and 

reduced receipt of disability payments. 

The three components of this evaluation 

include: 

• The process analysis, which 

documents program models, assesses 

the relationships among the partner 

organizations, documents whether the 

grantees implemented the programs as 

planned, identifies features of the 

programs that may account for their 

impacts on youth and families, and 

identifies lessons for future programs 

with similar objectives. 

• The impact analysis, which 

determines whether youth and families 

in the treatment groups receive more 

services than their counterparts in the 

control groups. It also determines 

whether treatment group members have 

better results than control group 

members with respect to the targeted 

outcomes noted above. 

• The cost-benefit analysis, which 

assesses whether the benefits of 

PROMISE, including increases in 

employment and reductions in benefit 

receipt, are large enough to justify its 

costs. We conduct this assessment from 

a range of perspectives, including those 

of the participants, state and Federal 

governments, SSA, and society as a 

whole. 

SSA planned several data collection 

efforts for the evaluation. These include: 

(1) Follow-up interviews with youth 

and their parent or guardian 18 months 

and 5 years (60 months) after 

enrollment; (2) phone and in-person 

interviews with local program 

administrators, program supervisors, 

and service delivery staff at two points 

in time over the course of the 


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35528 Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 

demonstration; (3) two rounds of focus 

groups with participating youth in the 

treatment group; (4) two rounds of focus 

groups with parents or guardians of 

participating youth; (5) staff activity logs 

which provide data on aspects of service 

delivery; and (6) collection of 

administrative data. 

At this time, SSA requests clearance 

for the 5-year (60-month) survey 

interviews. The respondents are the 

youth and their parents participating in 

the PROMISE demonstration. 

Type of Request: Revision to an OMBapproved information collection. 

Time Burden on Respondents 

2019—60-MONTH SURVEY INTERVIEWS

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Parent Interview—telephone (using electronic assisted capturing) ................ 1,095 1 32 584 

Youth Interview—telephone (using electronic assisted capturing) .................. 1,110 1 38 703 

Parent Interview—Self-Administered Questionnaire ....................................... 22 1 18 7 

Youth Interview—Self-Administered Questionnaire ......................................... 23 1 18 7 

Totals ........................................................................................................ 2,250 ........................ ........................ 1,301 

2020—60-MONTH SURVEY INTERVIEWS

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Parent Interview—telephone (using electronic assisted capturing) ................ 5,127 1 32 2,734 

Youth Interview—telephone (using electronic assisted capturing) .................. 5,169 1 38 3,274 

Parent Interview—Self-Administered Questionnaire ....................................... 105 1 18 32 

Youth Interview—Self-Administered Questionnaire ......................................... 105 1 18 32 

Totals ........................................................................................................ 10,506 ........................ ........................ 6,072 

2021—60-MONTH SURVEY INTERVIEWS

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Parent Interview—telephone (using electronic assisted capturing) ................ 2,656 1 32 1,417 

Youth Interview—telephone (using electronic assisted capturing) .................. 2,671 1 38 1,692 

Parent Interview—Self-Administered Questionnaire ....................................... 54 1 18 16 

Youth Interview—Self-Administered Questionnaire ......................................... 55 1 18 17 

Totals ........................................................................................................ 5,436 ........................ ........................ 3,142 

GRAND TOTALS

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Parent Interview—telephone (using electronic assisted capturing) ................ 8,878 1 32 4,735 

Youth Interview—telephone (using electronic assisted capturing) .................. 8,950 1 38 5,669 

Parent Interview—Self-Administered Questionnaire ....................................... 181 1 18 55 

Youth Interview—Self-Administered Questionnaire ......................................... 183 1 18 56 

Totals ........................................................................................................ 18,192 ........................ ........................ 10,515 

II. SSA submitted the information 

collections below to OMB for clearance. 

Your comments regarding these 

information collections would be most 

useful if OMB and SSA receive them 30 

days from the date of this publication. 

To be sure we consider your comments, 

we must receive them no later than 

August 27, 2018. Individuals can obtain 

copies of the OMB clearance packages 

by writing to OR.Reports.Clearance@

ssa.gov. 

1. Statement of Employer—20 CFR 

404.801–404.803—0960–0030. When 

workers report they were paid wages but 

cannot provide proof of those earnings, 

and the wages do not appear in SSA’s 

records of earnings, SSA uses Form 

SSA–7011–F4 to document the alleged 

wages. Specifically, the agency uses the 

form to resolve discrepancies in the 

individual’s Social Security earnings 

record and to process claims for Social 

Security benefits. We only send Form 


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SSA–7011–F4 to employers if we are 

unable able to locate the earnings 

information within our own records. 

The respondents are employers who can 

verify wage allegations made by wage 

earners. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

SSA–7011–F4 .................................................................................................. 500 1 20 167 

2. Statement of Claimant or Other 

Person—20 CFR 404.702 & 16.570— 

0960–0045. SSA uses Form SSA–795 in 

special situations where there is no 

authorized form or questionnaire, yet 

we require a signed statement from the 

applicant, claimant, or other individuals 

who have knowledge of facts, in 

connection with claims for Social 

Security benefits or SSI. The 

information we request on the SSA–795 

is of sufficient importance that we need 

both a signed statement and a penalty 

clause. SSA uses this information to 

process, in addition to claims for 

benefits, issues about continuing 

eligibility; ongoing benefit amounts; use 

of funds by a representative payee; fraud 

investigation; and a myriad of other 

program-related matters. The most 

common respondents are applicants for 

Social Security, SSI, or recipients of 

these programs. However, respondents 

also include friends and relatives of the 

involved parties; coworkers; neighbors; 

or anyone else in a position to provide 

information pertinent to the issue(s). 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–795 .......................................................................................................... 305,500 1 15 76,375 

3. Application for a Social Security 

Number Card, the Social Security 

Number Application Process (SSNAP), 

and internet SSN Replacement Card 

(iSSNRC) Application—20 CFR 

422.103–422.110—0960–0066. SSA 

collects information on the SS–5 (used 

in the United States) and SS–5–FS (used 

outside the United States) to issue 

original or replacement Social Security 

cards. SSA also enters the application 

data into the SSNAP application when 

issuing a card via telephone or in 

person. In addition, hospitals collect the 

same information on SSA’s behalf for 

newborn children through the 

Enumeration-at-Birth process. In this 

process, parents of newborns provide 

hospital birth registration clerks with 

information required to register these 

newborns. Hospitals send this 

information to State Bureaus of Vital 

Statistics (BVS), and they send the 

information to SSA’s National Computer 

Center. SSA then uploads the data to the 

SSA mainframe along with all other 

enumeration data, and we assign the 

newborn a Social Security number 

(SSN) and issue a Social Security card. 

Respondents can also use these 

modalities to request a change in their 

SSN records. Finally, the iSSNRC 

internet application collects information 

similar to the paper SS–5 for no-change 

replacement SSN cards for adult U.S. 

citizens. The iSSNRC modality allows 

certain applicants for an SSN 

replacement cards to complete the 

internet application and submit the 

required evidence online rather than 

completing a paper Form SS–5. The 

respondents for this collection are 

applicants for original and replacement 

Social Security cards, or individuals 

who wish to change information in their 

SSN records, who use any of the 

modalities described above. 

Note: This is a correction notice: SSA 

published the incorrect burden information 

for this collection at 83 FR 21328, on 5/09/ 

18. We are correcting this error here. 

Type of Request: Revision of an OMBapproved information collection. 

Application scenario Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Respondents who do not have to provide parents’ SSNs .............................. 10,500,000 1 8.5 1,487,500 

Adult U.S. Citizens requesting a replacement card with no changes through 

the iSSNRC modality * ................................................................................. 480,000 1 5 40,000 

Respondents whom we ask to provide parents’ SSNs (when applying for 

original SSN cards for children under age 12) ............................................ 250,000 1 9 37,500 

Applicants age 12 or older who need to answer additional questions so 

SSA can determine whether we previously assigned an SSN .................... 1,470,000 1 9.5 232,750 

Applicants asking for a replacement SSN card beyond the new allowable 

limits (i.e., who must provide additional documentation to accompany the 

application) ................................................................................................... 4000 1 60 4000 

Authorization to SSA to obtain personal information cover letter ................... 500 1 15 125 

Authorization to SSA to obtain personal information follow-up cover letter .... 500 1 15 125 

Totals ........................................................................................................ 12,705,000 ........................ ........................ 1,802,000 


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4. Statement of Care and 

Responsibility for Beneficiary—20 CFR 

404.2020, 404.2025, 408.620, 408.625, 

416.620, & 416.625—0960–0109. SSA 

uses the information from Form SSA– 

788 to verify payee applicants’ 

statements of concern, and to identify 

other potential payees. SSA is 

concerned with selecting the most 

qualified representative payee who will 

use Social Security benefits in the 

beneficiary’s best interest. SSA 

considers factors such as the payee 

applicant’s capacity to perform payee 

duties; awareness of the beneficiary’s 

situation and needs; demonstration of 

past, and current concern for the 

beneficiary’s well-being; etc. in making 

that determination. If the payee 

applicant does not have custody of the 

beneficiary, SSA obtains information 

from the custodian for evaluation 

against the information the applicant 

provides. Respondents are individuals 

who have custody of the beneficiary in 

cases where someone else filed to be the 

beneficiary’s representative payee. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–788 .......................................................................................................... 130,000 1 10 21,667 

5. Certificate of Election for Reduced 

Spouse’s Benefits—20 CFR 404.421— 

0960–0398. SSA cannot pay reduced 

Social Security benefits to an already 

entitled spouse unless the spouse elects 

to receive reduced benefits and is (1) at 

least age 62, but under full retirement 

age; and (2) no longer is caring for a 

child. In this situation, spouses who 

decide to elect reduced benefits must 

file Form SSA–25, Certificate of Election 

for Reduced Spouse’s Benefits. SSA 

uses the information to pay qualified 

spouses who elect to receive reduced 

benefits. Respondents are entitled 

spouses seeking reduced Social Security 

benefits. 

Type of Request: Revision of an OMB 

approved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–25 ............................................................................................................ 30,000 1 2 1,000 

6. Coverage of Employees of State and 

Local Governments—20 CFR 404, 

Subpart M—0960–0425. The Code of 

Federal Regulations (CFR) at 20 CFR 

404, Subpart M, prescribes the rules for 

States submitting reports of deposits 

and recordkeeping to SSA. SSA requires 

States (and interstate instrumentalities) 

to provide wage and deposit 

contribution information for pre-1987 

periods. Not all states have completely 

satisfied their pending wage report and 

contribution liability with SSA for pre1987 tax years. SSA needs these 

regulations until all pending items with 

all states are closed out, and to provide 

for collection of this information in the 

future, if necessary. The respondents are 

State and local governments or 

interstate instrumentalities. 

Type of Request: Extension of an OMB 

approved information collection. 

CFR citation Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated 

total 

annual burden 

(hours) 

404.1204(a) & (b) ............................................................................................ 52 1 30 26 

404.1215 .......................................................................................................... 52 1 60 52 

404.1216(a) & (b) ............................................................................................ 52 1 60 52 

Total .......................................................................................................... 156 ........................ ........................ 130 

7. Continuation of Supplemental 

Security Income Payments for the 

Temporarily Institutionalized— 

Certification of Period and Need to 

Maintain Home—20 CFR 

416.212(b)(1)—0960–0516. When SSI 

recipients (1) enter a public institution, 

or (2) enter a private medical treatment 

facility with Medicaid paying more than 

50 percent of expenses, SSA reduces 

recipients’ SSI payments to a nominal 

sum. However, if this 

institutionalization is temporary 

(defined as a maximum of three 

months), SSA may waive the reduction. 

Before SSA can waive the SSI payment 

reduction, the agency must receive the 

following documentation: (1) A 

physician’s certification stating the SSI 

recipient will only be institutionalized 

for a maximum of three months, and (2) 

certification from the recipient, the 

recipient’s family, or friends, confirming 

the recipient needs SSI payments to 

maintain the living arrangements to 

which the individual will return postinstitutionalization. To obtain this 

information, SSA employees contact the 

recipient (or a knowledgeable source) to 

collect the required physician’s 

certification and the statement of need. 

SSA does not require any specific 

format for these items, so long as we 

obtain the necessary attestations. The 

respondents are SSI recipients, their 

family or friends, as well as physicians 

or hospital staff members who treat the 

SSI recipient. 

Type of Request: Extension of an 

OMB-approved information collection. 


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Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 35531 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Physician’s Certifications and Statements from Other Respondents .............. 60,000 1 5 5,000 

8. Disability Report-Adult—20 CFR 

404.1512 and 416.912—0960–0579. 

State Disability Determination Services 

(DDS) use the SSA–3368 and its 

electronic versions to determine if adult 

disability applicants’ impairments are 

severe and, if so, how the impairments 

affect the applicants’ ability to work. 

This determination dictates whether the 

DDSs and SSA will find the applicant 

to be disabled and entitled to SSI 

payments. The respondents are 

applicants for Title II disability benefits 

or Title XVI SSI payments. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–3368 (Paper form) .................................................................................. 7,571 1 90 11,357 

Electronic Disability Collection System (EDCS) .............................................. 2,484,231 1 90 3,726,347 

i3368 (internet) ................................................................................................. 1,060,360 1 90 1,590,540 

Totals ........................................................................................................ 3,552,162 ........................ ........................ 5,328,244 

9. Request for Internet Services and 

800# Automated Telephone Services 

Knowledge-Based Authentication 

(RISA–KBA)—20 CFR 401.45—0960– 

0596. The Request for Internet Services 

and 800# Automated Telephone 

Services (RISA) Knowledge-Based 

Authentication (KBA) is one of the 

authentication methods SSA uses to 

allow individuals access to their 

personal information through our 

internet and Automated Telephone 

Services. SSA asks individuals and 

third parties who seek personal 

information from SSA records, or who 

register to participate in SSA’s online 

business services, to provide certain 

identifying information. As an extra 

measure of protection, SSA asks 

requestors who use the internet and 

telephone services to provide additional 

identifying information unique to those 

individuals so SSA can authenticate 

their identities before releasing personal 

information. The respondents are 

current beneficiaries who are requesting 

personal information from SSA, and 

individuals and third parties who are 

registering for SSA’s online business 

services. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of 

completion 

Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Internet Requestors ......................................................................................... 2,903,902 1 2.5 120,996 

Telephone Requestors .................................................................................... 9,795,655 1 4 653,044 

* Change of Address (on hold) ........................................................................ 1 ........................ ........................ 1 

* Screen Splash (on hold) ................................................................................ 1 ........................ ........................ 1 

Totals ........................................................................................................ 12,699,559 ........................ ........................ 774,042 

* One-hour placeholder burdens; Screen Splash and Change of Address applications are on hold. 

10. Representative Payment Policies 

Regulation—20 CFR 404.2011, 

404.2025, 416.611, and 416.625—0960– 

0679. Per 20 CFR 404.2011 and 20 CFR 

416.611, if SSA determines it may cause 

substantial harm for Title II or Title XVI 

recipients to receive their payments 

directly, recipients may dispute that 

decision. To do so, recipients provide 

SSA with information the agency uses 

to reevaluate its determination. In 

addition, our regulations state that after 

SSA selects a representative payee to 

receive benefits on a recipient’s behalf, 

the payees provide SSA with 

information on their continuing 

relationship and responsibility for the 

recipients, and explain how they use the 

recipients’ payments. Sections 20 CFR 

404.2025 and 20 CFR 416.625 provide a 

process to follow up with the 

representative payee to verify payee 

performance. The respondents are Title 

II and Title XVI recipients, and their 

representative payees. 

Type of Request: Extension of an 

OMB-approved information collection. 

CFR citation Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

404.2011(a)(1); 416.611(a)(1) ......................................................................... 250 1 15 63 

404.2025; 416.625 ........................................................................................... 3,000 1 6 300 


sradovich on DSK3GMQ082PROD with NOTICES
35532 Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 

CFR citation Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

Totals ........................................................................................................ 3,250 ........................ ........................ 363 

11. Function Report Adult—20 CFR 

404.1512 & 416.912—0960–0681. 

Individuals receiving or applying for 

Social Security disability insurance 

(SSDI) or SSI must provide medical 

evidence and other proof SSA requires 

to prove their disability. SSA staff, and, 

on our behalf, DDS employees, collect 

the information via paper Form SSA– 

3373–BK, or through an in-person or 

telephone interview for cases where we 

need information about a claimant’s 

activities and abilities to evaluate the 

claimant’s disability. We use the 

information to document how 

claimants’ disabilities affect their ability 

to function, and to determine eligibility, 

or continued eligibility, for SSI and 

SSDI claims. The respondents are Title 

II and Title XVI applicants (or current 

recipients undergoing redeterminations) 

for disability payments. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–3373–BK ................................................................................................. 1,734,635 1 61 1,763,546 

12. Request for Business Entity 

Taxpayer Information—0960–0731. SSA 

requires Law firms or other business 

entities to complete Form SSA–1694, 

Request for Business Entity Taxpayer 

Information, if they wish to serve as 

appointed representatives and receive 

direct payment of fees from SSA. SSA 

uses the information to issue a Form 

1099–MISC. SSA also uses the 

information to allow business entities to 

designate individuals to serve as entity 

administrators authorized to perform 

certain administrative duties on their 

behalf, such as providing bank account 

information, maintaining entity 

information, and updating individual 

affiliations. Respondents are law firms 

or other business entities with attorneys 

or other qualified individuals as 

partners or employees who represent 

claimants before SSA. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–1694—Paper Version ............................................................................. 750 1 10 125 

SSA–1694—Business Services Online Submission ....................................... 150 1 10 25 

Totals ........................................................................................................ 900 ........................ ........................ 150 

13. Authorization for the Social 

Security Administration to Obtain 

Personal Information—20 CFR 404.704; 

404.820–404.823; 404.1926; 416.203; 

and 418.3001—0960–0801. SSA uses 

Form SSA–8510 to contact a public or 

private custodian of records on behalf of 

an applicant or recipient of an SSA 

program to request evidence 

information, which may support a 

benefit application or payment 

continuation. We ask for evidence 

information such as the following: 

• Age requirements (e.g., birth 

certificate, court documents) 

• Insured status (e.g., earnings, 

employer verification) 

• Marriage or divorce information 

• Pension offsets 

• Wages verification 

• Annuities 

• Property information 

• Benefit verification from a State 

agency or third party 

• Immigration status (rare instances) 

• Income verification from public 

agencies or private individuals 

• Unemployment benefits 

• Insurance policies 

If the custodian requires a signed 

authorization from the individual(s) 

whose information SSA requests, SSA 

may provide the custodian with a copy 

of the SSA–8510. Once the respondent 

completes the SSA–8510, either using 

the paper form, or using the Personal 

Information Authorization web page 

version, SSA uses the form as the 

authorization to obtain personal 

information regarding the respondent 

from third parties until the authorizing 

person (respondent) revokes the 

permission of its usage. The collection 

is voluntary; however, failure to verify 

the individuals’ eligibility can prevent 

SSA from making an accurate and 

timely decision for their benefits. The 

respondents are individuals who may 

file for, or currently receive, Social 

Security benefits, SSI payments, or 

Medicare Part D subsidies. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

Respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated 

annual 

burden 

(hours) 

Paper SSA–8510 .............................................................................................

for Medicare Subsidy Quality Review ............................................................. 3,500 1 5 292 


sradovich on DSK3GMQ082PROD with NOTICES
Federal Register / Vol. 83, No. 144 / Thursday, July 26, 2018 / Notices 35533 

Modality of completion Number of 

Respondents 

Frequency of 

response 

Average 

burden 

per response 

(minutes) 

Estimated 

annual 

burden 

(hours) 

Paper SSA–8510 for general evidence purposes ........................................... 19,800 1 5 1,650 

Personal Information Authorization web page ................................................. 140,145 1 5 11, 679 

Totals ........................................................................................................ 163,445 ........................ ........................ 13,621 

Dated: July 20, 2018. 

Naomi Sipple, 

Reports Clearance Officer, 

Social Security Administration. 

[FR Doc. 2018–15939 Filed 7–25–18; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 10480] 

Notice of Determinations; Culturally 

Significant Objects Imported for 

Exhibition—Determinations: ‘‘Corot: 

Women’’ Exhibition 

SUMMARY: Notice is hereby given of the 

following determinations: I hereby 

determine that certain objects to be 

included in the exhibition ‘‘Corot: 

Women,’’ imported from abroad for 

temporary exhibition within the United 

States, are of cultural significance. The 

objects are imported pursuant to loan 

agreements with the foreign owners or 

custodians. I also determine that the 

exhibition or display of the exhibit 

objects at the National Gallery of Art, 

Washington, District of Columbia, from 

on or about September 9, 2018, until on 

or about December 31, 2018, and at 

possible additional exhibitions or 

venues yet to be determined, is in the 

national interest. I have ordered that 

Public Notice of these determinations be 

published in the Federal Register. 

FOR FURTHER INFORMATION CONTACT: 

Elliot Chiu, Attorney-Adviser, Office of 

the Legal Adviser, U.S. Department of 

State (telephone: 202–632–6471; email: 

section2459@state.gov). The mailing 

address is U.S. Department of State, L/ 

PD, SA–5, Suite 5H03, Washington, DC 

20522–0505. 

SUPPLEMENTARY INFORMATION: The 

foregoing determinations were made 

pursuant to the authority vested in me 

by the Act of October 19, 1965 (79 Stat. 

985; 22 U.S.C. 2459), E.O. 12047 of 

March 27, 1978, the Foreign Affairs 

Reform and Restructuring Act of 1998 

(112 Stat. 2681, et seq.; 22 U.S.C. 6501 

note, et seq.), Delegation of Authority 

No. 234 of October 1, 1999, and 

Delegation of Authority No. 236–3 of 

August 28, 2000. 

Marie Therese Porter Royce, 

Assistant Secretary for Educational and 

Cultural Affairs, Department of State. 

[FR Doc. 2018–16007 Filed 7–25–18; 8:45 am] 

BILLING CODE 4710–05–P 

DEPARTMENT OF STATE 

[Public Notice 10470] 

30-Day Notice of Proposed Information 

Collection: Application for Immigrant 

Visa and Alien Registration 

ACTION: Notice of request for public 

comment and submission to OMB of 

proposed collection of information. 

SUMMARY: The Department of State has 

submitted the information collection 

described below to the Office of 

Management and Budget (OMB) for 

approval. In accordance with the 

Paperwork Reduction Act of 1995 we 

are requesting comments on this 

collection from all interested 

individuals and organizations. The 

purpose of this Notice is to allow 30 

days for public comment. 

DATES: Submit comments directly to the 

Office of Management and Budget 

(OMB) up to August 27, 2018. 

ADDRESSES: Direct comments to the 

Department of State Desk Officer in the 

Office of Information and Regulatory 

Affairs at the Office of Management and 

Budget (OMB). You may submit 

comments by the following methods: 

• Email: oira_submission@

omb.eop.gov. You must include the DS 

form number, information collection 

title, and the OMB control number in 

the subject line of your message. 

• Fax: 202–395–5806. Attention: Desk 

Officer for Department of State. 

SUPPLEMENTARY INFORMATION: 

• Title of Information Collection: 

Application for Immigrant Visa and 

Alien Registration. 

• OMB Control Number: 1405–0015. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, Visa Office (CA/VO/L/ 

R). 

• Form Number: DS–230. 

• Respondents: Applicants for Cuban 

Family Reunification Parole or 

Immigrant Visas that are not able to use 

the DS–260, where authorized by the 

Department. 

• Estimated Number of Respondents: 

20,000. 

• Estimated Number of Responses: 

20,000. 

• Average Time per Response: 125 

minutes. 

• Total Estimated Burden Time: 

41,667 annual hours. 

• Frequency: Once per application. 

• Obligation to respond: Required to 

Obtain or Retain a Benefit. 

We are soliciting public comments to 

permit the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper functions of the Department. 

• Evaluate the accuracy of our 

estimate of the time and cost burden for 

this 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 information 

technology. 

Please note that comments submitted 

in response to this Notice are public 

record. Before including any detailed 

personal information, you should be 

aware that your comments as submitted, 

including your personal information, 

will be available for public review. 

Abstract of Proposed Collection 

The Application for Immigrant Visa 

and Alien Registration (DS–230) is used 

to collect biographical information from 

individuals seeking for Cuban Family 

Reunification Parole. While this 

discretionary parole authority is 

exercised by the Department of 

Homeland Security, an applicant must 

demonstrate that he or she is eligible for 

an immigrant visa. In rare 

circumstances, an applicant for an 

immigrant visa may complete the DS– 

230 in lieu of the online version of the 

application (DS–260, OMB Control 

Number 1405–0185). The consular 


sradovich on DSK3GMQ082PROD with NOTICES