53704 Federal Register / Vol. 76, No. 167 / Monday, August 29, 2011 / Notices 

and foreign countries. SSA collects 

information using Form SSA–2490–BK 

to determine entitlement to Social 

Security benefits from the United States, 

or from a country that enters into a 

totalization agreement with the United 

States. The respondents are individuals 

applying for Old Age Survivors and 

Disability Insurance benefits from the 

United States or from a totalization 

agreement country. 

Type of Request: Revision of an OMBapproved information collection. 

Form No. Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total annual 

burden 

(hours) 

SSA–2490–BK (MCS) ..................................................................... 14,000 1 30 7,000 

SSA–2490–BK (paper) .................................................................... 2,000 1 30 1,000 

Totals ........................................................................................ 16,000 ............................ ............................ 8,000 

2. Plan for Achieving Self-Support 

(PASS)—20 CFR 416.110(e), 416.1180– 

1182, 416.1225–1227–0960–0559 

The Supplemental Security Income 

(SSI) program encourages disability 

payment recipients to return to work. 

One of the program objectives is to 

provide incentives and opportunities 

that help recipients do this. The PASS 

provision allows individuals to use 

available income or resources (such as 

business equipment, education, or 

specialized training) to enter or re-enter 

the workforce and become selfsupporting. In turn, SSA does not count 

the income or resources recipients use 

to fund a PASS when determining an 

individual’s SSI eligibility or payment 

amount. An SSI recipient, who wants to 

use available income and resources to 

obtain education or training to become 

self-supporting, completes the SSA–545. 

SSA uses the information from the 

SSA–545 to evaluate the recipient’s 

PASS, and to determine eligibility 

under the provisions of the SSI program. 

The respondents are SSI recipients 

who are blind or disabled and want to 

develop a plan to work. 

Note: This is a correction notice. SSA 

published this information collection as an 

extension on June 15, 2011 at 76 FR 35067. 

Since we are revising the Privacy Act 

Statement, this is now a revision of an OMBapproved information collection. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 7,000. 

Frequency of Response: 1. 

Average Burden Per Response: 

2 hours. 

Estimated Annual Burden: 

14,000 hours. 

3. Authorization To Disclose 

Information to SSA—20 CFR 404.1512 

and 416.912, 45 CFR 160 and 164– 

0960–0623 

SSA must obtain sufficient evidence 

to make eligibility determinations for 

Title II and Title XVI payments. 

Therefore, the applicant must authorize 

the release of information from various 

sources to SSA. The applicant uses the 

SSA–827 to provide consent for the 

release of medical records, education 

records, and other information related to 

his or her ability to perform tasks. Once 

the applicant completes the SSA–827, 

SSA or the State Disability 

Determination Service sends the form to 

the designated source(s) to obtain 

pertinent records. The respondents are 

applicants for Title II benefits and Title 

XVI payments. 

Type of Request: Revision of an OMBapproved information collection. 

Note: This is a correction notice: SSA 

published incorrect burden information for 

this collection at 76 FR 23640, on April 27, 

2011. We are correcting the error here. 

Modaility Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total annual 

burden 

(hours) 

SSA–827 with electronic signature (adult first person only) ........... 2,530,000 1 9 379,500 

SSA–827 with wet signature ........................................................... 1,591,551 1 10 265,258 

Reading the Internet Instructions .................................................... 708,100 1 3 35,405 

Totals ........................................................................................ 4,829,651 ............................ ............................ 680,163 

Dated: August 24, 2011. 

Faye Lipsky, 

Reports Clearance Officer, Center for Reports 

Clearance, Social Security Administration. 

[FR Doc. 2011–22007 Filed 8–26–11; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 7570] 

30-Day Notice of Proposed Information 

Collection: Passport Demand 

Forecasting Study Phase III, OMB 

Number 1405–0177 

ACTION: Notice of request for public 

comment and submission to OMB of 

proposed collection of information. 

SUMMARY: The Department of State has 

submitted the following information 

collection request to the Office of 

Management and Budget (OMB) for 

approval in accordance with the 

Paperwork Reduction Act of 1995. 

• Title of Information Collection: 

Passport Demand Forecasting Study 

Phase III. 

• OMB Control Number: OMB 

Number 1405–0177. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, Office of Passport 

Services CA/PPT. 

• Form Number: SV2011–0010. 


Emcdonald on DSK2BSOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 167 / Monday, August 29, 2011 / Notices 53705 

• Respondents: A national 

representative sample of all U.S. 

Citizens and U.S. Nationals, who are 

16 years of age or older, that are eligible 

and entitled to a United States Passport 

product. 

• Estimated Number of Respondents: 

4,000 survey respondents per month. 

• Estimated Number of Responses: 

48,000 survey responses annually. 

• Average Hours per Response: 

10 minutes per survey. 

• Total Estimated Burden: 

8,000 hours annually. 

• Frequency: Monthly. 

• Obligation to Respond: Voluntary. 

DATES: Submit comments to the Office 

of Management and Budget (OMB) for 

up to 30 days from August 29, 2011. 

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: 

• E-mail: 

oira_submission@omb.eop.gov. You 

must include the DS form number, 

information collection title, and OMB 

control number in the subject line of 

your message. 

• Fax: 202–395–5806. Attention: Desk 

Officer for Department of State. 

FOR FURTHER INFORMATION CONTACT: You 

may obtain copies of the proposed 

information collection and supporting 

documents from Edward M. Worthan, 

2100 Pennsylvania Ave., NW., SA–29, 

Room 3004, Washington, DC 20037, 

who may be reached on 202–663–1073 

or at WorthanEM@state.gov. 

SUPPLEMENTARY INFORMATION: We are 

soliciting public comments to permit 

the Department to: 

• Evaluate whether the proposed 

information collection is necessary to 

properly perform 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. 

Abstract of proposed collection: 

The Intelligence Reform and 

Terrorism Prevention Act requires the 

Secretary of Homeland Security, in 

discussion with the Secretary of State, 

to develop and implement a plan to 

require U.S. Citizens and U.S. Nationals 

to present a passport and/or other 

sufficient documentation of identity and 

citizenship when entering the United 

States. 

The plan to require U.S. Citizens and 

U.S. Nationals to present a passport has 

required the Office of Passport Services 

to obtain regular statistical data on 

issues that focus on, and are related to, 

travel and passport applications. This 

data will be used to monitor, assess, and 

forecast U.S. passport demand on a 

continuous basis. In support of these 

efforts, the Office of Passport Services 

will conduct monthly and incremental 

forecasts of national passport demand. 

This data will provide the ability for the 

Office of Passport Services to refine 

volume and timing estimates about 

passport demand, and will also provide 

the ability to gauge public reaction to 

economic and socio-demographic 

changes. 

Methodology: 

The Office of Passport Services will 

conduct monthly Passport Demand 

Forecasting Studies using multiple 

methodologies. Methodologies can 

include mail, Web/Internet, telephone, 

and mixed mode surveys to ensure that 

the Office of Passport Services reaches 

the appropriate audience and leverages 

the best research method to obtain valid 

responses. The survey data will cover an 

estimated 48,000 respondents annually 

and will include variables covering 

passport, travel, and socio-demographic 

variables of interest to the Office of 

Passport Services. 

Dated: August 22, 2011. 

Florence G. Fultz, 

Deputy Assistant Secretary (Acting) Passport 

Services, Bureau of Consular Affairs, 

Department of State. 

[FR Doc. 2011–21994 Filed 8–26–11; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice 7571] 

Culturally Significant Objects Imported 

for Exhibition; Determinations: 

‘‘Seductive Luxury and Innovation: The 

Furniture of Abraham and David 

Roentgen’’ 

SUMMARY: Notice is hereby given of the 

following determinations: Pursuant to 

the authority vested in me by the Act of 

October 19, 1965 (79 Stat. 985; 22 U.S.C. 

2459), Executive Order 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, Delegation of Authority 

No. 236–3 of August 28, 2000 (and, as 

appropriate, Delegation of Authority No. 

257 of April 15, 2003), I hereby 

determine that the object to be included 

in the exhibition ‘‘Seductive Luxury and 

Innovation: The Furniture of Abraham 

and David Roentgen,’’ imported from 

abroad for temporary exhibition within 

the United States, is of cultural 

significance. The object is imported 

pursuant to a loan agreement with the 

foreign owner or custodian. I also 

determine that the presentation for the 

purposes of scientific research of the 

object at the Metropolitan Museum of 

Art, New York, NY, from on or about 

September 12, 2011, until on or about 

March 10, 2013, and the exhibition or 

display of the exhibit object at The 

Metropolitan Museum of Art, from on or 

about October 29, 2012, until on or 

about January 27, 2013, 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: For 

further information, including a list of 

the exhibit object, contact Julie 

Simpson, Attorney-Adviser, Office of 

the Legal Adviser, U.S. Department of 

State (telephone: 202–632–6467). The 

mailing address is U.S. Department of 

State, SA–5, L/PD, Fifth Floor (Suite 

5H03), Washington, DC 20522–0505. 

Dated: August 24, 2011. 

J. Adam Ereli, 

Principal Deputy Assistant Secretary, Bureau 

of Educational and Cultural Affairs, 

Department of State. 

[FR Doc. 2011–21993 Filed 8–26–11; 8:45 am] 

BILLING CODE 4710–05–P 

DEPARTMENT OF TRANSPORTATION 

Federal Highway Administration 

Notice To Rescind a Notice of Intent To 

Prepare an Environmental Impact 

Statement (EIS), Ada County, ID 

AGENCY: Federal Highway 

Administration, DOT. 

ACTION: Rescind notice of intent to 

prepare an environmental impact 

statement (EIS). 

SUMMARY: The Federal Highway 

Administration (FHWA) is issuing this 

notice to advise the public that the 

Notice of Intent (NOI) published on 

January 13, 2004, at 69 FR 2040, to 

prepare an Environmental Impact 

Statement (EIS) for a proposed highway 

project in Ada County, Idaho is being 

rescinded. 

FOR FURTHER INFORMATION CONTACT: Mr. 

Peter Hartman, Division Administrator, 

Federal Highway Administration, 3050 

Lakeharbor Lane, Suite 126, Boise, ID 

83703, Telephone: (208) 334–9180, ext. 

116, or Mr. Wade Christiansen, District 

3 Project Manager, Idaho Transportation 


Emcdonald on DSK2BSOYB1PROD with NOTICES