29850 Federal Register / Vol. 66, No. 106 / Friday, June 1, 2001 / Notices

8 17 CFR 200.30–3(a)(12).

Room. Copies of the filing will also be

available for inspection and copying at

the principal office of the Amex. All

submissions should refer to the File No.

SR–Amex–2001–17 and should be

submitted by June 22, 2001.

For the Commission, by the Division of

Market Regulation, pursuant to delegated

authority.8

Margaret H. McFarland,

Deputy Secretary.

[FR Doc. 01–13754 Filed 5–31–01; 8:45 am]

BILLING CODE 8010–01–M

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 effective October 1,

1995, The Paperwork Reduction Act of

1995. 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 at the

following addresses:

(OMB)

Office of Management and Budget, Attn:

Desk Officer for SSA, New Executive

Office Building, Room 10230, 725

17th St., NW., Washington, DC. 20503

(SSA)

Social Security Administration,

DCFAM, Attn: Frederick W.

Brickenkamp, 1–A–21 Operations

Bldg., 6401 Security Blvd., Baltimore,

MD 21235

I. The information collections listed

below 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

instruments by calling the SSA Reports

Clearance Officer at 410–965–4145, or

by writing to him at the address listed

above.

1. Contact with the Representative

Payee and Contact with Beneficiary—

0960–NEW. SSA will use the SSA–

L4945, Contact with the Representative

Payee, and SSA–L4947, Contact with

Beneficiary, to inform respondents and

conduct quality reviews of payments

made under the titles II and XVI (OldAge, Survivors and Disability Insurance/

Supplemental Security Income)

programs. Cases for the review will be

selected randomly and the information

solicited will be used for verification of

payment data on record in the claims

folder and SSA’s Master Beneficiary

Record. Form SSA–L4945 will be used

to notify Representative Payees who

have the responsibility of managing

payments for an SSA Beneficiary that

the case has been selected for the review

process and to request the required

information. Form SSA–L4947 will be

used to notify beneficiaries that their

case has been selected for the review

process and request the needed

information. Both letters contain

information that must be verified and

returned to SSA under the review

process. The respondents are

beneficiaries and representative payees

for beneficiaries receiving title II and

title XVI benefits.

Number of Respondents: 200.

Frequency of Response: 1.

Average Burden Per Response: 15

minutes.

Estimated Annual Burden: 50 hours.

2. RSI/DI Quality Review Case

Analysis-Sampled Number Holder,

Auxiliaries/Survivors-Parent,

Stewardship AET Workbook—0960–

0189. SSA uses the information

collected on forms SSA–2930, 2931 and

2932 to establish a national payment

accuracy rate for all cases in payment

status; measure the accuracy rate for

newly adjudicated claims for

beneficiaries receiving old-age,

survivors, or disability insurance; and to

serve as a source of information

regarding problem areas in the RSI/DI

programs. Form SSA–4659 is used to

evaluate and determine the effectiveness

of the annual earnings test and to use

the results in developing ongoing

improvements in the process. The

respondents are beneficiaries and

representative payees for beneficiaries

receiving old age, survivors, or

disability insurance.

Respondents Frequency of

response

Average burden per responseEstimated annual burden

(hours)

SSA–2930 ........................................................................................................ 3,000 1 30 1,500

SSA–2931 ........................................................................................................ 1,500 1 30 750

SSA–2932 ........................................................................................................ 650 1 20 217

SSA–4659 ........................................................................................................ 325 1 10 54

Total Burden ............................................................................................. ........................ ........................ ........................ 2,521

3. Request for Change in Time/Place

of Disability Hearing—0960–0348. The

information on Form SSA–769 is used

by SSA and the State Disability

Determination Services to provide

claimants with a structured format to

exercise their right to request a change

in the time or place of a scheduled

disability hearing. The information is be

used as a basis for granting or denying

requests for changes and for

rescheduling hearings. The respondents

are claimants who wish to request a

change in the time or place of their

disability hearing.

Number of Respondents: 7,483.

Frequency of Response: 1.

Average Burden Per Response: 8

minutes.

Estimated Annual Burden: 998 hours.

4. Request for Reconsideration—

Disability Cessation—0960—0349. The

information collected on form SSA–789

is used by SSA to schedule hearings,

and to develop additional evidence for

claimants who have received an initial

or revised determination that a

disability did not exist or has ceased.

The collected information also indicates

whether an interpreter is needed. The

respondents are disability beneficiaries

who file a claim for reconsideration.

Number of Respondents: 49,000.

Frequency of Response: 1.

Average Burden Per Response: 12

minutes.

Federal Register / Vol. 66, No. 106 / Friday, June 1, 2001 / Notices 29851

Estimated Annual Burden: 9,800

hours.

5. Agency/Employer Government

Pension Offset Questionnaire—0960–

0470. The Information collected on

Form SSA–L4163 will provide SSA

with accurate information from the

agency paying the pension, for purposes

of applying the pension-offset provision.

The form will only be used when (1) the

claimant does not have the information

and (2) the pension-paying agency has

not cooperated with the claimant. The

respondents are Federal, State, or local

government agencies that have

information needed by SSA to

determine whether the Government

Pension Offset provisions apply and the

amount of offset.

Number of Respondents: 1,000.

Frequency of Response: 1.

Average Burden Per Response: 3

minutes.

Estimated Annual Burden: 50 hours.

6. Child-Care Dropout

Questionnaire—0960–0474. The

information collected on Form SSA–

4162 is used by SSA to determine

whether an individual qualifies for a

child care exclusion in computing the

individual’s disability benefit amount.

The respondents are applicants for

disability benefits.

Number of Respondents: 2,000.

Frequency of Response: 1.

Average Burden Per Response: 5

minutes.

Estimated Annual Burden: 167 hours.

7. Authorization for the Social

Security Administration to Obtain

Account Records from a Financial

Institution—0960–0293. Form SSA–

4641–U2 provides financial institutions

with the customer’s authorization to

disclose records, as required by Public

Law 95–630. Responses to the questions

are used, in part, to determine whether

resource requirements are met in the

Supplemental Security Income program.

The respondents are financial

institutions (banks, savings and loans,

credit unions, etc.).

Number of Respondents: 500,000.

Frequency of Response: 1.

Average Burden Per Response: 6

minutes.

Estimated Annual Burden: 50,000

hours.

8. Request for Social Security

Earnings Information—0960–0525. The

Social Security Act provides that a wage

earner, or someone authorized by a

wage earner, may request Social

Security earnings information from the

Social Security Administration, using

form SSA–7050. SSA uses the

information collected on the form to

verify that the requestor is authorized to

access the earnings record and to

produce the earnings statement. The

respondents are wage earners and

organizations and legal representatives

authorized by the wage earner.

Number of Respondents: 61,494.

Frequency of Response: 1.

Average Burden Per Response: 11

minutes.

Estimated Annual Burden: 11,274

hours.

9. Statement of Household Expenses

and Contributions—0960–0456.

Eligibility for Supplemental Security

Income (SSI) is based on need. A factor

for determining need is whether an

individual receives in-kind support and

maintenance in the form of food and

shelter provided by other persons. SSA

collects information on form SSA–

8011–F3 to determine the existence and

amount of in-kind support and

maintenance received by a claimant/

beneficiary of SSI. SSA uses the

information to determine eligibility and

payment amount under this program.

The respondents are members of SSI

claimants’/beneficiaries’ households.

Number of Respondents: 400,000.

Frequency of Response: 1.

Average Burden Per Response: 15

minutes.

Estimated Annual Burden: 100,000

hours.

10. Payment of Certain Travel

Expenses—0960–0434. This regulation

(20 C.F.R. 404.999(d) and 416.1499)

provides for travel expense

reimbursement by the State agency or

Federal agency for claimants traveling to

a consultative examination, or for

claimants, their representative and

unsubpoenaed witnesses traveling over

75 miles to appear at a disability

hearing. State and Federal personnel

review the listing and the receipts to

verify the amount to be reimbursed to

the claimant. The respondents are

claimants for Title II/XVI benefits.

Number of Respondents: 50,000.

Frequency of Response: 1.

Average Burden Per Response: 10

minutes.

Estimated Annual Burden: 8,333

hours.

II. The information collections listed

below have been submitted to OMB for

clearance. Your comments on the

information collections would be most

useful if received by OMB and SSA

within 30 days from the date of this

publication. You can obtain a copy of

the OMB clearance packages by calling

the SSA Reports Clearance Officer on

(410) 965–4145, or by writing to him at

the address listed above.

1. Student’s Statement Regarding

Resumption of School Attendance—

0960–0143. The information on Form

SSA–1386 is used by SSA to verify fulltime attendance at educational

institutions and to determine eligibility

for student benefits. The respondents

are student beneficiaries currently

receiving SSA benefits.

Number of Respondents: 133,000.

Frequency of Response: 1.

Average Burden Per Response: 6

minutes.

Estimated Annual Burden: 13,300

hours.

2. Subpoena—Disability Hearing—

0960–0428. The information on Form

SSA–1272–U4 is used by SSA to

subpoena evidence or testimony needed

at disability hearings. The respondents

comprise officers from Federal and State

DDSs.

Number of Respondents: 36.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 18 hours.

3. Quiz Show—Internet Edition—

0960–NEW.

Background

As stated in the 1997 Agency Strategic

Plan, one of the SSA’s five major goals

is ‘‘To Strengthen Public Understanding

of the Social Security Programs’’ so the

public will understand what benefits are

valuable to them personally.

Accordingly, the public will be able to

more effectively plan for retirement

security. Under this goal, SSA

established a strategic objective that, by

2005, 90% of the public will be

knowledgeable about SSA programs. In

establishing this goal SSA recognized

the need to develop innovative methods

to help educate and continually

measure the public’s knowledge of SSA

programs.

The Collection—‘‘Quiz Show’’

SSA intends to implement an online

interactive educational game entitled

‘‘Quiz Show—Internet Edition’’. The

purpose of Quiz Show is to help support

the Agency’s goal of increasing the

public’s understanding of Social

Security programs.

Quiz Show will consist of 10

questions, which are based on 8 key

messages about SSA programs that the

Agency wants the public to understand.

Participation in the online game will be

strictly voluntary. Data collected

through each Quiz Show question will

measure the overall responses for the

purpose of gauging the public’s

knowledge of each key Social Security

message.

SSA will implement Quiz Show in

stages, with the initial stage providing

performance feedback to the user.

However, eventually SSA will use Quiz

Show to collect performance data and

29852 Federal Register / Vol. 66, No. 106 / Friday, June 1, 2001 / Notices

demographic data. SSA will not require

users to provide demographic data to

play the game. Rather, users would be

asked to provide this data voluntarily.

Questions related to demographics are

for the sole purpose of identifying

audiences to whom specific key

messages should be targeted to increase

their knowledge. Respondents to Quiz

Show will be individuals who visit

SSA’s website, Social Security Online,

and elect to play the online game.

Number of Respondents: 12,000.

Frequency of Response: 1.

Average Burden Per Response: 8

minutes.

Estimated Annual Burden: 1,600

hours.

4. Work History Report—0960–0578.

The information collected on form SSA–

3369 is needed to determine disability

by the State DDSs. The information will

be used to document an individual’s

past work history. The respondents are

applicants for disability benefits.

Number of Respondents: 1,000,000.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 500,000

hours.

5. Notification of Projected

Completion Date—0960–0429. Form

SSA–891 is used by SSA and State

Disability Determination Services (DDS)

to inform disability hearing units

whenever a hearing case will not be

completed and forwarded to the hearing

unit as expected. This information is

necessary to enable the hearing units to

schedule hearings as promptly and

efficiently as possible. The respondents

are State DDS and SSA components that

make disability determinations for the

Agency.

Number of Respondents: 100.

Frequency of Response: 1.

Average Burden Per Response: 5

minutes.

Estimated Annual Burden: 8 hours.

6. Real Property Current Market Value

Estimate—0960–0471. This form is used

to obtain current market value estimates

of real property owned by applicants

for, or beneficiaries of, Supplemental

Security Income (SSI) benefits (or a

person whose resources are deemed to

such an individual). The value of an

individual’s resources, including nonhome real property, is one of the

eligibility requirements for SSI benefits.

The respondents are individuals with

knowledge of local real property values.

Number of Respondents: 5,438.

Frequency of Response: 1.

Average Burden Per Response: 20

minutes.

Estimated Annual Burden: 1,813

hours.

7. Information about Joint Checking/

Savings Account—0960–0461. Form

SSA–2574 is used to collect information

from the claimant and the other account

holder(s) when a Supplemental Security

Income (SSI) applicant/recipient objects

to the assumption that he/she owns all

or part of the funds in a joint account

bearing his or her name. These

statements of ownership are required to

determine whether the account is a

resource of the SSI claimant. The

respondents are applicants for and

recipients of SSI payments and

individuals who are joint owners of

financial accounts with SSI applicants.

Number of Respondents: 200,000.

Frequency of Response: 1.

Average Burden Per Response: 7

minutes.

Estimated Annual Burden: 23,333

hours.

8. Response to Notice of Revised

Determination—0960–0347. Form SSA–

765 is used by claimants to request a

disability hearing and/or to submit

additional evidence before a revised

reconsideration determination is issued.

The respondents are claimants who file

for a disability hearing in response to a

notice of revised determination for

disability insurance and/or SSI under

titles II and XVI.

Number of Respondents: 1,925.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 963 hours.

9. Function Report, Child (Birth to

1st, Age 1 to 3rd, Age 3 to 6th, Age 6

to 12th, Age 12 to 18th Birthday)—

0960–0542. State Agency adjudicative

teams will use the information gathered

on the appropriate version of these

forms, in connection with other medical

function evidence, to form a complete

picture of the child’s ability to function.

This information assists with

determining whether a child is disabled,

or each case in which disability cannot

be found on medical grounds alone. The

respondents are applicants for Title XVI

childhood disability benefits, and child

caregivers.

Number of Respondents: 750,000.

Frequency of Response: 1.

Average Burden Per Response: 20

minutes.

Estimated Annual Burden: 250,000

hours.

10. Wage Reports and Pension

Information—0960–0547. The

information obtained through regulation

at 20 CFR, section 422.122(b) is used by

SSA to identify the requester of pension

plan information and to confirm that the

individual is entitled to the data we

provide. The respondents are requesters

of pension plan information.

Number of Respondents: 600.

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 300 hours.

11. Beneficiary Recontact Report—

0960–0502. SSA uses the information

collected on Form SSA–1588–OCR–SM

to ensure that eligibility for benefits

continues after entitlement. SSA asks

mothers/fathers information about their

marital status and children in-care to

detect overpayments and avoid

continuing payment to those no longer

entitled. The respondents are recipients

of survivor mother/father Social

Security Benefits.

Number of Respondents: 133,400.

Frequency of Response: 1.

Average Burden Per Response: 5

minutes.

Estimated Annual Burden: 11,117

hours.

12. Waiver of Your Right to Personal

Appearance before an Administrative

Law Judge—0960–0284. Each claimant

has a statutory right to appear in person

(or through a representative) and

present evidence about his/her claim at

a hearing before an Administrative Law

Judge (ALJ). If a claimant wishes to

waive his/her statutory right to appear

before an ALJ, he/she must complete a

written request. The claimant may use

form HA–4608 for this request. The

information collected is used to

document an individual’s claim to show

that an oral hearing is not preferred in

the appellate process. The respondents

are applicants for Social Security and

SSI benefits who request a hearing.

Number of Respondents: 12,000.

Frequency of Response: 1.

Average Burden Per Response: 2

minutes.

Estimated Annual Burden: 400 hours.

13. Function Report—Third Party,

SSA–3380—0960–NEW. The Social

Security Act provides that claimants

must furnish medical and other

evidence to prove they are disabled. The

Social Security Act also gives the

Commissioner authority to make rules

and regulations on the nature and extent

of evidence required as well as the

methods of obtaining evidence. The

information collected from third parties

on the form SSA–3380 is needed for the

determination of disability under Title II

and/or Title XVI (SSI). The form records

information about the disability

applicant’s illnesses, injuries,

conditions, impairment-related

limitations and ability to function. The

respondents are individuals who know

about the disability applicant’s

impairment, limitations and ability to

function.

Number of Respondents: 1,500,000.

Federal Register / Vol. 66, No. 106 / Friday, June 1, 2001 / Notices 29853

Frequency of Response: 1.

Average Burden Per Response: 30

minutes.

Estimated Annual Burden: 750,000

hours.

14. Disability Hearing Officer’s

Decision—0960–0441. The Social

Security Act requires that SSA provide

an evidentiary hearing at the

reconsideration level of appeal for

claimants who have received an initial

or revised determination that a

disability did not exist or has ceased.

Based on the hearing, the disability

hearing officer (DHO) completes an

SSA–1207 and applicable

supplementary forms (which apply to

the type of claim involved). The DHO

uses the information in documenting

and preparing the disability decision.

The form aids the DHO in addressing

the crucial elements of the case in a

sequential and logical fashion. The

respondents are DHOs in the State

Disability Determination Services

(DDS).

Number of Respondents: 100,000.

Frequency of Response: 1.

Average Burden Per Response: 45

minutes.

Estimated Annual Burden: 75,000

hours.

15. Medical History and Disability

Report, Disabled Child—0960–0577.

The Social Security Act requires

claimants to furnish medical and other

evidence to prove they are disabled. The

form SSA–3820 is used to obtain

various types of information about a

child’s condition, his/her treating

sources and/or other medical sources of

evidence. The information collected on

the SSA–3820 is needed for the

determination of disability by the State

DDSs. The respondents are applicants

for Title XVI (SSI) child disability

benefits.

Number of Respondents: 523,000.

Frequency of Response: 1.

Average Burden Per Response: 40

minutes.

Estimated Annual Burden: 348,667

hours.

16. Disability Report—Adult—0960–

0579. The Social Security Act requires

claimants to furnish medical and other

evidence to prove they are disabled.

Applicants for disability benefits will

complete form SSA–3368. The

information will be used, in conjunction

with other evidence, by State DDSs to

develop medical evidence, to assess the

alleged disability, and to make a

disability determination. The

respondents are applicants for Title II

and Title XVI (SSI) disability benefits.

Number of Respondents: 2,116,667.

Frequency of Response: 1.

Average Burden Per Response: 60

minutes.

Estimated annual Burden: 2,116,667

hours.

Dated: May 24, 2001.

Frederick W. Brickenkamp,

Reports Clearance Officer.

[FR Doc. 01–13623 Filed 5–31–01; 8:45 am]

BILLING CODE 4191–02–U

DEPARTMENT OF STATE

[Public Notice 3669]

Shipping Coordinating Committee;

Notice of Meeting

The Shipping Coordinating

Committee will conduct an open

meeting at 1 PM on Tuesday, June 19,

2001, in Room 6332, Department of

Transportation Headquarters, Nassif

Building, 400 Seventh Street, SW.,

Washington, DC 20590–0001. The

purpose of the meeting is to finalize

preparations for the Sixth Session of the

Subcommittee on Dangerous Goods,

Solid Cargoes and Containers of the

International Maritime Organization

(IMO) which will be held on July 16–20,

2001, at the IMO Headquarters in

London.

The agenda items of particular

interest are:

—Amendment 31–02 to the

International Maritime Dangerous

Goods (IMDG) Code, its Annexes and

Supplements including

harmonization of the IMDG Code with

the United Nations Recommendations

on the Transport of Dangerous Goods,

and implementation of Annex III of

the Marine Pollution Convention

(MARPOL 73/78), as amended.

—Revision of the Emergency Schedules

(EmS).

—Review of the Code of Safe Practice

for Solid Bulk Cargoes (BC Code),

including evaluation of properties of

solid bulk cargoes.

—Cargo securing manual.

—Casualty and incident reports and

analysis.

—Development of an instrument for

multimodal training requirements.

—Stowage and segregation requirements

for freight containers on

containerships with partially

weatherproof hatchway covers.

—Development of a manual on loading

and unloading of solid bulk cargoes

for terminal representatives.

—Amendments to the International

Convention for the Safety of Life at

Sea (SOLAS) chapters VI and VII and

MARPOL Annex III to make the IMDG

Code mandatory.

Members of the public may attend

this meeting up to the seating capacity

of the room. Interested persons may

seek information by writing: Mr. E. P.

Pfersich, U.S. Coast Guard (G-MSO-3),

2100 Second Street, SW., Washington,

DC 20593–0001 or by calling (202) 267–

1577.

Dated: May 24, 2001.

Stephen M. Miller,

Exective Secretary, Shipping Coordinating

Committee, U.S. Department of State.

[FR Doc. 01–13807 Filed 5–31–01; 8:45 am]

BILLING CODE 4710–07–P

STATE JUSTICE INSTITUTE

Sunshine Act Meetings

DATE: Saturday, June 30, 2001—6 pm–7

pm—Ray’s Waterfront Restaurant.

PLACE: Seward Small Boat Harbor, AK.

DATE: Sunday, July 1, 2001—9 am–5 pm;

Monday, July 2, 2001—9 am–12 pm.

PLACE: Alyeska Hotel, Girdwood, AK

MATTERS TO BE CONSIDERED:

Consideration of proposals submitted

for Institute funding and internal

Institute business.

PORTIONS OPEN TO THE PUBLIC:

Consideration of proposals submitted

for Institute funding and internal

Institute business other than personnel

matters.

PORTIONS CLOSED TO THE PUBLIC:

Discussion of internal personnel

matters.

CONTACT PERSON: David Tevelin,

Executive Director, State Justice

Institute, 1650 King Street, Suite 600,

Alexandria, VA 22314, (703) 684–6100.

David I. Tevelin,

Executive Director.

[FR Doc. 01–13922 Filed 5–30–01; 1:22 pm]

BILLING CODE 6820–SC–M

DEPARTMENT OF TRANSPORTATION

Coast Guard

[USCG–2001–9761]

Chemical Transportation Advisory

Committee

AGENCY: Coast Guard, DOT.

ACTION: Notice of meeting.

SUMMARY: The Subcommittee of the

Chemical Transportation Advisory

Committee (CTAC) on Vessel Cargo

Tank Overpressurization will meet to

continue their review of current

industry practices and procedures

involving the introduction of

pressurized nitrogen gas from waterfront

facilities to a marine vessel’s cargo tanks