Federal Register / Vol. 87, No. 121 / Friday, June 24, 2022 / Notices 37901 

6. Medical Report on Adult with 

Allegation of Human Immunodeficiency 

Virus Infection; Medical Report on Child 

with Allegation of Human 

Immunodeficiency Virus Infection—20 

CFR 416.933–416.934—0960–0500. 

Section 1631(e)(i) of the Social Security 

Act (Act) authorizes the Commissioner 

of SSA to gather information to make a 

determination about an applicant’s 

claim for SSI payments. Section 

1631(a)(4) of the Act provides that the 

Commissioner may pay SSI payments to 

an applicant for a period not exceeding 

six months prior to the determination of 

the individual’s disability, if the 

individual is presumptively disabled 

and is determined to be otherwise 

eligible for benefits; this procedure is 

called Presumptive Disability (PD). SSA 

uses Forms SSA–4814 and SSA–4815 to 

collect information necessary to 

determine if an individual with human 

immunodeficiency virus infection, who 

is applying for SSI disability benefits, 

meets the requirements for PD. The 

respondents are the medical sources of 

the applicants for SSI 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) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time for 

teleservice 

centers 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

SSA–4814 .................... 1,307 1 8 174 * $16.02 ** 19 *** $9,420 

SSA–4815 .................... 20 1 10 3 * 16.02 ** 19 *** 144 

Totals .................... 1,327 ........................ ........................ 177 ........................ ........................ *** 9,564 

* We based this figure on the average Healthcare Support Occupations, as reported by Bureau of Labor Statistics data (https://www.bls.gov/ 

oes/current/oes310000.htm). 

** We based this figure on the average FY 2022 wait times for teleservice centers, based on SSA’s current management information data. 

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

7. Certificate of Election for Reduced 

Widow(er)s and Surviving Divorced 

Spouse’s Benefits—20 CFR 404.335— 

0960–0759. Section 202(q) of the Act 

provides SSA the authority to reduce 

benefits under certain conditions when 

elected by a Title II beneficiary. 

However, reduced benefits are not 

payable to an already entitled spouse (or 

divorced spouse) who: 

• Is at least age 62 and under full 

retirement age in the month of the 

number holder’s death; and 

• Is receiving both reduced spouse’s 

(or divorced spouse’s) benefits and 

either retirement or disability benefits in 

the month before the month of the 

number holder’s death. 

To elect reduced widow(er) benefits, 

a recipient completes Form SSA–4111, 

and mails it back to SSA. SSA uses the 

information collected to pay a qualified 

dually entitled widow(er) (or surviving 

divorced spouse) who elects to receive 

a reduced widow(er) benefit. The 

respondents are qualified dually 

entitled widow(er)s (or surviving 

divorced spouse) who elect to receive a 

reduced widow(er) benefit. 

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) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–4111 ................................................ 30,000 1 2 1,000 * $28.01 ** $28,010 

* We based this figure on the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm). 

** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to 

respondents to complete the application. 

Dated: June 20, 2022. 

Naomi Sipple, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. 2022–13489 Filed 6–23–22; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 11767] 

Notice of Determinations; Culturally 

Significant Objects Being Imported for 

Exhibition—Determinations: ‘‘Black 

Orpheus: Jacob Lawrence & the Mbari 

Club’’ Exhibition 

SUMMARY: Notice is hereby given of the 

following determinations: I hereby 

determine that certain objects being 

imported from abroad pursuant to 

agreements with their foreign owners or 

custodians for temporary display in the 

exhibition ‘‘Black Orpheus: Jacob 

Lawrence & the Mbari Club’’ at the 

Chrysler Museum of Art, Norfolk, 

Virginia; the New Orleans Museum of 

Art, New Orleans, Louisiana; the Toledo 

Museum of Art, Toledo, Ohio; and at 

possible additional exhibitions or 

venues yet to be determined, are of 

cultural significance, and, further, that 

their temporary exhibition or display 

within the United States as 

aforementioned is in the national 

interest. I have ordered that Public 

Notice of these determinations be 

published in the Federal Register. 

FOR FURTHER INFORMATION CONTACT: Chi 

D. Tran, Program Administrator, Office 


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37902 Federal Register / Vol. 87, No. 121 / Friday, June 24, 2022 / Notices 

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, 2200 C Street NW (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, Delegation 

of Authority No. 236–3 of August 28, 

2000, and Delegation of Authority No. 

523 of December 22, 2021. 

Stacy E. White, 

Deputy Assistant Secretary for Professional 

and Cultural Exchanges, Bureau of 

Educational and Cultural Affairs, Department 

of State. 

[FR Doc. 2022–13509 Filed 6–23–22; 8:45 am] 

BILLING CODE 4710–05–P 

DEPARTMENT OF STATE 

[Public Notice 11769] 

Notice of Determinations; Culturally 

Significant Objects Being Imported for 

Exhibition—Determinations: ‘‘She Who 

Wrote: Enheduanna and Women From 

Mesopotamia’’ Exhibition 

SUMMARY: Notice is hereby given of the 

following determinations: I hereby 

determine that certain objects being 

imported from abroad pursuant to 

agreements with their foreign owners or 

custodians for temporary display in the 

exhibition ‘‘She Who Wrote: 

Enheduanna and Women from 

Mesopotamia’’ at The Morgan Library & 

Museum, New York, New York, and at 

possible additional exhibitions or 

venues yet to be determined, are of 

cultural significance, and, further, that 

their temporary exhibition or display 

within the United States as 

aforementioned is in the national 

interest. I have ordered that Public 

Notice of these determinations be 

published in the Federal Register. 

FOR FURTHER INFORMATION CONTACT: Chi 

D. Tran, Program Administrator, 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, 2200 C Street NW (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, Delegation 

of Authority No. 236–3 of August 28, 

2000, and Delegation of Authority No. 

523 of December 22, 2021. 

Stacy E. White, 

Deputy Assistant Secretary for Professional 

and Cultural Exchanges, Bureau of 

Educational and Cultural Affairs, Department 

of State. 

[FR Doc. 2022–13512 Filed 6–23–22; 8:45 am] 

BILLING CODE 4710–05–P 

DEPARTMENT OF STATE 

[Public Notice 11768] 

30-Day Notice of Proposed Information 

Collection: COVID–19 Vaccination 

Requests for Waiver 

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 up to July 25, 

2022. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

• Title of Information Collection: 

COVID–19 Vaccination Request for 

Waiver. 

• OMB Control Number: 1405–0246. 

• Type of Request: Extension of a 

Currently Approved Collection. 

• Originating Office: GTM. 

• Form Number: DS–5158, DS–5159. 

• Respondents: Employees or 

prospective employees at the 

Department of State who may request an 

exception to Executive Order 14043 

from this vaccination requirement based 

on a sincerely held religious belief or 

medical needs. 

• Estimated Number of Respondents: 

100. 

• Estimated Number of Responses: 

100. 

• Average Time per Response: 75 

minutes. 

• Total Estimated Burden Time: 75 

hours. 

• Frequency: On occasion. 

• Obligation to Respond: Voluntary. 

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 purpose of collecting this 

information is to provide an avenue for 

individuals to request an exception to 

the vaccination requirement as a 

medical/disability or religious 

accommodation, and to determine 

whether the request for an exception to 

Executive Order 14043 is valid and can 

be accommodated. 

Methodology 

For prospective employees, both 

forms are PDFs that must be printed, 

completed, signed, and emailed to 

points of contact. The Medical 

Exception form has two parts: Part 2 of 

the form must be completed by a 

medical professional before the entire 

document is scanned and emailed. For 

current employees they can find the 

forms electronically on the Department 

of State systems and complete them 

electronically. 

A Notice Regarding Injunctions 

The vaccination requirement issued 

pursuant to E.O. 14043, is currently the 

subject of a nationwide injunction. 

While that injunction remains in place, 

the Department will not process 

requests for a medical exception from 

the COVID–19 vaccination requirement 


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