70650 Federal Register / Vol. 70, No. 224 / Tuesday, November 22, 2005 / Notices 

23 17 CFR 200.30–3(a)(12). 

For the Commission, by the Division of 

Market Regulation, pursuant to delegated 

authority.23

Jonathan G. Katz, 

Secretary. 

[FR Doc. E5–6409 Filed 11–21–05; 8:45 am] 

BILLING CODE 8010–01–P 

SMALL BUSINESS ADMINISTRATION 

Data Collection Available for Public 

Comments and Recommendations 

ACTION: Notice and request for 

comments. 

SUMMARY: In accordance with the 

Paperwork Reduction Act of 1995, this 

notice announces the Small Business 

Administration’s intentions to request 

approval on a new and/or currently 

approved information collection. 

DATES: Submit comments on or before 

January 23, 2006. 

ADDRESSES: Send all comments 

regarding whether this information 

collection is necessary for the proper 

performance of the function of the 

agency, whether the burden estimates 

are accurate, and if there are ways to 

minimize the estimated burden and 

enhance the quality of the collection, to 

Gail Hepler, Chief 504 Program Branch, 

Office of Financial Assistance, Small 

Business Administration, 409 3rd Street, 

SW., Suite 8300, Washington, DC 20416. 

FOR FURTHER INFORMATION CONTACT: Gail 

Hepler, Chief, 504 Program Branch, 

202–205–7530, gail.hepler@sba.gov. 

Curtis B. Rich, Management Analyst, 

202–205–7030, curtis.rich@sba.gov. 

SUPPLEMENTARY INFORMATION: 

Title: ‘‘Gulf Coast Relief Financing 

Pilot Information Collection.’’

Description of Respondents: Small 

Businesses devastated by Hurricanes 

Katrina and Rita. 

Form No.’s: 2276–Parts ABC, 2279, 

2280, 2281 and 2282. 

Annual Responses: 8,000. 

Annual Burden: 8,000. 

Jacqueline White, 

Chief, Administrative Information Branch. 

[FR Doc. 05–23044 Filed 11–21–05; 8:45 am] 

BILLING CODE 8025–01–P 

SOCIAL SECURITY ADMINISTRATION 

Agency Information Collection 

Activities: Proposed Request, 

Comment Request and Correction 

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, the Paperwork 

Reduction Act of 1995, effective October 

1, 1995. The information collection 

packages that may be included in this 

notice are for new information 

collections, approval of existing 

information collections, revisions to 

OMB-approved information collections, 

and extensions (no change) of OMBapproved 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 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. The information can be mailed 

and/or faxed to the individuals at the 

addresses and fax numbers listed below: 

(OMB), Office of Management and 

Budget, Attn: Desk Officer for SSA, 

Fax: 202–395–6974. 

(SSA), Social Security Administration, 

DCFAM, Attn: Reports Clearance 

Officer, 1333 Annex Building, 6401 

Security Blvd., Baltimore, MD 21235, 

Fax: 410–965–6400. 

I. The information collections listed 

below are pending at SSA and 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–

965–0454 or by writing to the address 

listed above. 

1. Application for Widow’s or 

Widower’s Insurance Benefits—20 CFR 

404.335–.338—0960–0004. SSA uses the 

information collected on the Form SSA–

10–BK to determine if the applicant 

meets the statutory and regulatory 

conditions for entitlement to 

widow(er)’s benefits. The respondents 

are applicants for Widow(er)’s benefits. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 288,580. 

Frequency of Response: 1. 

Average Burden per Response: 15 

minutes. 

Estimated Annual Burden: 72,145 

hours. 

2. Application for Parent’s Insurance 

Benefits—20 CFR 404.370–404.374, 20 

CFR 404.601–404.603—0960–0012. 

Form SSA–7–F6 collects information to 

entitle an individual to his parent’s 

insurance benefits. The respondents are 

individuals who wish to apply to 

receive their parent’s insurance benefits. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 1,400. 

Frequency of Response: 1. 

Average Burden per Response: 15 

minutes. 

Estimated Annual Burden: 350 hours. 

3. Statement of Marital Relationship 

(by One of the Parties)—20 CFR 

404.726—0960–0038. SSA uses the 

information collected on Form SSA–

754–F4 to determine whether the 

conditions for establishing a commonlaw marriage under State law are met. 

The respondents are applicants for 

spouse’s benefits. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 30,000. 

Frequency of Response: 1. 

Average Burden per Response: 30 

minutes. 

Estimated Annual Burden: 15,000 

hours. 

4. Medical Source Statement of 

Ability To Do Work Related Activities 

(Physical and Mental)—20 CFR 

404.1512–404.1514, 404.912–404.914, 

404.1517, 416.917, 404.1519–404.1520, 

416.919–416.920, 404.946, 416.946—

0960–0662. The HA–1151 and HA–1152 

are used to collect data that is required 

to determine the residual functional 

capacity (RFC) of individuals who are 

appealing denied claims for benefits 

based on disability. RFC must be 

determined to decide cases that cannot 

be decided based on current work 

activity or on medical facts alone. The 

respondents are medical sources who 

are paid by SSA to provide reports 

based either on existing medical 

evidence or on consultative 

examinations conducted for the 

purposes of the report. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 10,000. 

Frequency of Response: 20. 

Average Burden per Response: 15 

minutes. 

Estimated Annual Burden: 50,000 

hours. 

5. SSI-Quality Review Case analysis—

0960–0133. The form SSA–8508 is used 

in a personal interview with a sample of 

Supplemental Security Income (SSI) 

recipients and covers all elements of SSI 

eligibility. The information is used to 

assess the effectiveness of SSI policies 

and procedures and to determine 

payment accuracy rates. The 

respondents are SSI recipients. 

Type of Request: Extension of an 

OMB-approved information collection. 

Federal Register / Vol. 70, No. 224 / Tuesday, November 22, 2005 / Notices 70651 

Number of Respondents: 3,900. 

Frequency of Response: 1. 

Average Burden per Response: 60 

minutes. 

Estimated Annual Burden: 3,900 

hours. 

6. Report of New Information in 

Disability Cases—20 CFR 404.460, 

404.468, 404.408, 404.1588—0960–

0071. The information collected on 

Form SSA–612 is used to update the 

disability records of respondents, based 

on changes reported. The form is used 

to gather information on a number of 

topics that can affect the beneficiary’s or 

the applicant’s entitlement to disability 

benefits. This includes, but is not 

limited to, information about a return to 

work, improvement in the medical 

condition, Workers’ Compensation 

settlements or representative payee 

issues. The respondents are applicants 

for and recipients of Title II disability 

benefits. 

Number of Respondents: 27,000. 

Frequency of Response: 1. 

Average Burden per Response: 5 

minutes. 

Estimated Annual Burden: 2,250 

hours. 

7. Statement of Living Arrangements, 

In-Kind Support and Maintenance—20 

CFR, 416.1130–.1148—0960–0174. 

Form SSA–8006 provides a national 

uniform vehicle for collecting 

information from SSI applicants and 

recipients about whether they receive 

income from in-kind support and 

maintenance. Responses are used to 

determine eligibility for SSI benefits. 

The respondents are individuals 

applying for SSI or whose eligibility is 

being reevaluated. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 173,380. 

Frequency of Response: 1. 

Average Burden per Response: 7 

minutes. 

Estimated Annual Burden: 20,228 

hours. 

Type of Request: Extension of an 

OMB-approved information collection. 

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 at 

410–965–0454, or by writing to the 

address listed above. 

1. Supplement to Claim of Person 

Outside the United States—20 CFR 

404.460, 404.463, 422.505(b), 42 CFR 

407.27(c)—0960–0051. The information 

collected on Form SSA–21 is used to 

determine the continuing entitlement to 

Social Security benefits and the proper 

benefit amounts for alien beneficiaries 

living outside the United States. It is 

also used to determine whether benefits 

are subject to withholding tax. The 

respondents are individuals entitled to 

Social Security benefits who are, will 

be, or have been residing outside the 

United States. 

Type of Request: Revision of an OMBapproved information collection. 

Number of Respondents: 35,000. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 5,833 

hours. 

2. Report on Individual with Mental 

Impairment—20 CFR 404.1513, 

416.913—0960–0058. Form SSA–824 is 

used by SSA to determine the claimant’s 

medical status prior to making a 

disability determination. The 

respondents are physicians, medical 

directors, medical record librarians and 

other health professionals. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 50,000. 

Frequency of Response: 1. 

Average Burden per Response: 36 

minutes. 

Estimated Annual Burden: 30,000 

hours. 

3. Claimant’s Work Background—20 

CFR 404.1565(b), 416.965(b)—0960–

0300. The information collected on 

Form HA–4633 is needed and used to 

afford claimants their statutory right to 

a hearing and decision under the Social 

Security Act. The information is used by 

SSA in cases in which claimants for 

disability benefits have requested a 

hearing on the determination regarding 

their claim. A completed form provides 

an updated summary of a claimant’s 

past relevant work and helps the 

administrative law judge to better 

decide whether or not the claimant is 

disabled. The respondents are claimants 

requesting hearings for benefits based 

on disability under Titles II and/or XVI 

of the Act. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 120,000. 

Frequency of Response: 1. 

Average Burden per Response: 15 

minutes. 

Estimated Annual Burden: 30,000 

hours. 

4. Coverage of Employees of State and 

Local Governments—20 CFR 404, 

Subpart M—0960–0425. States (and 

Interstate Instrumentalities) are required 

to provide wage information and 

deposit related contributions for pre1987 periods to SSA. The regulations at 

20 CFR 404, Subpart M set forth the 

rules for States submitting reports of 

deposits and related recordkeeping. The 

respondents are State and local 

governments or Interstate 

Instrumentalities. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 52. 

Frequency of Response: 1. 

Average Burden per Response: 1 hour. 

Estimated Annual Burden: 52 hours. 

5. Medical Report on Adult with 

Allegation of Human Immunodeficiency 

Virus (HIV) Infection; Medical Report 

on Child with Allegation of Human 

Immunodeficiency Virus (HIV) 

Infection—20 CFR 416.993–416.994—

0960–0500. Collection of the 

information on Forms SSA–4814–F5 

and SSA–4815–F6 is necessary for SSA 

to determine if an individual with HIV 

infection meets the requirements for 

presumptive disability (PD) payments. 

The SSA Field Office (FO) will mail the 

appropriate form to the claimant’s 

medical source for completion and 

return to the FO. The FO staff will use 

the information on the form to 

determine if a PD is warranted. The 

respondents are the medical sources of 

applicants for SSI disability payments. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 59,100. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 9,850 

hours. 

6. SSI Notice of Interim Assistance 

Reimbursement (IAR)—0960–0546. 

Forms SSA–8125 and SSA–L8125–F6 

are used by SSA to obtain the amount 

of Interim Assistance Reimbursement 

(IAR) a State is due before it can pay 

IAR to the State in various situations. 

When SSA releases the first retroactive 

SSI payment the SSA–8125 is filled out 

by the State for accounting and auditing 

purposes. The SSA–L8125–F6 is only 

used in cases when SSA must ensure 

that an IAR State does not send a 

residual IAR payment to a recipient who 

may be affected by the dedicated 

account and installment provision as set 

forth in Pub. Law 100–203. Respondents 

are State IAR officers. 

Type of Request: Extension of an 

OMB-approved information collection. 

Number of Respondents: 50,000. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 8,333 

hours. 

III. The information collections listed 

below have been submitted to OMB for 

clearance. These notices have been 

70652 Federal Register / Vol. 70, No. 224 / Tuesday, November 22, 2005 / Notices 

previously published, and are being 

republished because changes have been 

made to the collections’ burden 

estimates. 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 at 

410–965–0454, or by writing to the 

address listed above. 

1. General Request for Social Security 

Records, eFOIA—20 CFR 402.130—

0960–NEW. The eFOIA is a new 

electronic form that the public can use 

to request public information from the 

Agency. SSA uses the information 

collected on this electronic request for 

Social Security records to respond to the 

public’s request for information under 

the rights provided by the Freedom of 

Information Act (FOIA), and to track 

those requests by amount received, type 

of request, fees charged and responses 

sent within the required 20 days. 

Respondents are individuals or agencies 

requesting documents under FOIA. 

Type of Request: New information 

collection. 

Number of Respondents: 5,000. 

Frequency of Response: 1. 

Average Burden per Response: 3 

minutes. 

Estimated Annual Burden: 250 hours. 

2. Application to Collect a Fee for 

Payee Services—0960–NEW. 

Information requested on form SSA–445 

will be used to determine whether the 

applicant meets the requirements to 

become a fee for service organizational 

payee, and if the applicant has provided 

all the information and documentation 

required. Based on the information 

provided on form SSA–445, SSA will 

issue a determination authorizing or 

denying permission to collect fees for 

payee services. The respondents are fee 

for payee service applicants. 

Type of Request: New information 

collection. 

Number of Respondents: 100. 

Frequency of Response: 1. 

Average Burden per Response: 10 

minutes. 

Estimated Annual Burden: 17 hours. 

Dated: November 15, 2005. 

Elizabeth A. Davidson, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. 05–22983 Filed 11–21–05; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 5234] 

Culturally Significant Objects Imported 

for Exhibition Determinations: 

‘‘Masterpieces From an English 

Country House: The Fitzwilliam 

Collection’’

AGENCY: Department of State. 

ACTION: Notice. 

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 [64 FR 56014], 

Delegation of Authority No. 236 of 

October 19, 1999 [64 FR 57920], as 

amended, and Delegation of Authority 

No. 257 of April 15, 2003 [68 FR 19875], 

I hereby determine that the objects to be 

included in the exhibition, 

‘‘Masterpieces from an English Country 

House: The Fitzwilliam Collection,’’

imported from abroad for temporary 

exhibition within the United States, are 

of cultural significance. The objects are 

imported pursuant to a loan agreement 

with the foreign lender. I also determine 

that the exhibition or display of the 

exhibit objects at the Chrysler Museum 

of Art, Norfolk, Virginia, from on or 

about April 28, 2006, to on or about 

August 13, 2006, the Memphis Brooks 

Museum of Art, Memphis, Tennessee, 

from on or about September 15, 2006, to 

on or about December 3, 2006, and at 

possible additional venues yet to be 

determined, is in the national interest. 

Public Notice of these determinations is 

ordered to be published in the Federal 

Register. 

FOR FURTHER INFORMATION CONTACT: For 

further information, such as a list of 

exhibit objects, contact Paul W. 

Manning, Attorney-Adviser, Office of 

the Legal Adviser, 202/453–8052, and 

the address is United States Department 

of State, SA–44, Room 700, 301 4th 

Street, SW., Washington, DC 20547–

0001. 

Dated: November 15, 2005. 

C. Miller Crouch, 

Principal Deputy Assistant Secretary for 

Educational and Cultural Affairs, Department 

of State. 

[FR Doc. 05–23110 Filed 11–21–05; 8:45 am] 

BILLING CODE 4710–08–P 

OFFICE OF THE UNITED STATES 

TRADE REPRESENTATIVE 

Andean Trade Preference Act (ATPA), 

as Amended: Notice Regarding the 

2005 Annual Review 

AGENCY: Office of the United States 

Trade Representative. 

ACTION: Notice. 

SUMMARY: The Office of the United 

States Trade Representative (USTR) 

received petitions in September 2005 to 

review certain practices in certain 

beneficiary developing countries to 

determine whether such countries are in 

compliance with the ATPA eligibility 

criteria. This notice publishes a list of 

the September 2005 petitions that were 

filed in response to the announcement 

of the annual review. 

FOR FURTHER INFORMATION CONTACT: 

Bennett M. Harman, Deputy Assistant 

U.S. Trade Representative for Latin 

America, at (202) 395–9446. 

SUPPLEMENTARY INFORMATION: The ATPA 

(19 U.S.C. 3201 et seq.), as renewed and 

amended by the Andean Trade 

Promotion and Drug Eradication Act of 

2002 (ATPDEA) in the Trade Act of 

2002 (Pub. L. 107–210), provides trade 

benefits for eligible Andean countries. 

Pursuant to section 3103(d) of the 

ATPDEA, USTR promulgated 

regulations (15 CFR part 2016) (68 FR 

43922) regarding the review of 

eligibility of countries for the benefits of 

the ATPA, as amended. The 2005 

Annual ATPA Review is the third such 

review to be conducted pursuant to the 

ATPA regulations. 

In a Federal Register notice dated 

August 18, 2005, USTR initiated the 

2005 ATPA Annual Review and 

announced a deadline of September 19, 

2005 for the filing of petitions (70 FR 

48622). Following is the list of 

responsive petitions that were filed for 

the 2005 review: 

Peru ExxonMobil 

USTR also received updated 

information regarding certain matters 

under consideration from the 2003 and 

2004 ATPA reviews: 

Ecuador Human Rights Watch 

Ecuador U.S./Labor Education in the 

Americas Project 

Ecuador AFL/CIO 

Peru Parsons Corporation 

USTR will announce the results of the 

preliminary review of the 2005 petitions 

as well as the results of the review of the