64872 Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices 

76 17 CFR 200.30–3(a)(12). 

For the Commission, by the Division of 

Trading and Markets, pursuant to delegated 

authority.76

Kevin M. O’Neill, 

Deputy Secretary. 

[FR Doc. 2014–25890 Filed 10–30–14; 8:45 am] 

BILLING CODE 8011–01–P 

SOCIAL SECURITY ADMINISTRATION 

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 revisions 

and extensions 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, 

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. 

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 December 30, 

2014. Individuals can obtain copies of 

the collection instruments by writing to 

the above email address. 

1. Modified Benefit Formula 

Questionnaire-Foreign Pension—0960– 

0561. SSA uses Form SSA–308 to 

determine exactly how much (if any) of 

a foreign pension may be used to reduce 

the amount of Title II Social Security 

retirement or disability benefits under 

the modified benefit formula. The 

respondents are applicants for Title II 

Social Security retirement or disability 

benefits who have foreign pensions. 

Type of Request: Extension of an 

OMB-approved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–308 .......................................................................................................... 13,452 1 10 2,242 

Greenberg cases ............................................................................................. 1,666 1 60 1,666 

Totals ........................................................................................................ 15,118 ........................ ........................ 3,908 

2. Filing Claims Under the Federal 

Tort Claims Act—20 CFR 429.101– 

429.110—0960–0667. The Federal Tort 

Claims Act is the legal mechanism for 

compensating persons injured by 

negligent or wrongful acts that occur 

during the performance of official duties 

by Federal employees. In accordance 

with the law, SSA accepts monetary 

claims filed under the Federal Tort 

Claims Act for damages against the 

United States, loss of property, personal 

injury, or death resulting from an SSA 

employee’s wrongful act or omission. 

The regulation sections cleared under 

this information collection request 

require claimants to provide 

information SSA can use to investigate 

and determine whether to make an 

award, compromise, or settlement under 

the Federal Tort Claims Act. The 

respondents are individuals or entities 

making a claim under the Federal Tort 

Claims Act. 

Type of Request: Extension of an 

OMB-approved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

429.102; 429.103 1 ........................................................................................... 1 ........................ ........................ 1 

429.104(a) ........................................................................................................ 11 1 5 1 

429.104(b) ........................................................................................................ 43 1 5 4 

429.104(c) ........................................................................................................ 1 1 5 0 

429.106(b) ........................................................................................................ 6 1 10 1 

Totals ........................................................................................................ 62 ........................ ........................ 7 

1The 1 hour represents a placeholder burden. We are not reporting a burden for this collection because respondents complete OMB-approved 

Form SF–95. 

II. SSA submitted the information 

collections below to OMB for clearance. 

Your comments regarding the 

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 

December 1, 2014. Individuals can 

obtain copies of the OMB clearance 

package by writing to 

OR.Reports.Clearance@ssa.gov. 

1. Partnership Questionnaire—20 CFR 

404.1080–1082—0960–0025. SSA 

considers partnership income in 

determining entitlement to Social 

Security benefits. SSA uses information 

from Form SSA–7104 to determine 


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Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices 64873 

several aspects of eligibility for benefits, 

including the accuracy of reported 

partnership earnings, the veracity of a 

retirement, and lag earnings. The 

respondents are applicants for, and 

recipients of, Title II Social Security Old 

Age, Survivors, and Disability Insurance 

benefits. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total 

estimated 

annual burden 

(hours) 

SSA–7104 ................................................................................................ 12,350 1 30 6,175 

2. Statement of Marital Relationship 

(By one of the parties)—20 CFR 

404.726—0960–0038. SSA must obtain a 

signed statement from a spousal 

applicant if the applicant claims a 

common-law marriage to the insured in 

a state in which such marriages are 

recognized, and no formal marriage 

documentation exists. SSA uses 

information we collect on Form SSA– 

754–F4 to determine if an individual 

applying for spousal benefits meets the 

criteria of common-law marriage under 

state law. The respondents are 

applicants for spouse’s Social Security 

benefits or Supplemental Security 

Income (SSI) payments. 

Note: This is a correction notice. SSA 

published this information collection as a 

revision on August 28, 2014, at 79 FR 51387. 

Since we are no longer revising this 

information collection, it is now an extension 

of an OMB-approved information collection. 

Type of Request: Extension of an 

OMB-approved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

SSA–754–F4 .................................................................................................... 30,000 1 30 15,000 

3. Workers’ Compensation/Public 

Disability Questionnaire—20 CFR 

404.408—0960–0247. Section 224 of the 

Social Security Act (Act) provides for 

the reduction of disability insurance 

benefits (DIB) when the combination of 

DIB and any workers’ compensation 

(WC) or certain Federal, State or local 

public disability benefits (PDB) exceeds 

80 percent of the worker’s pre-disability 

earnings. SSA field office staff conducts 

face-to-face interviews with applicants 

using the electronic WC/PDB screens in 

the Modernized Claims System (MCS) to 

determine if the worker’s receipt of WC 

or PDB payments will cause a reduction 

of DIB. The respondents are applicants 

for the Title II DIB. 

Type of Request: Extension of an 

OMB-approved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total 

estimated 

annual burden 

(hours) 

MCS ................................................................................................................. 248,000 1 15 62,000 

4. Medicaid Use Report—20 CFR 

416.268—0960–0267. Section 20 CFR 

416.268 of the Code of Federal 

Regulations requires SSA to determine 

eligibility for (1) special SSI cash 

payments and for (2) special SSI 

eligibility status for a person who works 

despite a disabling condition. It also 

explains how, in order to qualify for 

special SSI eligibility status, an 

individual must establish that 

termination of eligibility for benefits 

under Title XIX of the Act would 

seriously inhibit the ability to continue 

employment. SSA uses the information 

required by this regulation to determine 

if an individual is entitled to special 

Title XVI SSI payments and, 

consequently, to Medicaid. The 

respondents are SSI recipients for whom 

SSA has stopped payments based on 

earnings. 

Type of Request: Extension of an 

OMB-approved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

20 CFR 416.268 .............................................................................................. 60,000 1 3 3,000 

5. Medical Report on Adult with 

Allegation of Human Immunodeficiency 

Virus Infection; Medical Report on 

Child with Allegation of Human 

Immunodeficiency Virus Infection—20 

CFR 416.933–20 CFR 416.934—0960– 

0500. Section 1631(e)(i) of the Act 

authorizes the Commissioner of SSA to 

gather information to make a 

determination about an applicant’s 

claim for SSI payments; this procedure 

is the presumptive disability (PD). SSA 

uses Forms SSA–4814–F5 and SSA– 

4815–F6 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. 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
64874 Federal Register / Vol. 79, No. 211 / Friday, October 31, 2014 / Notices 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total estimated total 

annual burden 

(hours) 

SSA–4814–F5 .................................................................................................. 46,200 1 10 7,700 

SSA–4815–F6 .................................................................................................. 12,900 1 10 2,150 

Totals ........................................................................................................ 59,100 9,850 

Dated: October 27, 2014. 

Faye Lipsky, 

Reports Clearance Director, Social Security 

Administration. 

[FR Doc. 2014–25860 Filed 10–30–14; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice: 8934] 

Overseas Security Advisory Council 

(OSAC) Meeting Notice; Closed 

Meeting 

The Department of State announces a 

meeting of the U.S. State Department— 

Overseas Security Advisory Council on 

November 18, 2014. Pursuant to Section 

10(d) of the Federal Advisory 

Committee Act (5 U.S.C. Appendix), 

and 5 U.S.C. 552b(c)(4), and 5 U.S.C. 

552b(c)(7)(E), it has been determined 

that the meeting will be closed to the 

public. The meeting will focus on an 

examination of corporate security 

policies and procedures and will 

involve extensive discussion of trade 

secrets and proprietary commercial 

information that is privileged and 

confidential, and will discuss law 

enforcement investigative techniques 

and procedures. The agenda will 

include updated committee reports, a 

global threat overview, and other 

matters relating to private sector 

security policies and protective 

programs and the protection of U.S. 

business information overseas. 

For more information, contact Marsha 

Thurman, Overseas Security Advisory 

Council, U.S. Department of State, 

Washington, DC 20522–2008, phone: 

571–345–2214. 

Dated: October 2, 2014. 

Bill A. Miller, 

Director of the Diplomatic Security Service, 

U.S. Department of State. 

[FR Doc. 2014–25974 Filed 10–30–14; 8:45 am] 

BILLING CODE 4710–24–P 

DEPARTMENT OF TRANSPORTATION 

Federal Aviation Administration 

Airport Property Release Notice; 

Southbridge Municipal Airport, 

Southbridge, MA 

AGENCY: Federal Aviation 

Administration (FAA), DOT. 

ACTION: Request for comments. 

SUMMARY: The Federal Aviation 

Administration is considering a 

proposal to release approximately 30.29 

acres of airport property for 

conservation land at the Southbridge 

Municipal Airport, Southbridge, MA. 

The acres to be released are currently 

not used for aeronautical purposes and 

are vacant wetlands. The released acres 

would be considered reimbursement for 

general funds the Town of Southbridge 

expended to provide the Airport with 

necessary services within the last 6 

years. In accordance with section 

47107(h) of Title 49 of the United States 

Code, the FAA invites public comment 

on this proposal. 

DATES: Comments must be received on 

or before December 1, 2014. 

ADDRESSES: You may send comments 

using any of the following methods: 

• Federal eRulemaking Portal: Go to 

http://www.regulations.gov, and follow 

the instructions on providing 

comments. 

• Fax: 202–493–2251. 

• Mail: U.S. Department of 

Transportation, Docket Operations, M– 

30, West Building Ground Floor, Room 

W 12–140, 1200 New Jersey Avenue SE., 

Washington, DC 20590. 

• Hand Delivery: Deliver to Mail 

address above between 9 a.m. and 5 

p.m., Monday through Friday, except 

Federal holidays. Interested persons 

may inspect the request and supporting 

documents by contacting the FAA at the 

address listed under ‘‘FOR FURTHER

INFORMATION CONTACT.’’ 

FOR FURTHER INFORMATION CONTACT: 

Thomas Vick, Compliance and Land 

Use Specialist, New England Region 

Airports Division, 12 New England 

Executive Park, Burlington, MA 01803. 

Telephone: 781–238–7618; Fax 781– 

238–7608. 

SUPPLEMENTARY INFORMATION: In 

accordance with the Wendell H. Ford 

Aviation Investment and Reform Act for 

the 21st Century (AIR 21), Public Law 

106–181 (Apr. 5, 2000; 114 Stat. 61), 

this notice must be published in the 

Federal Register not less than 30 days 

before the Secretary may waive any 

condition imposed on a federally 

obligated airport by grant agreements. 

The FAA invites public comment on the 

request, under the provisions of AIR 21, 

to release land at the Southbridge 

Municipal Airport from the obligation to 

use that land solely for aeronautical 

purposes and to allow its use for 

environmental mitigation. All 

comments will be considered by the 

FAA to the extent practicable. 

The Town of Southbridge has 

requested to release approximately 

30.29 acres of airport land from federal 

obligations and to consider that land as 

reimbursement for $49,629.23 in general 

funds the Town of Southbridge 

expended to provide the Airport with 

services within the last 6 years. These 

acres are part of a larger 264-acre parcel 

currently depicted on the Airport 

Layout Plan. That larger parcel is 

identified as owned by the Town of 

Southbridge in the Worcester County 

Registry of Deeds, Book 2928, Page 89. 

The 30.29 acres are located on the west 

side of Commercial Drive and Barefoot 

Road and have 1369 feet of frontage on 

Commercial Drive and Barefoot Road, 

but also encompass a large area of 

wetlands based on MA Department of 

Environmental Protection Wetlands 

maps. 

The Airport also completed a Real 

Estate Appraisal Report for the parcel. 

The appraisal was conducted in 

accordance with the Uniform Standards 

of Professional Appraisal Practice 

(USPAP). The appraisal concludes that 

the Southbridge Municipal Airport will 

receive value for the land in terms of 

liquidating its debt to the Town and, in 

addition, value in terms of having the 

land preserved as conservation land 

without development in perpetuity. 


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