74154 Federal Register / Vol. 79, No. 240 / Monday, December 15, 2014 / Notices 

Medical Specialties, Inc. of 8758 

Hellman Avenue, Rancho Cucamonga, 

CA 91730, Denison Pharmaceuticals, 

Inc. of One Power Hill Road, Lincoln, RI 

02865, Packaging Concepts & Design, 

LLC of 1307 I Allen Drive, Troy, Mi 

48083, Uncle Milton Industries, Inc. of 

29209 Canwood Street, Suite 120, 

Agoura Hills, CA 91301, and Vapor 

Power International, LLC of 551 South 

County Line Road, Franklin Park, IL 

60131. The financings Midwest 

Mezzanine Fund V SBIC, L.P. seeks to 

purchase are held by Midwest 

Mezzanine Fund V, L.P. 

These financings are brought within 

the purview of § 107.730(d) of the 

Regulations because Midwest 

Mezzanine Fund V SBIC, L.P. and 

Midwest Mezzanine Fund V, L.P. 

Partners II SBIC, L.P. are Associates. 

Therefore this transaction requires prior 

SBA exemption. 

Notice is hereby given that any 

interested person may submit written 

comments on the transaction, within 

fifteen days of the date of this 

publication, to the Associate 

Administrator for Investment and 

Innovation, U.S. Small Business 

Administration, 409 Third Street, SW., 

Washington, DC 20416. 

Javier E. Saade, 

Associate Administrator for Office of 

Investment and Innovation. 

[FR Doc. 2014–29271 Filed 12–12–14; 8:45 am] 

BILLING CODE P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No SSA–2014–0077] 

Agency Information Collection 

Activities: 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 an extension 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, or you 

may submit your comments online 

through www.regulations.gov, 

referencing Docket ID Number [SSA– 

2014–0077]. 

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 

January 14, 2015. Individuals can obtain 

copies of the OMB clearance package by 

writing to OR.Reports.Clearance@

ssa.gov. 

1. Supplemental Security Income 

(SSI) Claim Information Notice—20 CFR 

416.210–0960–0324. Section 1611(e)(2) 

of the Social Security Act requires 

individuals to file for and obtain all 

payments (annuities, pensions, 

disability benefits, veteran’s 

compensation, etc.) for which they are 

eligible before qualifying for SSI 

payments. Individuals do not qualify for 

SSI if they do not first apply for all other 

benefits. SSA uses the information on 

Form SSA–L8050–U3 to verify and 

establish a claimant or recipient’s 

eligibility under the SSI program. 

Respondents are SSI applicants or 

recipients who may be eligible for other 

payments from public or private 

programs. 

Note: This is a correction notice. SSA 

published this information collection as a 

revision on September 25, 2014, at 79 FR 

57650. 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 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

SSA–L8050–U3 ............................................................................................... 17,044 1 10 2,841 

2. You Can Make Your Payment by 

Credit Card—0960–0462. Using 

information from Form SSA–4588 and 

its electronic application, Form SSA– 

4589, SSA updates individuals’ Social 

Security records to reflect payments 

made on their overpayments. In 

addition, SSA uses this information to 

process payments through the 

appropriate credit card company. SSA 

provides the SSA–4588 when we inform 

an individual that we detected an 

overpayment. Individuals may choose to 

make a one-time payment or recurring 

monthly payments by completing and 

submitting the SSA–4588. SSA uses the 

SSA–4589 electronic intranet 

application only when individuals 

choose to telephone the Program Service 

Centers to make a one-time payment in 

lieu of completing Form SSA–4588. An 

SSA debtor contact representative 

completes the SSA–4589 electronic 

intranet application. Respondents are 

OASDI beneficiaries and SSI recipients 

who have outstanding overpayments. 

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) 

SSA–4588 Paper Form ................................................................................... 13,200 1 10 2,200 

SSA–4589 Electronic Intranet Application ....................................................... 221,3196 1 5 18,443 


emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 240 / Monday, December 15, 2014 / Notices 74155 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Totals ........................................................................................................ 234,516 ........................ ........................ 20,643 

3. Application for Extra Help with 

Medicare Prescription Drug Plan 

Costs—20 CFR 418.3101–0960–0696. 

The Medicare Modernization Act of 

2003 mandated the creation of the 

Medicare Part D prescription drug 

coverage program and the provision of 

subsidies for eligible Medicare 

beneficiaries. SSA uses Form SSA–1020 

or the Internet i1020, the Application 

for Extra Help with Medicare 

Prescription Drug Plan Costs, to obtain 

income and resource information from 

Medicare beneficiaries and to make a 

subsidy decision. The respondents are 

Medicare beneficiaries applying for the 

Part D low-income subsidy. 

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) 

SSA–1020 (Paper Application Form ............................................................... 617,070 1 30 308,535 

i1020 Online Application .................................................................................. 282,228 1 25 117,595 

Field Office Interview ....................................................................................... 155,687 1 30 77,844 

Totals ........................................................................................................ 1,054,985 ........................ ........................ 503,974 

Dated: December 10, 2014. 

Faye Lipsky, 

Reports Clearance Director, Social Security 

Administration. 

[FR Doc. 2014–29246 Filed 12–12–14; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice: 8973] 

Culturally Significant Objects Imported 

for Exhibition Determinations: ‘‘Kuba 

Textiles: Geometry in Form, Space, 

and Time’’ Exhibition 

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), 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, as 

appropriate, Delegation of Authority No. 

257 of April 15, 2003), I hereby 

determine that the objects to be 

included in the exhibition ‘‘Kuba 

Textiles: Geometry in Form, Space, and 

Time,’’ 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 owner or 

custodian. I also determine that the 

exhibition or display of the exhibit 

objects at the Neuberger Museum of Art, 

Purchase College, Purchase, New York, 

from on or about February 26, 2015, 

until on or about June 16, 2015, 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 lists of 

the exhibit objects, 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: December 5, 2014. 

Kelly Keiderling, 

Principal Deputy Assistant Secretary, Bureau 

of Educational and Cultural Affairs, 

Department of State. 

[FR Doc. 2014–29273 Filed 12–12–14; 8:45 am] 

BILLING CODE 4710–05–P 

DEPARTMENT OF STATE 

[Public Notice 8970] 

Culturally Significant Objects Imported 

for Exhibition Determinations: ‘‘Piero 

di Cosimo: The Poetry of Painting in 

Renaissance Florence’’ 

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), 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, and 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 objects to be 

included in the exhibition ‘‘Piero di 

Cosimo: The Poetry of Painting in 

Renaissance Florence,’’ imported from 

abroad for temporary exhibition within 

the United States, are of cultural 

significance. The objects are imported 

pursuant to loan agreements with the 

foreign owners or custodians. I also 

determine that the exhibition or display 

of the exhibit objects at the National 

Gallery of Art, Washington, DC, from on 

or about February 1, 2015, until on or 

about May 3, 2015, 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 imported objects, contact Paul W. 

Manning, Attorney-Adviser, Office of 

the Legal Adviser, U.S. Department of 

State (telephone: 202–632–6469). The 

mailing address is U.S. Department of 

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

5H03), Washington, DC 20522–0505. 

Dated: December 4, 2014. 

Kelly Keiderling, 

Principal Deputy Assistant Secretary, Bureau 

of Educational and Cultural Affairs, 

Department of State. 

[FR Doc. 2014–29312 Filed 12–12–14; 8:45 am] 

BILLING CODE 4710–05–P 


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