Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices 77083 

the applicants to operate CMVs in 

interstate commerce. 

To evaluate the effect of these 

exemptions on safety, FMCSA 

considered medical reports about the 

applicants’ ITDM and vision, and 

reviewed the treating endocrinologists’ 

medical opinion related to the ability of 

the driver to safely operate a CMV while 

using insulin. 

Consequently, FMCSA finds that in 

each case exempting these applicants 

from the diabetes requirement in 49 CFR 

391.41(b)(3) is likely to achieve a level 

of safety equal to that existing without 

the exemption. 

V. Conditions and Requirements 

The terms and conditions of the 

exemption will be provided to the 

applicants in the exemption document 

and they include the following: (1) That 

each individual submit a quarterly 

monitoring checklist completed by the 

treating endocrinologist as well as an 

annual checklist with a comprehensive 

medical evaluation; (2) that each 

individual reports within 2 business 

days of occurrence, all episodes of 

severe hypoglycemia, significant 

complications, or inability to manage 

diabetes; also, any involvement in an 

accident or any other adverse event in 

a CMV or personal vehicle, whether or 

not it is related to an episode of 

hypoglycemia; (3) that each individual 

provide a copy of the ophthalmologist’s 

or optometrist’s report to the medical 

examiner at the time of the annual 

medical examination; and (4) that each 

individual provide a copy of the annual 

medical certification to the employer for 

retention in the driver’s qualification 

file, or keep a copy in his/her driver’s 

qualification file if he/she is selfemployed. The driver must also have a 

copy of the certification when driving, 

for presentation to a duly authorized 

Federal, State, or local enforcement 

official. 

VI. Conclusion 

Based upon its evaluation of the 36 

exemption applications, FMCSA 

exempts the following drivers from the 

diabetes requirement in 49 CFR 

391.41(b)(10), subject to the 

requirements cited above 949 CFR 

391.64(b)): 

Noe D. Aguilar (CA) 

Paul W. Albert (WY) 

David N. Banks (NC) 

Wayne W. Best (PA) 

Gregory K. Blythe (IL) 

Justin M. Brown (MT) 

Richard E. Cole (WI) 

Michael W. Cooley (KS) 

Steven R. Everly (IA) 

Clayton G. Hardwick (KY) 

Audie C. Holton (GA) 

John F. Kincaid (IL) 

Jerry E. King (MN) 

Craig T. LaPresti (PA) 

Lester M. Lee, Jr. (GA) 

Aretha Lewis (VA) 

Marvin D. Mathis (NC) 

Brian M. McFadden (MA) 

Danny D. Miracle (IN) 

Patrick J. Miraflor (PA) 

Sean K. Myhand (GA) 

Glen R. Parry (NM) 

George E. Patton (AL) 

Michael J. Ramey (CO) 

Richard J. Rasmussen (NE) 

Mark L. Rigby (UT) 

Jeffrey K. Roberts (WI) 

Eric R. Storm (GA) 

Daniel A. Swain (TX) 

Sean P. Thomas (IN) 

Glenn R. Tyrrell (MN) 

Lewis W. Vaught, Jr. (NC) 

Michael S. Waitkus (IL) 

William L. Wiltrout (PA) 

David T. Zilm (MN) 

Tina L. Zimmer (IL) 

In accordance with 49 U.S.C. 31136(e) 

and 31315 each exemption is valid for 

two years unless revoked earlier by 

FMCSA. The exemption will be revoked 

if the following occurs: (1) The person 

fails to comply with the terms and 

conditions of the exemption; (2) the 

exemption has resulted in a lower level 

of safety than was maintained before it 

was granted; or (3) continuation of the 

exemption would not be consistent with 

the goals and objectives of 49 U.S.C. 

31136(e) and 31315. If the exemption is 

still effective at the end of the 2-year 

period, the person may apply to FMCSA 

for a renewal under procedures in effect 

at that time. 

Issued on: December 15, 2014. 

Larry W. Minor, 

Associate Administrator for Policy. 

[FR Doc. 2014–30086 Filed 12–22–14; 8:45 am] 

BILLING CODE 4910–EX–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

December 18, 2014. 

The Department of the Treasury will 

submit the following information 

collection requests to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995, Public Law 104–13, on or after the 

date of publication of this notice. 

DATES: Comments should be received on 

or before January 22, 2015 to be assured 

of consideration. 

ADDRESSES: Send comments regarding 

the burden estimate, or any other aspect 

of the information collection, including 

suggestions for reducing the burden, to 

(1) Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, Attention: Desk Officer for 

Treasury, New Executive Office 

Building, Room 10235, Washington, DC 

20503, or email at OIRA_Submission@

OMB.EOP.gov and (2) Treasury PRA 

Clearance Officer, 1750 Pennsylvania 

Ave. NW., Suite 8140, Washington, DC 

20220, or email at PRA@treasury.gov. 

FOR FURTHER INFORMATION CONTACT: 

Copies of the submission(s) may be 

obtained by emailing PRA@treasury.gov, 

calling (202) 622–1295, or viewing the 

entire information collection request at 

www.reginfo.gov. 

Financial Crimes Enforcement Network 

(FinCEN) 

OMB Number: 1506–0001. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Suspicious Activity Report by 

Depository Institutions. 

Abstract: Under 31 CFR 1020.320, 

FinCEN requires depository institutions, 

to report on a consolidated form, to a 

single location, reports of suspicious 

transactions. The Form 111 (see 1506– 

0065) is used by criminal investigators, 

and taxation and regulatory enforcement 

authorities, during the course of 

investigations involving financial 

crimes. This action renews the 

regulation only. 

Affected Public: Private Sector: 

Businesses or other for-profits; not-forprofit institutions. 

Estimated Annual Burden Hours: 1. 

OMB Number: 1506–0004. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Currency Transaction Reports. 

Abstract: Financial institutions file 

FinCEN Form 112 (see 1506–0064) for 

currency transactions in excess of 

$10,000 a day pursuant to 31 U.S.C. 

5313(a) and 31 CFR 1010.311(a)(b). The 

form is used by criminal investigators, 

and taxation and regulatory enforcement 

authorities, during the course of 

investigations involving financial 

crimes. This action renews the 

regulation only. 

Affected Public: Private Sector: 

Businesses or other for-profits; not-forprofit institutions. 

Estimated Annual Burden Hours: 1. 

OMB Number: 1506–0005. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Currency Transaction Report by 

Casinos. 

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77084 Federal Register / Vol. 79, No. 246 / Tuesday, December 23, 2014 / Notices 

Abstract: Casinos and card clubs file 

FinCEN Form 112 (see 1506–0064) for 

currency transactions in excess of 

$10,000 a day pursuant to 31 U.S.C. 

5313(a) and 31 CFR 1010.311. The form 

is used by criminal investigators, and 

taxation and regulatory enforcement 

authorities, during the course of 

investigations involving financial 

crimes. This action renews the 

regulation only. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Annual Burden Hours: 1. 

OMB Number: 1506–0006. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Suspicious Activity Report by 

Casinos and Card Clubs. 

Abstract: Under 31 CFR 1021.320, the 

Treasury is requiring casinos and card 

clubs with annual gaming revenue of 

more than $1,000,000 to report 

suspicious activities. The FinCEN Form 

111 (see 1506–0065) is used by criminal 

investigators, and taxation and 

regulatory enforcement authorities, 

during the course of investigations 

involving financial crimes. This action 

renews the regulation only. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Annual Burden Hours: 1. 

OMB Number: 1506–0029. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Suspicious Activity Report by 

Insurance Companies. 

Abstract: Title 31 CFR 1025.320 

requires insurance companies to report 

suspicious activities to the Financial 

Crimes Enforcement Network. FinCEN 

Form 111 (see 1506–0065) is an aid to 

this required reporting providing the 

filer with a guide in completing this 

reporting requirement. The form is used 

by criminal investigators, and taxation 

and regulatory enforcement authorities, 

during the course of investigations 

involving financial crimes. This action 

renews the regulation only. 

Affected Public: Private Sector: 

Businesses or other for-profits. 

Estimated Annual Burden Hours: 1. 

Dawn D. Wolfgang, 

Treasury PRA Clearance Officer. 

[FR Doc. 2014–30001 Filed 12–22–14; 8:45 am] 

BILLING CODE 4810–02–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

December 18, 2014. 

The Department of the Treasury will 

submit the following information 

collection requests to the Office of 

Management and Budget (OMB) for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995, Public Law 104–13, on or after the 

date of publication of this notice. 

DATES: Comments should be received on 

or before January 22, 2015 to be assured 

of consideration. 

ADDRESSES: Send comments regarding 

the burden estimate, or any other aspect 

of the information collection, including 

suggestions for reducing the burden, to 

(1) Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, Attention: Desk Officer for 

Treasury, New Executive Office 

Building, Room 10235, Washington, DC 

20503, or email at OIRA_Submission@

OMB.EOP.gov and (2) Treasury PRA 

Clearance Officer, 1750 Pennsylvania 

Ave. NW., Suite 8140, Washington, DC 

20220, or email at PRA@treasury.gov. 

FOR FURTHER INFORMATION CONTACT: 

Copies of the submission(s) may be 

obtained by calling (202) 927–5331, 

email at PRA@treasury.gov, or the entire 

information collection request may be 

found at www.reginfo.gov. 

Internal Revenue Service (IRS) 

OMB Number: 1545–0090. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Form 1040–SS—U.S. SelfEmployment Tax Return; Form 1040– 

PR—Planilla para la Declaracio ́n de la 

Contribucio ́n Federal sobre el Trabajo 

por Cuenta Propia (Incluyendo el 

Cre ́dito Tributario Adicional por Hijos 

para Residentes Bona Fide de Puerto 

Rico), and Anejo H–PR (Form 1040– 

PR)—Contribuciones sobre el Empleo de 

Empleados Dome ́sticos. 

Form: 1040–SS, 1040–PR, Anejo H– 

PR (Form 1040–PR). 

Abstract: Form 1040–SS (Virgin 

Islands, Guam, American Samoa, and 

the Northern Mariana Islands) and 

1040–PR (Puerto Rico) are used by selfemployed individuals to figure and 

report self-employment tax under IRC 

chapter 2 of Subtitle A, and provide 

credit to the taxpayer’s social security 

account. Anejo H–PR is used to 

compute household employment taxes. 

Form 1040–SS and Form 1040–PR are 

also used by bona-fide residents of 

Puerto Rico to claim the additional 

child tax credit. 

Affected Public: Individuals or 

households private sector: Businesses or 

other for-profits, farms. 

Estimated Annual Burden Hours: 

2,847,448. 

OMB Number: 1545–0120. 

Type of Review: Revision of a 

currently approved collection. 

Title: Certain Government Payments. 

Form: 1099–G. 

Abstract: Form 1099–G is used by 

governments (primarily state and local) 

to report to the IRS (and notify 

recipients of) certain payments (e.g., 

unemployment compensation and 

income tax refunds). IRS uses the 

information to insure that the income is 

being properly reported by the 

recipients on their returns. 

Affected Public: State, Local, and 

Tribal Governments. 

Estimated Annual Burden Hours: 

24,709,380. 

OMB Number: 1545–0177. 

Type of Review: Revision of a 

currently approved collection. 

Title: Casualties and Thefts. 

Form: 4684. 

Abstract: Form 4684 is used by 

taxpayers to compute their gain or loss 

from casualties or thefts, and to 

summarize such gains and losses. The 

data is used to verify that the correct 

gain or loss has been computed. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden Hours: 

1,830,400. 

OMB Number: 1545–0619. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Title: Credit for Increasing Research 

Activities. 

Form: 6765. 

Abstract: Internal Revenue Code 

section 38 allows a credit against 

income tax for an increase in research 

activities in a trade or business. Form 

6765 is used to figure and claim the 

credit for increasing research activities 

or to elect the reduced credit under 

section 280C. An individual, estate, 

trust, organization, or corporation 

claiming a credit for increasing research 

activities; or any S corporation, 

partnership, estate, or trust that 

allocates the credit to its shareholders, 

partners, or beneficiaries must complete 

this form and attach it to its income tax 

return. 

Affected Public: Private sector: 

Businesses and other for-profits. 

Estimated Annual Burden Hours: 

285,281. 

OMB Number: 1545–0714. 

Type of Review: Extension without 

change of a currently approved 

collection. 

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