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10456 Federal Register / Vol. 71, No.

40 / Wednesday, March 1, 2006 / Proposed Rules

Federalism assessment under E.O. and clarity of the information collected; Penalties, Reporting and recordkeeping
13132. and (d) ways to minimize the burden of requirements.
the collection of information on the Dated: February 21, 2006.
Paperwork Reduction Act
respondents, including the use of J. Steven Landefeld,
This proposed rule contains a automated collection techniques or
collection-of-information requirement Director, Bureau of Economic Analysis.
other forms of information technology.
subject to review and approval by the Comments should be addressed to: For the reasons set forth in the
Office of Management and Budget Director, Bureau of Economic Analysis preamble, BEA proposes to amend 15
(OMB) under the Paperwork Reduction (BE–1), U.S. Department of Commerce, CFR part 806 as follows:
Act. The requirement has been Washington, DC 20230, fax: 202–606–
submitted to OMB for approval as a 5311; and the Office of Management and PART 806—DIRECT INVESTMENT
revision to a collection currently Budget, O.I.R.A., Paperwork Reduction SURVEYS
approved under OMB control number Project 0608–0004, Attention PRA Desk 1. The authority citation for 15 CFR
0608–0004. Officer for BEA, via the Internet at
Notwithstanding any other provisions part 806 is revised to read as follows:
pbugg@omb.eop.gov, or by fax at 202–
of the law, no person is required to Authority: 5 U.S.C. 301; 22 U.S.C. 3101–
395–7245. 3108; and E.O. 11961 (3 CFR, 1977 Comp.,
respond to, nor shall any person be
subject to a penalty for failure to comply Regulatory Flexibility Act p. 86), as amended by E.O. 12318 (3 CFR,
with, a collection-of-information subject 1981 Comp., p. 173) and E.O. 12518 (3 CFR,
The Chief Counsel for Regulation, 1985 Comp., p. 348).
to the requirements of the Paperwork
Department of Commerce, has certified
Reduction Act unless that collection § 806.14 [Amended]
to the Chief Counsel for Advocacy,
displays a currently valid OMB control 2. Section 806.14 (e) is amended by
Small Business Administration (SBA),
number. deleting ‘‘$30,000,000’’ and inserting
The survey, as proposed, is expected under the provisions of the Regulatory
Flexibility Act (5 U.S.C. 605(b)), that ‘‘$40,000,000’’ in its place.
to result in the filing of about 13,500
foreign affiliate reports by an estimated this proposed rulemaking, if adopted, [FR Doc. 06–1877 Filed 2–28–06; 8:45 am]
1,500 U.S. parent companies. A parent will not have a significant economic BILLING CODE 3510–06–P
company must file one form per impact on a substantial number of small
affiliate. BEA proposes to change the entities. Although the BE–577 survey
survey in two ways—first, to collect does not itself collect data on the size
of the U.S. companies that must SOCIAL SECURITY ADMINISTRATION
information on payments to and receipts
from foreign affiliates for interest, respond, data collected on related BEA 20 CFR Parts 404 and 416
royalties and license fees and other surveys indicate that about 100 of the
estimated 1,500 U.S. parent companies [Regulation Nos. 4 and 16]
private services gross rather than, as in
the past, net of any taxes withheld, and that must respond to the BE–577 survey RIN 0960–AG05
second, to remove the requirement for are small businesses according to the
reporting certain affiliated insurance standards established by the Small Optometrists as Acceptable Medical
transactions that have been problematic Business Administration. The Sources to Establish a Medically
to collect on the BE–577. (BEA plans to exemption level for the BE–577 survey Determinable Impairment
move the reporting requirement for is set in terms of the size of a U.S.
these transactions to specialized company’s foreign affiliates (foreign AGENCY: Social Security Administration.
services surveys that BEA conducts in companies owned 10 percent or more by ACTION: Notice of proposed rulemaking.
the near future.) The respondent burden the U.S. company); if a foreign affiliate
has assets, sales, or net income greater SUMMARY: We propose to revise the
for this collection of information is
than the exemption level, it must be Social Security and Supplemental
estimated to vary from 0.5 hour to 4
reported. Usually, the U.S. parent Security Income (SSI) disability
hours per response, with an average of
company that is required to file the regulations regarding sources of
1.25 hours per response, including time
report is many times larger than its evidence for establishing a medically
for reviewing instructions, searching
largest foreign affiliate. determinable impairment under titles II
existing data sources, gathering and
The 100 U.S. businesses that meet the and XVI of the Social Security Act (the
maintaining the data needed, and
SBA small business standards tend to Act). The revised regulations would
completing and reviewing the collection
have few foreign affiliates, and the expand the situations in which we
of information. Because reports are filed
foreign affiliates that they do own are consider licensed optometrists to be
4 times per year, 54,000 responses
small. With the proposed increase in the ‘‘acceptable medical sources’’.
annually are expected. Thus, the total
annual respondent burden of the survey exemption level for the BE–577 survey DATES: To be sure that your comments
is estimated at 67,500 hours (13,500 from $30 million to $40 million (stated are considered, we must receive them
respondents times 4 times 1.25 hours in terms of the foreign affiliate’s assets, by May 1, 2006.
average burden). This estimate is the sales, and net income), small U.S. ADDRESSES: You may give us your
same as the burden hours currently businesses will be required to file fewer comments by: using our Internet site
carried for this collection in the OMB reports for their foreign affiliates than facility (i.e., Social Security Online) at
inventory. would be required in the absence of this http://policy.ssa.gov/erm/rules.nsf/
Comments are requested concerning: increase. The estimated annual cost to a Rules+Open+To+Comment or the
(a) Whether the proposed collection of U.S. business reporting for five or fewer Federal eRulemaking Portal at http://
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information is necessary for the proper foreign affiliates is estimated to be less www.regulations.gov; e-mail to
performance of the functions of the than $1,000. regulations@ssa.gov; telefax to (410)
agency, including whether the 966–2830; or letter to the Commissioner
List of Subjects in 15 CFR Part 806
information will have practical utility; of Social Security, P.O. Box 17703,
(b) the accuracy of the burden estimate; International transactions, Economic Baltimore, MD 21235–7703. You may
(c) ways to enhance the quality, utility, statistics, U.S. investment abroad, also deliver them to the Office of

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Federal Register / Vol. 71, No. 40 / Wednesday, March 1, 2006 / Proposed Rules 10457

Regulations, Social Security fields (for claims under title II, we may Why was this solution chosen?
Administration, 100 Altmeyer Building, need a report from a physician to The revised regulations would expand
6401 Security Boulevard, Baltimore, MD determine other aspects of eye diseases); the situations in which we consider
21235–6401, between 8 a.m. and 4:30 • Licensed podiatrists, for purposes licensed optometrists to be ‘‘acceptable
p.m. on regular business days. of establishing impairments of the foot, medical sources’’. We would be able to
Comments are posted on our Internet or foot and ankle only, depending on make more decisions based on medical
site, at http://policy.ssa.gov/erm/ whether the State in which the evidence of record, rather than having to
rules.nsf/Rules+Open+To+Comment, or podiatrist practices permits the practice purchase time-consuming and
you may inspect them on regular of podiatry on the foot only, or the foot expensive consultative examinations.
business days by making arrangements and ankle; Therefore, these regulations would help
with the contact person shown in this some individuals with visual disorders
preamble. • Qualified speech-language
qualify for benefits more quickly.
pathologists, for purposes of
Electronic Version establishing speech or language What rules are we proposing to revise?
The electronic file of this document is impairments only. We propose to revise
available on the date of publication in Our current rules in §§ 404.1513(d) §§ 404.1513(a)(3) and 416.913(a)(3) to
the Federal Register at http:// and 416.913(d) provide that, once we provide that, except in the U.S. Virgin
www.gpoaccess.gov/fr/index.html. It is have established that you have a Islands, licensed optometrists would be
also available on the Internet site for medically determinable impairment, we acceptable medical sources for purposes
SSA (i.e., Social Security Online) at consider all other relevant evidence of establishing a medically determinable
http://policy.ssa.gov/erm/rules.nsf/ from other medical and non-medical impairment for visual disorders only.
Rules+Open+To+Comment. sources, including your own statements, However, we will maintain our current
FOR FURTHER INFORMATION CONTACT: to determine its severity and how it rules for licensed optometrists in the
Rosemarie A. Greenwald, Social affects you. U.S. Virgin Islands, where they will
Insurance Specialist, Social Security continue to be acceptable medical
Why are we proposing to change our sources for measurement of visual
Administration, 100 Altmeyer Building,
rules? acuity and visual fields only.
6401 Security Boulevard, Baltimore, MD
21235–6401, (410) 966–7813 or TTY As medical science changes, it is our What programs would these proposed
410–966–5609. For information on duty to review our policies and make regulations affect?
eligibility or filing for benefits, call our appropriate revisions. In the early These proposed rules would affect
national toll-free number 1–800–772– 1990s, we discussed expanding the role disability and blindness determinations
1213 or TTY 1–800–325–0778, or visit of optometrists as acceptable medical and decisions that we make under titles
our Internet Web site, Social Security sources with the American Optometric II and XVI of the Act. In addition, to the
Online, at http:// Association (AOA). However, because extent that Medicare entitlement and
www.socialsecurity.gov. licensing regulations varied Medicaid eligibility are based on
SUPPLEMENTARY INFORMATION: considerably among jurisdictions at that whether you qualify for disability
time, we found that it was not feasible benefits under title II or disability or
What is an ‘‘acceptable medical for us to revise our policy.
source’’? blindness under title XVI, these
Recently, we met with representatives proposed rules would also affect the
Our rules provide that you must show of the AOA again and obtained Medicare and Medicaid programs.
that you have a medically determinable information about the education,
impairment with evidence from an Who can get disability benefits?
qualifications, and state scope-of-
acceptable medical source. An practice laws related to optometrists. Under title II of the Act, we provide
acceptable medical source is an Based on our review of accreditation for the payment of disability benefits if
individual who has the training and requirements and practice guidelines, you are disabled and belong to one of
expertise to provide us with the signs we have determined that, with the the following three groups:
and laboratory findings based on exception of the U.S. Virgin Islands, the • Workers insured under the Act,
medically acceptable clinical and licensing requirements, scope of • Children of insured workers, and
laboratory diagnostic techniques that treatment, and diagnostic protocols for • Widows, widowers, and surviving
establish a medically determinable licensed optometrists are sufficient to divorced spouses (see § 404.336) of
physical or mental impairment. Our qualify virtually all licensed insured workers.
regulations identify professionals whom Under title II of the Act, you may
optometrists as acceptable medical
we consider to be acceptable medical qualify for a period of disability if you
sources for visual disorders. Therefore,
sources. (See §§ 404.1513(a) and are insured for disability under Social
we believe it is now appropriate to
416.913(a).) They are: Security and are under a disability as
propose to revise our regulations to
• Licensed physicians (medical or authorize licensed optometrists as
defined in section 216(i)(1) of the Act.
osteopathic doctors); That section defines disability to
acceptable medical sources for visual
• Licensed or certified psychologists. disorders in all jurisdictions but the
include statutory blindness, for
Included are school psychologists, or purposes of establishing a period of
U.S. Virgin Islands.1
other licensed or certified individuals disability under title II. If we find that
with other titles who perform the same 1 The U.S. Virgin Islands do not allow
you are blind and you meet the insured
function as a school psychologist in a status requirement, we may establish a
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optometrists to administer or prescribe


school setting, for purposes of pharmaceuticals, including topical application of period of disability for you regardless of
establishing mental retardation, learning pharmaceuticals for diagnostic or treatment whether you can do substantial gainful
disabilities, and borderline intellectual purposes. Because a complete evaluation of the eye activity (SGA). A period of disability
includes the use of diagnostic pharmaceuticals,
functioning only; optometrists in the U.S. Virgin Islands are not
protects your earnings record under
• Licensed optometrists, for the qualified to perform a complete evaluation of the Social Security so that the time you are
measurement of visual acuity and visual eye. disabled will not count against you in

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10458 Federal Register / Vol. 71, No. 40 / Wednesday, March 1, 2006 / Proposed Rules

determining whether you will have • You are unable to use the skills or What is our authority to make rules
worked long enough to qualify for abilities like the ones you used in any and set procedures for determining
benefits and the amount of your SGA which you did regularly and for a whether a person is disabled under the
benefits. See §§ 404.320, 404.1505, substantial period of time. However, we statutory definition?
404.1581, and 404.1582. will not pay you any cash benefits for Section 205(a) of the Act and, by
Under title XVI of the Act, we provide any month in which you are doing SGA. reference to section 205(a), section
for Supplemental Security Income (SSI) (See §§ 404.1583 and 404.1584(c).) 1631(d)(1) provides that:
payments on the basis of disability or Section 416.913(a) of our regulations The Commissioner of Social Security
blindness if you are disabled or blind states that if you are claiming benefits shall have full power and authority to
and have limited income and resources. under title XVI on the basis of disability, make rules and regulations and to
How do we define blindness? not blindness, your disability must establish procedures, not inconsistent
result from a medically determinable with the provisions of this title, which
For both the title II and title XVI impairment documented by acceptable
programs, the Act defines blindness as are necessary or appropriate to carry out
medical sources. However, blindness is such provisions, and shall adopt
‘‘central visual acuity of 20/200 or less treated differently under title XVI of the
in the better eye with the use of a reasonable and proper rules and
Act. Under title XVI, blindness and regulations to regulate and provide for
correcting lens. An eye which is disability are separate categories of SSI
accompanied by a limitation in the the nature and extent of the proofs and
payments, and the requirements for evidence and the method of taking and
fields of vision such that the widest eligibility based on blindness are
diameter of the visual field subtends an furnishing the same in order to establish
different from the requirements for the right to benefits hereunder.
angle no greater than 20 degrees shall be eligibility based on disability. Under
considered * * * as having a central title XVI, the only evidence we need to When will we start to use these rules?
visual acuity of 20/200 or less.’’ (See establish statutory blindness is evidence We will not use these rules until we
sections 216(i)(1) and 1614(a)(2) of the showing that your visual acuity or evaluate the public comments we
Act.) visual field, in the better eye, meets the
Title II of the Act does not provide a receive on them, determine whether
criteria described in the section ‘‘How they should be issued as final rules, and
separate category of benefits based on
do we define blindness?’’ provided that issue final rules in the Federal Register.
blindness. However, you may be
those measurements are consistent with If we publish final rules, we will
entitled to benefits based on disability
the other evidence in your case record. explain in the preamble how we will
under title II of the Act if you are blind.
By contrast, title XVI of the Act We do not need to determine the cause apply them, and summarize and
provides for a category of payments of your blindness for you to be eligible respond to the public comments. Until
based on blindness as well as a category for SSI payments based on blindness. the effective date of any final rules, we
of payments based on disability. If you Also, there is no duration requirement will continue to use our current rules.
are blind and meet the SSI income and for statutory blindness under title XVI
Clarity of these proposed rules
resources requirements, you may be (See §§ 416.981 and 416.983). Section
416.913(f) provides that if you are Executive Order 12866, as amended
eligible for SSI payments based on
applying for benefits under title XVI on by Executive Order 13258, requires each
blindness. Your blindness does not have
the basis of statutory blindness, we will agency to write all rules in plain
to meet a 12-month duration
require an examination by a physician language. In addition to your
requirement for you to be eligible for
skilled in diseases of the eye or by an substantive comments on these
these payments. Also, there is no
optometrist, whichever you may select. proposed rules, we invite your
requirement that you be unable to do
comments on how to make them easier
any SGA. However, if you are working, What is a ‘‘medically determinable to understand.
we will consider your earnings to impairment’’? For example:
determine if you are eligible for SSI • Have we organized the material to
payments. We will not consider you to be
disabled or blind unless you furnish suit your needs?
How do we decide whether you are medical and other evidence that we • Are the requirements in the rules
disabled? need to show that you are disabled or clearly stated?
If you are applying for disability blind. (See sections 223(d)(5)(A) and • Do the rules contain technical
benefits under title II of the Act, section 1614(a)(3)(H)(i) of the Act, and language or jargon that is not clear?
404.1513(a) of our regulations provides §§ 404.1512(a) and 416.912(a) of our • Would a different format (grouping
that we need evidence from acceptable regulations.) The Act requires that you and order of sections, use of headings,
medical sources to establish whether show that your disability results from a paragraphing) make the rules easier to
you have a medically determinable medically determinable physical or understand?
mental impairment. A physical or • Would more (but shorter) sections
impairment(s). Therefore, in general, to
mental impairment is an impairment be better?
be entitled to disability benefits under
that results from anatomical, • Could we improve clarity by adding
title II, your blindness must result from
physiological, or psychological tables, lists, or diagrams?
a medically determinable impairment
abnormalities which are demonstrable • What else could we do to make the
and meet the 12-month duration
by medically acceptable clinical and rules easier to understand?
requirement. (See §§ 404.1508,
404.1513, and 404.1581.) Also, if you laboratory diagnostic techniques. (See Regulatory Procedures
are under age 55, you must be unable to sections 223(d)(3) and 1614(a)(3)(D) of
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the Act.) Our regulations provide that a Executive Order 12866


do any SGA. (See §§ 404.1582 and
404.1584(b).) Even though you are doing physical or mental impairment must be We have consulted with the Office of
SGA, we may still find that you are established by medical evidence Management and Budget (OMB) and
entitled to title II disability benefits if— consisting of signs, symptoms, and determined that these proposed rules
• You are blind; laboratory findings. (See §§ 404.1508 meet the requirements for a significant
• You are age 55 or older; and and 416.908.) regulatory action under Executive Order

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Federal Register / Vol. 71, No. 40 / Wednesday, March 1, 2006 / Proposed Rules 10459

12866, as amended by Executive Order Disability Insurance; 96.002, Social 902(a)(5), 1382, 1382c, 1382h, 1383(a), (c),
13258. Thus, they were subject to OMB Security—Retirement Insurance; 96.004, and (d)(1), and (p), and 1383b; secs. 4(c) and
review. Social Security—Survivors Insurance; 5, 6(c)–(e), 14(a), and 15, Pub. L. 98–460, 98
96.006, Supplemental Security Income.) Stat. 1794, 1801, 1802, and 1808 (42 U.S.C.
Regulatory Flexibility Act 421 note, 423 note, 1382h note).
We certify that these proposed rules List of Subjects 4. Revise § 416.913(a)(3) to read as
would not have a significant economic 20 CFR Part 404 follows:
impact on a substantial number of small Administrative practice and § 416.913 Medical and other evidence of
entities because they would affect only procedure, Blind, Disability benefits, your impairment(s).
individuals. Thus, a regulatory Old-age, Survivors and Disability (a) * * *
flexibility analysis as provided in the Insurance, Reporting and recordkeeping (3) Licensed optometrists, for
Regulatory Flexibility Act, as amended, requirements, Social Security. purposes of establishing visual
is not required.
20 CFR Part 416 disorders only (except, in the U.S.
Paperwork Reduction Act Virgin Islands, licensed optometrists, for
Administrative practice and the measurement of visual acuity and
These proposed rules do not impose procedure, Aged, Blind, Disability
any new reporting requirements on the visual fields only). (See paragraph (f) of
benefits, Public assistance programs, this section for the evidence needed for
public. Reporting and recordkeeping statutory blindness);
List of References requirements, Supplemental Security
* * * * *
Income (SSI).
During development of these [FR Doc. E6–2852 Filed 2–28–06; 8:45 am]
proposed rules, we reviewed the Dated: December 20, 2006.
BILLING CODE 4191–02–P
following information: Jo Anne B. Barnhart,
• Council on Optometric Education, Commissioner of Social Security.
Accreditation Manual: Professional For the reasons set out in the
Optometric Degree Programs, St. Louis, preamble, we propose to amend subpart DEPARTMENT OF COMMERCE
MO, 10/1998. P of part 404 and subpart I of part 416
• American Optometric Association, of chapter III of title 20 of the Code of
National Oceanic and Atmospheric
State/Territory Statutory Language the Administration
Federal Regulations as set forth below:
Practice of Optometry, 3/2002.
• American Optometric Association, PART 404—FEDERAL OLD-AGE, 50 CFR Part 600
Optometric Clinical Practice Guidelines. SURVIVORS AND DISABILITY
1. Comprehensive Adult Eye and [Docket No. 050520139–6034–03; I.D.
INSURANCE (1950– ) 030305A]
Vision Examination, St. Louis, MO, 5/1/
1994. Subpart P—[Amended] RIN 0648–AS46
2. Care of the Patient with Primary
Angle Closure Glaucoma, St. Louis, MO, 1. The authority citation for subpart P
of part 404 continues to read as follows: Magnuson-Stevens Act Provisions;
6/23/1994. Fishing Capacity Reduction Program;
3. Care of the Patient with Anterior Authority: Secs. 202, 205(a), (b), and (d)– Bering Sea/Aleutian Islands King and
Uveitis, St. Louis, MO, 6/23/1994. (h), 216(i), 221(a) and (i), 222(c), 223, 225, Tanner Crabs; Industry Fee System for
4. Care of the Patient with Age- and 702(a)(5) of the Social Security Act (42 Fishing Capacity Reduction Loan
Related Macular Degeneration, St. U.S.C. 402, 405(a), (b), and (d)–(h), 416(i),
Louis, MO, 6/23/1994. 421(a) and (i), 422(c), 423, 425, and AGENCY: National Marine Fisheries
5. Care of the Patient with Amblyopia, 902(a)(5)); sec. 211(b), Pub. L. 104–193, 110 Service (NMFS), National Oceanic and
St. Louis, MO, 6/29/1994. Stat. 2105, 2189. Atmospheric Administration (NOAA),
6. Care of the Patient with Open Angle 2. Revise § 404.1513(a)(3) to read as Commerce.
Glaucoma, St. Louis, MO, 3/23/1995. follows: ACTION: Proposed rule; request for
7. Care of the Patient with Retinal comments.
§ 404.1513 Medical and other evidence of
Detachment and Related Peripheral your impairment(s).
Vitreoretinal Disease, St. Louis, MO, 4/ SUMMARY: NMFS publishes this
(a) * * *
27/1995. (3) Licensed optometrists, for proposed rule to exempt any crab
8. Care of the Patient with Strabismus: purposes of establishing visual landed under the Community
Esotropia and Exotropia, St. Louis, MO, disorders only (except, in the U.S. Development Quota (CDQ) Program
6/28/1995. Virgin Islands, licensed optometrists, for from the fee regulations for the Bering
9. Care of the Adult Patient with Sea/Aleutian Islands King and Tanner
the measurement of visual acuity and
Cataract, St. Louis, MO, 6/28/1995. Crab Fishing Capacity Reduction
visual fields only);
10. Care of the Patient with Diabetes Program, to provide that crab buyers
Mellitus, St. Louis, MO, 5/1/1998. * * * * * disburse fee collections to NMFS not
• National Board of Examiners in later than the 7th calendar day of each
PART 416—SUPPLEMENTAL
Optometry, ‘‘Topic outline of national month, and to provide that the annual
SECURITY INCOME FOR THE AGED,
test’’, http://www.optometry.org. report from each crab buyer shall be
These references are included in the BLIND, AND DISABLED
submitted to NMFS by July 1 of each
rulemaking record for these proposed Subpart I—[Amended] calendar year. The fee regulations
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rules and are available for inspection by otherwise remain unchanged. The intent
interested individuals making 3. The authority citation for subpart I of this proposed rule is to modify the fee
arrangements with the contact person of part 416 continues to read as follows: rules so that they do not apply to any
shown in this preamble. Authority: Secs. 702(a)(5), 1611, 1614, crab allocated pursuant to the CDQ
(Catalog of Federal Domestic Assistance 1619, 1631(a), (c), and (d)(1), and (p), and Program, and to ease the fee collection
Program Nos. 96.001, Social Security— 1633 of the Social Security Act (42 U.S.C. burden for crab buyers.

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