Notice2021-17928
Agency Information Collection Activities: Proposed Request
Primary source
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Published
August 23, 2021
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 86 Issue 160 (Monday, August 23, 2021)</title>
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[Federal Register Volume 86, Number 160 (Monday, August 23, 2021)]
[Notices]
[Pages 47190-47194]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-17928]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0030]
Agency Information Collection Activities: Proposed 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 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,
Comments: <a href="https://www.reginfo.gov/public/do/PRAMain">https://www.reginfo.gov/public/do/PRAMain</a>. Submit your
comments online referencing Docket ID Number [SSA-2021-0030].
(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: <a href="/cdn-cgi/l/email-protection#ace3fe82fec9dcc3ded8df82efc0c9cddecdc2cfc9ecdfdfcd82cbc3da"><span class="__cf_email__" data-cfemail="b7f8e599e5d2c7d8c5c3c499f4dbd2d6c5d6d9d4d2f7c4c4d699d0d8c1">[email protected]</span></a>.
Or you may submit your comments online through <a href="https://www.reginfo.gov/public/do/PRAMain">https://www.reginfo.gov/public/do/PRAMain</a>, referencing Docket ID Number [SSA-
2021-0030].
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
October 19, 2021. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Certificate of Support--20 CFR 404.370, 404.408a, and 404.750--
0960-
[[Page 47191]]
0001. A parent of a deceased, fully insured worker may be entitled to
Social Security Old-Age, Survivors, and Disability Insurance (OASDI)
benefits based on the earnings record of the deceased worker under
certain conditions. One of the conditions is when the parent receives
at least one-half support from the deceased worker at certain points in
time. The one-half support requirement also applies to a spousal
applicant in determining whether OASDI benefits are subject to
Government Pension Offset (GPO). SSA uses Form SSA-760, Certificate of
Support, to determine if the parent of a deceased worker or a spouse
applicant meets the one-half support requirement. Respondents are
parents of deceased workers and spouses who may meet the GPO exception.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-760........................................... 18,000 1 15 4,500 * $27.07 ** 121,815
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* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-0000">https://www.bls.gov/oes/current/oes_nat.htm#00-0000</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Medical Source Opinion of Patient's Capability to Manage
Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA appoints a
representative payee in cases where we determine beneficiaries are not
capable of managing their own benefits. In these instances, we require
medical evidence to determine the beneficiaries' capability of managing
or directing their benefit payments. SSA collects medical evidence on
Form SSA-787, Medical Source Opinion of Patient's Capability to Manage
Benefits, to: (1) Determine beneficiaries' capability or inability to
handle their own benefits; and (2) assist in determining the
beneficiaries' need for a representative payee. The respondents are the
beneficiary's physicians, or medical officers of the institution in
which the beneficiary resides.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-787........................................... 767,737 1 20 255,912 $105.22 $26,927,061
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* We based this figure on the national average medical professionals' salaries as reported by the US Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes291228.htm">https://www.bls.gov/oes/current/oes291228.htm</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Work Activity Report--Employee--20 CFR 404.1520(b), 404.1571-
404.1576, 404.1584-404.1593, and 416.971-404.976--0960-0059. SSA uses
Form SSA-821-BK, Work Activity Report--Employee, and its electronic
version, the SSA-821-APP, to collect recipient employment information
to determine whether recipients worked after becoming disabled and, if
so, whether the work is substantial gainful activity. SSA uses the SSA-
821-BK and SSA-821-APP to obtain work information during the initial
claims process, the continuing disability review process, post-
adjudicative work issue actions, and for Supplemental Security Income
(SSI) claims involving work issues. SSA reviews and evaluates the data
to determine if the applicant or recipient meets the disability
requirements of the law. The respondents are applicants or recipients
of Title II Social Security Disability, and Title XVI SSI applicants.
Type of Request: Revision of an OMB-approved information
collection.
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Average wait
Average Average time in field Total annual
Number of Frequency of burden per Estimated theoretical office or for opportunity
Modality of completion respondents response response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount Centers ***
(dollars) * (minutes) **
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SSA[dash]821[dash]BK (Paper)............ 319,900 1 30 159,950 * $10.95 ** 21 *** $2,977,469
SSA-821-APP (Electronic)................ 91,400 1 30 45,700 * 10.95 .............. *** 500,415
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Totals.............................. 411,300 .............. .............. 205,650 .............. .............. *** 3,477,884
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* We based this figure on the average DI payments based on SSA's current FY 2021 data (<a href="https://www.ssa.gov/legislation/2021FactSheet.pdf">https://www.ssa.gov/legislation/2021FactSheet.pdf</a>).
** We based this figure on averaging both the average FY 2021 wait times for field offices and teleservice centers, based on SSA's current management
information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
[[Page 47192]]
4. Application for Supplemental Security Income--20 CFR 416.207 and
416.305-416.335, subpart C--0960-0229. The SSI program provides aged,
blind, and disabled individuals who have little or no income, with
funds for food, clothing, and shelter. Individuals complete Form SSA-
8000-BK, Application for Supplemental Security Income, to apply for
SSI. SSA uses the information from Form SSA-8000-BK, and its electronic
intranet counterpart, the SSI Claim System, to: (1) Determine whether
SSI claimants meet all statutory and regulatory eligibility
requirements; and (2) calculate SSI payment amounts. The respondents
are applicants for SSI or their representative payees. Type of Request:
Revision of an OMB-approved information collection.
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Average wait
Average Average time in field
Number of Frequency of burden per Estimated theoretical office or for Total annual
Modality of completion respondents response response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
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SSI Claim System..................... 1,212,512 1 35 707,299 * $19.01 ** 21 *** $21,513,199
SSA-8000-BK (Paper Form)............. 20,941 1 41 14,310 * 19.01 ** 21 *** 411,357
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Totals........................... 1,233,453 .............. .............. 721,609 .............. .............. *** 21,924,556
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* We based this figure by averaging both the average DI payments based on SSA's current FY 2021 data (<a href="https://www.ssa.gov/legislation/2021FactSheet.pdf">https://www.ssa.gov/legislation/2021FactSheet.pdf</a>), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm">https://www.bls.gov/oes/current/oes_nat.htm</a> ).
** We based this figure on averaging both the average FY 2021 wait times for field offices and teleservice centers, based on SSA's current management
information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. State Supplementation Provisions: Agreement; Payments--20 CFR
416.2095-416.2098, and 416.2099--0960-0240. Section 1618 of the Social
Security Act (Act) requires those states administering their own
supplementary income payment program(s) to demonstrate compliance with
the Act by passing Federal cost-of-living increases on to individuals
who are eligible for state supplementary payments. States are required
to report to SSA their compliance of the passing-along of such
increases. In general, states report their supplementary payment
information annually by the maintenance-of-payment levels method.
However, SSA may ask them to report up to four times in a year by the
total-expenditures method. Regardless of the method, the states confirm
their compliance with the requirements, and provide any changes to
their optional supplementary payment rates. SSA uses the information to
determine each state's compliance or noncompliance with the pass-along
requirements of the Act to determine eligibility for Medicaid
reimbursement. If a state fails to keep payments at the required level,
it becomes ineligible for Medicaid reimbursement under Title XIX of the
Act. Respondents are state agencies administering supplementary income
payment programs.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
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SSA-8019-U2 (Paper)..................................... 11 1 60 11 * $21.46 ** $236
SSI Claims System (Intranet)............................ 22 1 60 22 * 21.46 ** 472
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Totals.............................................. 33 .............. .............. 33 .............. ** 708
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* We based this figure on the average state Eligibility for Government Programs Interviewers hourly wages, as reported by Bureau of Labor Statistics
data (<a href="https://www.bls.gov/oes/current/oes434061.htm">https://www.bls.gov/oes/current/oes434061.htm</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
6. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, and 416.665--0960-0576. SSA requires
representative payees to submit a written report accounting for the use
of money paid to Social Security or SSI recipients, and to establish
and maintain a dedicated account for these payments. SSA uses Form SSA-
6233, Representative Payee Report of Benefits and Dedicated Account,
to: (1) Ensure the representative payees use the payments for the
recipient's current maintenance and personal needs; and (2) confirm the
expenditures of funds from the dedicated account remain in compliance
with the law. Respondents are representative payees for SSI and Social
Security recipients.
Type of Request: Revision of an OMB approved information
collection.
[[Page 47193]]
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Average wait
Average time in field Total annual
Number of Frequency of Average burden Estimated total theoretical office or for opportunity
Modality of completion respondents response per response annual burden hourly cost teleservice cost (dollars)
(minutes) (hours) amount centers ***
(dollars) * (minutes) **
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SSA-6233......................... 31,500 1 20 10,500 * $27.07 ** 21 *** $582,682
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* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-0000">https://www.bls.gov/oes/current/oes_nat.htm#00-0000</a>).
** We based this figure on averaging both the average FY 2021 wait times for field offices and teleservice centers, based on SSA's current management
information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. Credit Card Payment Form--0960-0648. SSA uses Form SSA-1414,
Credit Card Payment Form, to process: (1) Credit card payments from
former employees and vendors with outstanding debts to the agency; (2)
advance payments for reimbursable agreements; and (3) credit card
payments for all Freedom of Information Act (FOIA) requests requiring
payment. The respondents are former employees and vendors who have
outstanding debts to the agency; entities who have reimbursable
agreements with SSA; and individuals who request information through
FOIA.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of respondents Frequency of per response annual burden hourly cost opportunity
response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-1414............................... 6,000..................... 1 2 200 * $27.07 ** $5,414
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* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-0000">https://www.bls.gov/oes/current/oes_nat.htm#00-0000</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
8. Notification of a Social Security Number (SSN) to an Employer
for Wage Reporting Purposes--20 CFR 422.103(a)--0960-0778. Individuals
applying for employment must provide an SSN or indicate they have
applied for one. However, when an individual applies for an initial
SSN, there is a delay between the assignment of the number and the
delivery of the SSN card. At an individual's request, SSA uses Form
SSA-132, Notification of a Social Security Number (SSN) to an Employer
for Wage Reporting Purposes, to send the individual's SSN to an
employer. Mailing this information to the employer: (1) Ensures the
employer has the correct SSN for the individual; (2) allows SSA to
receive correct earnings information for wage reporting purposes; and
(3) reduces the delay in the initial SSN assignment and delivery of the
SSN information directly to the employer. It also enables SSA to verify
the employer as a safeguard for the applicant's personally identifiable
information. The respondents are individuals applying for an initial
SSN who ask SSA to mail confirmation of their application or the SSN to
their employers.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
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SSA-132.......................... 124,668 1 2 4,156 * $27.07 ** 24 *** $1,462,403
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* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-0000">https://www.bls.gov/oes/current/oes_nat.htm#00-0000</a>).
** We based this figure on the average FY 2021 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
9. Data Exchange Request Form--20 CFR 401.100--0960-0802. SSA
maintains approximately 3,000 data exchange agreements and regularly
receives new requests from Federal, State, local, and foreign
governments, as well as private organizations, to share data
electronically. SSA engages in various forms of data exchanges from
Social Security number verifications to computer matches for benefit
eligibility, depending on the requestor's business needs. Section 1106
of the Act requires we consider the requestor's legal authority to
receive the data, our disclosure policies, systems' feasibility,
systems' security, and costs before entering into a data exchange
agreement. We use Form SSA-157, Data Exchange Request Form, for this
purpose. Requesting agencies, governments, or private organizations
will use the form when voluntarily initiating a request for data
exchange from SSA. Respondents are Federal, State, local, and foreign
governments, as
[[Page 47194]]
well as private organizations seeking to share data electronically with
SSA.
Type of Request: Revision of an OMB- approved information
collection.
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Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
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State, local, and tribal governments.................... 139 1 45 104 * $42.85 ** $4,456
Private sector organizations............................ 74 1 45 56 * $42.85 ** $2,400
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Totals.............................................. 213 .............. .............. 160 .............. ** $6,856
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* We based this figure by averaging the average Management Analyst hourly salary, as reported by Bureau of Labor Statistics data (<a href="http://www.bls.gov/oes/current/oes131111.htm">www.bls.gov/oes/current/oes131111.htm</a>); the average Business and Financial Operations hourly salary (<a href="http://www.bls.gov/oes/current/oes130000.htm">www.bls.gov/oes/current/oes130000.htm</a>); and the average
Epidemiologist hourly salary (<a href="http://www.bls.gov/oes/current/oes191041.htm">www.bls.gov/oes/current/oes191041.htm</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Fee Agreement for Representation before the Social Security
Administration--0960-0810. The Act requires individuals who represent a
claimant before the agency and want to receive a fee for their services
to obtain SSA's authorization of the fee. One way to obtain the
authorization is to submit the fee agreement to the agency either in
writing or through using Form SSA-1693, Fee Agreement for
Representation before the Social Security Administration. Since
representatives currently use fee agreements which vary in length,
content, and complexity, submission of a free-form fee agreement may
cause delays in SSA's review time. Therefore, SSA encourages
respondents to use Form SSA-1693 to submit the information either using
the paper form or the electronically submittable e1693 through SSA's
website. SSA uses the information from the SSA-1693 to review the
request and authorize any fee to representatives who seek to charge and
collect a fee from a claimant. The respondents are the representatives
who help claimants through the application process, and the claimants
who they represent.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-1693.......................................... 5,000 1 13 1,083 * $50.47 ** $54,659
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* We based this figure on the averaged total of the average Lawyer's Legal Services wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes231011.htm">https://www.bls.gov/oes/current/oes231011.htm</a>), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-0000">https://www.bls.gov/oes/current/oes_nat.htm#00-0000</a>).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: August 17, 2021.
Naomi Sipple,
Reports Clearance Officer,Social Security Administration.
[FR Doc. 2021-17928 Filed 8-20-21; 8:45 am]
BILLING CODE 4191-02-P
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This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.