Notice2021-18988
Agency Information Collection Activities: Proposed Request and Comment Request
Primary source
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Published
September 2, 2021
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 86 Issue 168 (Thursday, September 2, 2021)</title>
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[Federal Register Volume 86, Number 168 (Thursday, September 2, 2021)]
[Notices]
[Pages 49403-49408]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-18988]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0034]
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 an extension and 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-2021-0034].
(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#83ccd1add1e6f3ecf1f7f0adc0efe6e2f1e2ede0e6c3f0f0e2ade4ecf5"><span class="__cf_email__" data-cfemail="49061b671b2c39263b3d3a670a252c283b28272a2c093a3a28672e263f">[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-
2021-0034].
I. The information collection below is pending at SSA. SSA will
submit it 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
November 1, 2021. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Registration for Appointed Representative Services and Direct
Payment--0960-0732. SSA uses Form SSA-1699 to register appointed
representatives of claimants before SSA who:
<bullet> Want to register for direct payment of fees;
<bullet> Registered for direct payment of fees prior to 10/31/09,
but need to update their information;
<bullet> Registered as appointed representatives on or after 10/31/
09, but need to update their information; or
<bullet> Received a notice from SSA instructing them to complete
this form.
By registering these individuals, SSA: (1) Authenticates and
authorizes them to do business with us; (2) allows them to access our
records for the claimants they represent; (3) facilitates direct
payment of authorized fees to appointed representatives; and, (4)
collects the information we need to meet Internal Revenue Service (IRS)
requirements to issue specific IRS forms if we pay an appointed
representative in excess of a specific amount ($600). The respondents
are appointed representatives who want to use Form SSA-1699 for any of
the purposes cited in this Notice.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 49404]]
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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 cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1699...................................... 10,382 1 20 3,461 * $71.59 ** $247,773
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* We based this figure on average Lawyers hourly wages, as reported by Bureau of Labor Statistics data (<a href="http://www.bls.gov/oes/current/oes231011.htm">www.bls.gov/oes/current/oes231011.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.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these 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 October 4, 2021. Individuals can obtain copies of
these OMB clearance packages by writing to
<a href="/cdn-cgi/l/email-protection#90dfc2bec2f5e0ffe2e4e3bed3fcf5f1e2f1fef3f5d0e3e3f1bef7ffe6"><span class="__cf_email__" data-cfemail="3a756814685f4a55484e491479565f5b485b54595f7a49495b145d554c">[email protected]</span></a>.
1. Request for Withdrawal of Application--20 CFR 404.640--0960-
0015. Form SSA-521, Request for Withdrawal of Application, allows
claimants to specify which application they want to withdraw and the
reason for the withdrawal. Form SSA-521 is our preferred instrument for
a withdrawal request; however, any written request for withdrawal
signed by the claimant or a proper applicant on the claimant's behalf
will suffice. Individuals who wish to withdraw their applications for
benefits complete Form SSA-521, or sign the completed form for each
request to withdraw. SSA uses the information from Form SSA-521 to
process the request for withdrawal. The respondents are applicants for
Retirement, Survivors, Disability, and Health Insurance benefits.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity cost
respondents response response burden (hours) amount (dollars) **
(minutes) (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Respondents applying for or receiving Retirement, 60,753 1 5 5,063 * $10.95 ** $55,440
Survivors, or Health Insurance benefits............
Respondents applying for or receiving Disability 14,374 1 5 1,198 * 10.95 ** 13,118
benefits...........................................
---------------------------------------------------------------------------------------------------
Totals.......................................... 75,127 .............. .............. 6,261 .............. ** 68,558
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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>).
** 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. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When
workers report they were paid wages but cannot provide proof of those
earnings, and the wages do not appear in SSA's records of earnings, SSA
uses Form SSA-7011-F4, Statement of Employer, to document the alleged
wages. Specifically, the agency uses the form to resolve discrepancies
in the individual's Social Security earnings record and to process
claims for Social Security benefits. We only send Form SSA-7011-F4 to
employers if we are unable able to locate the earnings information
within our own records. The respondents are employers who can verify
wage allegations made by wage earners.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-7011-F4....................................... 500 1 30 250 * $27.07 ** $6,768
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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>).
** 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. Request for Workers' Compensation/Public Disability Benefit
Information--20 CFR 404.408(e)--0960-0098. Individuals who received
both Social Security disability payments and Worker's Compensation/
Public Disability Benefits (WC/PDB) must notify SSA about their WC/PDB,
so that the agency can reduce the claimants' Social Security disability
payments accordingly. Recipients may submit evidence of their WC/PDB,
such as a copy of their award notice or benefit check, or have their
WC/PDB provider complete Form SSA-1709 to document their WC/PDB to SSA.
The respondents are Federal, State, and local agencies, insurance
carriers, and public or private self-insured companies administering
WC/PDB benefits to disability recipients.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 49405]]
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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 cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1709...................................... 120,000 1 15 30,000 * $26.65 ** $799,500
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* We based this figure by averaging both the average Federal, State, and Local Government hourly wages (<a href="https://www.bls.gov/oes/current/naics3_999000.htm">https://www.bls.gov/oes/current/naics3_999000.htm</a>), and the average Insurance Claims and Policy Processing Clerks hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes439041.htm">https://www.bls.gov/oes/current/oes439041.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.
4. A Statement of Care and Responsibility for Beneficiary--20 CFR
404.2020, 404.2025, 408.620, 408.625, 416.620, and 416.625--0960-0109.
SSA uses the information from Form SSA-788, Statement of Care and
Responsibility for Beneficiary, to verify payee applicants' statements
of concern, and to identify other potential payees. SSA is concerned
with selecting the most qualified representative payee who will use
Social Security benefits in the beneficiary's best interest. SSA
considers factors such as the payee applicant's capacity to perform
payee duties; awareness of the beneficiary's situation and needs;
demonstration of past, and current concern for the beneficiary's well-
being. If the payee applicant does not have custody of the beneficiary,
SSA obtains information from the custodian for evaluation against
information the applicant provides. Respondents are individuals who
have custody of the beneficiary in cases where someone else has filed
to be the beneficiary's representative payee.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-788....................................... 134,000 1 10 22,333 * $27.07 ** $604,554
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-00000">https://www.bls.gov/oes/current/oes_nat.htm#00-00000</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.
5. Third Party Liability Information Statement--42 CFR 433.136-
433.139--0960-0323. To reduce Medicaid costs, Medicaid state agencies
identify third party insurers liable for medical care or services for
Medicaid beneficiaries. Regulations at 42 CFR 433.136-433.139 require
Medicaid state agencies to obtain this information on Medicaid
applications and redeterminations as a condition of Medicaid
eligibility. States may enter into agreements with the Commissioner of
Social Security to make Medicaid eligibility determinations for aged,
blind, and disabled beneficiaries in those states. Applications for and
redeterminations of Supplemental Security Income (SSI) eligibility in
jurisdictions with such agreements are applications and
redeterminations of Medicaid eligibility.
Under these agreements, SSA obtains third party liability
information using Form SSA-8019-U2, Third Party Liability Information
Statement, and provides that information to the Medicaid state
agencies. The Medicaid state agencies use the information to bill third
parties liable for medical care, support, or services for a beneficiary
to guarantee that Medicaid remains the payer of last resort. The
respondents are SSI claimants and recipients.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-8019-U2 (Paper)................. 200 1 6 20 * $19.01 .............. *** $380
SSI Claims System (Intranet)........ 35,257 1 6 3,526 * 19.01 ** 21 *** 301,613
-------------------------------------------------------------------------------------------------------------------
Totals.......................... 35,457 .............. .............. 3,546 .............. .............. *** 301,993
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* We based this figure on 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.
6. Certificate of Election for Reduced Spouse's Benefits--20 CFR
404.421--0960-0398. SSA cannot pay reduced Social Security benefits to
an already entitled spouse unless the spouse elects to receive reduced
benefits and is (1) at least age 62, but under full retirement age; and
(2) no longer caring for a child. In this situation, spouses who decide
to elect reduced benefits must file Form SSA-25, Certificate of
Election for Reduced Spouse's Benefits. SSA uses the information to pay
qualified spouses who elect to receive reduced benefits. Respondents
are entitled spouses seeking reduced Social Security benefits.
[[Page 49406]]
Type of Request: Revision of an OMB approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-25........................................ 30,000 1 13 6,500 * $27.07 ** $175,955
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-00000">https://www.bls.gov/oes/current/oes_nat.htm#00-00000</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.
7. Coverage of Employees of State and Local Governments--20 CFR
part 404, subpart M--0960-0425. The regulations at 20 CFR part 404,
subpart M prescribe the rules for States to submit reports of deposits
and recordkeeping to SSA. SSA requires States (and interstate
instrumentalities) to provide wage and deposit contribution information
for pre-1987 tax years. Since not all States have completely satisfied
their pending wage report and contribution liability with SSA for pre-
1987 tax years, SSA needs these regulations until we collect all
pending items with the States, and to allow for collection of this
information in the future, if necessary. The respondents are State and
local governments or interstate instrumentalities.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden theoretical Total annual
Regulation section Number of Frequency of per response Total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404. 1204 (a) & (b)..................................... 52 1 30 26 * $28.74 ** $747
404.1215................................................ 52 1 60 52 * 28.74 ** 1,494
404. 1216 (a) & (b)..................................... 52 1 60 52 * 28.74 ** 1,494
-----------------------------------------------------------------------------------------------
Totals.............................................. 156 .............. .............. 130 .............. ** 3,735
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average of both the State Government hourly wages (<a href="https://www.bls.gov/oes/current/naics4_999200.htm">https://www.bls.gov/oes/current/naics4_999200.htm</a>), and the average
Local Government hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/naics4_999300.htm">https://www.bls.gov/oes/current/naics4_999300.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.
8. Permanent Residence in the United States Under Color of Law
(PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. Under 20 CFR
416.1415 and 416.1618, SSA requires claimants or recipients to submit
evidence of their alien status when they apply for SSI payments, and
periodically thereafter as part of the eligibility determination
process for SSI. When SSA cannot verify evidence of alien status
through the regular claimant interview process, SSA verifies the
validity of the evidence of PRUCOL for grandfathered nonqualified
aliens with the Department of Homeland Security (DHS) using the DHS
Systemic Alien Verification for Entitlements (SAVE) program. SSA
determines if the individual qualifies for PRUCOL status based on the
SAVE program response. SSA does not maintain any forms or applications
for respondents to use, rather, the regulations listed in 20 CFR
416.1615 and 416.1618 specify the information respondents need to
submit to SSA to show evidence of PRUCOL. Without this information, SSA
is unable to determine whether the PRUCOL individual is eligible for
SSI payments. Respondents are qualified and unqualified aliens who
apply for SSI payments under PRUCOL.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
responses response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Personal Interview................................ 1,049 1 5 87 * $27.07 ** $2,355
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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>).
** 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. Request for Deceased Individual's Social Security Record--20 CFR
402.130--0960-0665. The Freedom of Information Act (FOIA), at 5 U.S.C.
552(a)(3) of the U.S. Code, provides instructions for members of the
public to request records from Federal Agencies. When a member of the
public requests an individual's Social Security record under FOIA, SSA
needs the name and address of the requestor as well as a description of
the requested record to process the request. SSA uses the information
the respondent provides on Form SSA-711, Request for Deceased
Individual's Social Security Record, or via an internet request through
SSA's electronic Freedom of Information Act (eFOIA) website, to: (1)
Verify the wage earner is deceased; and (2) access the correct Social
Security record.
[[Page 49407]]
Respondents are members of the public requesting deceased individuals'
Social Security records.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA...... 49,800 1 7 5,810 * $27.07 .............. *** $157,277
SSA-711 (paper)..................... 200 1 7 23 * 27.07 ** 24 *** 2,788
-------------------------------------------------------------------------------------------------------------------
Total........................... 50,000 .............. .............. 5,833 .............. .............. *** 160,065
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
10. Representative Payment--20 CFR 404.2011, 404.2025, 416.611, and
416.625--0960-0679. The regulations at 20 CFR 404.2011 and 416.611
allow SSA to make payments to recipients' representative payees if it
may cause substantial harm for the beneficiaries to receive their
payments directly. The regulations allow beneficiaries to dispute a
finding that substantial harm exists by providing SSA with evidence to
reevaluate the determination. In addition, sections 20 CFR 404.2025 and
416.625 describe the information representative payees must provide SSA
about their continuing relationship and responsibility for the
recipients, and explain how they use the recipients' payments to verify
payee performance. The respondents are Title II and Title XVI
recipients, and their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Regulation section Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.2011(a)(1); 416.611(a)(1)........................... 260 1 15 65 * $19.01 ** $1,236
404.2025; 416.625....................................... 3,090 1 6 309 * 19.01 ** 5,874
-----------------------------------------------------------------------------------------------
Totals.............................................. 3,350 .............. .............. 374 .............. ** 7,110
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on 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>).
** 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.
11. Function Report--Adult--20 CFR 404.1512 & 416.912--0960-0681.
Individuals receiving or applying for Social Security disability
insurance (SSDI) or SSI must provide medical evidence and other proof
SSA requires to prove their disability. SSA staff, and, on SSA's
behalf, State Disability Determination Services' (DDS) employees,
collect the information via paper Form SSA-3373, or through an in-
person or telephone interview for cases where we need information about
a claimant's activities and abilities to evaluate the claimant's
disability. We use the information to document how claimants'
disabilities affect their ability to function, and to determine
eligibility, or continued eligibility, for SSI and SSDI claims. The
respondents are adult Title II and Title XVI claimants, or current
recipients undergoing redeterminations of benefits.
Type of Request: Revision of an OMB-approved information
collection.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated total theoretical office or for Total annual
Modality of completion respondents response per response annual burden hourly cost teleservice opportunity cost
(minutes) (hours) amount centers (dollars) ***
(dollars) * (minutes) **
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3373........................................................... 1,734,635 1 61 1,763,546 * $10.95 ** 21 *** $25,958,815
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
12. Request for Business Entity Taxpayer Information--0960-0731.
SSA requires law firms or other business entities to complete Form SSA-
1694, Request for Business Entity Taxpayer Information, if they wish to
serve as appointed representatives and receive direct payment of fees
from SSA. SSA uses the information to issue a Form 1099-MISC. SSA also
uses the information to allow business entities to designate
individuals to serve as entity administrators authorized to perform
certain administrative duties on their behalf, such as providing bank
account
[[Page 49408]]
information, maintaining entity information, and updating individual
affiliations. Respondents are law firms or other business entities with
attorneys or other qualified individuals as partners or employees who
represent claimants before SSA.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1694 (Paper)........................................ 366 1 20 122 * $61.03 ** $7,446
BSO online submission................................... 103 1 20 34 * 61.03 ** 2,075
-----------------------------------------------------------------------------------------------
Totals.............................................. 469 .............. .............. 156 .............. ** 9,521
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average legal occupation's hourly salary, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm#00-00000">https://www.bls.gov/oes/current/oes_nat.htm#00-00000</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.
13. Financial Disclosure for Civil Monetary Penalty (CMP) Debt--20
CFR 498--0960-0776. When SSA imposes a CMP on individuals for various
fraudulent conduct related to SSA-administrated programs, those
individuals may request to pay the CMP through benefit withholding, or
an installment agreement. To negotiate a monthly payment amount, fair
to both the individual and the agency, SSA needs financial information
from the individual. SSA uses Form SSA-640, to obtain the information
necessary to determine a monthly installment repayment rate for
individuals owing a CMP. The respondents are recipients of Social
Security benefits and non-entitled individuals who must repay a CMP to
the agency and choose to do so using an installment plan.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-640.......................... 10 1 120 20 * $19.01 ** 24 *** $456
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* We based this figure on 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 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.
Dated: August 30, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-18988 Filed 9-1-21; 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.