Notice2021-23273
Agency Information Collection Activities: Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 26, 2021
Issuing agencies
Social Security Administration
Full Text
<html>
<head>
<title>Federal Register, Volume 86 Issue 204 (Tuesday, October 26, 2021)</title>
</head>
<body><pre>
[Federal Register Volume 86, Number 204 (Tuesday, October 26, 2021)]
[Notices]
[Pages 59262-59265]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-23273]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0044]
Agency Information Collection Activities: Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions, and one extension of OMB-approved information
collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA.
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-2021-0044].
(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#cb8499e599aebba4b9bfb8e588a7aeaab9aaa5a8ae8bb8b8aae5aca4bd"><span class="__cf_email__" data-cfemail="82cdd0acd0e7f2edf0f6f1acc1eee7e3f0e3ece1e7c2f1f1e3ace5edf4">[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-2021-0044].
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 November 26, 2021. Individuals can obtain copies of
these OMB clearance packages by writing to
<a href="/cdn-cgi/l/email-protection#125d403c4077627d6066613c517e777360737c7177526161733c757d64"><span class="__cf_email__" data-cfemail="e2adb0ccb087928d909691cca18e878390838c8187a2919183cc858d94">[email protected]</span></a>.
1. Request for Waiver of Overpayment Recovery and Request for
Change in Overpayment Recovery Rate--20 CFR 404.502, 404.506-404.512,
416.550-416.558, 416.570-416.571--0960-0037.
When Social Security beneficiaries and Supplemental Security Income
(SSI) recipients receive an overpayment, they must return the extra
money. These beneficiaries and recipients can use Form SSA-632-BK,
Request for Waiver of Overpayment Recovery, to request a waiver from
repaying their overpayment. Beneficiaries and recipients can also use
Form SSA-634, Request for Change in Overpayment Recovery, to request a
change to the monthly recovery rate of their overpayment. The
respondents must provide financial information to help the agency
determine how much the overpaid person can afford to repay each month.
The respondents are individuals who are overpaid Social Security or SSI
payments who are requesting:
(1) A waiver of recovery of an overpayment, or (2) a lesser rate of
withholding.
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-632--Request for Waiver of 400,000 1 120 800,000 * $10.95 ** 21 *** $10,293,000
Overpayment Recovery (If completing
entire paper form, including the AFI
authorization)......................
SSA-634--Request for Change in 100,000 1 45 75,000 * 10.95 ** 21 *** 1,204,500
Overpayment Recovery Rate
(Completing paper form).............
------------------------------------------------------------------------------------------------------------------
Totals........................... 500,000 .............. .............. 875,000 .............. .............. *** 11,497,500
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
2. Statement of Claimant or Other Person--20 CFR 404.702 &
416.570--0960-0045. SSA uses Form SSA-795, Statement of Claimant or
Other Person, in special situations where there is no authorized form
or questionnaire, yet we require a signed statement from the applicant,
claimant, or other individuals who have knowledge of facts, in
connection with claims for Social Security benefits or SSI. The
information we request on the SSA-795 is of sufficient importance that
we need both a signed statement and a penalty clause. SSA uses this
information to process, in addition to claims for benefits, issues
about continuing eligibility; ongoing benefit amounts; use of funds by
a representative payee; fraud investigation; and a myriad of other
program-related matters. The most common respondents are applicants for
Social Security, SSI, or recipients of these programs. However,
respondents also include friends and relatives of the involved parties,
coworkers, neighbors, or anyone else in a position to provide
information pertinent to the issue(s).
Type of Request: Revision of an OMB-approved information
collection.
[[Page 59263]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-795 (paper version)................. 207,239 1 15 51,810 * $10.95 ** 24 *** $1,475,031
SSA-795 (Person Statement) electronic 24,583 1 15 6,146 * 27.07 .............. *** 166,372
version................................
---------------------------------------------------------------------------------------------------------------
Totals.............................. 231,822 .............. .............. 57,956 .............. .............. *** 1,641,403
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures 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>) and 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>).
** We based this figure on the average FY 2021 wait time 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.
3. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. In
cases where claimants request a hearing after denial of their
disability claim for Social Security, SSA uses Form HA-4632, Claimant's
Medications, to request information from the claimant regarding the
medications they use. This information helps the judge overseeing the
case to fully investigate: (1) The claimant's medical treatment and (2)
the effects of the medications on the claimant's medical impairments
and functional capacity. The judge makes the completed form a part of
the documentary evidence of record, placing it in the official record
of the proceedings as an exhibit. The respondents are applicants (or
their representatives) for Old Age Survivors and Disability Insurance
(OASDI) benefits or SSI payments who request a hearing to contest an
agency denial of their claim.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-4632 (PDF/paper version)............. 53,200 1 15 13,300 * $10.95 ** 24 *** $378,651
Electronic Records Express Submissions.. 136,800 1 15 34,200 * 27.07 .............. *** 925,794
---------------------------------------------------------------------------------------------------------------
Totals.............................. 190,000 .............. .............. 47,500 .............. .............. *** 1,304,445
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures 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>) and 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>).
** 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.
4. Disability Report--Adult--20 CFR 404.1512 and 416.912--0960-
0579. State Disability Determination Services (DDS) use the SSA-3368,
Disability Report-Adult, and its electronic versions to determine if
adult disability applicants' impairments are severe and, if so, how the
impairments affect the applicants' ability to work. This determination
dictates whether the DDSs and SSA will find the applicant to be
disabled and entitled to SSI payments. The respondents are applicants
for Title II disability benefits or Title XVI SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper)........................ 6,045 1 90 9,068 * $10.95 ** 21 *** $122,465
EDCS 3368 (Intranet).................... 1,263,104 1 90 1,894,656 * 10.95 ** 21 *** 25,587,325
i3368 (Internet)........................ 989,361 1 90 1,484,042 * 10.95 .............. *** 16,250,260
---------------------------------------------------------------------------------------------------------------
Totals.............................. 2,258,510 .............. .............. 3,387,766 .............. .............. *** 41,960,050
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
5. Request for Internet Services and 800# Automated Telephone
Services Knowledge-Based Authentication (RISA-KBA)--20 CFR 401.45--
0960-0596. The Request for Internet Services and 800# Automated
Telephone Services (RISA) Knowledge-Based Authentication (KBA) is one
of the authentication methods SSA uses to allow individuals access to
their personal information through our Internet and Automated Telephone
Services. SSA asks individuals and third parties who seek personal
information from SSA records, or who register to participate in SSA's
online business services, to provide certain identifying information.
As an extra
[[Page 59264]]
measure of protection, SSA asks requestors who use the Internet and
Automated Telephone Services to provide additional identifying
information unique to those individuals so SSA can authenticate their
identities before releasing personal information. The respondents are
current beneficiaries who are requesting personal information from SSA,
and individuals and third parties who are registering for SSA's online
business services.
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
respondents response response burden (hours) amount cost (dollars)
(minutes) (dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet Requestors..................................... 2,921,795 1 3 146,090 * $27.07 ** $3,954,656
Telephone Requestors.................................... 1,157,833 1 4 77,189 * 27.07 ** 2,089,506
-----------------------------------------------------------------------------------------------
Totals.............................................. 4,079,628 .............. .............. 198,930 .............. ** 6,044,162
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
6. Testimony by Employees and the Production of Records and
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619.
Regulations at 20 CFR 403.100-403.155 of the Code of Federal
Regulations establish SSA's policies and procedures for an individual;
organization; or government entity to request official agency
information, records, or testimony of an agency employee in a legal
proceeding when the agency is not a party. The request, which
respondents submit in writing to SSA, must: (1) Fully set out the
nature and relevance of the sought testimony; (2) explain why the
information is not available by other means; (3) explain why it is in
SSA's interest to provide the testimony; and (4) provide the date,
time, and place for the testimony. Respondents are individuals or
entities who request testimony from SSA employees in connection with a
legal proceeding.
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
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155............................ 100 1 60 100 * $27.07 ** $2,707
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
7. Function Report--Adult-Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security
Disability Insurance (SSDI) or SSI provide SSA with medical evidence
and other proof SSA requires to prove their disability. SSA, and DDS on
our behalf, collect this information using Form SSA-3380-BK, Function
Report--Adult-Third Party. We use the information to document how
claimant's disabilities affect their ability to function, and to
determine eligibility for SSI and SSDI claims. The respondents are
third parties familiar with the functional limitations (or lack
thereof) of claimants who apply for SSI and SSDI benefits.
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 annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollar) (dollars) **
*
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3380-BK................................. 709,700 1 61 721,528 * $27.07 ** $19,531,763
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a
Social Security card as verification of their Social Security number
for school or work programs, or as proof of employment eligibility upon
release from incarceration. Before SSA can issue a replacement Social
Security card, applicants must show SSA proof of their identity. People
who are in prison for an extended period typically do not have current
identity documents. Therefore, under written agreement with the
correctional institution, SSA allows prison officials to verify the
identity of certain incarcerated U.S. citizens who need replacement
Social Security cards. Prison officials provide SSA information from
the official prison files, sent on correctional facility letterhead.
SSA uses this information to establish the applicant's identity in the
replacement Social Security card process. The respondents are prison
officials who certify the identity of
[[Page 59265]]
prisoners applying for replacement Social Security cards.
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 Number of per response annual burden hourly cost opportunity
respondents response responses (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity 1,000 200 200,000 3 10,000 * $28.80 $288,000
Statements......................
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Probation Officers and Correctional Treatment Specialists hourly salary, as reported by Bureau of Labor Statistics
data (<a href="https://www.bls.gov/oes/current/oes211092.htm">https://www.bls.gov/oes/current/oes211092.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.
Dated: October 21, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-23273 Filed 10-25-21; 8:45 am]
BILLING CODE 4191-02-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on October 26, 2021.
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.