Notice2022-05026
Agency Information Collection Activities: Proposed 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
March 10, 2022
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 87 Issue 47 (Thursday, March 10, 2022)</title>
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[Federal Register Volume 87, Number 47 (Thursday, March 10, 2022)]
[Notices]
[Pages 13783-13788]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-05026]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2022-0012]
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-2022-0012].
(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#abe4f985f9cedbc4d9dfd885e8c7cecad9cac5c8ceebd8d8ca85ccc4dd"><span class="__cf_email__" data-cfemail="ffb0add1ad9a8f908d8b8cd1bc939a9e8d9e919c9abf8c8c9ed1989089">[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-
2022-0012].
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 May
9, 2022. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Certificate of Responsibility for Welfare and Care of Child Not
in Applicant's Custody--20 CFR 404.330, 404.339-404.341 and 404.348-
404.349--0960-0019. SSA uses Form SSA-781 to determine if non-custodial
parents who file for spouse, mother's, father's, or surviving divorced
mother's or father's benefits based on having a child in their care,
meet the child-in-care requirements. The child-in-care provision
requires claimants to have an entitled child under age 16 or disabled
in their care. The respondents are applicants for spouse's; mother's;
father's; or surviving divorced mother's or father's Social Security
benefits.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-781.......................... 390 1 5 33 * $27.07 ** 21 *** $4,602
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>).
** We based this figure by averaging the average FY 2022 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. Child Relationship Statement--20 CFR 404.355 and 404.731--0960-
0116. To help determine a child's entitlement to Social Security
benefits, SSA uses criteria under Section 216(h)(3) of the Social
Security Act (Act), deemed child provision. SSA may deem a child to an
insured individual if: (1) The insured individual presents SSA with
satisfactory evidence of parenthood, and was living with or
contributing to the child's support at certain specified times; or (2)
the insured individual (a) acknowledged the child in writing; (b) was
court decreed as the child's parent; or (c) was court ordered to
support the child. To obtain this information, SSA uses Form SSA-2519,
Child Relationship Statement. The respondents are people with knowledge
of the relationship between certain individuals filing for Social
Security benefits and their alleged biological children.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 13784]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2519......................... 4,981 1 15 1,245 * $27.07 ** 21 *** $80,885
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>).
** We based this figure by averaging the average FY 2022 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.
3. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage
credits for active military or naval service (under certain conditions)
during the period September 16, 1940 through December 31, 1956, if no
other Federal agency (other than the Veterans Administration) credited
the service for benefit eligibility or computation purposes. We use
Form SSA-2512 to collect specific information about other Federal,
military, or civilian benefits the wage earner may receive when the
applicant indicates both pre-1957 military service and the receipt of a
Federal benefit. SSA uses the data in the claims adjudication process
to grant gratuitous military wage credits when applicable, and to
solicit sufficient information to determine eligibility. Respondents
are applicants for Social Security benefits on a record where the wage
earner claims pre-1957 military service.
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-2512......................... 5,000 1 10 833 * $27.07 ** 24 *** $76,689
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>).
** We based this figure on the average FY 2022 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. Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution--20 CFR 416.200, 416.203,
416.207, 404.508, and 416.553--0960-0293. SSA collects and verifies
financial information from individuals applying for Title II and Title
XVI waiver determinations, as well as those who apply for, or currently
receive (in the case of redetermination), Supplemental Security Income
(SSI) payments. We require the financial information from these
applicants to: (1) Determine the eligibility of the applicant or
recipient for SSI benefits; or (2) determine if a request to waive a
Social Security overpayment defeats the purpose of the Act. If the
Title II and Title XVI waiver applicants, or the SSI claimants provide
incomplete, unavailable, or seemingly altered records, SSA contacts
their financial institutions to verify the existence, ownership, and
value of accounts owned. Financial institutions need individuals to
sign Form SSA-4641, or work with SSA staff to complete one of SSA's
electronic applications, e4641 or the Access to Financial Institutions
(AFI) screens, to authorize the individual's financial institution to
disclose records to SSA. The respondents are Title II and Title XVI
recipients applying for waivers, or SSI applicants, recipients, and
their deemors to determine SSI eligibility.
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 cost
respondents response (minutes) burden (hours) amount office (dollars) ******
(dollars) *** (minutes) ****
--------------------------------------------------------------------------------------------------------------------------------------------------------
Individuals (Paper and Internet) *... ** 1,565,000 1 4 104,333 *** $19.01 **** 24 ***** $13,883,630
Financial Institutions (Paper SSA- 90,000 1 6 9,000 *** $19.01 .............. ***** $171,090
4641)...............................
Financial Institutions (Internet 14,575,000 1 2 485,833 *** $19.01 .............. ***** 9,235,685
e4641 or AFI).......................
------------------------------------------------------------------------------------------------------------------
Totals........................... 16,230,000 .............. .............. 599,166 .............. .............. ***** 23,290,405
--------------------------------------------------------------------------------------------------------------------------------------------------------
* This includes individuals completing the form to provide their authorization for purposes of determining SSI eligibility as well as individuals
providing their authorization for purposes of a waiver determination.
** This likely is an overestimate because individuals providing their authorization for purposes of a waiver determination may, alternatively, provide
their authorization using another form, the SSA-632, but we do not have readily-available MI on how many individuals use that form instead of the SSA-
4641.
*** 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 the average FY 2022 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.
[[Page 13785]]
5. Vocational Rehabilitation Provider Claim--20 CFR 404.2101(a),
404.2108(b), 404.2117(c)(1)&(2), 404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(a), and 416.2221(a)--0960-0310. State
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to
obtain reimbursement of costs incurred for providing VR services. SSA
requires state VR agencies to submit reimbursement claims for the
following categories: (1) Claiming reimbursement for VR services
provided; (2) certifying adherence to cost containment policies and
procedures; and (3) preparing causality statements. The respondents
provide the information requested through a web-based Secure Ticket
Portal, in lieu of submitting forms. This Portal allows VRs to retrieve
reports, and enter and submit information electronically, minimizing
the use of the paper form to SSA for consideration and approval of the
claim for reimbursement of costs incurred for SSA beneficiaries. SSA
uses the information on the SSA-199, along with the written
documentation, to determine whether, and how much, to pay State VR
agencies under SSA's VR program. Respondents are State VR agencies
offering vocational and employment services to Social Security and SSI
recipients.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of Number of per response total annual hourly cost opportunity
respondents response responses (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
a. Claiming Reimbursement on SSA-199--20 77 22,300 1,717,100 23 658,222 * $15.50 ** $10,202,441
CFR 404.2108(b) & 416.2208(b)..........
b. Certifying Adherence to Cost 77 77 5,929 60 5,929 * 15.50 ** 91,900
Containment Policy and Procedures--20
CFR 404.2117(c)(1)&(2),
416.2217(c)(1)&(2) & 34 CFR 361........
c. Preparing Causality Statements--20 77 77 5,929 100 9,882 * 15.50 ** 153,171
CFR 404.2121(a), 404.2101(a),
416.2201(a), & 416.2221(a).............
---------------------------------------------------------------------------------------------------------------
Totals.............................. 231 .............. .............. .............. 674,033 .............. ** 10,447,512
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average Healthcare Support Occupations, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes310000.htm">https://www.bls.gov/oes/current/oes310000.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. Request for Change in Time/Place of Disability Hearing--20 CFR
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the
claimants or their representatives, SSA schedules evidentiary hearings
at the reconsideration level for claimants of Title II benefits or
Title XVI payments when we deny their claims for disability. When
claimants or their representatives find they are unable to attend the
scheduled hearing, they complete Form SSA-769 to request a change in
time or place of the hearing. SSA uses the information as a basis for
granting or denying requests for changes and for rescheduling
disability hearings. Respondents are claimants or their representatives
who wish to request a change in the time or place of their hearing.
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-769........................................... 41,440 1 8 5,525 * $19.01 ** $105,030
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>).
** 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. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR 404.907-404.921 and
416.1407-416.1421--0960-0351. When a claimant dies before we make a
determination on that person's request for reconsideration of a
disability cessation, SSA seeks a qualified substitute party to pursue
the appeal. If SSA locates a qualified substitute party, the agency
uses Form SSA-770 to collect information about whether to pursue or
withdraw the reconsideration request. We use this information as the
basis for the decision to continue or discontinue with the appeals
process. Respondents are substitute applicants who are pursuing a
reconsideration request for a deceased claimant.
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-770........................................... 384 1 5 32 * $27.07 ** $866
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>).
[[Page 13786]]
** 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. Appointment of Representative--20 CFR 404.1707, 404.1720,
408.1101, 416.1507, and 416.1520--0960-0527. Individuals claiming
rights or benefits under the Act must notify SSA in writing when they
appoint an individual to represent them in dealing with SSA. In
addition, as part of SSA's regulations, SSA requires representatives
who are not attorneys to sign the written notice of appointment. SSA
does not require attorneys acting as representatives to sign the notice
of appointment. Respondents can use Form SSA-1696, or the submittable
electronic version, e1696, to appoint a representative to handle their
claim before SSA and name their principal representative, and their
selected representative(s) can use the SSA-1696 or e1696 to indicate
whether they will charge a fee, and to show their eligibility for
direct fee payment. In addition, representatives also use the SSA-1696
or e1696 to inform SSA of their disbarment; suspension from a court or
bar in which they previously admitted to practice; or their
disqualification from participating in or appearing before a Federal
program or agency. SSA uses the information on the SSA-1696 or e1696 to
document the appointment of the representative, and we recognize the
individual named in the notice of appointment the claimant signed and
filed at an SSA office, or through our submittable portal, as the
claimant's representative. We also use this form to collect the
representative's business affiliation and employment identification
number. In addition, respondents use the SSA-1696-SUP1 to revoke their
appointment of a representative, and representatives use the SSA-1696-
SUP2 to withdraw their acceptance of the appointment. SSA uses the
information on the SSA-1696-SUP1 and SSA-1696-SUP2 to document the
revocation and withdrawal of a representative. Respondents are
applicants for, or recipients of, Social Security disability benefits
(SSDI); SSI payments; or anyone pursuing a benefit or invoking a right
under SSA programs, who are notifying SSA they have appointed someone
to represent them in their dealings with SSA; any non-attorney
representatives who need to sign the form; as well as individuals
revoking their appointment of representative, and their
representatives' withdrawal of their acceptance of an appointment.
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-1696; e1696......................................... 1,100,000 1 12 220,000 *$73.86 **$16,249,200
SSA-1696-SUP1........................................... 5,505 1 5 459 *10.95 **5,026
SSA-1696-SUP2........................................... 254,825 1 5 21,235 *73.86 **1,568,417
-----------------------------------------------------------------------------------------------
Totals.............................................. 1,360,330 .............. .............. 241,694 .............. **17,822,643
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Legal Service hourly salary, 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 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.
9. Work Incentives Planning and Assistance Program--0960-0629. As
part of SSA's strategy to assist SSDI beneficiaries and SSI recipients
who wish to return to work and achieve self-sufficiency, SSA
established the Work Incentives Planning and Assistance (WIPA) program.
This community based, work incentive, planning and assistance project
collects identifying claimant information via project sites and
community work incentives coordinators (CWIC). SSA uses this
information to ensure proper management of the project, with particular
emphasis on administration, budgeting, and training. SSA uses Form SSA-
4565 (WIPA Intake Information) to collect data from SSDI beneficiaries
and SSI recipients on background employment, training, benefits, and
work incentives. CWIC use Form SSA-4566 (WIPA Notes) to create a case
note to record actions taken for a beneficiary. CWIC will use the WIPA
Star System which is a new management and reporting system that allows
the CWIC to: (1) Provide SSA with information provided on Form SSA-
4565, and additional information on beneficiaries served under the WIPA
program; (2) to manage their case notes for beneficiaries; and (3) to
collect additional information not collected on Forms SSA-4565 and SSA-
4566 which allows SSA to monitor WIPA grantee's performance and
progress. The respondents are SSDI beneficiaries, SSI recipients,
community project sites, and community work incentives coordinators.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average burden Hourly cost Opportunity
Modality of completion Number of Frequency of per response Annual burden amount cost (dollars)
respondents response (minutes) (hours) (dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4565................................................ 32,000 1 25 13,333 *$15.67 **$208,928
SSA-4566................................................ 360 890 2 10,680 *15.67 **167,356
WIPA STAR System........................................ 720 1,869 20 448,560 *15.67 **7,028,935
-----------------------------------------------------------------------------------------------
Totals.............................................. 33,080 2,760 .............. 472,573 .............. **7,405,219
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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>); and the
average Office and Administrative Support hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes430000.htm">https://www.bls.gov/oes/current/oes430000.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.
[[Page 13787]]
10. Internet Direct Deposit Application--31 CFR 210--0960-0634. SSA
requires all applicants and recipients of Social Security Old Age,
Survivors, and Disability Insurance (OASDI) benefits, or SSI payments
to receive these benefits and payments via direct deposit, at a
financial institution. SSA receives Direct Deposit/Electronic Funds
Transfer (DD/EFT) enrollment information from OASDI beneficiaries and
SSI recipients to facilitate DD/EFT of their funds, with their chosen
financial institution. We also use this information when an enrolled
individual wishes to change their DD/EFT information. For the
convenience of the respondents, we collect this information through
several modalities, including an internet application, in-office or
telephone interviews, and our automated telephone system. In addition
to using the direct deposit information to enable DD/EFT of funds to
the recipient's chosen financial institution, we also use the
information through our Direct Deposit Fraud Indicator, to ensure the
correct recipient receives the funds. Respondents are OASDI
beneficiaries and SSI recipients requesting that we enroll them in the
Direct Deposit program, or change their direct deposit banking
information.
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet DD............................................. 683,397 1 10 113,900 *$10.95 **$1,247,205
Non-Electronic Services (FO, 800#-ePath, SSI Claims 2,557,048 1 12 511,410 *10.95 **5,599,940
System, SPS, MACADE, POS, RPS).........................
Direct Deposit Fraud Indicator.......................... 30,531 1 2 1,018 *10.95 **11,147
-----------------------------------------------------------------------------------------------
Totals.............................................. 3,270,976 .............. .............. 626,328 .............. ** 6,858,292
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 claimants 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. International Direct Deposit--31 CFR 210--0960-0686. SSA's
International Direct Deposit (IDD) Program allows beneficiaries living
abroad to receive their payments via direct deposit to an account at a
financial institution outside the United States. SSA uses Form SSA-
1199-(Country) to enroll Title II beneficiaries residing abroad in IDD,
and to obtain the direct deposit information for foreign accounts.
Routing account number information varies slightly for each foreign
country, so we use a variation of the Treasury Department's Form SF-
1199A for each country. The respondents are Social Security
beneficiaries residing abroad who want SSA to deposit their Title II
benefit payments directly to a foreign financial institution.
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-1199-(Country)................................ 449,274 1 5 37,440 *$27.07 **$1,013,501
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
12. Request for Reinstatement (Title XVI)--20 CFR 416.999-
416.999d--0960-0744. SSA uses Form SSA-372 to: (1) Inform previously
entitled beneficiaries of the expedited reinstatement (EXR)
requirements of SSI payments under Title XVI of the Act; and (2)
document their requests for EXR. SSA requires this application for
reinstatement of benefits for respondents to obtain SSI disability
payments for EXR. When an SSA claims representative learns of
individuals whose medical conditions no longer permit them to perform
substantial gainful activity as defined in the Act, the claims
representative gives the form to the previously entitled individuals
(or mails it to those who request EXR over the phone). SSA employees
collect this information whenever an individual files for EXR benefits.
The respondents are applicants for EXR of SSI disability payments.
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-372.......................... 2,000 1 5 167 *$10.95 **24 ***$10,589
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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 the average FY 2022 wait time for teleservice centers, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on claimants 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 13788]]
Dated: March 4, 2022.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2022-05026 Filed 3-9-22; 8:45 am]
BILLING CODE 4191-02-P
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