Notice2022-13489
Agency Information Collection Activities: Proposed Request
Primary source
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Published
June 24, 2022
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 87 Issue 121 (Friday, June 24, 2022)</title>
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[Federal Register Volume 87, Number 121 (Friday, June 24, 2022)]
[Notices]
[Pages 37899-37901]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-13489]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2022-0028]
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-2022-0028].
(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#8ac5d8a4d8effae5f8fef9a4c9e6efebf8ebe4e9efcaf9f9eba4ede5fc"><span class="__cf_email__" data-cfemail="420d106c1027322d3036316c012e272330232c2127023131236c252d34">[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-
2022-0028].
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
August 23, 2022. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Supplemental Statement Regarding Farming Activities of Person
Living Outside the United States--0960-0103. When a beneficiary or
claimant reports farm work from outside the United States, SSA
documents this work on Form SSA-7163A-F4. Specifically, SSA uses the
form to determine if we should apply foreign work deductions to the
recipient's Title II benefits. We collect the information either
annually or every other year, depending on the respondent's country of
residence. Once respondents complete the form, they mail it back to
SSA. Respondents are Social Security recipients engaged in farming
activities outside the United States.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-7163A-F4...................................... 19 1 60 19 * $11.70 ** $222
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* We based this figure on the average DI payments based on SSA's current FY 2022 data (<a href="https://www.ssa.gov/legislation/2022factsheet.pdf">https://www.ssa.gov/legislation/2022factsheet.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. Information About Joint Checking/Savings Account--20 CFR
416.1201 and 416.1208--0960-0461. SSA considers a person's resources
when evaluating eligibility for Supplemental Security Income (SSI).
Generally, we consider funds in checking and savings accounts as
resources owned by the individuals whose names appear on the account.
However, individuals applying for SSI may rebut this assumption of
ownership in a joint account by submitting certain evidence to
establish the funds do not belong to them. SSA uses Form SSA-2574 to
collect information from SSI applicants and recipients who object to
the assumption that they own all or part of the funds in a joint
checking or savings account bearing their names. SSA collects
information about the account from both the SSI applicant or recipient
and the other account holder(s). After receiving the completed form,
SSA determines if we should consider the account to be a resource for
the SSI applicant and recipient. The respondents are applicants and
recipients of SSI, and individuals who list themselves as joint owners
of financial accounts with SSI applicants or recipients.
Type of Request: Revision of an OMB-approved information
collection.
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Average wait
Average Average time in field Total annual
Number of Frequency of burden per Estimated theoretical office or for opportunity
Modality of completion respondents response response total annual hourly cost teleservice cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
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SSA-2574 (Paper)........................ 50,000 1 7 5,833 * $19.86 .............. *** $115,843
SSA-2574 (SSI Claim System)............. 150,000 1 7 17,500 * 19.86 ** 21 *** 1,390,200
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Totals.............................. 200,000 .............. .............. 23,333 .............. .............. *** $1,506,043
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* We based this figure by averaging both the average DI payments based on SSA's current FY 2022 data (<a href="https://www.ssa.gov/legislation/2022factsheet.pdf">https://www.ssa.gov/legislation/2022factsheet.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>).
[[Page 37900]]
** 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. Real Property Current Market Value Estimate--0960-0471. SSA
considers an individual's resources when evaluating eligibility for SSI
payments. The value of an individual's resources, including non-home
real property, is one of the eligibility requirements for SSI payments.
SSA obtains current market value estimates of the claimant's real
property through Form SSA-L2794. We allow respondents to use readily
available records to complete the form, or we can accept their best
estimates. We use this form as part of initial applications and in
post-entitlement situations. The respondents are small business
operators in real estate; state and local government employees tasked
with assessing real property values; and other individuals
knowledgeable about local real estate values.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-L2794......................................... 300 1 20 100 * $23.45 ** $2,345
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* We based this figure on the median hourly salary of Real Estate Brokers and Sales Agents, 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.
4. Employer Verification of Earnings After Death--20 CFR 404.821
and 404.822--0960-0472. When SSA records show a wage earner is
deceased, and we receive wage reports from an employer for the wage
earner for a year subsequent to the year of death, SSA mails the
employer Form SSA-L4112 (Employer Verification of Earnings After
Death). SSA uses the information Form SSA-L4112 provides to verify wage
information previously received from the employer is correct for the
employee and the year in question (the year subsequent to the year of
death), to ensure we avoid wage fraud on the deceased's account. The
respondents are employers who report wages for employees who died.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-L4112......................................... 13,114 1 10 2,186 * $28.01 ** $61,230
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* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm">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.
5. Child Care Dropout Questionnaire--20 CFR 404.211(e)(4)--0960-
0474. If individuals applying for Title II disability benefits care for
their own or their spouse's children under age 3, and have no steady
earnings during the time they care for those children, they may exclude
that period of care from the disability computation period. We call
this the child-care dropout exclusion. SSA uses the information from
Form SSA-4162 to determine if an individual qualifies for this
exclusion. Respondents are applicants for Title II disability benefits.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
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SSA-4162......................... 1,563 1 5 130 * $28.01 ** 24 *** $21,148
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* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm">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 37901]]
6. Medical Report on Adult with Allegation of Human
Immunodeficiency Virus Infection; Medical Report on Child with
Allegation of Human Immunodeficiency Virus Infection--20 CFR 416.933-
416.934--0960-0500. Section 1631(e)(i) of the Social Security Act (Act)
authorizes the Commissioner of SSA to gather information to make a
determination about an applicant's claim for SSI payments. Section
1631(a)(4) of the Act provides that the Commissioner may pay SSI
payments to an applicant for a period not exceeding six months prior to
the determination of the individual's disability, if the individual is
presumptively disabled and is determined to be otherwise eligible for
benefits; this procedure is called Presumptive Disability (PD). SSA
uses Forms SSA-4814 and SSA-4815 to collect information necessary to
determine if an individual with human immunodeficiency virus infection,
who is applying for SSI disability benefits, meets the requirements for
PD. The respondents are the medical sources of the applicants for SSI
disability payments.
Type of Request: Revision of an OMB-approved information
collection.
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Average Average wait
Average burden Estimated total theoretical time for Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost teleservice opportunity
respondents response (minutes) (hours) amount centers cost (dollars)
(dollars) * (minutes) ** ***
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SSA-4814......................... 1,307 1 8 174 * $16.02 ** 19 *** $9,420
SSA-4815......................... 20 1 10 3 * 16.02 ** 19 *** 144
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Totals....................... 1,327 ............... ............... 177 ............... ............... *** 9,564
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* 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>).
** We based this figure on the average FY 2022 wait times for teleservice centers, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. Certificate of Election for Reduced Widow(er)s and Surviving
Divorced Spouse's Benefits--20 CFR 404.335--0960-0759. Section 202(q)
of the Act provides SSA the authority to reduce benefits under certain
conditions when elected by a Title II beneficiary. However, reduced
benefits are not payable to an already entitled spouse (or divorced
spouse) who:
<bullet> Is at least age 62 and under full retirement age in the
month of the number holder's death; and
<bullet> Is receiving both reduced spouse's (or divorced spouse's)
benefits and either retirement or disability benefits in the month
before the month of the number holder's death.
To elect reduced widow(er) benefits, a recipient completes Form
SSA-4111, and mails it back to SSA. SSA uses the information collected
to pay a qualified dually entitled widow(er) (or surviving divorced
spouse) who elects to receive a reduced widow(er) benefit. The
respondents are qualified dually entitled widow(er)s (or surviving
divorced spouse) who elect to receive a reduced widow(er) benefit.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-4111.......................................... 30,000 1 2 1,000 * $28.01 ** $28,010
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* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (<a href="https://www.bls.gov/oes/current/oes_nat.htm">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.
Dated: June 20, 2022.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2022-13489 Filed 6-23-22; 8:45 am]
BILLING CODE 4191-02-P
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