Agency Information Collection Activities: Proposed Request

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Published

April 4, 2025

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Social Security Administration

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<title>Federal Register, Volume 90 Issue 64 (Friday, April 4, 2025)</title>
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[Federal Register Volume 90, Number 64 (Friday, April 4, 2025)]
[Notices]
[Pages 14891-14894]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-05867]

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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2025-0008]

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 a revisions and extensions 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

[[Page 14892]]

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
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance
Director, Mail Stop 3253 Altmeyer, 6401 Security Blvd., Baltimore, MD
21235, Fax: 833-410-1631, Email address: <a href="/cdn-cgi/l/email-protection#763924582413061904020558351a131704171815133605051758111900"><span class="__cf_email__" data-cfemail="dc938ef28eb9acb3aea8aff29fb0b9bdaebdb2bfb99cafafbdf2bbb3aa">[email&#160;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> by clicking on Currently under
Review--Open for Public Comments and choosing to click on one of SSA's
published items. Please reference Docket ID Number [SSA-2025-0008] in
your submitted response.
I. 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 June
3, 2025. Individuals can obtain copies of the collection instruments by
writing to the above email address.
1. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When
workers report they received wages from employers, 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. SSA only
sends 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.

2. Supplement to Claim of Person Outside the United States--20 CFR
422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)--0960-0051.
Claimants or beneficiaries (both United States (U.S.) citizens and
aliens entitled to benefits) living outside the U.S. complete Form SSA-
21 as a supplement to an application for benefits. SSA collects the
information to determine eligibility for U.S. Social Security benefits
for those months an alien beneficiary or claimant is outside the U.S.,
and to determine if tax withholding applies. In addition, SSA uses the
information to: (1) Allow beneficiaries or claimants to request a
special payment exception in an SSA restricted country; (2) terminate
supplemental medical insurance coverage for recipients who request it,
because they are, or will be, out of the U.S.; and (3) allow claimants
to collect a lump sum death benefit if the number holder died outside
the United States and we do not have information to determine whether
the lump sum death benefit is payable under the Social Security Act.
The respondents are Social Security claimants, or individuals entitled
to Social Security benefits, who are, were, or will be residing outside
the United States for three months or longer.
Type of Request: Revision of an OMB-approved information
collection.

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Average Average wait
Average Estimated theoretical time for Total annual
Modality of collection Number of Frequency of burden per total annual hourly cost teleservice opportunity
respondents response response burden amount centers cost
(minutes) (hours) (dollars) * (minutes) ** (dollars) ***
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Paper version--U.S. Residents........... 143 1 14 33 * $22.39 .............. *** $739
Paper version--Residents of a Tax Treaty 755 1 9 113 * 22.39 .............. *** 2,530
Country................................
Paper version--Nonresident aliens....... 570 1 8 76 * 22.39 .............. *** 1,702
Intranet version--(MCS)--U.S. Residents. 371 1 11 68 * 22.39 21 *** 4,433
Intranet version--(MCS)--Residents of a 1,956 1 6 196 * 22.39 21 *** 19,726
Tax Treaty Country.....................
Intranet version--(MCS)--Nonresident 1,485 1 5 124 * 22.39 21 *** 14,419
aliens.................................
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Totals.............................. 5,280 .............. .............. 610 .............. .............. *** 43,549
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* We based this figure on the combined average DI payments (<a href="https://www.ssa.gov/legislation/2024FactSheet.pdf">https://www.ssa.gov/legislation/2024FactSheet.pdf</a>) and the average U.S. worker's salary; 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 2025 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.

3. Student Reporting Form--20 CFR 404.352(b)(2), 404.367, 404.368,
404.415, 404.434, & 422.135--0960-0088. To qualify for Social Security
Title II student benefits, student beneficiaries must be in full-time
attendance status at an educational institution. In addition, SSA
requires these beneficiaries to report events that may cause a
reduction, termination, or suspension of their benefits. SSA collects
such information on Forms SSA-1383 and SSA-1383-FC, to determine if the
changes or events the student beneficiaries report will affect their
continuing entitlement to SSA benefits. SSA also uses the SSA-1383 and
SSA-1383-FC to calculate the

[[Page 14893]]

correct benefit amounts for student beneficiaries. The respondents are
Social Security Title II student beneficiaries.
Type of Request: Revision of an OMB-approved information
collection.

4. RSI/DI Quality Review Case Analysis--Sampled Number Holder, Form
SSA-2930; RSI/DI Quality Review Case Analysis--Auxiliaries/Survivor,
Form SSA-2931; Stewardship Annual Earnings Test Workbook, Form SSA-
4659--0960-0189. Section 205(a) of the Social Security Act (Act)
authorizes the Commissioner of SSA to conduct the quality review
process, which entails collecting information related to the accuracy
of payments made under the Old-Age, Survivors, and Disability Insurance
Program (OASDI). Sections 228(a)(3), 1614(a)(1)(B), and 1836(2) of the
Act require a determination of the citizenship or alien status of the
beneficiary; this is only one item that we might question as part of
the Annual Quality review. SSA uses Forms SSA-2930 and SSA-2931, to
establish a national payment accuracy rate for all cases in payment
status, and to serve as a source of information regarding problem areas
in the Retirement Survivors Insurance (RSI) and Disability Insurance
(DI) programs. SSA also uses the information to measure the accuracy
rate for newly adjudicated RSI or DI cases. SSA uses Form SSA-4659 to
evaluate the effectiveness of the annual earnings test, and to use the
results in developing ongoing improvements in the process. Respondents
receive a notice for a telephone review using the SSA-8553 (Beneficiary
Telephone Contact) or notice for a telephone review for the
representative payee using the SSA-8554 (Rep Payee Telephone Contact).
To help the beneficiary prepare for the interview, we include three
forms with each notice: (1) SSA-85 (Information Needed to Review Your
Social Security Claim), which lists the information the beneficiary
will need to gather for the interview; (2) SSA-2935 (Authorization to
the Social Security Administration to Obtain Personal Information),
which verifies the beneficiary's correct payment amount, if necessary;
and (3) SSA-8552 (Interview Confirmation), which confirms or
reschedules the interview if necessary. The respondents are a
statistically valid sample of all OASDI beneficiaries in current pay
status or their representative payees.
Type of Request: Revision of an OMB-approved information
collection.

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Average Average wait
Average Estimated theoretical time for Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost teleservice opportunity
respondents response response burden amount call centers cost
(minutes) (hours) (dollars) * (minutes) ** (dollars) ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2930................................ 1,500 1 30 750 * $22.39 ** 21 *** $28,547
SSA-2931................................ 850 1 30 425 * 22.39 ** 21 *** 16,188
SSA-4659................................ 325 1 10 54 * 22.39 ** 21 *** 3,762
SSA-8550................................ 385 1 5 32 * 22.39 ** 21 *** 3,739
SSA-8551................................ 95 1 5 8 * 22.39 ** 21 *** 918
SSA-8552................................ 35 1 5 3 * 22.39 ** 21 *** 336
SSA-8553................................ 4,970 1 5 414 * 22.39 ** 21 *** 48,228
SSA-8554................................ 705 1 5 59 * 22.39 ** 21 *** 6,851
SSA-8552................................ 2,350 1 5 196 * 22.39 **2 1 *** 22,815
SSA-85.................................. 3,850 1 5 321 * 22.39 ** 21 *** 37,369
SSA-2935................................ 2,350 1 5 196 * 22.39 ** 21 *** 22,815
SSA-8510 \+\............................ 800 1 5 67 * 22.39 ** 19 ***7,769
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Totals.............................. 18,215 .............. .............. 2,525 .............. .............. *** 199,337
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\+\ Note: We also obtain approval for the SSA-8510 under OMB No. 0960-0707. However, here we only account for the burden used as part of the quality
review process, and we do not account for the burden associated with the quality review process under 0960-0707.
* We based this figure on the combined average DI payments based on SSA's current FY 2025 data (<a href="https://www.ssa.gov/legislation/2024FactSheet.pdf">https://www.ssa.gov/legislation/2024FactSheet.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">https://www.bls.gov/oes/current/oes_nat.htm</a>).
** We based this figure on the average FY 2025 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.

5. Modified Benefit Formula Questionnaire--Foreign Pension--0960-
0561. SSA applies the Windfall Elimination Provision (WEP), a modified
benefit formula for calculating Title II Social Security retirement or
disability benefits, for months payable before January 2024. For those
months, WEP affects the benefits of certain beneficiaries who received
both a non-covered pension or annuity (domestic or foreign) as well as
a Title II Social Security retirement or disability benefit. A non-
covered pension or annuity is one that is based on earnings where the
employer did not withhold Social Security taxes. SSA uses the
information collected on Form SSA-308 to determine how much (if any) of
a foreign pension reduces the amount of the Social Security benefit
before

[[Page 14894]]

January 2024. Respondents complete Form SSA-308 during the initial
claims process (only if filed before January 2024) as well as in post-
entitlement situations when someone needs to report receipt of a new
foreign pension received before January 2024. The respondents are Title
II Social Security retirement and disability applicants and
beneficiaries who became entitled to their benefit after 1985 and who
also received a foreign pension before January 2024 while entitled to
their Social Security benefit.
Type of Request: Revision of an OMB-approved information
collection.

6. 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 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.

Dated: April 1, 2025.
Tasha Harley,
Acting Reports Clearance Officer, Social Security Administration.
[FR Doc. 2025-05867 Filed 4-3-25; 8:45 am]
BILLING CODE 4191-02-P

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