Agency Information Collection Activities: Proposed Request

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Published

August 27, 2026

Issuing agencies

Social Security Administration

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<title>Federal Register, Volume 91 Issue 165 (Thursday, August 27, 2026)</title>
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[Federal Register Volume 91, Number 165 (Thursday, August 27, 2026)]
[Notices]
[Pages 55421-55426]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-17519]

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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2026-0991]

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 and one new
collection.
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
(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#4b041965192e3b24393f386508272e2a392a25282e0b38382a652c243d"><span class="__cf_email__" data-cfemail="18574a364a7d68776a6c6b365b747d796a79767b7d586b6b79367f776e">[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-2026-0991] in
your submitted response.
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
October 26, 2026. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Statement of Income and Resources--20 CFR 416.207, 146.301-
416.310, 416.704, and 416.708--0960-0124. SSA collects information
about income and resources for Supplemental Security Income (SSI)
claims and redeterminations on the SSA-8010-BK from third party
individuals (e.g., parents, spouses, guardians, or other individuals
typically in the role of representative payee) who support the SSI
applicant or recipient. SSA uses the information to make initial or
continuing eligibility determinations for SSI claimants or recipients
who are subject to deeming. The respondents are third party individuals
who support SSI claimants or recipients, and whose income and resources
SSA may deem (consider to be available) to SSI applicants or
recipients.
Type of Request: Revision of an OMB-approved information
collection.

[[Page 55422]]

--------------------------------------------------------------------------------------------------------------------------------------------------------
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-8010-BK (Intranet)............ 1,855,340 1 20 618,447 * $33.54 ** 12 * * * $33,188,331
SSA-8010-BK (Paper)............... 61,380 1 20 20,460 * $33.54 ** 12 * * * $1,097,965
Totals........................ 1,916,720 .............. .............. 638,907 .............. .............. * * * $34,286,296
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (Occupational Employment and Wage
Statistics).
** We based this 12-minute figure on the average combined July 2026 wait times for field offices (21 minutes) and for teleservice centers (2 minutes,
which represents the average time it takes for a call to be picked up automatically by our systems and then routed to an SSA technician). These
figures represent current SSA management information data. As the figures fluctuate, the actual wait times may differ slightly from the averages
reported here. We will update these figures periodically to reflect the most accurate available data.
* * * This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the
additional time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information
collection.

2. Waiver of Your Right to Personal Appearance before a Judge--20
CFR 404.948(b)(1)(i), 404.956, 416.1448(b)(1)(i), and 416.1456--0960-
0284. Applicants for Social Security, Old Age, Survivors, and
Disability Insurance (OASDI) benefits and SSI payments have the
statutory right to personally appear (either on their own or through a
representative) and present evidence about their claims at a hearing
before a judge. Per SSA regulations, if a claimant is dissatisfied with
a determination or decision listed in 20 CFR 404.930 or 416.1430, the
claimant may request a hearing before a judge and has a right to appear
at a hearing before a judge. At a hearing, claimants have the right to
present evidence; have witnesses testify on their behalf; and present
their cases to the judge. A hearing may provide the judge with
additional information to make a more informed decision on the case.
However, in some cases, claimants may choose to waive their right to
appear before a judge for various reasons, including if they feel the
evidence of record stands on its own, or if they are unable to attend a
hearing due to extenuating circumstances. When a claimant chooses to
waive the right to appear at a hearing and allows the judge to decide
the case based on the written evidence of record alone, we ask the
claimant to submit this request to us in writing so we can document it
in their record. While SSA will accept a written request, we also allow
claimants to use Form HA-4608 to serve as a written waiver for the
claimant's right to a personal appearance before a judge. The claimant
may complete the paper version of the HA-4608 and mail it back to SSA
using the pre-paid envelope SSA sends with it, or the claimant may
choose to complete the submittable PDF version of the HA-4608 through
SSA's Upload Documents Portal (OMB No. 0960-0830) on SSA's website. The
judge uses the information we collect on Form HA-4608 to continue
processing the case and makes the completed form a part of the
documentary evidence of record by placing it in the official record of
the proceedings as an exhibit. Respondents are applicants or claimants
for OASDI and SSI, or their representatives, who request to waive their
right to appear before a judge.
Type of Request: Revision of an approved-OMB information
collection.

3. Request for Change in Time/Place of Disability Hearing--20 CFR
404.91(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 from the form 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.

[[Page 55423]]

4. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460.
SSA uses Form SSA-4178, Marital Relationship Questionnaire, to
determine if unrelated individuals of the opposite sex who live
together are presenting themselves as husband and wife. SSA needs this
information to determine whether we are making correct payments to
couples and individuals applying for, or currently receiving,
Supplemental Security Income (SSI) payments. The respondents are
applicants for, and recipients of, SSI payments.
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) ** * * *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4178 (Paper)........................ 3,331 1 5 278 * $14.27 ** 21 * * * $20,606
Technician Interview (via SSI Systems or 7,226 1 5 602 * 14.27 ** 21 * * * $44,679
CCE)...................................
SSA-4178 (Upload Documents)............. 426 1 5 36 * 14.27 .............. * * * $514
---------------------------------------------------------------------------------------------------------------
Totals.............................. 10,983 .............. .............. 916 .............. .............. * * * $65,799
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on disability payments, based on SSA's current management information data (Effect of COLA on Average Social Security Benefits).
** We based this figure on the average July 2026 wait time for field offices (21 minutes), based on SSA's current management information data. This
figure reflects both data from our systems and the data posted on our public facing website (Social Security performance [verbar] SSA) on the date we
drafted this document. As the figures fluctuate, the wait times may be different on the website than they appear here. We continue to monitor our
website and management information data to ensure we report updated figures when possible. While we have included wait time for all respondents who
complete the paper form, we note that respondents are not required to complete the form in person and those who mail or drop off a completed form do
not experience any wait time.
*** This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the additional
time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information collection.

5. 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 provided on Form SSA-L4112 to verify
that the wage information previously received from the employer is
correct for the employee and the year in question (the year following
the employee's death). This process helps ensure the accuracy and
integrity of earnings records. The respondents are employers who report
wages for employees who have died.
Type of Request: Revision of an OMB approved information
collection.

6. Pain Report Child--20 CFR 404.1512 and 416.912--0960-0540.
Before SSA can make a disability determination for a child, we require
evidence from Supplemental Security Income (SSI) applicants or
claimants to prove their disability. Form SSA-3371-BK provides
disability interviewers, and SSI applicants or claimants in self-help
situations, with a convenient way to record information claimants' pain
or other symptoms. The State disability determination services
adjudicators and judges use the information from Form SSA-3371-BK to
assess the effects of symptoms on function for purposes of determining
disability under the Act. The respondents are applicants for SSI
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-3371......................... 1,500 1 15 375 * $23.91 ** 21 * * * $21,519
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average of both DI payments based on SSA's current FY 2026 data (Effect of COLA on Average Social Security Benefits) and
on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (Occupational Employment and Wage Statistics).
** We based this figure on the average July 2026 wait time for field offices (21 minutes), based on SSA's current management information data. This
figure reflects data from our systems and the data posted on our public facing website (Social Security performance [verbar]SSA) on the date we
drafted this document. As the figures fluctuate, the wait times may be different on the website than they appear here. While we have included wait
time for all respondents, we note that respondents are not required to complete the form in person and those who mail or drop off a completed form do
not experience any wait time.
* * * This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the
additional time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information
collection.

7. Wage Reports and Pension Information--20 CFR 422.122(b)--0960-
0547. Pension plan administrators annually file plan information with
the Internal Revenue Service, which then forwards the information to
SSA. SSA maintains and organizes this information by plan number, plan
participant's name, and Social Security number. Section 1131(a) of the
Act, pension plan participants are entitled to request this information
from SSA. The Wage Reports and Pension Information regulation, 20 CFR
422.122(b) of the Code of Federal Regulations, stipulates

[[Page 55424]]

that before SSA disseminates this information, the requestor must first
submit a written request with identifying information to SSA. The
respondents are requestors of pension plan information.
Type of Request: Revision of an OMB approved information
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost teleservice opportunity
respondents response (minutes) (hours) amount answer time cost (dollars)
(dollars) * (minutes) ** **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Requests for Pension Plan 178 1 30 89 * $33.54 ** 2 *** $3,186
Information.....................
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (Occupational Employment and Wage
Statistics).
** We based this figure on the July 2026 answer times for the teleservice centers (2 minutes, which represents the average time it takes for a call to
be picked up automatically by our systems and then routed to an SSA technician). This figure reflects data from our systems and the data posted on our
public facing website (Social Security performance [verbar] SSA) on the date we drafted this document. As the figures fluctuate, the wait times may be
different on the website than they appear here.
*** This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the additional
time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information collection.

8. Work Incentives Planning and Assistance Program--0960-0629. As
part of SSA's strategy to assist Social Security Disability Insurance
(SSDI) beneficiaries and Supplemental Security Income (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. The CWIC uses the WIPA
Star 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) manage their case notes for beneficiaries; and 3) 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.

WIPA STAR System
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Average wait
Average Estimated theoretical time Total annual
Method of completion Number of Frequency of Number of burden per total annual hourly cost teleservice opportunity cost
respondents response responses response burden amount centers (dollars) ***
(minutes) (hours) (dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
WIPA referral (SSI & SSDI 5,190 1 5,190 8 692 * $14.27 ............ *** $9,875
beneficiaries)..............
WIPA referral data input 310 51 15,810 5 1,318 \*\ $35.23 ............ *** $46,433
(collected using the SSA-
4565)--WIPA staff...........
WIPA intake--SSI & SSDI 21,000 1 21,000 17 5,950 \*\ $14.27 ............ *** $84,907
beneficiaries...............
WIPA case notes--WIPA staff.. 310 430 133,300 2 4,443 \*\ $35.23 ............ *** $156,527
Task management--WIPA staff.. 310 134 41,540 1 692 \*\ $35.23 ............ *** $24,379
Service management--WIPA 310 381 118,110 1 1,969 \*\ $35.23 ............ *** $69,368
staff.......................
SSA-451 (WIPA managers)...... 73 4 292 60 292 * $42.73 ............ *** $12,477
--------------------------------------------------------------------------------------------------------------------------
Totals................... 27,503 ............ 335,242 ............ 15.356 ............ ............ *** $403,966
--------------------------------------------------------------------------------------------------------------------------
Grand Totals......... 43,315 ............ 351,054 ............ 17,464 ............ ............ *** $441,569
--------------------------------------------------------------------------------------------------------------------------------------------------------
\+\ We are placing a place holder for Form SSA-4565 (Fields 21-63 -SSI & SSDI Beneficiaries) and Form SSA-4566, as SSA will only use the paper version
of the SSA-4565 (Fields 21-63- SSI & SSDI Beneficiaries) and SSA-4566 as a backup collection instrument if the WIPA STAR system becomes unavailable.
As such, we do not anticipate any respondents will use the PDF versions of these forms under normal circumstances, therefore, we are including a
placeholder burden here.

[[Page 55425]]

* We based this figure on averaging both the average DI payments based on SSA's current FY 2026 data (Effect of COLA on Average Social Security
Benefits), the Health Education Specialist and Social Community Service Managers, as reported by Bureau of Labor Statistics data (Occupational
Employment and Wage Statistics).
** We based this figure on the July 2026 answer times for the teleservice centers (2 minutes, which represents the average time it takes for a call to
be picked up automatically by our systems and then routed to an SSA technician). This figure reflects data from our systems and the data posted on our
public facing website (Social Security performance [verbar] SSA) on the date we drafted this document. As the figures fluctuate, the wait times may be
different on the website than they appear here.
*** This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the additional
time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information collection.

9. Internet Direct Deposit Application--31 CFR 210--0960-0634. SSA
requires all applicants and recipients of Social Security OASDI
benefits, or Supplemental Security Income (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. 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 wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet Direct Deposit Application.. 4,608,177 1 16 1,228,847 * 33.54 .............. *** $41,215,528
Non-Electronic Services (FO, 800#)... 3,402,371 1 9 510,356 * 33.54 ** 12 ** 39,940,438
------------------------------------------------------------------------------------------------------------------
Totals........................... 8,010,548 .............. .............. 1,739,203 .............. .............. *** 81,155,966
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (Occupational Employment and Wage
Statistics).
** We based this 12-minute figure on the average combined July 2026 wait times for field offices (21 minutes) and for teleservice centers (2 minutes,
which represents the average time it takes for a call to be picked up automatically by our systems and then routed to an SSA technician). These
figures represent current SSA management information data. As the figures fluctuate, the actual wait times may differ slightly from the averages
reported here. We will update these figures periodically to reflect the most accurate available data.
*** This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the additional
time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information collection.

10. Notice to Electronic Information Exchange Partners to Provide
Contractor List--0960-0820. The Federal standards Privacy Act of 1974;
E-Government act of 2002; and the National Institute of Standards and
Technology Special Publications 800-53-4, require SSA to maintain
oversight of the information it provides to Electronic Information
Exchange Partners (EIEPs). EIEPs obtain SSA data for the administration
of federally funded and state-administered programs. SSA has a
responsibility to monitor and protect the personally identifiable
information SSA shares with other Federal and State agencies. EIEPs
agree to comply with Electronic Information Exchange security
requirements and procedures for State and local Agencies exchanging
electronic information with SSA. SSA's Technical Systems Security
Requirements document provides that all agencies using SSA data must
ensure SSA information is not processed; maintained; transmitted; or
stored in; or by means of data communications channel; electronic
devices; computers; or computer networks located in geographic or
virtual areas not subject to U.S. law. SSA conducts tri-annual
compliance reviews of all State and local agencies, and Tribes with
whom we have an IEA, to verify appropriate security safeguards remain
in place to protect the confidentiality of information SSA supplies.
SSA requires any organization with an electronic data exchange
agreement to provide SSA with a current list of contractors, or agents
who have access to SSA data upon request. SSA uses Form SSA-731, Notice
to Electronic Information Exchange Partners to Provide Contractor List
to collect this. The respondents are Federal agencies and State, local,
or tribal agencies who exchange electronic information with SSA.
Type of Request: Revision of an OMB approved information
collection.

11. State of Georgia's Criminal Justice Coordinating Council's
(CJCC) Evaluation of the Implementation of the Supplemental Security
Income (SSI)/Social Security Disability Insurance (SSDI) Outreach,
Access, and Recovery (SOAR) Model in County Jails--0960-0833. In 2023,
SSA awarded the State of Georgia's Criminal Justice Coordinating
Council (CJCC) a cooperative agreement to conduct an intervention and
an evaluation of the Supplemental Security Income (SSI) and Social
Security Disability Insurance (SSDI) Outreach, Access, and Recovery
(SOAR) model in

[[Page 55426]]

county jails with inmates with serious and persistent mental illness
(SPMI) across the state. In addition to SSA, CJCC partnered with the
following: (1) Applied Research Services (ARS); (2) the Georgia
Department of Behavioral Health and Developmental Disabilities (DBHDD);
and (3) four county jails to implement the program. For this
intervention, investigators hypothesized that untreated mental illness
and repeated psychiatric crises may be a factor in jail recidivism.
Connection to SSI/SSDI and attendant insurance benefits may help a
person with SPMI obtain treatment and interrupt criminogenic behavior.
This intervention connects respondents in four county jails identified
as having SPMI to Medicaid Eligibility Specialists (MES) hired and
trained by the Georgia DBHDD, who help them apply for SSI and SSDI.
Respondents in two of the four counties (Fulton County Jail and Cobb
County Jail) also have the option of working with a Forensic Peer
Mentor (FPM), a formerly incarcerated individual who is familiar with
resources that may help participants increase their quality-of-life
post incarceration and avoid recidivism. SSA works with the two DBHDD
MESs who are serving 90 participants over the total life of the
project. To maximize the likelihood of the SSI/SSDI application
approval, the MES employs the SOAR method, which uses in-depth medical
and personal summaries of disability to facilitate the SSI/SSDI
application process. Researchers collect data from participant surveys
to evaluate and study the impact of the intervention. Through the data
collected through these surveys, along with administrative data from
SSA, the State of Georgia, participating counties, and DBHDD hope to
address the following research questions:
<bullet> Does connection to a SOAR-trained specialist increase the
likelihood that a person with SPMI in jail will be approved for SSI/
SSDI benefits?
<bullet> If a person with SPMI receives SSI/SSDI benefits, are they
able to connect to treatment resources that they may not have been able
to obtain before?
<bullet> If a person with SPMI connects to treatment resources and
successfully engages with them, are they able to achieve mental health
recovery and stay out of jail?
Over the past three years, we began the initial enrollment and
informed consent phase of this intervention, and we are currently
completing this stage. We also began the Follow-up survey stage for the
first set of enrollees in the intervention, and we will continue to
administer the Follow-up survey as needed through 2027 until we
complete this phase with all 90 of the respondents.
The respondents are individuals with serious and persistent mental
illness incarcerated in county jails in the state of Georgia.
Type of Request: Revision of an OMB approved information
collection.
The following chart shows the current burden information for the
remaining information collections associated with this intervention:

--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Total annual
Number of Frequency of Average burden Estimated theoretical opportunity
Modality of completion respondents response per response total annual cost amount cost (dollars)
(minutes) burden (hours) (dollars) * ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Initial Enrollment Survey (Paper)....................... \+\ 40 1 19 13 * $14.27 *** $181
Informed Consent (Paper)................................ \+\ 40 1 10 7 * 14.27 *** 100
Follow-up Survey (Internet or Telephone)................ \+\ 85 2 23 65 * 14.27 *** 928
-----------------------------------------------------------------------------------------------
Totals.............................................. \+\ 165 .............. .............. 85 .............. *** 1,209
--------------------------------------------------------------------------------------------------------------------------------------------------------
\+\ These figures reflect the remaining respondents for these information collections from the 90 total respondents who are taking part in this
intervention.
* We based this figure on the average DI payments based on SSA's current FY 2026 data (Effect of COLA on Average Social Security Benefits).
*** This figure does not represent actual costs that SSA is imposing on individuals; rather, these are theoretical opportunity costs for the additional
time respondents will spend to complete the information collection. There is no actual charge to respondents to complete the information collection.

Mark Steffensen,
General Counsel, Chief of Law, Policy and Legislative Affairs, Social
Security Administration.
[FR Doc. 2026-17519 Filed 8-26-26; 8:45 am]
BILLING CODE P

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