Notice2026-19572
Agency Information Collection Activities: Proposed Request
Primary source
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Published
September 24, 2026
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 91 Issue 184 (Thursday, September 24, 2026)</title>
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[Federal Register Volume 91, Number 184 (Thursday, September 24, 2026)]
[Notices]
[Pages 60685-60692]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-19572]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2026-1090]
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 and one extension of existing 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.
(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#a8e7fa86facdd8c7dadcdb86ebc4cdc9dac9c6cbcde8dbdbc986cfc7de"><span class="__cf_email__" data-cfemail="3f706d116d5a4f504d4b4c117c535a5e4d5e515c5a7f4c4c5e11585049">[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> 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-2026-1090] 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
November 23, 2026. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Statement of Self-Employment Income--20 CFR 404.101, 404.110,
404.1096(a)(d)--0960-0046. To ultimately qualify for insured status,
and collect Social Security benefits, self-employed individuals must
demonstrate they earned the minimum required amount of self-employment
income (SEI) in a current year. In cases where an individual is
applying for benefits in a specific year, and the resulting quarters of
coverage would establish an individual's insured status, SSA initiates
the use of Form SSA-766, Statement of Self-Employment Income, to
collect the information needed to determine if an individual earned at
least the minimum amount of SEI for one or more quarters of coverage in
the current year. Based on the information we obtain, we may credit
additional quarters of coverage to give the individual insured status
where they otherwise may have lacked the necessary earned minimum
required amount, thus expediting benefit payments for the year in which
they submit the information. Respondents are self-employed individuals
potentially eligible for Social Security benefits who are applying for
insured status that year.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Method 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-766 (Paper)......................... 83 1 20 28 * $33.54 ** 21 *** $1,912
SSA-766 (Electronic).................... 750 1 20 250 * 33.54 N/A *** 8,385
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Total............................... 833 .............. .............. 278 .............. .............. *** 10,297
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* We based this figure on an average U.S. worker's hourly wages ($33.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this figure on the average August 2026 wait time for field offices (21 minutes), as captured by SSA's current management information data.
This figure is also posted on our public-facing website (Social Security performance [verbar] SSA). As the figures fluctuate, the wait times may be
different on the website than they appear here. While we have included wait times 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.
2. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064.
When self-employed farm workers who rent out parts or all of their farm
submit earnings data to SSA, they cannot report earnings from the
rented farm unless they demonstrate ``material participation'' in the
farm's operation. A ``material participation'' arrangement means the
farm owners must perform a combination of physical duties, management
decisions, and capital investment in the farm they are renting out. SSA
uses Form SSA-7157, the Farm Arrangement Questionnaire, to document
material participation. The respondents are workers who are renting
farmland to others, who are nonetheless involved in the operation of
the farm, and who want to claim countable income from work they perform
relating to the rented farm.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Method 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-7157 (Upload Documents)............. 639 1 60 639 * $47.99 N/A *** $30,666
[[Page 60686]]
SSA-7157 (Paper)........................ 71 1 60 71 * 47.99 ** 21 *** 4,607
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Total............................... 710 .............. .............. 710 .............. .............. *** 35,273
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* We based this figure on an average Farmer's, Rancher's, and other Agricultural Manager's hourly wages ($47.99), as reported by Bureau of Labor
Statistics (Occupational Employment and Wage Statistics).
** We based this figure on the average August 2026 wait time for field offices (21 minutes), as captured by SSA's current management information data.
This figure is also posted on our public-facing website (Social Security performance [verbar] SSA). As the figures fluctuate, the wait times may be
different on the website than they appear here. While we have included wait times 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.
3. State Mental Institution Policy Review Booklet--20 CFR 404.2035,
404.2065, 416.635, & 416.665--0960-0110. SSA uses Form SSA-9584-BK: (1)
to determine if the policies and practices of a state mental
institution acting as a representative payee for SSA beneficiaries and
payees conform to SSA's regulations in their use of benefits and
payments; (2) to confirm institutions are performing other duties and
responsibilities required of representative payees; and (3) as the
basis for conducting onsite reviews of the institutions and preparing
subsequent reports of findings. The respondents are state mental
institutions serving as representative payees for Social Security
beneficiaries and SSI recipients.
Type of Request: Revision of an OMB approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Method of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-9584-BK....................................... 63 1 60 63 * $19.29 ** $1,215
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average Personal Care and Service Worker's hourly wages ($19.29), as reported by Bureau of Labor Statistics data
(Occupational Employment and Wage Statistics).
** 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.
4. Child Relationship Statement--20 CFR 404.355 & 404.731--0960-
0116. SSA uses Form SSA-2519, the Child Relationship Statement, to help
determine a child's entitlement to Social Security benefits stemming
from their relationship with a parent who is an insured worker.
Specifically, SSA will use the form to determine if any one of the
following qualifying conditions are in place: (1) the child lived with
or received contributions from the insured parent at certain times; (2)
a court decreed the insured worker to be the child's parent; (3) a
court ordered the insured parent to contribute to the child's support;
or (4) the insured parent acknowledged in writing that the child is the
insured parent's son or daughter. The respondents are people with
knowledge of the relationship between insured worker parents and their
alleged biological children who can help SSA determine a child's
eligibility for Social Security payments based on the parent's insured
status.
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) **
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SSA-2519......................... 4,787 1 15 1,197 * $33.54 ** 11 *** $69,596
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* We based this figure on an average U.S. citizen's hourly wages ($35.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this 11-minute figure on the average combined August 2026 wait times for field offices (21 minutes, as captured by management information
data and posted on our public-facing website, (Social Security performance [verbar] SSA) and for teleservice centers (1 minute, 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 also comes from
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.
[[Page 60687]]
5. Claimant's Recent Medical Treatment--20 CFR 404.1512 and
416.912--0960-0292. When Disability Determinations Services (DDS) deny
a claim at the reconsideration level for Old Age, Survivors and
Disability Insurance (OASDI) or Supplemental Security Income (SSI)
payments, the claimant has both a right to request a hearing before a
judge, and can submit additional documentation that he or she did not
include with the initial application to further support the claim. One
such document we ask claimants to complete and return is Form HA-4631.
In its current iteration, this Form asks for information not yet on
file with us relating to the claimant's medical treatments, including
information about their healthcare provider and medical facilities
where they received treatment. In this PRA approval cycle, we are
proposing to revise Form HA-4631 to incorporate existing Form HA-4632
(OMB No. 0960-0289), Claimant's Medications, which asks the claimant to
list and describe all medications they did not previously disclose in
their application. Accordingly, the revised HA-4631 will ask claimants
or their representatives to submit simultaneously a list of recent
medical treatments, current medications, recent physicians and
healthcare providers, dates and information regarding recent visits to
those providers, and any hospitalizations since the last time the
claimant provided SSA (or the DDS) with medical information. In
addition, the form will encourage claimants or their representatives to
provide any supplemental documentation relating to these topics. We are
proposing this new, combined, streamlined approach at the request of
advocates for representatives of Social Security claimants. Once we
complete this PRA approval cycle and debut the new HA-4631, we will
formally discontinue Form HA-4632.
Since claimants may wish to provide new information relating to
their claims to establish a basis for an appeals hearing, SSA needs
this information to update and complete the claimant's record and to
verify the accuracy of the information. Through this process, the judge
can ascertain whether the claimant's situation has changed, and can
fully investigate the claimant's medical treatment and the effects of
the listed medications on the claimant's medical impairments and
residual functional capacity. The judge and hearing office staff can
also use the responses on the HA-4631 to make arrangements for
consultative examination(s) and the attendance of an expert
witness(es), if appropriate. The claimant may submit the HA-4631 to SSA
via mail or through our Upload Documents portal (OMB No. 0960-0830), or
the claimant's representative may submit the form to SSA via mail or
Electronic Records Express (OMB No. 0960-0767).
The respondents are claimants, or representatives on behalf of the
claimants, who want to provide medical treatment and medicine
information to support their request for a hearing to contest a denial
of their OASDI or SSI claims.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Method of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-4631--PDF/paper version/Upload Documents............. 518,875 1 40 345,917 * $23.91 ** $8,270,875
Electronic Records Express Submissions.................. 241,545 1 40 161,030 * 89.35 ** 14,388,031
-----------------------------------------------------------------------------------------------
Totals.............................................. 760,420 .............. .............. 506,947 .............. ** 22,658,906
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on the combined average of both disability payments ($14.27) 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 ($33.54), as reported by Bureau of Labor Statistics data (Occupational
Employment and Wage Statistics), and on an average Lawyer's hourly salary (S89.35), as reported by Bureau of Labor Statistics data (Occupational
Employment and Wage Statistics).
** 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.
6. Disability Report--Adult--20 CFR 404.1512 and 416.912--0960-
0579. SSA and State Disability Determination Services (DDS) use Form
SSA-3368, Disability Report--Adult, a+nd its electronic versions, to
determine if adult disability applicants' impairments are severe and,
if so, how the impairments affect the applicants' ability to work. This
determination dictates whether the DDSs and SSA will find the applicant
to be disabled and entitled to Social Security Disability Insurance
(SSDI) or Supplemental Security Income (SSI) payments. SSA and DDSs
request that respondents complete Form SSA-3368 at the same time they
complete their application for disability payments (via either the SSA-
16 or iClaim, OMB No. 0960-0618, for SSDI, or the SSA-8000 or iSSI, OMB
No. 0960-0444, for SSI). Respondents can complete the SSA-3368 as a
mail-in paper form, a fillable PDF version through SSA's Upload
Documents portal (OMB No. 0960-0830), through a personal interview
documented via SSA's Electronic Disability Collect System (EDCS), or
through the internet i3368 pathing in SSA's iClaim platform (OMB No.
0960-0618). The respondents are applicants, or third parties on behalf
of the applicants, applying for Title II SSDI benefits or Title XVI SSI
payments.
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 theoretical office or for opportunity
Method of completion respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount centers ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper)........................ 10,893 1 80 14,524 * $14.27 N/A *** $207,257
[[Page 60688]]
SSA-3368 EDCS Screens (Intranet)........ 882,470 1 80 1,176,627 * 14.27 ** 11 *** 19,099,154
i3368 (Internet)........................ 837,661 1 80 1,116,881 * 14.27 N/A *** 15,937,892
SSA-3368 Upload Documents Portal........ 14,324 1 80 19,099 * 14.27 N/A *** 272,543
---------------------------------------------------------------------------------------------------------------
Totals.............................. 1,745,348 .............. .............. 2,327,131 .............. .............. *** 35,545,344
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average disability payments ($14.27) reflecting SSA's current FY 2026 data (Effect of COLA on Average Social Security
Benefits).
** We based this 11-minute figure on the average combined August 2026 wait times for field offices (21 minutes, as captured by management information
data and posted on our public-facing website (Social Security performance [verbar] SSA), and for teleservice centers (1 minute, 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 also comes from
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.
7. The Ticket to Work and Self-Sufficiency Program--20 CFR 411--
0960-0644. SSA's Ticket to Work (TTW) Program transitions qualifying
Social Security Disability Insurance (SSDI) and Supplemental Security
Income (SSI) recipients toward independence by allowing them to receive
Social Security payments while maintaining employment under the
auspices of the program. SSA uses service providers, called Employment
Networks (ENs), to supervise participant progress through the stages of
TTW Program participation, including job searches and interviews;
progress reviews; and changes in ticket status. ENs can be private for-
profit and nonprofit organizations, as well as state vocational
rehabilitation agencies (VRs). SSA and the ENs utilize the TTW program
manager to operate the TTW Program and exchange information about
participants. For example, the ENs use the program manager to provide
updates on tasks such as selecting a payment system or requesting
payments for helping the beneficiary achieve certain work goals. Since
the ENs are not PRA-exempt, the multiple information collections within
the TTW program manager require OMB approval. Most of the categories of
information are necessary for SSA to (1) comply with the Ticket to Work
legislation, and (2) provide proper oversight of the program. SSA
collects this information through several modalities, including forms,
electronic exchanges, and written documentation. The respondents are
the ENs or state VRs, SSDI beneficiaries, and blind or disabled SSI
recipients working under the auspices of the TTW Program.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Method of completion Number of Frequency of Number of burden per total annual hourly cost opportunity
respondents response responses response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticket Portal
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticket Assignment--EN & VR Staff (a) 20 CFR 1,000 91 91,000 2 3,033 * $22.93 ** $69,547
411.140(d)(2)).......................................
Ticket Unassignment--EN & VR Staff (b) 20 CFR 411.145; 1,000 2 2,000 15 500 * 22.93 ** 11,465
411.325).............................................
Case Closures Notification--VR Staff (b) 20 CFR 150 910 136,500 11 25,025 * 24.91 ** 623,373
411.535(a)(1)(iii))..................................
Electronic File Submission--VR Staff (a) 20 CFR 150 27 4,050 5 338 * 24.91 ** 8,420
411.166; 411.170(b)).................................
Tracking Progress--VR Staff (c) 20 CFR 411.200(b)).... 150 1 150 30 75 * 24.91 ** 1,868
Requesting Payments--EN & VR Staff (f) 20 CFR 411.575) 1,000 2 2,000 40 1,333 * 22.93 ** 30,566
Contract Changes--EN Staff (d) 20 CFR 411.505)........ 850 1 850 5 71 * 22.93 ** 1,628
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form Alternate Workstation Request
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff.............................................. 500 1 500 25 208 * 22.93 ** 4,769
--------------------------------------------------------------------------------------------------------------------------------------------------------
Annual Performance Outcome Report
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Management (g) 20 CFR 411.325(f)).................. 345 1 345 120 690 * 42.73 ** 29,484
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form EN Ticket Unassignment
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff.............................................. 25 12 300 15 75 *** 22.93 ** 1,720
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[[Page 60689]]
Form Proof of Relationship
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EN Staff (g) 20 CFR 411.325(f))....................... 3,400 2 6,800 20 2,267 * 22.93 ** 51,982
--------------------------------------------------------------------------------------------------------------------------------------------------------
Site Visit Questionnaire--Administrative EN
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Management......................................... 2 1 2 180 6 * 42.73 ** 256
--------------------------------------------------------------------------------------------------------------------------------------------------------
Site Visit Questionnaire--Traditional EN
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Management......................................... 30 1 30 180 90 ** 42.73 ** 3,846
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Form SSA-1370
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticketholders (a) 20 CFR 411.140(d)(3); 411.325(a); 40,000 1 40,000 60 40,000 * 14.27 ** 570,800
411.150(b)(3); 20 CFR 411.465).......................
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1373
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff (f) 20 CFR 411.575).......................... 1,704 1 1,704 40 1,136 *** 22.93 ** 26,048
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1374
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Management (i) 20 CFR 411.320)..................... 345 6 2,070 15 518 * 42.73 *** 22,134
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1375
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticketholders (c) 20 CFR 411.200(b) \+\............... \+\ 1 1 1 1 0 * 1 ** 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1385
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticketholders (b) 20 CFR 411.145; 411.325)............ 1,000 1 1,000 10 167 * 14.27 ** 2,383
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1389
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff (g) 20 CFR 411.325(f))....................... 1,704 1 1,704 40 1,136 * 22.93 ** 26,048
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1391
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff (f) 20 CFR 411.575).......................... 1,704 1 1,704 40 1,136 * 22.93 ** 26,048
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form SSA-1401
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Staff (f) 20 CFR 411.560 and 411.581).............. 5 1 5 20 2 * 22.93 ** 46
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form TPA Termination Request
--------------------------------------------------------------------------------------------------------------------------------------------------------
EN Management......................................... 30 1 30 5 3 * 42.73 ** 128
--------------------------------------------------------------------------------------------------------------------------------------------------------
WISE Registration Page
--------------------------------------------------------------------------------------------------------------------------------------------------------
Ticketholders (j) 20 CFR 411.200(b)).................. 10,000 1 10,000 3 500 * 14.27 ** 7,135
--------------------------------------------------------------------------------------------------------------------------------------------------------
Grand Totals
--------------------------------------------------------------------------------------------------------------------------------------------------------
Totals................................................ 65,095 ............ 302,745 ............ 78,309 ............ ** 1,519,695
--------------------------------------------------------------------------------------------------------------------------------------------------------
\+\ We are providing a place holder for Form SSA-1375, because SSA is not currently conducting TPRs.
* We based this figure on the average wages of an average Social and Human Service Assistant ($22.93), Rehabilitation Counselor ($24.91), and Social and
Community Service Manager ($42.73), as reported by Bureau of Labor Statistics data (Occupational Employment and Wage Statistics) and the average
disability payments ($14.27) 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.
8. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a
Social Security card as verification of their Social Security number
for school or work programs they attend during incarceration, or as
proof of employment eligibility upon release from incarceration. Before
SSA can issue a replacement Social Security card, applicants must show
SSA proof of their identity. However, people who are in prison for an
extended period frequently do not have current identity documents.
Therefore, under written agreement with the correctional institution,
SSA allows prison officials to verify the identity of certain
incarcerated U.S. citizens who need replacement Social Security cards.
Prison officials provide SSA information from their official files,
sent on correctional facility letterhead. SSA uses this information to
establish the applicant's identity in the replacement Social Security
card process. The respondents are prison officials who certify the
identity of prisoners applying for replacement Social Security cards.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 60690]]
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Average
Average burden Estimated total theoretical Total annual
Method of completion Number of Frequency of Number of per response annual burden hourly cost opportunity
respondents response responses (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity 1,000 200 200,000 3 10,000 $30.59 * $305,900 **
Statements......................
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average Correctional Officer's and Jailers' hourly wages ($30.59), as reported by Bureau of Labor Statistics data
(Occupational Employment and Wage Statistics).
** 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. Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery--0960-0788. As part of our continuing effort to
reduce paperwork and respondent burden, SSA invites the general public
to comment on the ``Generic Clearance for the Collection of Qualitative
Feedback on Agency Service Delivery '' for approval under the Paperwork
Reduction Act (PRA) (44 U.S.C. 3501 et. seq.). We developed and use
this collection as part of a Federal Government-wide effort to
streamline the process for seeking feedback from the public on service
delivery.
Under the auspices of Executive Order 12862, Setting Customer
Service Standards, SSA conducts multiple satisfaction surveys each
year. This information collection activity provides a means to garner
qualitative customer and stakeholder feedback in an efficient, timely
manner, in accordance with SSA's commitment to improving service
delivery. By qualitative feedback we mean information that provides
useful insights on perceptions and opinions, but are not statistical
surveys that yield quantitative results that can be generalized to the
population of study. This feedback provides insights into customer or
stakeholder perceptions, experiences, and expectations; provides an
early warning of issues with service; or focuses attention on areas
where communication, training, or changes in operations might improve
delivery of products or services. These collection activities allow for
ongoing, collaborative, and actionable communications between SSA and
our customers and stakeholders.
The solicitation of feedback targets areas such as: timeliness;
appropriateness; accuracy of information; courtesy; efficiency of
service delivery; and resolution of issues with service delivery. We
assess responses to plan and inform efforts to improve or maintain the
quality of service offered to the public. If we did not collect this
information, we would not have access to vital feedback from customers
and stakeholders on SSA's services.
We only submit a collection for approval under this generic
clearance if it meets the following conditions: (1) the collections are
voluntary; (2) the collections are low-burden for respondents (based on
considerations of total burden hours, total number of respondents, or
burden-hours per respondent) and are low-cost for both the respondents
and the Federal Government; (3) the collections are non-controversial
and do not raise issues of concern to other Federal agencies; (4) any
collection targeted to the solicitation of opinions from respondents
who have experience with the program or may have experience with the
program in the near future; (5) we collect personally identifiable
information (PII) only to the extent necessary and we do not retain it;
(6) we will use information gathered only internally for general
service improvement and program management purposes and we will not
release it outside of the agency; (7) we will not use information we
gather for the purpose of substantially informing influential policy
decisions; and (8) information we gather will yield qualitative
information; the collections will not be designed or expected to yield
statistically reliable results or used as though the results are
generalizable to the population of study.
Feedback collected under this generic clearance provides useful
information, but it does not yield data that can be generalized to the
overall population. This type of generic clearance for qualitative
information will not be used for quantitative information collections
that are designed to yield reliably actionable results, such as
monitoring trends over time or documenting program performance. Such
data uses require more rigorous designs that address the target
population to which generalizations will be made, the sampling frame,
the sample design (including stratification and clustering), the
precision requirements or power calculations that justify the proposed
sample size, the expected response rate, methods for assessing
potential non-response bias, the protocols for data collection, and any
testing procedures that were or will be undertaken prior to fielding
the study. Depending on the degree of influence the results are likely
to have, such collections may still be eligible for submission for
other generic mechanisms that are designed to yield quantitative
results.
As a general matter, information collections will not result in any
new system of records containing privacy information and will not ask
questions of a sensitive nature, such as sexual behavior and attitudes,
religious beliefs, and other matters that are commonly considered
private.
The respondents are recipients of SSA services, professionals, and
individuals who work on behalf of SSA beneficiaries (including most
members of the public such as individuals and households, businesses
and organizations, and State, Local, or Tribal governments).
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of Number of Total burden
Type of information collection respondents responses per Minutes per hours (per
(per year) respondent response year)
----------------------------------------------------------------------------------------------------------------
Year 1: Qualitative Surveys; Focus Groups; 1,818,404 1 13 393,988
Listening Sessions; User Research and Testing;
Usability Testing; Forums; Feedback
Questionnaires; etc............................
[[Page 60691]]
Year 2: Qualitative Surveys; Focus Groups; 1,818,404 1 13 393,988
Listening Sessions; User Research and Testing;
Usability Testing; Forums; Feedback
Questionnaires; etc............................
Year 3: Qualitative Surveys; Focus Groups; 1,818,404 1 13 393,988
Listening Sessions; User Research and Testing;
Usability Testing; Forums; Feedback
Questionnaires; etc............................
---------------------------------------------------------------
Totals for all three years of the Triennial 5,455,212 .............. .............. 1,181,964
Renewal....................................
----------------------------------------------------------------------------------------------------------------
10. Data Exchange Request Form--20 CFR 401.100--0960-0802. SSA
maintains approximately 2,000 data exchange agreements with, and
regularly receives new data exchanges requests from, Federal, State,
local, and tribal agencies; foreign governments; and research entities
and private organizations to share data electronically. SSA engages in
various forms of data exchanges from Social Security number
verifications to computer matches for benefit eligibility, depending on
the requestor's business needs. Section 1106(b) of the Social Security
Act requires SSA to consider the requestor's legal authority to receive
the data, our disclosure policies, systems' feasibility, systems'
security, and costs before entering into a data exchange agreement. We
use Form SSA-157, Data Exchange Request Form and its electronic version
(DXRF), for this purpose. Requesting agencies, governments, or private
organizations complete and email in the SSA-157, or use the electronic
DXRF platform, when voluntarily initiating a request for data exchange
from SSA. Respondents are State, local, or tribal agencies; foreign
governments; research entities; or private organizations that are
voluntarily initiating a request to receive data electronically from
SSA via data exchange.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Method of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
State, local, and tribal governments.................... 188 1 480 1,504 * $49.18 ** $73,967
Private sector organizations............................ 74 1 480 640 * 49.18 ** 31,475
-----------------------------------------------------------------------------------------------
Totals.............................................. 262 .............. .............. 2,144 .............. ** 105,442
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the combined average State, local, and tribal agencies' and foreign governments' Management Analyst's hourly salary ($54.71),
the average private organizations Business and Financial Operations worker's hourly salary ($45.78), and the average Epidemiologist's hourly salary
($47.06) as reported by Bureau of Labor Statistics data (Occupational Employment and Wage Statistics).
** 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.
11. Statement Regarding the Inferred Death of an Individual by
Reason of Continued and Unexplained Absence--20 CFR 404.720 & 404.721--
0960-0844. Section 202(d)-(i) of the Social Security Act (Act) provides
for the payment of various monthly survivor benefits, and a lump sum
death payment, to certain survivors upon the death of an individual who
dies while currently insured. In cases where insured wage earners have
been absent from their homes for at least seven years, and there is no
evidence these individuals are alive, SSA may presume they are deceased
and will pay their survivors the appropriate benefits. SSA uses the
information Form SSA-723 provides to determine if we may presume a
missing wage earner is deceased, and, if so, to establish a date of
presumed death. The respondents are relatives, friends, neighbors, or
acquaintances of the presumed deceased wage earner, or the person who
is filing for survivor's benefits.
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-723.......................... 806 1 30 403 * $33.54 ** 21 *** $22,975
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average U.S. citizen's hourly wages ($35.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this figure on the average August 2026 wait time for field offices (21 minutes), as captured by SSA's current management information data.
This figure is also posted on our public-facing website (Social Security performance [verbar] SSA). 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 times.
*** 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.
[[Page 60692]]
Mark Steffensen,
General Counsel, Chief of Law, Policy and Legislative Affairs, Social
Security Administration.
[FR Doc. 2026-19572 Filed 9-23-26; 8:45 am]
BILLING CODE P
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</html>Indexed from Federal Register on September 24, 2026.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.