Notice2026-22073
Agency Information Collection Activities: Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 29, 2026
Issuing agencies
Social Security Administration
Full Text
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<title>Federal Register, Volume 91 Issue 208 (Thursday, October 29, 2026)</title>
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[Federal Register Volume 91, Number 208 (Thursday, October 29, 2026)]
[Notices]
[Pages 68213-68218]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-22073]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2026-1189]
Agency Information Collection Activities: Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA
(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#9ad5c8b4c8ffeaf5e8eee9b4d9f6fffbe8fbf4f9ffdae9e9fbb4fdf5ec"><span class="__cf_email__" data-cfemail="5f100d710d3a2f302d2b2c711c333a3e2d3e313c3a1f2c2c3e71383029">[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-2026-1189] in
your submitted response.
SSA submitted the information collections below to OMB for
clearance. To be sure OMB and SSA consider your comments regarding
these information collections, we must receive them no later than
November 30, 2026. Individuals can obtain copies of the OMB clearance
packages by writing to the <a href="/cdn-cgi/l/email-protection#0d425f235f687d627f797e234e61686c7f6c636e684d7e7e6c236a627b"><span class="__cf_email__" data-cfemail="93dcc1bdc1f6e3fce1e7e0bdd0fff6f2e1f2fdf0f6d3e0e0f2bdf4fce5">[email protected]</span></a>.
1. Statement of Income and Resources--20 CFR 416.207, 416.302-
416.310, 416.704, 416.708, and 416.1160--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 from the SSA-8010-BK
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 as
their own) to SSI applicants or recipients.
Type of Request: Revision of an OMB-approved information
collection.
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Average wait
Average Estimated Average time in field Total annual
Number of Frequency of burden per total annual theoretical office or for opportunity
Method of completion respondents response response burden hourly cost teleservice cost (dollars)
(minutes) (hours) amount centers ***
(dollars) * (minutes) **
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SSA-8010-BK (Intranet).............. 1,855,340 1 20 618,447 * $33.54 ** 11 $32,151,209
[[Page 68214]]
SSA-8010-BK (Paper)................. 61,380 1 20 20,460 * 33.54 ** 11 *** 1,063,654
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Totals.......................... 1,916,720 .............. .............. 638,907 .............. ................ *** 33,214,863
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* We based this figure on an average U.S. citizen's hourly salary ($33.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this 11-minute figure on average October 2026 wait times (specifically, the arithmetic mean of a 20-minute field-office wait time and a 1-
minute wait time for a call to be picked up automatically by our systems and then routed to an SSA technician. Both the 20-minute and 1-minute figures
are themselves averages captured by management information data and posted on our public-facing website, Social Security performance [verbar] SSA. 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 404.930, 404.948(b)(1)(i), 404.957, 416.1430, 416.1448(b)(1)(i),
and 416.1457--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.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Method of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden (hours) amount (dollars) cost (dollars)
(minutes) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-4608 (Paper Version)............................. 4,132 1 5 344 * $14.27 ** $4,909
HA-4608 (Upload Documents Version).................. 1,483 1 5 124 * 14.27 ** 1,769
---------------------------------------------------------------------------------------------------
Totals.......................................... 5,615 .............. .............. 468 ................ ** 6,678
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* We based this figure on 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.
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 reconsideration hearing.
Type of Request: Revision of an OMB approved information
collection.
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Average
Average burden Estimated theoretical Total annual
Method of completion Number of Frequency of per response total annual hourly cost opportunity cost
respondents response (minutes) burden (hours) amount (dollars) (dollars) **
*
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-769....................................... 24,599 1 8 3,280 * $14.27 ** $46,806
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* We based this figure on 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.
[[Page 68215]]
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 Estimated theoretical Average wait Total annual
Method of completion Number of Frequency of burden per total annual hourly cost time in field opportunity
respondents response response burden (hours) amount office (minutes) cost (dollars)
(minutes) (dollars) * ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4178 (Paper).................... 3,331 1 5 278 * $14.27 ** 20 *** $19,807
Technician Interview (via SSI 7,226 1 5 602 * 14.27 ** 20 *** 42,967
Systems or CCE)....................
SSA-4178 (Upload Documents)......... 426 1 5 36 * 14.27 N/A *** 514
-------------------------------------------------------------------------------------------------------------------
Totals.......................... 10,983 .............. .............. 916 .............. ................ *** 63,288
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average disability payments ($14.27) based on SSA's current FY 2026 data (Effect of COLA on Average Social Security Benefits).
** We based this figure on the average October 2026 wait time for field offices (20 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 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.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Method of completion Number of Frequency of per response total annual hourly cost opportunity cost
respondents response (minutes) burden (hours) amount (dollars) (dollars) **
*
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-L4112..................................... 27,304 1 20 9,101 * 33.54 ** $305,248
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average U.S. citizen's hourly salary ($33.54), 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. 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 parents, guardians, or individuals who know the child
well and observe their daily life and symptoms 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 parents, guardians, or individuals who know a child SSI
applicant or recipient well.
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 cost
respondents response (minutes) burden (hours) amount office (minutes) (dollars) ***
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3371..................... 1,500 1 15 375 * $23.91 ** 20 *** $20,921
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
** We based this figure on the average October 2026 wait time for field offices (20 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 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.
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
[[Page 68216]]
number. Per 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 that before SSA disseminates this
information, the requestor must first submit a written request with
identifying information to SSA. The respondents are Social Security
number holders who are requesting information about that pension plan
from SSA.
Type of Request: Revision of an OMB approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average Total annual
Method of completion Number of Frequency of per response total annual hourly cost teleservice opportunity
respondents response (minutes) burden (hours) amount answer time cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Requests for Pension Plan 178 1 30 89 * $33.54 ** 1 *** $3,086
Information.....................
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average U.S. citizen's hourly salary ($33.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this figure on the October 2026 answer times for the 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 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 (WIPA) Star
System, SSA-4565, and SSA-4566--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) through the WIPA Star System. 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. CWICs use Form SSA-4566 (WIPA Notes) to create a case
note to record actions taken for a beneficiary. In addition, CWIC
mangers use Form SSA-451 (WIPA Manager Report) to complete and submit a
quarterly report to SSA. The CWICs primarily use 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; (3)
collect additional information not collected on Forms SSA-4565 and SSA-
4566 which allows SSA to monitor WIPA grantee's performance and
progress; and (4) allow the CWIC mangers to complete and submit the
SSA-451 quarterly report to SSA. The respondents are SSDI
beneficiaries, SSI recipients, community project sites, and community
work incentives coordinators.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Total annual
Average Estimated theoretical Average opportunity
Method of completion Number of Frequency of Number of burden per total annual hourly cost teleservice cost
respondents response responses response burden (hours) amount answer time (dollars)
(minutes) (dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4565 (Fields 1-20--SSI & SSDI 15,810 1 15,810 8 2,108 * $14.27 ** 1 *** $33,848
Beneficiaries).......................
SSA-4565 (Fields 21-63--SSI & SSDI \+\ 1 1 1 1 0 * 1 N/A *** 1
Beneficiaries by phone)..............
SSA-4566 (WIPA staff)................. \+\ 1 1 1 1 0 * 1 N/A *** 1
-----------------------------------------------------------------------------------------------------------------
Totals............................ 15.812 ............ 15,812 ............ 2,110 ............ ............ *** 33,850
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WIPA STAR System
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Average Total annual
Average Estimated theoretical wait time opportunity
Method of completion Number of Frequency Number of burden per total annual hourly cost teleservice cost
respondents of response responses response burden (hours) amount centers (dollars)
(minutes) (dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
WIPA referral (SSI & SSDI 5,190 1 5,190 8 692 * $14.27 N/A *** $9,875
beneficiaries).......................
WIPA referral data input collected 310 51 15,810 5 1,318 * 35.23 N/A *** 46,433
using the SSA-4565 (WIPA staff)......
WIPA intake (SSI & SSDI beneficiaries) 21,000 1 21,000 17 5,950 * 14.27 N/A *** 84,907
WIPA case notes (WIPA staff).......... 310 430 133,300 2 4,443 * 35.23 N/A *** 156,527
Task management (WIPA staff).......... 310 134 41,540 1 692 * 35.23 N/A *** 24,379
Service management (WIPA staff)....... 310 381 118,110 1 1,969 * 35.23 N/A *** 69,368
SSA-451--Quarterly Report (WIPA 73 4 292 60 292 * 42.73 N/A *** 12,477
managers)............................
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Totals............................ 27,503 ............ 335,242 ............ 15.356 ............ ............ *** 403,966
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[[Page 68217]]
Grand Totals.................. 43,315 ............ 351,054 ............ 17,464 ............ ............ *** 441,569
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\+\ We are placing a place holder for paper Forms SSA-4565 (Fields 21-63-SSI & SSDI Beneficiaries) and SSA-4566, as SSA only uses the paper versions of
these forms 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.
* 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), the Health Education Specialist ($35.23) and Social Community Service Managers ($42.73), as reported by Bureau of Labor Statistics data
(Occupational Employment and Wage Statistics).
** We based this figure on the October 2026 answer times for the 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 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. 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 Average time in field
Number of Frequency of burden per Estimated theoretical office or for Total annual
Method of completion respondents response 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 N/A *** $41,215,528
Non-Electronic Services (FO, 800#)... 3,402,371 1 9 510,356 * 33.54 ** 11 *** $38,038,519
------------------------------------------------------------------------------------------------------------------
Totals........................... 8,010,548 .............. .............. 1,739,203 .............. .............. *** 79,254,047
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average U.S. citizen's hourly salary ($33.54), as reported by Bureau of Labor Statistics data (Occupational Employment and
Wage Statistics).
** We based this 11-minute figure on average October 2026 wait times (specifically, the arithmetic mean of a 20-minute field-office wait time and a 1-
minute wait time for a call to be picked up automatically by our systems and then routed to an SSA technician. Both the 20-minute and 1-minute figures
are themselves averages captured by management information data and posted on our public-facing website, Social Security performance [verbar] SSA. 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 the list of current contractors. 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.
[[Page 68218]]
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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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-731........................................... 300 1 20 100 * 33.54 ** $3,354
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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).
** 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. 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. SSA is in
a cooperative agreement with the State of Georgia's Criminal Justice
Coordinating Council (CJCC) to conduct an intervention and evaluation
of the Supplemental Security Income (SSI) and Social Security
Disability Insurance (SSDI) Outreach, Access, and Recovery (SOAR) model
in county jails with inmates with serious and persistent mental illness
(SPMI) across the state. In addition to SSA, CJCC partnered with: (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. Therefore, the
ability for inmates with SPMI to receive SSI/SSDI and attendant
insurance benefits may help them obtain treatment and thus help to
mitigate their criminal tendencies. 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 the 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?
To date, 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 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 Average Total annual
Number of Frequency of burden per Estimated theoretical opportunity
Method of completion respondents response response total annual cost amount cost (dollars)
(minutes) burden (hours) (dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Initial Enrollment Survey (Paper)....................... \+\ 10 1 19 3 * $ 14.27 ** $43
Informed Consent (Paper)................................ \+\ 10 1 10 2 * 14.27 ** 28
Follow-up Survey (Internet or Telephone)................ \+\ 60 1 23 23 * 14.27 ** 328
-----------------------------------------------------------------------------------------------
Totals.............................................. \+\ 80 .............. .............. 51 .............. ** 399
--------------------------------------------------------------------------------------------------------------------------------------------------------
\+\ These figures reflect the remaining respondents for these information collections from the total respondents who are taking part in this
intervention.
* We based this figure on 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.
Mark Steffensen,
General Counsel, Chief of Law, Policy and Legislative Affairs, Social
Security Administration.
[FR Doc. 2026-22073 Filed 10-28-26; 8:45 am]
BILLING CODE 4191-02-P
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</html>Indexed from Federal Register on October 29, 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.