[Federal Register Volume 84, Number 179 (Monday, September 16, 2019)]
[Notices]
[Pages 48694-48701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-19910]
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SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2019-0040]
Agency Information Collection Activities: Proposed Request and
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, extensions, and corrections 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,
Fax: 202-395-6974, Email address: [email protected]
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2019-0040].
I. The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
November 12, 2019. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Incorporation by Reference of Oral Findings of Fact and
Rationale in Wholly Favorable Written Decisions (Bench Decision
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an
administrative law judge (ALJ) makes a wholly favorable oral decision,
including all the findings and rationale for the decision for a
claimant of Title II or Title XVI payments, at an administrative
appeals hearing, the ALJ sends a Notice of Decision (Form HA-82), as
the records from the oral hearing preclude the need for a written
decision. We call this the incorporation-by-reference process. In
addition, the regulations for this process state that if the involved
parties want a record of the oral decision, they may submit a written
request for these records. SSA collects identifying information under
the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of
Federal Regulations to determine how to send interested individuals
written records of a favorable incorporation-by-reference oral decision
made at an administrative review hearing. Since there is no prescribed
form to request a written record of the decision, the involved parties
send SSA their contact information and reference the hearing for which
they would like a record. The respondents are applicants for Disability
Insurance Benefits and SSI payments, or
[[Page 48695]]
their representatives, to whom SSA gave a wholly favorable oral
decision under the regulations cited above.
Type of Request: Extension of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-82............................................. 2,500 1 5 208 * $10.22 ** $2,126
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* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Request for Waiver of Special Veterans Benefits (SVB)
Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900-
408.950--0960-0698. Title VIII of the Act requires SSA to pay a monthly
benefit to qualified World War II veterans who reside outside the
United States. When an overpayment in this SVB occurs, the beneficiary
can request a waiver of recovery of the overpayment or a change in the
repayment rate. SSA uses the SSA-2032-BK to obtain the information
necessary to establish whether the claimant meets the waiver of
recovery provisions of the overpayment, and to determine the repayment
rate if we do not waive repayment. Respondents are SVB beneficiaries
who have overpayments on their Title VIII record and wish to file a
claim for waiver of recovery or change in repayment rate.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2032-BK....................................... 134 1 120 268 * $7.67 ** $2,056
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* We based this figure on average SVB payments, as per SSA's data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Protection and Advocacy for Beneficiaries of Social Security
(PABSS)--20 CFR 435.51-435.52--0960-0768. The PABSS projects are part
of Social Security's strategy to increase the number of SSDI or SSI
recipients who return to work and achieve financial independence and
self-sufficiency as the result of receiving support, representation,
advocacy, or other services. PABSS provides: (1) Information and advice
about obtaining vocational rehabilitation and employment services; and
(2) advocacy or other services a beneficiary with a disability may need
to secure, maintain, or regain gainful employment. The PABSS Annual
Program Performance Report collects statistical information from each
of the PABSS projects in an effort to manage and capture program
performance and quantitative data. Social Security uses the information
to evaluate the efficiency of the program, and to ensure beneficiaries
are receiving quality services. The project data is valuable to Social
Security in its analysis of and future planning for the SSDI and SSI
programs. The respondents are the 57 PABSS project sites, and
recipients of SSDI and SSI programs.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
PABSS Program Grantees.................................. 57 1 60 57 * 42.66 ** $2,432
Beneficiaries........................................... 8,284 1 30 4,142 * $10.22 ** 42,331
-----------------------------------------------------------------------------------------------
Totals.............................................. 8,341 .............. .............. 4,199 .............. ** 44,763
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Computer Systems Analyst hourly salary, as reported by Bureau of Labor Statistics data, and average DI payments, as
reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
4. Methods for Conducting Personal Conferences When Waiver of
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a
waiver of recovery of a Title II or Title XVI overpayment. The Act and
our regulatory citations require SSA to give overpaid Social Security
beneficiaries
[[Page 48696]]
and SSI recipients the right to request a waiver of recovery and
automatically schedule a personal conference if we cannot approve their
request for waiver of overpayment. We conduct these conferences face-
to-face, via telephone, or through video teleconferences. Social
Security beneficiaries and SSI recipients, or their representatives,
may provide documents to demonstrate they are without fault in causing
the overpayment and do not have the ability to repay the debt. They may
submit these documents by completing Form SSA-632, Request for Waiver
of Overpayment Recovery (OMB No. 0960-0037); Form SSA-795, Statement of
Claimant or Other Person (OMB No. 0960-0045); or through a personal
statement submitted by mail, telephone, personal contact, or other
suitable method, such as fax or email. This information collection
satisfies the requirements for request for waiver of recovery of an
overpayment, and allows individuals to pursue further levels of
administrative appeal via personal conference. Respondents are Social
Security beneficiaries and SSI recipients or their representatives
seeking reconsideration of an SSA waiver decision.
Type of Request: Revision on an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Title II, Personal Conference, 404.506(e)(3) and 404- 30,271 1 45 22,703 * $22.50 ** $510,818
506(f)(8): Submittal of documents, additional
mitigating financial information, and verifications for
consideration at personal conferences..................
-----------------------------------------------------------------------------------------------
Title XVI, Personal Conference, 416.557(c)(3) and 416- 51,192 1 45 38,394 * $10.22 ** $392,378
557(d)(8): Submittal of documents, additional
mitigating financial information, and verifications at
personal conferences...................................
Totals.................................................. 81,463 .............. .............. 61,097 .............. ** 903,205
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* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data; and and average DI payments, as
reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than October 15, 2019. Individuals can obtain copies of
the OMB clearance packages by writing to [email protected].
1. Application for Child's Insurance Benefits--20 CFR 404.350-
404.368, 404.603, & 416.350--0960-0010. Title II of the Act provides
for the payment of monthly benefits to children of an insured retired,
disabled, or deceased worker. Section 202(d) of the Act discloses the
conditions and requirements the applicant must meet when filing an
application. SSA uses the information on Form SSA-4-BK to determine
entitlement for children of living and deceased workers to monthly
Social Security payments. Respondents are guardians completing the form
on behalf of the children of living or deceased workers, or the
children of living or deceased workers.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden amount cost
(hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Application for Child's Insurance Benefits/Death Claim/ 1,204 1 12 241 * $22.50 ** $27,090
Paper SSA-4-BK.........................................
Application for Child's Insurance Benefits/Death Claim/ 204,777 1 11 37,542 * 22.50 ** 4,607,482
Modernized Claims System (MCS) and Preliminary Claims
System (PCS)...........................................
Application for Child's Insurance Benefits/Life Claim/ 3,484 1 12 697 * 22.50 ** 78,390
Paper..................................................
SSA-4-BK................................................
Application for Child's Insurance Benefits/Life Claim/ 422,267 1 11 77,416 * 22.50 ** 9,501,007
MCS and PCS............................................
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Totals.............................................. 631,732 .............. .............. 115,896 .............. ** 14,213,969
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
[[Page 48697]]
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269.
When SSA denies applicants', claimants', or beneficiaries' requests for
new or continuing disability benefits or payments, the Act entitles
those applicants, claimants, or beneficiaries to request a hearing to
appeal the decision. To request a hearing, individuals complete Form
HA-501; the associated Modernized Claims System (MCS) or SSI Claims
System interview; or the internet application (i501). SSA uses the
information to determine if the individual: (1) Filed the request
within the prescribed time; (2) is the proper party; and (3) took the
steps necessary to obtain the right to a hearing. SSA also uses the
information to determine: (1) The individual's reason(s) for
disagreeing with SSA's prior determinations in the case; (2) if the
individual has additional evidence to submit; (3) if the individual
wants an oral hearing or a decision on the record; and (4) whether the
individual has (or wants to appoint) a representative. The respondents
are Social Security disability applicants and recipients who want to
appeal SSA's denial of their request for new or continued benefits for
disability and non-medical hearing requests; and Medicare Part B
recipients who must pay the Medicare Part B Income-Related Monthly
Adjustment Amount.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-501; MCS; SSI Claims System.......................... 10,325 1 10 1,721 * $10.22 ** $17,589
i501 (Internet iAppeals)................................ 653,318 1 5 54,443 * 10.22 ** 556,407
-----------------------------------------------------------------------------------------------
Totals.............................................. 663,643 .............. .............. 56,164 .............. ** 573,996
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Travel Expense Reimbursement--20 CFR 404.999(d) and 416.1499--
0960-0434. The Act provides for travel expense reimbursement from
Federal and State agencies for claimant travel incidental to medical
examinations, and to parties, their representatives, and all reasonably
necessary witnesses for travel exceeding 75 miles to attend medical
examinations, reconsideration interviews, and proceedings before an
administrative law judge. Reimbursement procedures require the claimant
to provide: (1) A list of expenses incurred, and (2) receipts of such
expenses. Federal and state personnel review the listings and receipts
to verify the reimbursable amount to the requestor. The respondents are
claimants for Title II benefits and Title XVI payments, their
representatives and witnesses.
Correction Notice: SSA published the incorrect burden information
for this collection at 84 FR 31972, on 7/3/19. We are correcting this
error here.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.99(d) & 416.1499.................................... 60,000 1 10 10,000 * $10.22 ** $613,200
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
4. Certificate of Coverage Request--20 CFR 404.1913--0960-0554. The
United States (U.S.) has agreements with 30 foreign countries to
eliminate double Social Security coverage and taxation where, except
for the provisions of the agreement, a worker would be subject to
coverage and taxes in both countries. These agreements contain rules
for determining the country under whose laws the worker's period of
employment is covered, and to which country the worker will pay taxes.
The agreements further dictate that, upon the request of the worker or
employer, the country under whose system the period of work is covered
will issue a certificate of coverage. The certificate serves as proof
of exemption from coverage and taxation under the system of the other
country. The information we collect assists us in determining a
worker's coverage and in issuing a U.S. certificate of coverage as
appropriate. Per our agreements, we ask a set number of questions to
the workers and employers prior to issuing a certificate of coverage;
however, our agreements with Denmark, Netherlands, Norway, and Sweden
require us to ask more questions in those countries. Respondents are
workers and employers wishing to establish exemption from foreign
Social Security taxes.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 48698]]
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Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Requests via Letter--Individuals (minus Denmark, 5,833 1 40 3,889 * $22.50 ** $87,503
Netherlands, Norway, Poland & Sweden)..................
Requests via Internet--Individuals (minus Denmark, 9,761 1 40 6,507 * 22.50 ** 146,408
Netherlands, Norway, Poland & Sweden)..................
Requests via Letter--Individuals in Denmark, 284 1 44 208 * 22.50 ** 4,680
Netherlands, Norway, & Sweden..........................
Requests via Letter--Individuals in Poland.............. 16 1 41 11 * 22.50 ** 248
Requests via Internet--Individuals in Denmark, 427 1 44 313 * 22.50 ** 7,043
Netherlands, Norway, & Sweden..........................
Requests via Internet--Individuals in Poland............ 25 1 41 17 * 22.50 ** 383
Requests via Letter--Employers (minus Denmark, 26,047 1 40 17,365 * 22.50 ** 390,713
Netherlands, Norway, Poland & Sweden)..................
Requests via Internet--Employers (minus Denmark, 39,096 1 40 26,064 * 22.50 ** 586,440
Netherlands, Norway, Poland, & Sweden).................
Requests via Letter--Employers in Denmark, Netherlands, 1,137 1 44 834 * 22.50 ** 18,765
Norway, & Sweden.......................................
Requests via Letter--Employers in Poland................ 57 1 41 39 * 22.50 ** 878
Requests via Internet--Employers in Denmark, 1,704 1 44 1,250 * 22.50 ** 28,125
Netherlands, Norway, & Sweden..........................
Requests via Internet--Employers in Poland.............. 86 1 41 59 * 22.50 ** 1,328
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Totals.............................................. 84,473 .............. .............. 56,556 .............. ** 1,272,514
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566. SSA
established methods for the public to: (1) Access their SSA records;
(2) allow SSA to disclose records; (3) correct or amend their SSA
records; (4) consent for release of their records; (5) request records
under the Freedom of Information Act (FOIA); and (6) request access to
an extract of their SSN record. SSA often collects the necessary
information for these requests through a written letter, with the
exception of the consent for release of records, for which we use Form
SSA-3288. The respondents are individuals requesting access to,
correction of, or disclosure of SSA records.
Correction Notice: SSA published this information collection as an
extension on July 3, 2019 at 84 FR 3197. Since we are revising the
Privacy Act Statement, this is now a revision of an OMB-approved
information collection.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
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Access to Records....................................... 10,000 1 11 1,833 * $22.50 ** $41,243
Designating a Representative for Disclosure of Records.. 3,000 1 2 6,000 * 22.50 ** 135,000
Amendment of Records.................................... 100 1 10 17 * 22.50 ** 383
Consent of Release of Records........................... 3,000,760 1 3 150,038 * 22.50 ** 3,375,855
FOIA Requests for Records............................... 15,000 1 5 1,250 * 22.50 ** 28,125
Respondents who request access to an extract of their 10 1 8.5 1 * 22.50 ** 22.50
SSN record.............................................
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Totals.............................................. 3,028,870 .............. .............. 159,139 .............. ** 3,580,629
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
[[Page 48699]]
6. Disability Report--Child--20 CFR 416.912--0960-0577. Sections
223(d)(5)(A) and 1631(e)(1) of the Act require SSI claimants to furnish
medical and other evidence to prove they are disabled. SSA uses Form
SSA-3820 to collect various types of information about a child's
condition from treating sources or other medical sources of evidence.
The State Disability Determination Services evaluators use the
information from Form SSA-3820 to develop medical and school evidence,
and to assess the alleged disability. The information, together with
medical evidence, forms the evidentiary basis upon which SSA makes its
initial disability evaluation. The respondents are claimants seeking
SSI childhood disability payments.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3820................................................ 177,572 1 90 266,358 10.22 ** 1,814,786
EDCS.................................................... 1,000 1 120 2,000 10.22 ** 10,220
i3820................................................... 176,572 1 120 353,144 10.22 ** 1,804,566
-----------------------------------------------------------------------------------------------
Totals.............................................. 355,144 .............. .............. 621,502 .............. ** 3,629,572
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009, and 418.1325--0960-0622. The Act states those
individuals who are dissatisfied with the results of an initial
determination regarding their Title II disability; Tile XVI disability
(SSI); Title VIII (SVB); or Title XVIII (Medicare benefits), can
request a reconsideration hearing. Individuals use Form SSA-561-U2; the
associated MCS or SSI Claims System interview; or the internet
application (i561) to initiate a request for reconsideration of a
denied claim. SSA uses the information to document the request and to
determine an individual's eligibility or entitlement to Social Security
benefits (Title II); SSI payments (Title XVI); Special Veterans
Benefits (Title VIII); Medicare (Title XVIII); and for initial
determinations regarding Medicare Part B income-related premium subsidy
reductions. The respondents are applicants, claimants, beneficiaries,
or recipients filing for reconsideration of an initial determination.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-561 and Modernized Claims System (MCS).............. 330,370 1 8 40,049 * 10.22 ** 409,301
I561 (Internet iAppeals)................................ 1,161,300 1 5 96,775 * 10.22 ** 989,041
-----------------------------------------------------------------------------------------------
Totals.............................................. 1,461,670 .............. .............. 136,824 .............. ** 1,398,342
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
8. Request to Withdraw a Hearing Request; Request to Withdraw an
Appeals Council Request for Review; and Administrative Review Process
for Adjudicating Initial Disability Claims--20 CFR Parts 404, 405, and
416--0960-0710. Claimants have a statutory right under the Act and
current regulations to apply for SSDI benefits or SSI payments. SSA
collects information at each step of the administrative process to
adjudicate claims fairly and efficiently. SSA collects this information
to establish a claimant's right to administrative review, and determine
the severity of the claimant's alleged impairments. SSA uses the
information we collect to determine entitlement or continuing
eligibility to SSDI benefits or SSI payments, and to enable appeals of
these determinations. In addition, SSA collects information on Forms
HA-85 and HA-86 to allow claimants to withdraw a hearing request or an
Appeals Council review request. The respondents are applicants for
Title II SSDI or Title XVI SSI benefits; their appointed
representatives; legal advocates; medical sources; and schools.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 48700]]
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Average
Average burden Estimated theoretical Total annual
20 CFR section No. Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.961, 416.1461, 405.330, and 405.366................. 12,220 1 20 4,073 10.22 ** 41,626
404.950, 416.1450, and 405.332.......................... 1,040 1 20 347 10.22 ** 3,546
404.949 and 416.1449.................................... 2,868 1 60 2,868 10.22 ** 29,311
405.334................................................. 20 1 60 20 10.22 ** 204
404.957, 416.1457, and 405.380.......................... 21,041 1 10 3,507 10.22 ** 35,842
405.381................................................. 37 1 30 19 10.22 ** 194
405.401................................................. 5,310 1 10 885 10.22 ** 9,045
404.971 and 416.1471 (HA-85; HA-86)..................... 1,606 1 10 268 10.22 ** 2,739
404.982 and 416.1482.................................... 1,687 1 30 844 10.22 ** 8,626
404.987 & 404.988 and 416.1487 & 416.1488 and 405.601... 12,425 1 30 6,213 10.22 ** 63,497
404.1740(b)(1).......................................... 150 1 2 5 22.50 ** 113
416.1540(b)(1).......................................... 150 1 2 5 22.50 ** 113
404.1512, 404.1740(c)(4), 416.912, and 416.1540(c)(4)... 150 1 2 5 22.50 ** 113
405.372(c).............................................. 5,310 1 10 885 10.22 ** 9,045
405.1(b)(5) and 405.372(b).............................. 833 1 30 417 10.22 ** 4,262
405.505................................................. 833 1 30 417 10.22 ** 4,262
405.1(c)(2)............................................. 5,310 1 10 885 10.22 ** 9,045
405.20.................................................. 5,310 1 10 885 10.22 ** 9,045
-----------------------------------------------------------------------------------------------
Totals.............................................. 76,300 .............. .............. 22,548 .............. ** 230,628
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average DI payments, as reported in SSA's disability insurance payment data, and average U.S. citizen's hourly salary, as
reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
9. Request for Accommodation in Communication Method--0960-0777.
SSA allows disabled or impaired Social Security applicants,
beneficiaries, recipients, and representative payees to choose one of
seven alternative methods of communication they want SSA to use when we
send them benefit notices and other related communications. The seven
alternative methods we offer are: (1) Standard print notice by first-
class mail; (2) standard print mail with a follow-up telephone call;
(3) certified mail; (4) Braille; (5) Microsoft Word file on data CD;
(6) large print (18-point font); or (7) audio CD. However, respondents
who want to receive notices from SSA through a communication method
other than the seven methods listed above must explain their request to
us. Those respondents use Form SSA-9000 to: (1) Describe the type of
accommodation they want; (2) disclose their condition necessitating the
need for a different type of accommodation; and (3) explain why none of
the seven methods described above are sufficient for their needs. SSA
uses Form SSA-9000 to determine, based on applicable law and
regulation, whether to grant the respondents' requests for an
accommodation based on their impairment or disability. SSA collects
this information electronically through either an in-person interview
or a telephone interview during which the SSA employee keys in the
information on our iAccommodate Intranet screens. The respondents are
disabled or impaired Social Security applicants, beneficiaries,
recipients, and representative payees who ask SSA to send notices and
other communications in an alternative method besides the seven
modalities we currently offer.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
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SSA-9000/iAccommodate............................. 5,000 1 20 1,667 * $10.22 ** $51,100
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* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Report of Adult Functioning-Employer--20 CFR 404.1512 and
416.912--0960-0805. Section 205 (a), 223(d)(5)(A), 1631(d)(1), and
1631(e)(1) of the Act require claimants' applying for SSDI benefits or
SSI payments to provide SSA with medical and other evidence of their
disability. 20 CFR 404.1512 and 20 CFR 416.912 of the Code of Federal
Regulations provides detailed requirements of the types of evidence
SSDI beneficiaries and SSI claimants must provide showing how their
impairment(s) affect their ability to work (e.g., evidence of age,
education and training, work experience, daily activities, efforts to
work, and any other evidence). Past employers familiar with the
claimant's ability to perform work activities completes Form SSA-385-
BK, Report of Adult Functioning-Employer
[[Page 48701]]
to provide SSA with information about the employees day-to-day
functioning in the work setting. SSA and Disability Determination
Services use the information Form SSA-3385-BK collects as the basis to
determine eligibility or continued eligibility for disability benefits.
The respondents are claimants' past employers.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3385-BK....................................... 3,601 1 20 1,200 * $22.50 ** $27,000
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* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: September 9, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-19910 Filed 9-13-19; 8:45 am]
BILLING CODE 4191-02-P