[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.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            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
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            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
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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............................................
                                                         -----------------------------------------------------------------------------------------------
    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]]



--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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
                                                         -----------------------------------------------------------------------------------------------
    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.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
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.............................................
                                                         -----------------------------------------------------------------------------------------------
    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]]



--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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
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* 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) *           **
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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