[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7446-7451]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01886]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0001]
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 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.
Comments: https://www.reginfo.gov/public/do/PRAMain. Submit your
comments online referencing Docket ID Number [SSA-2021-0001].
(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 https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-
2021-0001].
I. The information collection below is pending at SSA. SSA will
submit it 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
March 29, 2021. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Modified Benefit Formula Questionnaire--Foreign Pension--0960-
0561. The Social Security Administration (SSA) applies the Windfall
Elimination Provision, a modified benefit formula used to compute U.S.
Social Security benefits for people entitled to both Social Security
and a pension or annuity based on employment after 1956 not covered by
U.S. Social Security, (i.e., a ``non-covered pension''). A non-covered
[[Page 7447]]
pension is a pension paid by an employer that does not withhold Social
Security taxes from the employee's salaries; these are typically state
and local governments or foreign country employers. SSA uses the
information collected on Form SSA-308 to determine exactly how much (if
any) of a foreign pension we may use to reduce the amount of Title II
Social Security retirement or disability benefits under the modified
benefit formula. Respondents complete Form SSA-308 during the initial
claims process if they indicate they will receive a foreign pension. A
claimant who later receives a foreign pension must notify SSA and
complete the SSA-308 again. The respondents are applicants for Title II
benefits who are first eligible for a foreign pension after 1985, and
who are entitled, or will be entitled, to a foreign pension based on an
application filed with the appropriate foreign agency or employer.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-308................................. 2,426 1 10 404 $18.23 * 24 *** $25,048
Greenberg Cases......................... 283 1 60 283 18.23 * 24 *** 7,223
---------------------------------------------------------------------------------------------------------------
Totals.............................. 2,709 .............. .............. 687 .............. .............. *** 32,271
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on averaging both the average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information 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 March 1, 2021. Individuals can obtain copies of
these OMB clearance packages by writing to
[email protected].
1. Partnership Questionnaire--20 CFR 404.1080-404.1082--0960-0025.
SSA considers partnership income in determining entitlement to Social
Security benefits. SSA uses information from Form SSA-7104 to determine
several aspects of eligibility for benefits, including the accuracy of
reported partnership earnings; the veracity of a retirement; and lag
earnings where SSA needs this information to determine the status of
the insured. The respondents are applicants for, and recipients of,
Title II Social Security benefits who are reporting partnership
earnings.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-7104 (submission via mail).......... 6,175 1 30 3,088 * $25.72 .............. *** $79,423
SSA-7104 (completed in or brought to a 6,175 1 30 3,088 * 25.72 ** 24 *** 142,951
field office)..........................
---------------------------------------------------------------------------------------------------------------
Totals.............................. 12,350 .............. .............. 6,176 .............. .............. *** 222,374
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information 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. Statement of Marital Relationship (By one of the parties)--20
CFR 404.726--0960-0038. SSA must obtain a signed statement from a
spousal applicant if the applicant claims a common-law marriage to the
insured in a state in which such marriages are recognized, and no
formal marriage documentation exists. SSA uses information we collect
on Form SSA-754 to determine if an individual applying for spousal
benefits meets the criteria of common-law marriage under state law. The
respondents are applicants for spouse's Social Security benefits or
Supplemental Security Income (SSI) payments.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-754.......................... 30,000 1 30 15,000 * $25.72 ** 24 *** $694,440
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information 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 7448]]
3. Application for Search of Census Records for Proof of Age--20
CFR 404.716--0960-0097. When preferred evidence of age is not
available, or the available evidence is not convincing, SSA may ask the
U.S. Department of Commerce, Bureau of the Census, to search its
records to establish a claimant's date of birth. SSA collects
information from claimants using Form SSA-1535 to provide the Census
Bureau with sufficient identification information to allow an accurate
search of census records. Additionally, the Census Bureau uses a
completed, signed SSA-1535 to bill SSA for the search. The respondents
are applicants for Social Security benefits who need to establish their
date of birth as a factor of entitlement.
This is a correction notice: SSA published the incorrect burden
information for this collection at 85 FR 76142, on 11/27/2020. We are
correcting this error here.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1535......................... 15 1 12 3 * $25.72 ** 24 *** $231
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information 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. Workers' Compensation/Public Disability Questionnaire--20 CFR
404.408--0960-0247. Section 224 of the Social Security Act (Act)
provides for the reduction of disability insurance benefits (DIB) when
the combination of DIB and any workers' compensation (WC) or certain
Federal, State or local public disability benefits (PDB) exceeds 80
percent of the worker's pre-disability earnings. SSA field office staff
conduct in-person interviews with applicants using the electronic SSA-
546 WC/PDB screens in the Modernized Claims System (MCS) to determine
if the worker's receipt of WC or PDB payments will cause a reduction of
DIB. The respondents are applicants for the Title II DIB.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-546 (MCS Screens)............ 248,000 1 15 62,000 $10.73 ** 24 *** $1,729,676
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information 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. Supplemental Security Income (SSI) Claim Information Notice--20
CFR 416.210--0960-0324. Section 1611(e)(2) of the Act requires
individuals to file for and obtain all payments (annuities, pensions,
disability benefits, veteran's compensation, etc.) for which they are
eligible before qualifying for SSI payments. Individuals do not qualify
for SSI if they do not first apply for all other benefits. SSA uses the
information on Form SSA-L8050 to verify and establish a claimant's or
recipient's eligibility under the SSI program. Respondents are SSI
applicants or recipients who may be eligible for other payments from
public or private programs.
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-L8050......................................... 17,044 1 10 2,841 * $10.73 ** $30,484
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** 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.
6. Medical Source Statement of Ability To Do Work Related
Activities (Physical and Mental)--20 CFR 404.1512-404.1513, 416.912-
416.913, 404.1517, and 416.917--0960-0662. When a claimant appeals a
denied disability claim, SSA may ask the claimant to have a
consultative examination at the agency's expense, if the claimant's
medical sources cannot, or will not, give the agency sufficient
evidence to determine whether the claimant is disabled. The medical
providers who perform these consultative examinations provide a
statement about the claimant's state of disability. Specifically, these
medical source statements determine the work-related capabilities of
these claimants. SSA collects the medical data on the HA-1151 and HA-
1152 to assess the work-related physical and mental capabilities of
claimants who appeal SSA's previous determination on their issue of
disability. The respondents are medical sources who provide reports
based either on existing medical evidence or on consultative
examinations.
[[Page 7449]]
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-1151................................................. 5,000 30 15 37,500 * $40.21 ** $1,507,875
HA-1152................................................. 5,000 30 15 37,500 * 40.21 ** 1,507,875
-----------------------------------------------------------------------------------------------
Totals.............................................. 10,000 .............. .............. 75,000 .............. ** 3,015,750
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average medical professionals' salaries, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes290000.htm).
** 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. Objection to Appearing by Video Teleconferencing;
Acknowledgement of Receipt (Notice of Hearing); Waiver of Written
Notice of Hearing--20 CFR 404.935, 404.936; 404.938, 404.939, 416.1435,
416.1436, 416.1438, & 416.1439--0960-0671. SSA uses the information we
obtain on Forms HA-55, HA-504, HA-504-OP1, HA-510, and HA-510-OP1 to
manage the means by which we conduct hearings before an administrative
law judge (ALJ), and the scheduling of hearings with an ALJ. We use the
HA-55, Objection to Appearing by Video Teleconferencing, and its
accompanying cover letter, HA-L2, to allow claimants to opt-out of an
appearance via video teleconferencing (VTC) for their hearing with an
ALJ. The HA-L2 explains the good cause stipulation for opting out of
VTC if the claimant misses the window to submit the HA-55, and for
verifying a new residence address if the claimant moved since
submitting their initial hearing request. SSA uses the HA-504 and HA-
504-OP1, Acknowledgement of Receipt (Notice of Hearing), and
accompanying cover letter, HA-L83, to: (1) Acknowledge the claimants
will appear for their hearing with an ALJ; (2) establish the time and
place of the hearing; and (3) remind claimants to gather evidence in
support of their claims. The only difference between the two versions
of the HA-504 is the language used for the selection check boxes as
determined by the type of appearance for the hearing (in-person, phone
teleconference, or VTC). In addition, the cover letter, HA-L83,
explains: (1) The claimants' need to notify SSA of their wish to object
to the time and place set for the hearing; (2) the good cause
stipulation for missing the deadline for objecting to the time and
place of the hearing; and (3) how the claimants can submit, in writing,
any additional evidence they would like the ALJ to consider, or any
objections they have on their claims. The HA-510 and HA-510-OP1, Waiver
of Written Notice of Hearing, allow the claimants to waive their right
to receive the Notice of Hearing as specified in the HA-L83. We
typically use these forms when there is a last minute available opening
on an ALJ's schedule, so the claimants can fill in the available time
slot. If the claimants agree to fill the time slot, we ask them to
waive their right to receive the Notice of Hearing. We use the HA-510-
OP1 at the beginning of our process for representatives and claimants
who wish to waive the 20-day (for amended or continued hearing notices)
or 75-day (for all other hearing notices) requirement earlier in the
process, and the HA-510 later in the process for those representatives
and claimants who want the full 20 or 75 days before the scheduled
hearing. The respondents are applicants for Social Security disability
payments who request a hearing to appeal an unfavorable entitlement or
eligibility determination or their representative payees.
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-504+ HA-504-OP1 HA-504-OP2.......................... 900,000 1 30 450,000 * $18.22 ** $8,199,000
HA-L83--404.936(e); 416.1436(e)........................ 900,000 1 30 450,000 * 18.22 ** 8,199,000
HA-L83--Good cause for missing deadline--404.936(e)(1); 5,000 1 5 417 * 18.22 ** 7,598
416.1436(e)(1)........................................
HA-L83--Objection stating issues in notice are 45,000 1 5 3,750 * 18.22 ** 68,325
incorrect--sent 5 days prior to hearing 404.939;
416.1439..............................................
HA-55--404.936; 404.938; 416.1436; 416.1438............ 850,000 1 5 70,833 * 18.22 ** 1,290,577
HA-L2--Verification of New Residence 404.936(c)(1); 45,000 1 5 3,750 * 18.22 ** 68,325
416.1436(d)(1)........................................
HA-L2--Notification of objection to video 13,500 1 10 2,250 * 18.22 ** 40,995
teleconference more than 30-days after receipt of
notice showing good cause 404.936(c)(2);
416.1436(d)(2)........................................
HA-510; HA-510-OP1--404.938(a); 416.1438(a)............ 4,000 1 2 133 * 18.22 ** 2,423
------------------------------------------------------------------------------------------------
Totals............................................. 2,762,500 .............. .............. 981,133 .............. ** 17,876,243
--------------------------------------------------------------------------------------------------------------------------------------------------------
+ Due to the COVID-19 pandemic, we are currently not conducting hearings in person with administrative law judges. We are holding all hearings with the
administrative law judges by telephone and online video while offices remain closed to walk-in traffic. We are using different versions of the HA-504
depending on the format of the hearing (HA-504 is used for in-person/traditional VTC, HA-504-OP1 is used for phone, HA-504-OP2 is used for online
video). At this time, we are unable to provide an accurate breakdown of their usages individually until offices reopen. The combined total for all of
the versions is a good estimate.
[[Page 7450]]
Public Reporting Burdens for the Temporary COVID-19 Enhanced Outreach
(CEO)
We estimate a total universe of approximately 560,000 respondents
for the COVID-19 Enhanced Outreach (CEO) project. This number
represents 280,000 cases in ``Ready to Schedule'' (RTS) and
``Scheduled'' (SCHD) statuses with attorney or non-attorney
representatives, plus a courtesy copy to the claimant. We will also
conduct a follow-up call for cases without a returned form. We expect
25% or less will be non-responsive. The numbers on this chart reflect
our estimates for this outreach project:
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
CEO Letter and Form Mailed to Representative........... 280,000 1 10 46,667 * $25.72 ** $1,200,275
Courtesy Copy of CEO Letter to Claimant................ 280,000 No response 2 9,333 * 25.72 ** 240,045
required
CEO Follow up Call with Representative--no form 70,000 1 5 5,833 * 25.72 ** 150,025
returned (non-responsive).............................
------------------------------------------------------------------------------------------------
Totals............................................. 630,000 .............. .............. 61,833 .............. ** 1,590,345
------------------------------------------------------------------------------------------------
Grand Total.................................... 3,392,500 .............. .............. 1,042,966 .............. ** 19,466,588
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average DI hourly wages for single students based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), and on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm), as well as a combination of those two figures (for the paper form, as we do not collect data on whether the paper forms are filled out
by individuals or representatives or both).
** 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. Medicare Subsidy Quality Review Forms--20 CFR 418.3125(b)(5)--
0960-0707. The Medicare Modernization Act of 2003 mandated the creation
of the Medicare Part D prescription drug coverage program and provides
certain subsidies for eligible Medicare beneficiaries to help pay for
the cost of prescription drugs. As part of the stewardship duties of
the Medicare Part D subsidy program, SSA conducts periodic quality
reviews of the information Medicare beneficiaries report on their
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality
Review program to conduct these checks. The respondents are applicants
for the Medicare Part D subsidy whom SSA chose to undergo a quality
review.
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-9301 (Medicare Subsidy Quality Review Case Analysis 3,500 1 30 1,750 * $25.72 ** $45,010
Form...................................................
SSA-9302 (Notice of Quality Review Acknowledgment Form 3,500 1 15 875 * 25.72 ** 22,505
for those with Phones).................................
SSA-9303 (Notice of Quality Review Acknowledgment Form 350 1 15 88 * 25.72 ** 2,263
for those without Phones)..............................
SSA-9308 (Request for Information)...................... 7,000 1 15 1,750 * 25.72 ** 45,010
SSA-9310 (Request for Documents)........................ 3,500 1 5 292 * 25.72 ** 7,510
SSA-9311 (Notice of Appointment--Denial--Reviewer Will 450 1 15 113 * 25.72 ** 2,906
Call)..................................................
SSA-9312 (Notice of Appointment--Denial--Please Call 50 1 15 13 * 25.72 ** 334
Reviewer)..............................................
SSA-9313 (Notice of Quality Review acknowledgment Form 2,500 1 15 625 * 25.72 ** 16,075
for those with Phones).................................
SSA-9314 (Notice of Quality Review acknowledgement Form 500 1 15 125 * 25.72 ** 3,215
for those without Phones)..............................
-----------------------------------------------------------------------------------------------
Total............................................... 21,350 .............. .............. 5,631 .............. ** 144,828
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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. Application to Collect a Fee for Payee Services--20 CFR
404.2040a & 416.640a--0960-0719. Sections 205(j) and 1631(a) of the Act
allow SSA to authorize certain organizational representative payees to
collect a fee for providing payee services. Before an organization may
collect this fee, they complete and submit Form SSA-445. SSA uses the
information to determine whether to authorize or deny permission to
collect fees for payee services. The respondents are private sector
businesses, or State and local government offices, applying to become a
fee-for-service organizational representative payee.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 7451]]
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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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Private sector business................................. 90 1 13 20 * $15.37 ** $307
State/local government offices.......................... 10 1 10 2 * 15.07 ** 30
-----------------------------------------------------------------------------------------------
Totals.............................................. 100 .............. .............. 22 .............. ** 337
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Personal Care and Service Occupations hourly wages (https://www.bls.gov/oes/current/oes390000.htm), 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.
10. Certification of Low Birth Weight for SSI Eligibility--20 CFR
416.924, 416.926, and 416.931--0960-0720. Hospitals and claimants use
Form SSA-3380 to provide medical information to local field offices
(FO) and the Disability Determination Services (DDS) on behalf of
infants with low birth weight. FOs use the form as a protective filing
statement and the medical information to make presumptive disability
findings, which allow expedited payment to eligible claimants. DDSs use
the medical information to determine disability and continuing
disability. The respondents are hospitals and claimants who have
information identifying low birth weight babies and their medical
conditions.
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 cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3380......................................... 28,125 1 15 7,031 * $61.97 ** $435,711
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging the average U.S. worker's (https://www.bls.gov/oes/current/oes_nat.htm) and General Medical Hospital employee's
hourly wages (https://www.bls.gov/oes/current/oes291215.htm), 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.
11. Electronic Records Express (Third Parties)--20 CFR 404.1700-
404.1715--0960-0767. Electronic Records Express (ERE) is an online
system which enables medical providers and various third party
representatives to electronically access clients' disability files
online and submit disability claimant information electronically to SSA
as part of the disability application process. To ensure only
authorized people access ERE, SSA requires third parties to complete a
unique registration process if they wish to use this system. This
information collection request (ICR) includes the third-party
registration process; the burden for submitting evidence to SSA is part
of other ICRs. The respondents are representatives of disability
applicants who want to use ERE to electronically access clients'
disability files online and submit information to SSA.
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 cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
ERE Third-Party.................................. 37,314 81 1 50,374 * $59.11 ** $2,977,607
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures on average Lawyer's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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: January 25, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-01886 Filed 1-27-21; 8:45 am]
BILLING CODE 4191-02-P