[Federal Register Volume 90, Number 115 (Tuesday, June 17, 2025)]
[Notices]
[Pages 25734-25739]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-11123]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2025-0032]


Agency Information Collection Activities: Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance 
Director, Mail Stop 3253 Altmeyer, 6401 Security Blvd., Baltimore, MD 
21235, Fax: 833-410-1631, Email address: ssa.gov">OR.Reports.Clearance@ssa.gov

    Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAmain by clicking on Currently under 
Review--Open for Public Comments and choosing to click on one of SSA's 
published items. Please reference Docket ID Number [SSA-2025-0032] in 
your submitted response.
    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 July 17, 2025 Individuals can obtain copies of these 
OMB clearance packages by writing to the ssa.gov">OR.Reports.Clearance@ssa.gov.
    1. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When 
workers report they received wages from employers, but cannot provide 
proof of those earnings, and the wages do not appear in SSA's records 
of earnings, SSA uses Form SSA-7011-F4, Statement of Employer, to 
document the alleged wages. Specifically, the agency uses the form to 
resolve discrepancies in the individual's Social Security earnings 
record and to process claims for Social Security benefits. SSA only 
sends Form SSA-7011-F4 to employers if we are unable able to locate the 
earnings information within our own records. The respondents are 
employers who can verify wage allegations made by wage earners.
    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-7011-F4.......................................             750                1               30              375         * $32.66       ** $12,248
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-0000).
** 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. Supplement to Claim of Person Outside the United States--20 CFR 
422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)--0960-0051. 
Claimants or beneficiaries (both United States (U.S.) citizens and 
aliens entitled to benefits) living outside the U.S. complete Form SSA-
21 as a supplement to an application for benefits. SSA collects the 
information to determine eligibility for U.S. Social Security benefits 
for those months an alien beneficiary or claimant is outside the U.S., 
and to determine if tax withholding applies. In addition, SSA uses the 
information to: (1) Allow beneficiaries or claimants to request a 
special payment exception in an SSA restricted country; (2) terminate 
supplemental medical insurance coverage for recipients who request it, 
because they are, or will be, out of the U.S.; and (3) allow claimants 
to collect a lump sum death benefit if the number holder died outside 
the United States and we do not have information to determine whether 
the lump sum death benefit is payable under the Social Security Act. 
The respondents are Social Security claimants, or individuals entitled 
to Social Security benefits, who are, were, or will be residing outside 
the United States for three months or longer.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Average      Average wait
                                                                         Average burden     Estimated      theoretical      time for       Total annual
         Modality of collection             Number of     Frequency of    per response    total annual     hourly cost     teleservice     opportunity
                                           respondents      response        (minutes)    burden (hours)      amount          centers      cost (dollars)
                                                                                                           (dollars) *    (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Paper version--U.S. Residents..........             143               1              14              33        * $22.98  ..............         *** $758
Paper version--Residents of a Tax                   755               1               9             113         * 22.98  ..............        *** 2,597
 Treaty Country........................
Paper version--Nonresident aliens......             570               1               8              76         * 22.98  ..............        *** 1,746
Intranet version--(MCS)--U.S. Residents             371               1              11              68         * 22.98           ** 20        *** 4,412
Intranet version--(MCS)--Residents of a           1,956               1               6             196         * 22.98           ** 20       *** 19,487
 Tax Treaty Country....................

[[Page 25735]]

 
Intranet version--(MCS)--Nonresident              1,485               1               5             124         * 22.98           ** 20       *** 14,225
 aliens................................
                                        ----------------------------------------------------------------------------------------------------------------
    Totals.............................           5,280  ..............  ..............             610  ..............  ..............       *** 43,225
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the combined average DI payments (https://www.ssa.gov/legislation/2024FactSheet.pdf) and the average U.S. worker's salary; 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 2025 wait times for teleservice centers, 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.

    3. Student Reporting Form--20 CFR 404.352(b)(2), 404.367, 404.368, 
404.415, 404.434, & 422.135-0960-0088. To qualify for Social Security 
Title II student benefits, student beneficiaries must be in full-time 
attendance status at an educational institution. In addition, SSA 
requires these beneficiaries to report events that may cause a 
reduction, termination, or suspension of their benefits. SSA collects 
such information on Forms SSA-1383 and SSA-1383-FC, to determine if the 
changes or events the student beneficiaries report will affect their 
continuing entitlement to SSA benefits. SSA also uses the SSA-1383 and 
SSA-1383-FC to calculate the correct benefit amounts for student 
beneficiaries. The respondents are Social Security Title II student 
beneficiaries.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Average
                                                                         Average burden     Estimated      theoretical    Average wait     Total annual
         Modality of collection             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-1383...............................           8,158               1               6             816         * $7.25           ** 23      *** $28,587
SSA-1383-FC............................             557               1               6              56          * 7.25           ** 23        *** 1,958
                                        ----------------------------------------------------------------------------------------------------------------
    Totals.............................           8,715  ..............  ..............             872  ..............  ..............       *** 30,545
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the Federal minimum hourly wage, as reported by Bureau of Labor Statistics data (https://www.bls.gov/opub/reports/minimum-wage/2023/ 2023/).
** We based this figure on the average FY 2025 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. RSI/DI Quality Review Case Analysis--Sampled Number Holder, Form 
SSA-2930; RSI/DI Quality Review Case Analysis--Auxiliaries/Survivor, 
Form SSA-2931; Stewardship Annual Earnings Test Workbook, Form SSA-
4659--0960-0189.
    Section 205(a) of the Social Security Act (Act) authorizes the 
Commissioner of SSA to conduct the quality review process, which 
entails collecting information related to the accuracy of payments made 
under the Old-Age, Survivors, and Disability Insurance Program (OASDI). 
Sections 228(a)(3), 1614(a)(1)(B), and 1836(2) of the Act require a 
determination of the citizenship or alien status of the beneficiary; 
this is only one item that we might question as part of the Annual 
Quality review. SSA uses Forms SSA-2930 and SSA-2931, to establish a 
national payment accuracy rate for all cases in payment status, and to 
serve as a source of information regarding problem areas in the 
Retirement Survivors Insurance (RSI) and Disability Insurance (DI) 
programs. SSA also uses the information to measure the accuracy rate 
for newly adjudicated RSI or DI cases. SSA uses Form SSA-4659 to 
evaluate the effectiveness of the annual earnings test, and to use the 
results in developing ongoing improvements in the process. Respondents 
receive a notice for a telephone review using the SSA-8553 (Beneficiary 
Telephone Contact) or notice for a telephone review for the 
representative payee using the SSA-8554 (Rep Payee Telephone Contact). 
To help the beneficiary prepare for the interview, we include three 
forms with each notice: (1) SSA-85 (Information Needed to Review Your 
Social Security Claim), which lists the information the beneficiary 
will need to gather for the interview; (2) SSA-2935 (Authorization to 
the Social Security Administration to Obtain Personal Information), 
which verifies the beneficiary's correct payment amount, if necessary; 
and (3) SSA-8552 (Interview Confirmation), which confirms or 
reschedules the interview if necessary. The respondents are a 
statistically valid sample of all OASDI beneficiaries in current pay 
status or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Average      Average wait
                                                                         Average burden     Estimated      theoretical      time for       Total annual
         Modality of completion             Number of     Frequency of    per response    total annual     hourly cost     teleservice     opportunity
                                           respondents      response        (minutes)    burden (hours)      amount       call centers    cost (dollars)
                                                                                                           (dollars) *    (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2930...............................           1,500               1              30             750        * $22.98           ** 20      *** $28,725
SSA-2931...............................             850               1              30             425         * 22.98           ** 20       *** 16,270
SSA-4659...............................             325               1              10              54         * 22.98           ** 20        *** 3,723
SSA-8550...............................             385               1               5              32         * 22.98           ** 20        *** 3,677
SSA-8551...............................              95               1               5               8         * 22.98           ** 20          *** 919
SSA-8552...............................              35               1               5               3         * 22.98           ** 20          *** 345
SSA-8553...............................           4,970               1               5             414         * 22.98           ** 20       *** 47,592
SSA-8554...............................             705               1               5              59         * 22.98           ** 20        *** 6,756

[[Page 25736]]

 
SSA-8552...............................           2,350               1               5             196         * 22.98           ** 20       *** 22,497
SSA-85.................................           3,850               1               5             321         * 22.98           ** 20       *** 36,860
SSA-2935...............................           2,350               1               5             196         * 22.98           ** 20       *** 22,497
SSA-8510+..............................             800               1               5              67         * 22.98           ** 20        *** 7,675
                                        ----------------------------------------------------------------------------------------------------------------
    Totals.............................          18,215  ..............  ..............           2,525  ..............  ..............      *** 197,536
--------------------------------------------------------------------------------------------------------------------------------------------------------
+ Note: We also obtain approval for the SSA-8510 under OMB No. 0960-0707. However, here we only account for the burden used as part of the quality
  review process, and we do not account for the burden associated with the quality review process under 0960-0707.
* We based this figure on the combined average DI payments based on SSA's current FY 2025 data (https://www.ssa.gov/legislation/2024FactSheet.pdf) and
  on 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 2025 wait times for teleservice centers, 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. Modified Benefit Formula Questionnaire--Foreign Pension--0960-
0561
    SSA applies the Windfall Elimination Provision (WEP), a modified 
benefit formula for calculating Title II Social Security retirement or 
disability benefits, for months payable before January 2024. For those 
months, WEP affects the benefits of certain beneficiaries who received 
both a non-covered pension or annuity (domestic or foreign) as well as 
a Title II Social Security retirement or disability benefit. A non-
covered pension or annuity is one that is based on earnings where the 
employer did not withhold Social Security taxes. SSA uses the 
information collected on Form SSA-308 to determine how much (if any) of 
a foreign pension reduces the amount of the Social Security benefit 
before January 2024. Respondents complete Form SSA-308 during the 
initial claims process (only if filed before January 2024) as well as 
in post-entitlement situations when someone needs to report receipt of 
a new foreign pension received before January 2024. The respondents are 
Title II Social Security retirement and disability applicants and 
beneficiaries who became entitled to their benefit after 1985 and who 
also received a foreign pension before January 2024 while entitled to 
their Social Security benefit.
    This is a correction notice: SSA published the incorrect burden 
information for this collection at 90 FR 14891, on 4/04/25. We are 
correcting this error here.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average wait
                                                                                                          Average       time in field
                                     Number of       Frequency of    Average burden  Estimated total    theoretical     office or for     Total annual
     Modality of completion         respondents        response       per response    annual burden     hourly cost      teleservice    opportunity cost
                                                                       (minutes)         (hours)           amount          centers        (dollars) ***
                                                                                                        (dollars) *      (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-308.........................           2,081                1               30            1,041         * $22.98            ** 22       *** $41,456
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the combined average DI payments based on SSA's current FY 2025 data (https://www.ssa.gov/legislation/2024FactSheet.pdf) and
  on the average U.S worker's hourly wages, as reported by Bureau of Labor Statistics data (Occupational Employment and Wage Statistics).
** We based this figure on the average combined FY 2025 wait times for teleservice centers, 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.

    6. Request for Business Entity Taxpayer Information--0960-0731. SSA 
requires Law firms or other business entities to complete Form SSA-
1694, Request for Business Entity Taxpayer Information, if they wish to 
serve as appointed representatives and receive direct payment of fees 
from SSA. SSA uses the information to issue a Form 1099-MISC. SSA also 
uses the information to allow business entities to designate 
individuals to serve as entity administrators authorized to perform 
certain administrative duties on their behalf, such as providing bank 
account information, maintaining entity information, and updating 
individual affiliations. Respondents are law firms or other business 
entities with attorneys or other qualified individuals as partners or 
employees who represent claimants before 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
                                                      respondents        response        (minutes)         (hours)           amount       cost (dollars)
                                                                                                                          (dollars) *           **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1694..........................................             181                1               20               60         * $84.84        ** $5,090
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average legal occupation's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-00000).
** 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 25737]]

    7. eSignature/Upload Documents--20 CFR 404.704; 404.1512, 416.912, 
and 422.505--0960-0830.

Background

    In the digital age, individuals expect to complete transactions 
online, including submitting documents and forms to government 
agencies. The agency offers several service-specific options for 
individuals to submit forms and other documents online (e.g., iClaim, 
OMB #0960-0618; iAppeals, OMB Number 0960-0269 & 0960-0622; Electronic 
Records Express, OMB #0960-0753; etc.). While these available options 
are useful, the agency uses eSignature/Upload Documents [formerly 
Upload Documents (eSubmit)] to expand the options for first-party 
individuals to securely submit information electronically to SSA to 
complete business with the agency and support claims for benefits. The 
Social Security Administration (SSA) introduced eSignature/Upload 
Documents nationally in April 2024, as a new way for individuals to 
securely submit evidence and forms electronically to SSA.
    SSA relies heavily on receiving physical forms, proofs, and 
evidence from customers and third parties (e.g., appointed 
representatives) either in office or via paper mail. SSA estimates that 
our offices receive roughly 35-36 million pieces of mail each year and 
that it takes about 4 minutes per paper mail parcel for front line 
staff to manually open, sort, review, digitize, and assign each piece 
of mail manually using our backend intake processing systems. SSA 
regulations under 20 CFR 404.704, 404.1512, 416.200, 416.912, and 
422.505 set out requirements for the evidence and forms respondents 
need to submit and complete to conduct business with the agency. In 
addition, Executive Order (E.O.) 14058, Transforming Federal Customer 
Experience and Service Delivery to Rebuild Trust in Government, 
requires SSA to develop a mobile-accessible, online process so that any 
individual applying for, or receiving services from, SSA can upload 
forms, documentation, evidence, or correspondence associated with their 
transaction without the need for service-specific tools or travel to a 
field office. To comply with E.O. 14058, SSA created eSignature/Upload 
Documents, which allows respondents to upload and submit forms, 
documentation, and evidence to SSA electronically through the internet 
or a mobile application.

eSignature/Upload Documents

    As per the requirements of E.O. 14058, respondents may use the 
secure upload portal, eSignature/Upload Documents, to submit documents 
and webforms to SSA. As of the March 2024 national rollout, eSignature/
Upload Documents contains 71 forms and allows for the electronic 
submission of 79 evidence types. The current process requires an SSA 
technician to request forms and evidence from a customer, then send an 
email or text to the customer with a link to upload these documents. As 
a direct result of SSA Customer Experience (CX) testing and feedback 
recommendations, the eSignature/Upload Documents team is enhancing the 
tool to include an expansion of forms and evidence types available for 
upload including additional PDFs, as well as static and dynamic 
webforms. While adding additional PDFs and static webforms increases 
the forms and evidence available for customers to upload 
electronically, the dynamic webforms modernize the forms for easier 
customer completion and submission. Dynamic webforms adapt questions 
based on the customer's response, ask questions in plain language and 
are formatted in an easily understood way. Additionally, as a further 
result of customer feedback, eSignature/Upload Documents will implement 
an enhancement that allows customers to access the Upload Documents 
link directly from ssa.gov or their mySocial Security account without 
having to first interact with a SSA technician. Once the link is 
accessed and the form selected, the upload process eSignature/Upload 
Documents includes an electronic signature functionality allowing 
respondents to submit forms requiring a signature. Upon customer 
completion of a static or dynamic webform, the respondent includes an 
eSignature as needed, submits the form to SSA electronically, and the 
system generates a printable PDF for the customer's personal records if 
the customer desires it. eSignature/Upload Documents serves individuals 
including Title II, Title XVI, and Title XVIII beneficiaries, as well 
as individuals who do not currently receive any benefits from SSA. 
eSignature/Upload Documents is limited to first-party individuals, and 
does not currently allow third parties, including representative 
payees, to submit documents on behalf of others. Technicians contact 
the respondent, via email, telephone, or face-to-face interview with 
SSA, for a business matter (e.g., filing a claim, performing a 
redetermination, or updating their personal information). During the 
interaction, the SSA technician requests additional information and 
offers the opportunity to provide the information electronically via 
the eSignature/Upload Documents portal. The technician then sends a 
one-time email or text message containing a link to eSignature/Upload 
Documents with access instructions. Customers who request a text 
message as their preferred communication method must first provide 
consent to text messaging. The electronic submission process is only 
available within 30 days from the date of the email or text. If the 
respondents do not submit the documents within 10 days, they receive an 
email or text reminder to complete their submission.
    Once the respondents click on the link to eSignature/Upload 
Documents, the system requires them to authenticate using one of SSA's 
electronic access options (OMB Control No. 0960-0789), ID.me, or 
Login.gov, and then presents them with the required language concerning 
the applicable Terms of Service, the Privacy Act Statement, the 
Paperwork Reduction Act Statement, and any identity proofing and 
authentication (as per the requirements of those authentication 
processes). Once the respondents arrive at the eSignature/Upload 
Documents dashboard, the system presents them with the description of 
the items SSA requested from them (examples of the documentation SSA 
may request includes forms or non-standardized evidence to support 
their request [e.g., pay stubs, bank statements, pension award letters, 
tax documents, child support payment history, etc.]). Each item SSA 
requests from the respondent appears as a request card on their 
dashboard.
    To fulfill an eSignature/Upload Documents request, the system 
guides the respondent through one of three options:
    1. Download, complete, save and then upload a PDF, or upload an 
evidence document, by dragging or browsing from their device and 
uploading the document to the eSignature/Upload Documents system.
    2. Complete and submit a static webform with or without additional 
uploaded document(s).
    3. Complete and submit a dynamic webform with or without additional 
uploaded document(s).
    Once the respondents finish uploading their forms or documents, the 
system will alert them if the attempted file upload does not meet the 
file criteria requirements. The respondent then corrects any upload 
failures before submitting the documents to SSA.

[[Page 25738]]

    After either uploading the documents, or completing the static or 
dynamic webform questions, the respondent must select the Submit button 
to complete the action, and the system will present them with the 
confirmation page. This page also presents an option to save or print 
the completed PDF. The respondent receives a successful submission 
email or text once they have successfully uploaded their document(s) to 
SSA. The system notifies the technician through the Technician 
Experience Dashboard (TED) when the document is available for review 
and consideration.

Commercial Product Alternative Signature (CPAS)

    SSA also allows for the submission of certain forms signed using a 
commercial signature product. Some of these forms also have electronic 
means for submission. Under the CPAS process, individuals who use a 
commercial signature product to submit signed forms will ensure that 
the product is capable of generating an audit trail maintaining the 
following information in a digital certificate: (1) confirmation that 
the document was signed using a commercial product; (2) signature 
details (i.e., name of person who signed the document, date/time 
document was signed); (3) email and IP address associated with each 
signature; (4) whether the document was changed after signature; and 
(5) an identifier that connects the audit trail to the signed document 
to which it applies. SSA then requires the individual to maintain the 
digital certificate for a minimum of three years from the date they 
submitted the form and to produce the digital certificate if the agency 
requests it. Once the individual uses the CPAS process SSA allows them 
to submit the electronically signed forms using any method currently 
accepted for wet-signed forms (e.g., by mail, in person, or via a 
secured electronic transfer, like Upload Documents or Electronic 
Records Express, OMB #0960-0753).
    Currently, SSA only accepts CPAS for the Commercial Product 
Alternative Signature (CPAS) process as an additional means for 
individuals to sign the following eight currently approved agency forms 
prior to sending them to SSA:

------------------------------------------------------------------------
            OMB No.                  Form No.            Form Title
------------------------------------------------------------------------
0960-0059.....................  SSA-821-BK; SSA-   Work Activity Report--
                                 821-APP.           Employee.
0960-0229.....................  SSA-8000-BK; iSSI  Application for
                                 (Internet          Supplemental
                                 modality).         Security Income
                                                    (SSI).
0960-0444.....................  SSA-8001-BK; iSSI  Application for
                                 (Internet          Supplemental
                                 modality).         Security Income
                                                    (Deferred or
                                                    Abbreviated).
0960-0527*....................  SSA-1696; SSA-     Appointment of
                                 1696-APP.          Representative.
0960-0598.....................  SSA-820-BK; SSA-   Work Activity Report
                                 821-APP.           (Self-Employment).
0960-0618.....................  SSA-16; iClaim     Application for
                                 (Internet          Disability Insurance
                                 modality).         Benefits.
0960-0623 **..................  SSA-827; i827      Authorization to
                                 (Internet          Disclose Information
                                 modality).         to the Social
                                                    Security
                                                    Administration.
0960-0810 *...................  SSA-1693; SSA-     Fee Agreement for
                                 1693-APP.          Representation
                                                    before the Social
                                                    Security
                                                    Administration.
------------------------------------------------------------------------
* While Forms SSA-1696 and SSA-1693 are not, currently, available
  through the Upload Documents (eSubmit) Portal, we offer an
  electronically signable and submittable PDF version through the Adobe
  Sign process. However, we hope to expand the Upload Documents Portal
  to include them in the future.
** Note: SSA may require additional verbal attestation for Form SSA-827
  when submitted using the CPAS process. However, if the respondent
  chooses to submit the SSA-827 through the eSignature/Upload Documents
  webform, or the internet i827, SSA will accept it without any
  additional attestation.

    The specific forms that respondents submit through eSignature/
Upload Documents (or the CPAS process) retain their existing OMB 
Control Numbers, reflecting the fact that the eSignature/Upload 
Document Paperwork Reduction Act (PRA) approval is for the system we 
use to collect form submissions, but not the actual questions on the 
forms themselves. While we note the use of eSignature/Upload Documents 
reduces the overall burden associated with submitting forms, SSA 
continues to document any burden reduction associated with improved 
submission within the specific forms' supporting statements.
    Respondents are first-party individuals who choose to use the 
internet to conduct business with SSA.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                           Average        Average wait
                                                                      Average burden  Estimated total    theoretical        time for       Total annual
      Modality of completion          Number of       Frequency of     per response    annual burden     hourly cost      teleservice      opportunity
                                     respondents        response        (minutes)         (hours)           amount           center       cost (dollars)
                                                                                                         (dollars) *      (minutes) **          **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet-Based Static or Dynamic          115,369                1                5            9,614         * $32.66            ** 20   *** $1,569,966
 Webform (through Upload
 Documents or CPAS)..............
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. worker's hourly wages (based on BLS.gov data, Occupational Employment and Wage Statistics).
** We based this figure on the average FY 2025 wait times for teleservice centers (approximately 20 minutes per respondent), 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 25739]]

    Dated: June 12, 2025.
Mark Steffensen,
General Counsel, Deputy Commissioner for Law and Policy, Social 
Security Administration.
[FR Doc. 2025-11123 Filed 6-16-25; 8:45 am]
BILLING CODE 4191-02-P