Agency Information Collection Activities: Proposed Request

Published date27 November 2020
Citation85 FR 76142
Record Number2020-26178
SectionNotices
CourtSocial Security Administration
Federal Register, Volume 85 Issue 229 (Friday, November 27, 2020)
[Federal Register Volume 85, Number 229 (Friday, November 27, 2020)]
                [Notices]
                [Pages 76142-76147]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-26178]
                =======================================================================
                -----------------------------------------------------------------------
                SOCIAL SECURITY ADMINISTRATION
                [Docket No. SSA-2020-0058]
                Agency Information Collection Activities: Proposed 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,
                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-2020-0058].
                 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
                January 26, 2021. Individuals can obtain copies of the collection
                instruments by writing to the above email address.
                 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.
                [[Page 76143]]
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average Estimated theoretical Average wait Total annual
                 Modality of completion Number of Frequency of burden per total annual hourly cost time in field opportunity
                 respondents response response burden (hours) amount office cost (dollars)
                 (minutes) (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 *** 142,952
                 field office)..........................
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 12,350 .............. .............. 6,176 .............. .............. *** 222,375
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * 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.
                 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.
                 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......................... 18,030 1 12 3,606 * $25.72 ** 24 *** $278,239
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * 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.
                [[Page 76144]]
                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.
                 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) * **
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                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
                [[Page 76145]]
                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 their 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, allows 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 prior to 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.
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average Estimated theoretical Total annual
                 Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
                 respondents response response burden (hours) amount cost
                 (minutes) (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 teleconference 13,500 1 10 2,250 * 18.22 ** 40,995
                 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. 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.
                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
                [[Page 76146]]
                
                CEO Follow up Call with Representative--no form returned 70,000 1 5 5,833 * 25.72 ** 150,025
                 (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 Estimated theoretical Total annual
                 Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
                 respondents response response burden (hours) amount cost
                 (minutes) (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 76147]]
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average Estimated theoretical Total annual
                 Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
                 respondents response response burden (hours) amount cost
                 (minutes) (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
                 respondents response (minutes) (hours) amount cost (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 and the burden for submitting evidence to SSA is
                part of other, various 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
                 respondents response (minutes) (hours) amount cost (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: November 23, 2020.
                Naomi Sipple,
                Reports Clearance Officer, Social Security Administration.
                [FR Doc. 2020-26178 Filed 11-25-20; 8:45 am]
                BILLING CODE 4191-02-P
                

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