Agency Information Collection Activities: Proposed Request

Published date06 January 2021
Citation86 FR 667
Record Number2020-29207
SectionNotices
CourtSocial Security Administration
Federal Register, Volume 86 Issue 3 (Wednesday, January 6, 2021)
[Federal Register Volume 86, Number 3 (Wednesday, January 6, 2021)]
                [Notices]
                [Pages 667-671]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-29207]
                =======================================================================
                -----------------------------------------------------------------------
                SOCIAL SECURITY ADMINISTRATION
                [Docket No: SSA-2020-0067]
                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 new information collections, and 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-2020-0067].
                (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-
                2020-0067].
                 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
                March 8, 2021. Individuals can obtain copies of the collection
                instruments by writing to the above email address.
                 1. Retaining Employment and Talent After Injury/Illness Network
                (RETAIN)--0960-NEW.
                Background
                 The Social Security Administration (SSA) and the U.S. Department of
                Labor (DOL) are undertaking the Retaining Employment and Talent After
                Injury/Illness Network (RETAIN) demonstration. The RETAIN demonstration
                will test the impact of early intervention strategies to improve stay-
                at-work/return-to-work (SAW/RTW) outcomes of individuals who experience
                work disability while employed. We define ``work disability'' as an
                injury, illness, or medical condition that has the potential to inhibit
                or prevent continued employment or labor force participation. SAW/RTW
                programs succeed by returning injured or ill workers to productive work
                as soon as medically possible during their recovery process, and by
                providing interim part-time or light duty work and accommodations, as
                necessary. The RETAIN demonstration is loosely modeled after promising
                programs operating in Washington State, including the Centers of
                Occupational Health and Education (COHE), the Early Return to Work
                (ERTW), and the Stay at Work programs. While these programs operate
                within the state's workers' compensation system, and are available only
                to people experiencing work-related injuries or illnesses, the RETAIN
                demonstration provides opportunities to improve SAW/RTW outcomes for
                both occupational and non-occupational injuries and illnesses of people
                who are employed, or at a minimum in the labor force, when their injury
                or illness occurs.
                 The primary goals of the RETAIN demonstration are:
                 1. To increase employment retention and labor force participation
                of individuals who acquire, or are at risk of developing, work
                disabilities; and
                 2. To reduce long-term work disability among RETAIN service users,
                including the need for Social Security Disability Insurance and
                Supplemental Security Income.
                 The ultimate purpose of the demonstration is to validate and expand
                implementation of evidence-based strategies to accomplish these goals.
                DOL is funding the intervention approaches and programmatic technical
                assistance for the demonstration. SSA is funding evaluation support,
                including technical assistance and the full evaluation for the
                demonstration.
                Project Description
                 The demonstration consists of two phases. The first involves the
                implementation and assessment of cooperative awards to eight states to
                conduct planning and start-up activities, including the launch of a
                small pilot demonstration. During phase 1, SSA will provide evaluation-
                related technical assistance and planning, and conduct evaluability
                assessments to assess which states' projects would allow for a rigorous
                evaluation if continued beyond the pilot phase. DOL will select a
                subset of the states to continue to phase 2, full implementation.
                 Phase 2 will include a subset of states for full implementation and
                evaluation. During phase 2, DOL will fund the operations and program
                technical assistance activities for the recommended states, and SSA
                will fund the full set of evaluation activities.
                 SSA is requesting clearance for the collection of data needed to
                implement and evaluate RETAIN. The four components of this evaluation,
                completed during site visits, interviews with RETAIN service users,
                surveys of RETAIN enrollees, and surveys of RETAIN service providers,
                include:
                 The participation analysis: Using RETAIN service user
                interviews and surveys, this analysis will provide insights into which
                eligible workers choose to participate in the program, in what ways
                they participate, and how services received vary with participant
                characteristics. Similarly, it will assess the characteristics of, and
                if possible, reasons for non-enrollment of non-participants.
                 The process analysis: Using staff interviews and logs,
                this analysis will produce information about operational features that
                affect service provision; perceptions of the intervention design by
                service users, providers, administrators, and other stakeholders; the
                relationships among the partner organizations; each program's fidelity
                to the research design; and lessons for future programs with similar
                objectives.
                 The impact analysis: This analysis will produce estimates
                of the effects of the interventions on primary outcomes, including
                employment and Social Security disability applications, and secondary
                outcomes, such as health and service usage. SSA will identify
                evaluation designs for each state to generate impact estimates. The
                evaluation design could include experimental or non-experimental
                designs.
                 The cost-benefit analysis: This analysis will assess
                whether the benefits
                [[Page 668]]
                of RETAIN justify its costs. We conduct this assessment from a range of
                perspectives, including those of the participants, state and Federal
                governments, SSA, and society as a whole.
                 The proposed data collections to support these analyses include
                qualitative and quantitative data. At this time, SSA requests clearance
                for all of these data collection activities. The qualitative data
                collection consists of: (1) Semi-structured interviews with program
                staff and service users; and (2) staff activity logs. The program staff
                will complete interviews during two rounds of site visits. They will
                focus on staff's perceptions of the successes and challenges of
                implementing each state's program. The staff activity logs will house
                information on staff's time to inform the benefit-cost analysis. The
                service user interviews will inform SSA's understanding of users'
                experiences with program services. The quantitative data include SSA's
                program records and survey data. The survey data collection consists
                of: (1) Two rounds of follow-up surveys, focusing on individual-level
                outcomes, with enrollees, all of whom who have experienced a disability
                onset; and (2) two rounds of surveys with RETAIN providers.
                 The respondents are staff members selected for staff interviews and
                staff activity logs, and RETAIN service users, enrollees, and
                providers.
                 Type of Request: Request for a new 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) ** ***
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN 2021 Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                Enrollee Survey Round 1 (Respondents)... 320 1 15 80 * $25.72 ** 24 *** $5,350
                Enrollee Survey Round 1 (Nonrespondents) 80 1 3 4 * 25.72 ** 24 *** 926
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 400 .............. .............. 84 .............. .............. *** 6,276
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN 2022 Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                Staff Interviews (state administrators/ 4 1 105 7 * 45.23 24 *** 407
                 directors).............................
                Staff Interviews (program line staff)... 72 1 75 90 * 32.58 ** 24 *** 3,870
                Service User Interviews (Respondents)... 60 1 36 36 * 25.72 ** 24 *** 1,543
                Service User Interviews (Nonrespondents) 540 1 6 54 * 25.72 ** 24 *** 6,945
                Staff Activity Logs (state 4 1 70 5 * 45.23 ** 24 *** 298
                 administrators/directors)..............
                Staff Activity Logs (program line staff) 48 1 70 56 32.58 ** 24 *** 2,450
                Enrollee Survey Round 1 (Respondents)... 3,840 1 15 960 * 25.72 ** 24 *** 64,197
                Enrollee Survey Round 1 (Nonrespondents) 960 1 3 48 * 25.72 ** 24 *** 11,111
                Enrollee Survey Round 2 (Respondents)... 960 1 21 336 25.72 ** 24 *** 18,518
                Enrollee Survey Round 2 (Nonrespondents) 240 1 3 12 25.72 24 *** 2,778
                Provider Survey Round 2 (Respondents)... 320 1 17 91 * 32.58 ** 24 *** 7,135
                Provider Survey Round 2 (Nonrespondents) 80 1 3 4 * 32.58 ** 24 *** 1,173
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 7,128 .............. .............. 1,699 .............. .............. *** 120,425
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN 2023 Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                Enrollee Survey Round 1 (Respondents)... 3,840 1 15 960 * 25.72 ** 24 *** 64,197
                Enrollee Survey Round 1 (Nonrespondents) 960 1 3 48 25.72 24 *** 11,111
                Enrollee Survey Round 2 (Respondents)... 3,840 1 21 1,344 * 25.72 ** 24 *** 74,074
                Enrollee Survey Round 2 (Nonrespondents) 960 1 3 48 * 25.72 ** 24 *** 11,111
                Provider Survey Round 2 (Respondents)... 320 1 17 91 * 32.58 ** 24 *** 7,135
                Provider Survey Round 2 (Nonrespondents) 80 1 3 4 * 32.58 ** 24 *** 1,173
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 10,000 .............. .............. 2,495 .............. .............. *** 168,801
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN 2024 Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                Enrollee Survey Round 1 (Respondents)... 1,600 1 15 400 * 25.72 ** 24 *** 26,749
                Enrollee Survey Round 1 (Nonrespondents) 400 1 3 20 * 25.72 ** 24 *** 4,629
                Enrollee Survey Round 2 (Respondents)... 3,840 1 21 1,344 * 25.72 ** 24 *** 74,074
                Enrollee Survey Round 2 (Nonrespondents) 960 1 3 48 * 25.72 ** 24 *** 11,111
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 6,800 .............. .............. 1,812 .............. .............. *** 116,563
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN 2025 Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                Enrollee Survey Round 2 (Respondents)... 960 1 21 336 * 25.72 ** 24 *** 18,518
                Enrollee Survey Round 2 (Nonrespondents) 240 1 3 12 * 25.72 ** 24 *** 2,778
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 1,200 .............. .............. 348 .............. .............. *** 21,296
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 RETAIN Grand Total Burden Figures
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Totals.............................. 25,528 .............. .............. 6,438 .............. .............. *** 433,361
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * We based these 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), and average local Government Management and staff hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes110000.htm) & (https://www.bls.gov/oes/current/oes131071.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 669]]
                 2. Internet and Telephone Appointment Applications--20 CFR 404.620-
                404.630, and 416.330-416.340--0960-NEW. SSA offers both internet and
                telephone appointment options for individuals who wish to request an
                appointment when they are unable to complete one of SSA's online or
                automated telephone applications because they failed the initial
                verification checks,--or who state their reading language preference is
                other than English.
                 iAppointment: iAppointment is an online process that allows members
                of the public an easy-to-use method to schedule an appointment with the
                servicing office of their choice. Since the application date can affect
                when a claimant's benefit begins, iAppointment establishes a protective
                filing date and provides respondents information related to the date by
                which they must file their actual application. The iAppointment
                application propagates information the applicant already entered onto
                any of SSA's internet applications for SSN, name, date of birth, and
                gender. Applicants must provide minimal additional information: Mailing
                address; telephone number; language preference; type of appointment
                (Disability, Retirement, Medicare); and whether they prefer a telephone
                interview or in-office appointment. iAppointment is a customer-centric
                application. If the available appointment times do not meet the
                customer's needs, iAppointment allows the user to enter a different zip
                code to identify another field office, which may offer different
                appointment times. At this time, SSA only allows domestic first party
                applicants to use iAppointment. If users indicate they are filing as
                third parties, iAppointment provides a message directing them to call
                the National 800 Number for assistance. If a foreign first party user
                is unable to complete iClaim, iAppointment directs them to contact a
                Social Security representative, and provides a link to SSA's Service
                Around the World website.
                 Enhanced Leads and Appointment System (eLAS): eLAS is an Intranet-
                based version of the iAppointment screens for use by SSA technicians
                both in the field offices and call centers. eLAS interacts with
                iAppointment to ensure we always record the same information whether an
                individual requests an appointment through our internet screens or via
                telephone. eLAS is a non-public facing system that allows SSA employees
                in the field offices, workload support units, and teleservice centers
                to use an telephone interview process to schedule appointments and
                document an individual's intent to file using a script and asking the
                same questions to each individual. We use eLAS with individuals who use
                our automated telephone system or who prefer not to use iAppointment to
                set up their appointment.
                 The respondents are individuals who are unable to use our internet
                or automated telephone systems because they failed the initial
                verification checks; or because they state their reading language
                preference is other than English.
                 Type of Request: Request for a new information collection.
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average combined wait
                 Average burden Estimated theoretical time in field Total annual
                 Modality of completion Number of Frequency of per response total annual hourly cost office or for opportunity
                 respondents response (minutes) burden (hours) amount teleservice cost (dollars)
                 (dollars) * center ***
                 (minutes) **
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                iAppointment............................ 17,621 1 10 2,937 * $25.72 .............. *** $75,540
                eLAS.................................... 5,157,780 1 10 859,630 * 25.72 ** 21 *** 68,540,019
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 5,175,401 .............. .............. 862,567 .............. .............. *** 68,615,559
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * We based these figures on average U.S. worker's hourly wages (based on BLS.gov data, https://www.bls.gov/oes/current/oes_nat.htm).
                ** We based this figure on the combined average FY 2020 wait times for field offices (approximately 24 minutes per respondent) and teleservice centers
                 (approximately 17 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.
                 3. Statement of Living Arrangements, In-Kind Support, and
                Maintenance--20 CFR 416.1130-416.1148--0960-0174. SSA determines
                Supplemental Security Income (SSI) payment amounts based on
                individuals' needs. We measure individuals' needs, in part, by the
                amount of income they receive, including in-kind support and
                maintenance in the form of food and shelter provided by other persons.
                SSA uses Form SSA-8006 to determine if in-kind support and maintenance
                exists for SSI applicants and recipients. This information also assists
                SSA in determining the income value of in-kind support and maintenance.
                The respondents are individuals who apply for SSI payments, or who
                complete an SSI eligibility redetermination.
                 Type of Request: Revision of an OMB-approved information
                collection.
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average combined wait
                 Average burden Estimated theoretical time in field Total annual
                 Modality of completion Number of Frequency of per response total annual hourly cost office or for opportunity
                 respondents response (minutes) burden (hours) amount teleservice cost (dollars)
                 (dollars) * center ***
                 (minutes) **
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                SSA-8006--Intranet version (SSI Claims 109,436 1 7 12,768 * $10.73 ** 17 *** $469,706
                 System)................................
                SSA--8006-Paper version................. 12,160 1 7 1,419 * 10.73 ** 24 *** 67,417
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 121,596 .............. .............. 14,187 .............. .............. *** 537,123
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * 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 (24 minutes) and wait times for teleservice centers (17 minutes), based on
                 SSA's current management information data.
                [[Page 670]]
                
                *** 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. Statement of Funds You Provided to Another and Statement of
                Funds You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA-
                2854 (Statement of Funds You Provided to Another) and SSA-2855
                (Statement of Funds You Received) to gather information to verify if a
                loan is bona fide for SSI recipients. The SSA-2854 asks the lender for
                details on the transaction, and Form SSA-2855 asks the borrower the
                same basic questions independently. Agency personnel then compare the
                two statements, gather evidence if needed, and make a decision on the
                validity of the bona fide status of the loan.
                 For SSI purposes, we consider a loan bona fide if it meets these
                requirements:
                 Must be between a borrower and lender with the
                understanding that the borrower has an obligation to repay the money;
                 Must be in effect at the time the cash goes to the
                borrower, that is, the agreement cannot come after the cash is paid;
                and
                 Must be enforceable under State law, as often there are
                additional requirements from the State.
                 SSA collects this information at the time of initial application
                for SSI, or at any point when an individual alleges being party to an
                informal loan while receiving SSI. SSA collects information on the
                informal loan through both interviews and mailed forms. The agency's
                field personnel conduct the interviews and mail the form(s) for
                completion, as needed. The respondents are SSI recipients and
                applicants, and individuals who lend money to them.
                 Type of Request: Revision of an OMB-approved information
                collection.
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                 Average
                 Average combined wait
                 Average burden Estimated theoretical time in field Total annual
                 Modality of completion Number of Frequency of per response total annual hourly cost office or for opportunity
                 respondents response (minutes) burden (hours) amount teleservice cost (dollars)
                 (dollars) * center **
                 (minutes) **
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                SSA-2854................................ 20,000 1 15 5,000 * $25.72 ** 24 *** $334,360
                SSA-2855................................ 20,000 1 15 5,000 * 25.72 ** 24 *** 334,360
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 40,000 .............. .............. 10,000 .............. .............. *** 668,720
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * We based this figure 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).
                ** 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. Medicare Subsidy Quality Review Forms--20 CFR part 418--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 its stewardship duties of
                the Medicare Part D subsidy program, SSA must conduct periodic quality
                review checks 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 * $40.64 ** $71,120
                 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 .............. ** 170,938
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * 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.
                [[Page 671]]
                 6. Redetermination of Eligibility for Help with Medicare
                Prescription Drug Plan Costs--20 CFR 418.3125--0960-0723. Under the
                Medicare Modernization Act of 2003, SSA conducts low-income subsidy
                eligibility redeterminations for Medicare beneficiaries who currently
                receive Medicare Part D subsidy and who meet certain criteria.
                Respondents complete Form SSA-1026-OCR-SM-REDE under the following
                circumstances: (1) When individuals became entitled to the Medicare
                Part D subsidy during the past 12 months; (2) if they were eligible for
                the Part D subsidy for more than 12 months; or (3) if they reported a
                change in income, resources, or household size. Part D beneficiaries
                complete Form SSA-1026-OCR-SM-SCE when they need to report a
                potentially subsidy-changing event, including the following: (1)
                Marriage; (2) spousal separation; (3) divorce; (4) annulment of a
                marriage; (5) spousal death; or (6) moving back in with one's spouse
                following a separation. The respondents are current recipients of
                Medicare Part D low-income subsidy who will undergo an eligibility
                redetermination for one of the reasons mentioned above.
                 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-1026-OCR-SM-REDE.................... 120,220 1 18 36,066 * $25.72 .............. *** $927,618
                SSA-1026-OCR-SM-SCE..................... 3,462 1 18 1,039 * 25.72 .............. *** 26,723
                REDE Field Office Interview............. 50,879 1 18 15,264 * 25.72 ** 24 *** 916,033
                SCE Field Office Interview.............. 4,441 1 18 1,332 * 25.72 ** 24 *** 79,948
                 ---------------------------------------------------------------------------------------------------------------
                 Totals.............................. 179,002 .............. .............. 53,701 .............. .............. *** 1,950,322
                --------------------------------------------------------------------------------------------------------------------------------------------------------
                * We based this figure 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).
                ** 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.
                 Dated: December 20, 2020.
                Naomi Sipple,
                Reports Clearance Officer, Social Security Administration.
                [FR Doc. 2020-29207 Filed 1-5-21; 8:45 am]
                BILLING CODE 4191-02-P
                

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