Agency Information Collection Activities: Proposed Request and Comment Request
| Published date | 20 August 2021 |
| Citation | 86 FR 46897 |
| Record Number | 2021-17857 |
| Section | Notices |
| Court | Social Security Administration |
Federal Register, Volume 86 Issue 159 (Friday, August 20, 2021)
[Federal Register Volume 86, Number 159 (Friday, August 20, 2021)]
[Notices]
[Pages 46897-46900]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-17857]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0024]
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions and extensions of OMB-approved information
collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA
Comments: https://www.reginfo.gov/public/do/PRAMain. Submit your
comments online referencing Docket ID Number [SSA-2021-0024].
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-
2021-0024].
I. The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
October 19, 2021. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Request for Waiver of Overpayment Recovery and Request for
Change in Overpayment Recovery Rate--20 CFR 404.502, 404.506-404.512,
416.550-416.558, 416.570-416.571--0960-0037. When Social Security
beneficiaries and Supplemental Security Income (SSI) recipients receive
an overpayment, they must return the extra money. These beneficiaries
and recipients can use Form SSA-632-BK, Request for Waiver of
Overpayment Recovery, to request a waiver from repaying their
overpayment. Beneficiaries and recipients can also use Form SSA-634,
Request for Change in Overpayment Recovery Rate, to request a change to
the monthly recovery rate of their overpayment. The respondents must
provide financial information to help the agency determine how much the
overpaid person can afford to repay each month. The respondents are
individuals who are overpaid Social Security or SSI payments who are
requesting: (1) A waiver of recovery of an overpayment, or (2) a lesser
rate of withholding.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars)***
(dollars)* (minutes)**
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-632--Request for Waiver of 400,000 1 120 800,000 * $10.95 ** 21 *** $10,293,000
Overpayment Recovery (If completing
entire paper form, including the
AFI authorization).................
SSA-634--Request for Change in 100,000 1 45 75,000 * 10.95 ** 21 *** 1,204,500
Overpayment Recovery Rate
(Completing paper form)............
-------------------------------------------------------------------------------------------------------------------
Totals.......................... 500,000 .............. .............. 875,000 .............. .............. *** 11,497,500
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on averaging both the average FY 2021 wait times for field offices and 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.
2. Statement of Claimant or Other Person--20 CFR 404.702 and
416.570--0960-0045. SSA uses Form SSA-795, Statement of Claimant or
Other Person, in special situations where there is no authorized form
or questionnaire, yet we require a signed statement from the applicant,
claimant, or other individuals who have knowledge of facts, in
connection with claims for Social Security benefits or SSI. The
information we request on the SSA-795 is of sufficient importance that
we need both a signed statement and a penalty clause. SSA uses this
information to process, in addition to claims for benefits, issues
about continuing eligibility; ongoing benefit amounts; use of funds by
a representative payee; fraud investigation; and other program-related
matters. The most common respondents are applicants for, or recipients
of, Social Security or SSI. Respondents also include friends and
relatives of the involved parties, coworkers, neighbors, or anyone else
in a position to provide information pertinent to the issue(s).
Type of Request: Revision of an OMB-approved information
collection.
[[Page 46898]]
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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)* (minutes)** (dollars)***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-795 (paper version)................. 207,239 1 15 51,810 * $10.95 ** 24 *** $1,475,031
SSA-795 (Person Statement) electronic 24,583 1 15 6,146 * 27.07 .............. *** 166,372
version................................
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Totals.............................. 231,822 .............. .............. 57,956 .............. .............. *** 1,641,403
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.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#00-0000).
** We based this figure on the average FY 2021 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. Claimant's Medications--20 CFR 404.1512 and 416.912--0960-0289.
In cases where claimants request a hearing after denial of their
disability claim for Social Security, SSA uses Form HA-4632, Claimant's
Medications, to request information from the claimant regarding the
medications they use. This information helps the judge overseeing the
case to fully investigate: (1) The claimant's medical treatment and (2)
the effects of the medications on the claimant's medical impairments
and functional capacity. The judge makes the completed form a part of
the documentary evidence of record, placing it in the official record
of the proceedings as an exhibit. The respondents are applicants (or
their representatives) for Old Age Survivors and Disability Insurance
(OASDI) benefits or SSI payments who request a hearing to contest an
agency denial of their claim.
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)* (minutes)** (dollars)***
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-46321--PDF/paper version............. 53,200 1 15 13,300 * $10.95 ** 24 *** $378,651
Electronic Records Express Submissions.. 136,800 1 15 34,200 * 27.07 .............. *** 925,794
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Totals.............................. 190,000 .............. .............. 47,500 .............. .............. *** 1,304,445
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* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.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#00-0000).
** We based this figure on the average FY 2021 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. Disability Report-Adult--20 CFR 404.1512 and 416.912--0960-0579.
State Disability Determination Services (DDS) use Form SSA-3368,
Disabilty Report--Adult, and its electronic versions, to determine if
adult disability applicants' impairments are severe and, if so, how the
impairments affect the applicants' ability to work. This determination
informs whether the DDSs and SSA will find the applicant to be disabled
and entitled to SSI payments. The respondents are applicants for Title
II disability benefits or Title XVI SSI payments.
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)* (minutes)** (dollars)***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3368 (Paper)........................ 6,045 1 90 9,068 * $10.95 ** 21 *** $122,465
EDCS 3368 (Intranet).................... 1,263,104 1 90 1,894,656 * 10.95 ** 21 *** 25,587,325
i3368 (Internet)........................ 989,361 1 90 1,484,042 * 10.95 .............. *** 16,250,260
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Totals.............................. 2,258,510 .............. .............. 3,387,766 .............. .............. *** 41,960,050
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* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on averaging both the average FY 2021 wait times for field offices and 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. Request for internet Services and 800# Automated Telephone
Services Knowledge-Based Authentication (RISA-KBA)--20 CFR 401.45--
0960-0596. The Request for internet Services and 800# Automated
Telephone Services (RISA) Knowledge-Based Authentication (KBA) is one
of the authentication methods SSA uses to allow individuals access to
their personal information through our internet and Automated Telephone
Services. SSA asks individuals and third parties who seek personal
information from SSA records, or who register to participate in SSA's
online business services, to provide certain identifying information.
As an extra measure of protection, SSA asks requestors who use the
internet and telephone services to provide additional
[[Page 46899]]
identifying information unique to those individuals so SSA can
authenticate their identities before releasing personal information.
The respondents are current beneficiaries who are requesting personal
information from SSA, and individuals and third parties who are
registering for SSA's online business services.
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet Requestors..................................... 2,921,795 1 3 146,090 * $27.07 ** $3,954,656
Telephone Requestors.................................... 1,157,833 1 4 77,189 * 27.07 ** 2,089,506
-----------------------------------------------------------------------------------------------
Totals.............................................. 4,079,628 .............. .............. 223,279 .............. ** 6,044,162
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* We based this figure 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#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.
6. Testimony by Employees and the Production of Records and
Information in Legal Proceedings--20 CFR 403.100-403.155--0960-0619.
SSA's regulations establish policies and procedures for an individual,
organization, or government entity to request official agency
information, records, or testimony of an agency employee in a legal
proceeding when the agency is not a party. The request, which
respondents submit in writing, must: (1) Fully set out the nature and
relevance of the sought testimony; (2) explain why the information is
not available by other means; (3) explain why it is in SSA's interest
to provide the testimony; and (4) provide the date, time, and place for
the testimony. Respondents are individuals or entities who request
testimony from SSA employees in connection with a legal proceeding.
Type of Request: Extension of an OMB-approved information
collection.
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Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
20 CFR 403.100-403.155............................ 100 1 60 100 * $27.07 ** $2,707
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* We based this figure 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#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.
7. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a
Social Security card as verification of their Social Security number
for school or work programs, or as proof of employment eligibility upon
release from incarceration. Before SSA can issue a replacement Social
Security card, applicants must show SSA proof of their identity. People
who are in prison for an extended period typically do not have current
identity documents. Therefore, under written agreement with the
correctional institution, SSA allows prison officials to verify the
identity of certain incarcerated U.S. citizens who need replacement
Social Security cards. Prison officials provide SSA information from
the official prison files, sent on correctional facility letterhead.
SSA uses this information to establish the applicant's identity in the
replacement Social Security card process. The respondents are prison
officials who certify the identity of prisoners applying for
replacement Social Security cards.
Type of Request: Extension of an OMB-approved Information
Collection
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of Number of per response annual burden hourly cost opportunity
respondents response responses (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Verification of Prisoner Identity 1,000 200 200,000 3 10,000 * $28.80 ** $288,000
Statements......................
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Probation Officers and Correctional Treatment Specialists hourly salary, as reported by Bureau of Labor Statistics
data (https://www.bls.gov/oes/current/oes211092.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.
II. SSA submitted the information collection below to OMB for
clearance. Your comments regarding this information collection 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 September 20, 2021. Individuals can obtain copies of this
OMB clearance package by writing to [email protected].
Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution
[[Page 46900]]
and Request for Records (Medicare)--20 CFR 418.3420--0960-0729. The
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
(MMA) established the Medicare Part D program for voluntary
prescription drug coverage of premium, deductible, and copayment costs
for individuals with limited income and resources. The MMA mandates
that the Government provide subsidies for those individuals who qualify
for the program, and who meet eligibility criteria for help with
premium, deductible, or co-payment costs. SSA uses the SSA-4640,
Authorization for the Social Security Administration to Obtain Account
Records from a Financial Institution and Request for Records
(Medicare), to determine if subsidy applicants or recipients qualify,
or continue to qualify, for the subsidy. SSA uses Form SSA-4640 to: (1)
Obtain the individual's consent to verify balances of financial
institution (FI) accounts; and (2) obtain verification of such balances
from the FI. Respondents are Medicare Part D program subsidy applicants
or claimants, and their financial institutions.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medicare Part D Subsidy Applicants...................... 5,000 1 1 83 * $10.95 ** $909
Financial Institutions.................................. 5,000 1 4 333 * 37.56 ** 12,507
-----------------------------------------------------------------------------------------------
Totals.............................................. 10,000 .............. .............. 416 .............. ** 13,416
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* We based these figures on the average DI payments based on SSA's current FY 2021 data https://www.ssa.gov/legislation/2021FactSheet.pdf), and the
average Business and Financial operations occupations, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes130000.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: August 17, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-17857 Filed 8-19-21; 8:45 am]
BILLING CODE 4191-02-P
