Agency Information Collection Activities: Proposed Request
| Citation | 86 FR 68034 |
| Record Number | 2021-25969 |
| Published date | 30 November 2021 |
| Section | Notices |
| Court | Social Security Administration |
68034
Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
31
15 U.S.C. 78s(b)(3)(A).
32
17 CFR 240.19b–4(f)(6). In addition, Rule 19b–
4(f)(6)(iii) requires a self-regulatory organization to
give the Commission written notice of its intent to
file the proposed rule change, along with a brief
description and text of the proposed rule change,
at least five business days prior to the date of filing
of the proposed rule change, or such shorter time
as designated by the Commission. The Exchange
has satisfied this requirement.
33
17 CFR 240.19b–4(f)(6).
34
17 CFR 240.19b–4(f)(6)(iii).
35
For purposes only of waiving the 30-day
operative delay, the Commission also has
considered the proposed rule’s impact on
efficiency, competition, and capital formation. See
15 U.S.C. 78c(f).
36
17 CFR 200.30–3(a)(12).
increase position limits on options on
the Underlying ETFs.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
No written comments were either
solicited or received.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
Because the foregoing proposed rule
change does not: (i) Significantly affect
the protection of investors or the public
interest; (ii) impose any significant
burden on competition; and (iii) become
operative for 30 days from the date on
which it was filed, or such shorter time
as the Commission may designate, it has
become effective pursuant to Section
19(b)(3)(A) of the Act
31
and Rule 19b–
4(f)(6) thereunder.
32
A proposed rule change filed
pursuant to Rule 19b–4(f)(6) under the
Act
33
normally does not become
operative for 30 days after the date of its
filing. However, Rule 19b–4(f)(6)(iii)
34
permits the Commission to designate a
shorter time if such action is consistent
with the protection of investors and the
public interest. The Exchange has asked
the Commission to waive the 30-day
operative delay so that the proposed
rule change may become operative upon
filing. The Exchange states that waiver
of the operative delay would be
consistent with the protection of
investors and the public interest
because it will ensure fair competition
among the exchanges by allowing the
Exchange to immediately increase the
position limits for the products subject
to this proposal, which the Exchange
believes will provide consistency for
Phlx members and member
organizations that are also members at
Cboe where these increased position
limits are currently in place. For this
reason, the Commission believes that
waiver of the 30-day operative delay is
consistent with the protection of
investors and the public interest.
Therefore, the Commission hereby
waives the operative delay and
designates the proposal as operative
upon filing.
35
At any time within 60 days of the
filing of the proposed rule change, the
Commission summarily may
temporarily suspend such rule change if
it appears to the Commission that such
action is necessary or appropriate in the
public interest, for the protection of
investors, or otherwise in furtherance of
the purposes of the Act. If the
Commission takes such action, the
Commission shall institute proceedings
to determine whether the proposed rule
change should be approved or
disapproved.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
Electronic Comments
•Use the Commission’s internet
comment form (http://www.sec.gov/
rules/sro.shtml); or
•Send an email to rule-comments@
sec.gov. Please include File Number SR–
Phlx–2021–70 on the subject line.
Paper Comments
•Send paper comments in triplicate
to Secretary, Securities and Exchange
Commission, 100 F Street NE,
Washington, DC 20549–1090.
All submissions should refer to File
Number SR–Phlx–2021–70. This file
number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
internet website (http://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for website viewing and
printing in the Commission’s Public
Reference Room, 100 F Street NE,
Washington, DC 20549 on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of such
filing also will be available for
inspection and copying at the principal
office of the Exchange. All comments
received will be posted without change.
Persons submitting comments are
cautioned that we do not redact or edit
personal identifying information from
comment submissions. You should
submit only information that you wish
to make available publicly. All
submissions should refer to File
Number SR–Phlx–2021–70, and should
be submitted on or before December 21,
2021.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.
36
J. Matthew DeLesDernier,
Assistant Secretary.
[FR Doc. 2021–25994 Filed 11–29–21; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2021–0047]
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
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–2021–0047].
(SSA) Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
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Fax: 410–966–2830, Email address:
OR.Reports.Clearance@ssa.gov.
Or you may submit your comments
online through https://www.reginfo.gov/
public/do/PRAMain, referencing Docket
ID Number [SSA–2021–0047].
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 31, 2022. Individuals
can obtain copies of the collection
instruments by writing to the above
email address.
1. Application for a Social Security
Number Card, the Social Security
Number Application Process (SSNAP),
internet SSN Replacement Card
(iSSNRC) Application, and Online
Social Security Number Application
Process (oSSNAP)—20 CFR 422.103–
422.110—0960–0066. SSA collects
information on the SS–5 (used in the
United States) and SS–5–FS (used
outside the United States) to issue
original or replacement Social Security
cards. SSA also enters the application
data into the SSNAP application when
issuing a card via telephone or in
person. In addition, hospitals collect the
same information on SSA’s behalf for
newborn children through the
Enumeration-at-Birth process. In this
process, parents of newborns provide
hospital birth registration clerks with
information required to register these
newborns. Hospitals send this
information to State Bureaus of Vital
Statistics (BVS), and they send the
information to SSA’s National Computer
Center. SSA then uploads the data to the
SSA mainframe along with all other
enumeration data, and we assign the
newborn a Social Security number
(SSN) and issue a Social Security card.
Respondents can also use these
modalities to request a change in their
SSN records. In addition, the iSSNRC
internet application collects information
similar to the paper SS–5 for no-change
replacement SSN cards for adult U.S.
citizens. The iSSNRC modality allows
certain applicants for SSN replacement
cards to complete the internet
application and submit the required
evidence online rather than completing
a paper Form SS–5. Finally, oSSNAP
collects information similar to that
which we collect on the paper SS–5 for
no change situations, with the exception
of name change, new or replacement
SSN cards for U.S. Citizens (adult and
minor children), and replacement cards
only for non-U.S. citizens. oSSNAP
allows these applicants for new or
replacement SSN cards to start the
application process on-line, receive a
list of evidentiary documents, and then
submit the application data to SSA for
further processing by SSA employees.
Applicants need to visit a local SSA
office to complete the application
process. The respondents for this
information collection are applicants for
original and replacement Social
Security cards, or individuals who wish
to change information in their SSN
records, who use any of the modalities
described above.
Type of Request: Revision of an OMB-
approved information collection.
Application scenario Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars)*
Average
wait time in
field office
(minutes)**
Total annual
opportunity
cost
(dollars)***
EAB Modality
Hospital staff who relay the State birth cer-
tificate information to the BVS and SSA
through the EAB process .......................... 3,587,284 1 5 298,857 *$23.74 **0 ***$7,094,865
iSSNRC Modality
Adult U.S. Citizens requesting a replace-
ment card with no changes through the
iSSNRC ..................................................... 3,141,061 1 5 261,755 *25.72 **0 ***6,732,341
Adult U.S. Citizens requesting a replace-
ment card with a name change through
iSSNRC ..................................................... 44,818 1 5 3,735 25.72 **0 ***96,060
oSSNAP Modality
Adult U.S. Citizens providing information to
receive a replacement card through the
oSSNAP
+
.................................................. 866,575 1 5 72,215 *25.72 **24 ***10,772,683
Adult U.S. Citizens providing information to
receive an original card through the
oSSNAP
+
.................................................. 31,521 1 5 2,627 25.72 * 24 ***391,848
Adult Non-U.S. Citizens providing informa-
tion to receive an original card through
the oSSNAP
+
............................................ 114,429 1 5 9,536 25.72 **24 ***1,422,505
Adult Non-U.S. Citizens providing informa-
tion to receive a replacement card
through the oSSNAP
+
............................... 63,925 1 5 5,327 25.72 **24 794,673
SSNAP/SS–5 Modality
Respondents who do not have to provide
parents’ SSNs ............................................ 2,791,499 1 9 418,725 *25.72 **24 ***39,488,545
Respondents whom we ask to provide par-
ents’ SSNs (when applying for original
SSN cards for children under age 12) ...... 102,258 1 9 15,339 *25.72 **24 ***1,446,542
Applicants age 12 or older who need to an-
swer additional questions so SSA can de-
termine whether we previously assigned
an SSN ...................................................... 335,587 1 10 55,931 *25.72 **24 ***4,891,069
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Application scenario Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars)*
Average
wait time in
field office
(minutes)**
Total annual
opportunity
cost
(dollars)***
Applicants asking for a replacement SSN
card beyond the allowable limits (i.e., who
must provide additional documentation to
accompany the application) ....................... 2,428 1 60 2,428 *25.72 **24 ***87,427
Enumeration Quality Review
Authorization to SSA to obtain personal in-
formation cover letter ................................. 500 1 15 125 *25.72 **24 ***8,359
Authorization to SSA to obtain personal in-
formation follow-up cover letter ................. 500 1 15 125 * 25.72 ** 24 *** 8,359
Grand Total
Totals ..................................................... 11,081,385 ........................ ........................ 1,146,724 ........................ ........................ *** 73,235,275
+
The number of respondents for this modality is an estimate based on google analytics data for the SS–5 form downloads from SSA.Gov.
*We based this figure on average Hospital Records Clerks (https://www.bls.gov/oes/current/oes292098.htm), and average U.S. worker’s hourly wages (https://
www.bls.gov/oes/current/oes_nat.htm#00-0000) as reported by the U.S. Bureau of Labor Statistics.
**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 theo-
retical 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. Response to Notice of Revised
Determination—20 CFR 404.913,
404.914, 404.992(b), 416.1413–416.1414,
and 416.1492(d)—0960–0347. When
SSA determines: (1) Claimants for initial
disability benefits do not actually have
a disability; or (2) current disability
recipients’ records show their disability
ceased, SSA notifies the disability
claimants, or recipients of this decision.
In response to this notice, the affected
claimants and disability recipients have
the following recourse: (1) They may
request a disability hearing to contest
SSA’s decision; and (2) they may submit
additional information or evidence for
SSA to consider. Disability claimants,
recipients, and their representatives use
Form SSA–765 to accomplish these two
actions. If respondents request the first
option, SSA’s Disability Hearings Unit
uses the form to schedule a hearing;
ensure an interpreter is present, if
required; and ensure the disability
recipients or claimants, and their
representatives, receive a notice about
the place and time of the hearing. If
respondents choose the second option,
SSA uses the form and other evidence
to reevaluate the claimant’s or
recipients’ case, and determine if the
new information or evidence will
change SSA’s decision. The respondents
are disability claimants, current
disability recipients, or their
representatives.
Type of Request: Revision of an OMB-
approved information collection.
Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–765 ...................... 51 1 30 26 * $19.01 ** 24 ***$874
* We based this figure by averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/
2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/cur-
rent/oes_nat.htm).
** 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. Travel Expense Reimbursement—
20 CFR 404.999(d) and 416.1499—
0960–0434. The Social Security Act
(Act) provides for travel expense
reimbursement from Federal and State
agencies for claimant travel incidental
to medical examinations, and to parties,
their representatives, and all reasonably
necessary witnesses for travel exceeding
75 miles to attend medical
examinations, reconsideration
interviews and proceedings before an
administrative law judge.
Reimbursement procedures require the
claimant to provide: (1) A list of
expenses incurred; and (2) receipts of
such expenses. Federal and state
personnel review the listings and
receipts to verify the reimbursable
amount to the requestor. The
respondents are claimants for Title II
benefits and Title XVI payments, their
representatives, and witnesses.
Type of Request: Extension of an
OMB-approved information collection.
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Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount (dol-
lars) *
Total annual
opportunity
cost
(dollars) ***
404.999(d) & 416.1499 ............................ 60,000 1 10 10,000 *$19.01 ** $190,100
* We based this figure by averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/
2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/cur-
rent/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rath-
er, 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. Pain Report Child—20 CFR
404.1512 and 416.912—0960–0540.
Before SSA can make a
disabilitydetermination for a child, we
require evidence from Supplemental
Security Income (SSI) applicants or
claimants to prove their disability. Form
SSA–3371–BK provides disability
interviewers, and SSI applicants or
claimants in self-help situations, with a
convenient way to record information
about claimants’ pain or other
symptoms. The State disability
determination services adjudicators and
judges then use the information from
Form SSA–3371–BK to assess the effects
of symptoms on function for purposes of
determining disability under the Act.
The respondents are applicants for, or
claimants of SSI payments.
Type of Request: Revision of an OMB-
approved information collection.
Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–3371 .................... 1,500 1 15 375 * $10.95 **24 ***$10,676
* 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 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.
5. Internet Request for Replacement of
Forms SSA–1099 & SSA–1042S—20
CFR 401.45—0960–0583. Title II
beneficiaries use Forms SSA–1099 and
SSA–1042S, Social Security Benefit
Statement, to determine if their Social
Security benefits are taxable, and the
amount they need to report to the
Internal Revenue Service. In cases
where the original forms are unavailable
(e.g., lost, stolen, mutilated), an
individual may use SSA’s automated
telephone application to request a
replacement SSA–1099 and SSA–1042.
SSA uses the information from the
automated telephone requests to verify
the identity of the requestor and to
provide replacement copies of the
forms. SSA accepts information in other
ways, too; however, the automated
telephone options reduce requests to the
National 800 Number Network (N8NN)
and visits to local Social Security field
offices (FO). The respondents are Title
II beneficiaries who wish to request a
replacement SSA–1099 or SSA–1042S
via telephone.
Type of Request: Revision of an OMB-
approved information collection.
Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars)*
Average wait
time for
teleservice
centers
(minutes)**
Total annual
opportunity
cost
(dollars)***
Automated Telephone Requests .................. 219,117 1 2 7,304 $27.07 ** 19 *** $260,332
N8NN ............................................................. 497,778 1 3 24,889 27.07 ** 19 ***887,084
Calls to local field offices .............................. 848,444 1 3 42,422 27.07 **19 ***1,512,022
Other (program service centers) ................... 41,640 1 3 2,082 27.07 ** 19 *** 74,199
Totals ..................................................... 1,606,979 ........................ ........................ 76,697 27.07 ........................ ***2,733,637
*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).
**We based this figure by averaging the average FY 2021 wait times for teleservice centers, based on SSA’s current management information data.
***This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theo-
retical 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. The Ticket to Work and Self-
Sufficiency Program—20 CFR 411—
0960–0644. SSA’s Ticket to Work (TTW)
Program transitions Social Security
Disability Insurance (SSDI) and SSI
recipients toward independence by
allowing them to receive Social Security
payments while maintaining
employment under the auspices of the
program. SSA uses service providers,
called Employment Networks (ENs), to
supervise participant progress through
the stages of TTW Program
participation, such as job searches and
interviews; progress reviews; and
changes in ticket status. ENs can be
private for-profit and nonprofit
organizations, as well as state vocational
rehabilitation agencies (VRs). SSA and
the ENs utilize the TTW program
manager to operate the TTW Program
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and exchange information about
participants. For example, the ENs use
the program manager to provide updates
on tasks such as selecting a payment
system, or requesting payments for
helping the beneficiary achieve certain
work goals. Since the ENs are not PRA-
exempt, the multiple information
collections within the TTW program
manager require OMB approval. Most of
the categories of information are
necessary for SSA to: (1) Comply with
the Ticket to Work legislation; and (2)
provide proper oversight of the program.
SSA collects this information through
several modalities, including forms,
electronic exchanges, and written
documentation. The respondents are the
ENs or state VRs, SSDI beneficiaries,
and blind or disabled SSI recipients
working under the auspices of the TTW
Program. Type of Request: Revision of
an OMB-approved information
collection.
Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost (dollars) **
a) 20 CFR 411.140(d)(2)/Interactive
Voice Recognition Telephone .............. 6,000 1 3 300 * $15.43 ** $4,629
a) 20 CFR 411.140(d)(2)/Ticket Assign-
ment via Portal ..................................... 91,484 1 2 3,049 **15.43 ** 47,046
a) 20 CFR 411.140(d)(3), 411.150(b)(3)
and 411.325(a)/State Agency Ticket
Assignment Form/SSA–1365 ............... 948 1 15 237 * 15.43 ** 3,657
a) 20 CFR 411.140(d)(3); 411.325(a);
411.150(b)(3); 20 CFR 411.465./Indi-
vidualized Work Plan/SSA–1370 ......... 26,007 1 60 26,007 * 15.43 ** 401,288
a) 20 CFR 411.166; 411.170(b)/Elec-
tronic File Submission .......................... 4,104 1 5 342 *15.43 ** 5,277
b) 20 CFR 411.145; 411.325/Requesting
Ticket Unassignments .......................... 2,494 1 15 624 * 15.43 ** 9,628
b) 20 CFR 411.535(a)(1)(iii)/Notification
of VR Case Closures via Portal ........... 136,478 1 11 25,021 *15.43 ** 386,074
c) 20 CFR 411.200(b)/Requests for Cer-
tification of Work and Educational
Progress/SSA–1375 ............................. 179 1 30 90 * 15.43 ** 1,389
d) 20 CFR 411.505/Selecting a Payment
System .................................................. 33 1 10 6 *15.43 ** 93
e) 20 CFR 411.400—411.420; 20 CFR
411.325(d) and 411.415/Reporting Re-
ferral Agreement Activity ...................... 31 1 15 8 * 15.43 ** 123
f) 20 CFR 411.575/Requesting EN Pay-
ments/SSA–1391 or SSA–1398 ........... 1,704 1 40 1,136 * 15.43 ** 17,528
f) 20 CFR 411.560 and 411.581/Re-
questing Split Payment/SSA–1401 ...... 5 1 20 2 * 15.43 **31
g) 20 CFR 411.325(f)/Proof of Relation-
ship ....................................................... 6,870 1 20 2,290 * 15.43 ** 35,335
g) 20 CFR 411.325(f)/Certification of
Services ................................................ 2,438 1 20 813 *15.43 ** 12,545
g) 20 CFR 411.325(f)/Annual Perform-
ance Outcome Report .......................... 507 1 15 127 * 15.43 ** 1,960
h) 20 CFR 411.435, 411.615, and
411.625/Dispute Resolution ................. 196 1 120 392 * 15.43 ** 6,049
i) 20 CFR 411.320/EN Contract
Changes/SSA–1374 ............................. 929 1 5 77 * 15.43 ** 1,188
j) 20 CFR 411.200(b)/WISE Webinar
Registration Page ................................. 4,000 1 3 200 * 15.43 ** 3,086
j) 20 CFR 411.200(b)/WISE Webinar
Survey .................................................. 1,776 1 3 89 * 15.43 ** 1,373
Totals ................................................ 286,183 ........................ 60,810 ........................ ........................ **938,299
* We based these figures by averaging the average hourly wages for Social and Human Service Assistants (https://www.bls.gov/oes/current/
oes211093.htm); Rehabilitation Counselors (https://www.bls.gov/oes/current/oes211015.htm); and the average DI payments based on SSA’s cur-
rent FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rath-
er, 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. Representative Payment Policies
and Administrative Procedures for
Imposing Penalties for False or
Misleading Statements or Withholding
of Information—0960–0740. This
information collection request
comprises several regulation sections
that provide additional safeguards for
Social Security beneficiaries’ whose
representative payees receive their
payment. SSA requires representative
payees to notify them of any event or
change in circumstances that would
affect receipt of benefits or performance
of payee duties. SSA uses the
information to determine continued
eligibility for benefits, the amount of
benefits due and if the payee is suitable
to continue servicing as payee. The
respondents are representative payees
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who receive and use benefits on behalf
of Social Security beneficiaries. Type of Collection: Revision of an
OMB-approved information collection.
Regulation sections Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars)*
Average wait
time in field
office or for
teleservice
centers
(minutes)**
Total annual
opportunity
cost
(dollars)***
404.2035(d)—Paper/Mail .............................. 30,489 1 5 2,541 * $27.07 *** $68,785
404.2035(d)—Office interview/Intranet ......... 579,291 1 5 48,274 * 27.07 **21 ***6,795,274
404.2035(f)—Paper/Mail ............................... 304 1 5 25 ** 27.07 *** 677
404.2035(f)—Office interview/Intranet .......... 5,792 1 5 483 *27.07 **21 *** 67,946
416.635(d)—Paper/Mail ................................ 16,630 1 5 1,386 * 27.07 ***37,519
416.635(d)—Office interview/Intranet ........... 305,316 1 5 25,443 * 27.07 **21 ***3,581,469
416.635(f)—Paper/Mail ................................. 166 1 5 14 *27.07 ***379
416.635(f)—Office interview/Intranet ............ 3,159 1 5 263 *27.07 **21 *** 37,059
Totals ..................................................... 941,147 ........................ ........................ 78,429 ........................ ........................ ***10,589,108
*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).
**We based this figure by averaging 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 theo-
retical 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. Protecting the Public and Our
Personnel To Ensure Operational
Effectiveness (RIN 0960–AH35),
Regulation 3729I—20 CFR 422.905 and
422.906—0960–0796. SSA published
regulations for the process we follow
when we restrict individuals from
receiving in-person services in our field
offices and provide them, instead, with
alternative services. We published these
rules to create a safer environment for
our personnel and members of the
public who use our facilities, while
ensuring we continue to serve the
American people with as little
disruption to our operations as possible.
Under our regulations at 20 CFR
422.905, an individual for whom we
restrict access to our facilities has the
opportunity to appeal our decision
within 60 days of the date of the
restrictive access and alternative service
notice. To appeal, restricted individuals
must submit a written request stating
why they believe SSA should rescind
the restriction and allow them to
conduct business with us on a face-to-
face basis in one of our offices. There is
no printed form for this request; rather,
restricted individuals create their own
written statement of appeal, and submit
it to a sole decision-maker in the
regional office of the region where the
restriction originated. The individuals
may also provide additional
documentation to support their appeal.
Under 20 CFR 422.906, if the individual
does not appeal the decision within the
60 days, if we restricted the individual
prior to the effective date of this
regulation, or if the appeal results in a
denial, the individual has another
opportunity to request review of the
restriction after a three-year period. To
submit this request for review, restricted
individuals may re-submit a written
appeal of the decision. The same criteria
apply as for the original appeal: (1) It
must be in writing; (2) it must go to a
sole decision-maker in the regional
office of the region where the restriction
originated for review; and (3) it may
accompany supporting documentation.
We make this periodic review available
to all restricted individuals once every
three years. Respondents for this
collection are individuals appealing
their restrictions from in-person services
at SSA field offices.
Type of Request: Extension of an
OMB-approved information collection.
Regulation sections Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
20 CFR 422.905 ...................................... 75 1 15 19 * $19.01 ** $361
20 CFR 422.906 ...................................... 75 1 20 25 * 19.01 ** 475
Totals ................................................ 150 ........................ ........................ 44 ........................ **$836
* We based this figure by averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/
2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/cur-
rent/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rath-
er, 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. Promoting Opportunity
Demonstration—0960–0809. Section
823 of the Bipartisan Budget Act of 2015
required SSA to carry out the Promoting
Opportunity Demonstration (POD) to
test a new benefit offset formula for
SSDI beneficiaries. Therefore, SSA is
undertaking POD, a demonstration to
evaluate the affect the new policy will
have on SSDI beneficiaries and their
families in several critical areas. We
previously obtained OMB approval for
this demonstration and are close to
completing the project. In this
information collection request, we are
seeking to renew the approval for both
the POD Monthly Earnings and
Impairment-related work Expenses
(IRWE) Reporting Form, and the POD
End of Year reporting (EOYR)
Documentation. The POD
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implementation team collects earnings
and IRWE data from POD treatment
group subjects whose monthly earnings
exceed the POD threshold. The POD
implementation team submits the data it
collects from treatment group subjects to
SSA. SSA uses the data to apply the
POD offset to treatment group subjects’
SSDI benefits. Respondents have two
options for reporting their earnings and
IRWE documentation contained in the
POD Monthly Form and the POD EOYR
Form: Paper (mail or fax) or an online
reporting portal. Respondents are
encouraged to submit their earnings and
IRWE documentation monthly but can
submit it the following year in advance
of SSA’s end of year reconciliation
process. While the collection of the
earnings and IRWE data from
respondents on the POD Monthly Form
and the POD EOYR Forms is voluntary,
failure to submit data could result in the
inaccurate calculation of SSDI benefits.
Note: We have completed the survey
portion of this demonstration project
and expect to finish collecting the data
by the end of the third quarter of fiscal
year 2022.
Respondents are SSDI beneficiaries,
who provided written consent before
agreeing to participate in the study and
whom we randomly assigned to one of
the two study treatment groups.
Type of Request: Revision of an OMB-
approved information collection.
Modality of completion Number of
respondents Frequency of
response Number of
responses
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
POD Monthly Earnings
and Impairment-re-
lated work Expenses
(IRWE) Reporting
Form—Paper Version
(faxed in) .................. 1,000 6 6,000 40 4,000 * $27.07 ** $108,280
POD Monthly Earnings
and Impairment-re-
lated work Expenses
(IRWE) Reporting
Form—Internet
Version ..................... 1,000 6 6,000 5 500 *27.07 ** 13,535
POD End of Year re-
porting (EOYR) Doc-
umentation ................ 2,000 1 2,000 8 267 * 27.07 ** 7,228
Totals .................... 4,000 ........................ 14,000 ........................ 4,767 ........................ ** 129,043
* 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; rath-
er, 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. Tribal Council Coverage
Agreement—0960–812. Section 218A of
the Social Security Act grants voluntary
Social Security coverage to Indian tribal
council members. The coverage is
voluntary for tribal council members;
however, if the tribe wishes to obtain
Social Security coverage, they must
complete the agreement. Each tribe
requesting coverage fills out one
agreement. SSA employees collect this
information via paper forms SSA–177 &
SSA–177–OP1, Indian Tribal Council
Coverage Agreement. The respondents
are Indian tribal councils who wish to
receive Social Security coverage for
their members.
Type of Request: Revision of an OMB-
approved information collection.
Modality of completion Number of
respondents Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost (dollars)**
SSA–177 .................................................. 6 1 10 1 * $19.01 ** $19
SSA–177–OP1 ......................................... 6 1 10 1 *19.01 ** 19
Totals ................................................ 12 ........................ ........................ 2 ........................ ** $38
* We based this figure by averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/
2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/
current/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rath-
er, 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.
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Dated: November 23, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2021–25969 Filed 11–29–21; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 11588]
30-Day Notice of Proposed Information
Collection: Request for Overseas U.S.
Citizen Vital Records Services
ACTION
: Notice of request for public
comment and submission to OMB of
proposed collection of information.
SUMMARY
: The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collection described below.
In accordance with the Paperwork
Reduction Act of 1995, we are
requesting comments on this collection
from all interested individuals and
organizations. The purpose of this
notice is to allow 30 days for public
comment preceding submission of the
collection to OMB.
DATES
: The Department will accept
comments from the public up to
December 30, 2021.
ADDRESSES
: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function. Direct requests for additional
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument, and supporting documents
to PPTFormsOfficer@state.gov. You
must include the DS form number and
information collection title.
SUPPLEMENTARY INFORMATION
:
•Title of Information Collection:
Request for Overseas U.S. Citizen Vital
Records Services.
•OMB Control Number: None.
•Type of Request: New Collection.
•Originating Office: Department of
State, Bureau of Consular Affairs,
Passport Services, Office of Program
Management and Operational Support
(CA/PPT/S/PMO/CS).
•Form Number: DS–5542.
•Respondents: Individuals.
•Estimated Number of Respondents:
16,846.
•Estimated Number of Responses:
16,846.
•Average Time per Response: 40
minutes.
•Total Estimated Burden Time:
11,231 hours.
•Frequency: On Occasion.
•Obligation to Respond: Required to
Obtain a Benefit.
We are soliciting public comments to
permit the Department to:
•Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
•Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
•Enhance the quality, utility, and
clarity of the information to be
collected.
•Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
Please note that comments submitted
in response to this notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
Abstract of Proposed Collection
The Request for Overseas U.S. Citizen
Vital Records Services is submitted to
the Office of Record Management to
request certified or authenticated copies
of overseas U.S. citizen vital records
such as Consular Reports of Birth/Death
Abroad, Certificates of Witness to
Marriage, and Panama Canal Zone
documents pursuant to authorized
requests. Requests for correction,
amendment, or replacement of such
vital records may be made using this
form also.
Methodology
A PDF fillable form will be available
on the Department’s website,
travel.state.gov, where it can be printed
for manual signature and submission.
The Request for Overseas U.S. Citizen
Vital Records Services form may be
submitted by mail to request certified or
authenticated copies of overseas U.S.
citizen vital records maintained by the
Office of Record Management. Requests
for correction, amendment, or
replacement of such vital records may
be made using this form also.
Kevin E. Bryant,
Deputy Director, Office of Directives
Management, Department of State.
[FR Doc. 2021–26011 Filed 11–29–21; 8:45 am]
BILLING CODE 4710–06–P
DEPARTMENT OF STATE
[Public Notice: 11584]
30-Day Notice of Proposed Information
Collection: Request for Authentication
Service in the United States
ACTION
: Notice of request for public
comment and submission to OMB of
proposed collection of information.
SUMMARY
: The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collection described below.
In accordance with the Paperwork
Reduction Act of 1995, we are
requesting comments on this collection
from all interested individuals and
organizations. The purpose of this
notice is to allow 30 days for public
comment preceding submission of the
collection to OMB.
DATES
: The Department will accept
comments from the public up to
December 30, 2021.
ADDRESSES
: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function. You must include the DS form
number (DS–4194), information
collection title, and the OMB control
number in any correspondence (if
applicable). Direct requests for
additional information regarding the
collection listed in this notice,
including requests for copies of the
proposed collection instrument, and
supporting documents to
PPTFormsOfficer@state.gov. You must
include the DS form number (DS–4194)
and information collection title.
SUPPLEMENTARY INFORMATION
:
•Title of Information Collection:
Request for Authentications Service DS–
4194.
•OMB Control Number: None.
•Type of Request: Existing
Information Collection Request without
OMB Control Number.
•Originating Office: Bureau of
Consular Affairs, Passport Services,
Office of Program Management and
Operational Support (CA/PPT/S/PMO).
•Form Number: DS–4194.
•Respondents: This information
collection will be used by members of
the public who wish to authenticate a
document in the United States.
•Estimated Number of Respondents:
47,094.
•Estimated Number of Responses:
47,094.
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