Agency Information Collection Activities: Proposed Request and Comment Request, 48694-48701 [2019-19910]
Download as PDF
<![CDATA[
48694
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
display a short sale order without regard
to whether the short sale order is at a
price that is less than or equal to the
current national best bid.
It is estimated that SRO and non-SRO
respondents registered with the
Commission and subject to the
collection of information requirements
of Rule 201 and Rule 200(g) incur an
aggregate annual burden of 1,621,571
hours to comply with the Rules and an
aggregate annual external cost of
$220,000.
Written comments are invited on: (a)
Whether the proposed collection of
information is necessary for the proper
performance of the functions of the
Commission, including whether the
information shall have practical utility;
(b) the accuracy of the Commission’s
estimates of the burden of the proposed
collection of information; (c) ways to
enhance the quality, utility, and clarity
of the information collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted in
writing within 60 days of this
publication.
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
under the PRA unless it displays a
currently valid OMB control number.
Please direct your written comments
to: Charles Riddle, Acting Director/Chief
Information Officer, Securities and
Exchange Commission, c/o Candace
Kenner, 100 F Street NE, Washington,
DC 20549, or send an email to: PRA_
Mailbox@sec.gov.
Dated: September 11, 2019.
Jill M. Peterson,
Assistant Secretary.
BILLING CODE 8011–01–P
Agency Information Collection
Activities: Proposed Request and
Comment Request
SECURITIES AND EXCHANGE
COMMISSION
Sunshine Act Meetings
10:30 a.m. on Thursday,
September 19, 2019.
PLACE: The meeting will be held at the
Commission’s headquarters, 100 F
Street NE, Washington, DC 20549.
STATUS: This meeting will be closed to
the public.
MATTERS TO BE CONSIDERED:
Commissioners, Counsel to the
Commissioners, the Secretary to the
Commission, and recording secretaries
TIME AND DATE:
jspears on DSK3GMQ082PROD with NOTICES
[FR Doc. 2019–20092 Filed 9–12–19; 4:15 pm]
[Docket No. SSA–2019–0040]
BILLING CODE 8011–01–P
18:14 Sep 13, 2019
Dated: September 12, 2019.
Vanessa A. Countryman,
Secretary.
SOCIAL SECURITY ADMINISTRATION
[FR Doc. 2019–19975 Filed 9–13–19; 8:45 am]
VerDate Sep<11>2014
will attend the closed meeting. Certain
staff members who have an interest in
the matters also may be present.
In the event that the time, date, or
location of this meeting changes, an
announcement of the change, along with
the new time, date, and/or place of the
meeting will be posted on the
Commission’s website at https://
www.sec.gov.
The General Counsel of the
Commission, or his designee, has
certified that, in his opinion, one or
more of the exemptions set forth in 5
U.S.C. 552b(c)(3), (5), (6), (7), (8), 9(B)
and (10) and 17 CFR 200.402(a)(3),
(a)(5), (a)(6), (a)(7), (a)(8), (a)(9)(ii) and
(a)(10), permit consideration of the
scheduled matters at the closed meeting.
The subject matters of the closed
meeting will consist of the following
topics:
Institution and settlement of
injunctive actions;
Institution and settlement of
administrative proceedings;
Resolution of litigation claims;
Post argument discussion; and
Other matters relating to enforcement
proceedings.
At times, changes in Commission
priorities require alterations in the
scheduling of meeting agenda items that
may consist of adjudicatory,
examination, litigation, or regulatory
matters.
CONTACT PERSON FOR MORE INFORMATION:
For further information; please contact
Vanessa A. Countryman from the Office
of the Secretary at (202) 551–5400.
Jkt 247001
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,
extensions, and corrections of OMBapproved 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
PO 00000
Frm 00116
Fmt 4703
Sfmt 4703
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
OIRA_Submission@omb.eop.gov
(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:
OR.Reports.Clearance@ssa.gov
Or you may submit your comments
online through www.regulations.gov,
referencing Docket ID Number [SSA–
2019–0040].
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 November 12,
2019. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Incorporation by Reference of Oral
Findings of Fact and Rationale in
Wholly Favorable Written Decisions
(Bench Decision Regulation)—20 CFR
404.953 and 416.1453—0960–0694. If an
administrative law judge (ALJ) makes a
wholly favorable oral decision,
including all the findings and rationale
for the decision for a claimant of Title
II or Title XVI payments, at an
administrative appeals hearing, the ALJ
sends a Notice of Decision (Form HA–
82), as the records from the oral hearing
preclude the need for a written decision.
We call this the incorporation-byreference process. In addition, the
regulations for this process state that if
the involved parties want a record of the
oral decision, they may submit a written
request for these records. SSA collects
identifying information under the aegis
of Sections 20 CFR 404.953 and
416.1453 of the Code of Federal
Regulations to determine how to send
interested individuals written records of
a favorable incorporation-by-reference
oral decision made at an administrative
review hearing. Since there is no
prescribed form to request a written
record of the decision, the involved
parties send SSA their contact
information and reference the hearing
for which they would like a record. The
respondents are applicants for Disability
Insurance Benefits and SSI payments, or
E:\FR\FM\16SEN1.SGM
16SEN1
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
their representatives, to whom SSA gave
a wholly favorable oral decision under
the regulations cited above.
48695
Type of Request: Extension 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) **
HA–82 ......................................................
2,500
1
5
208
* $10.22
** $2,126
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment 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. Request for Waiver of Special
Veterans Benefits (SVB) Overpayment
Recovery or Change in Repayment
Rate—20 CFR 408.900–408.950—0960–
0698. Title VIII of the Act requires SSA
to pay a monthly benefit to qualified
World War II veterans who reside
outside the United States. When an
overpayment in this SVB occurs, the
beneficiary can request a waiver of
recovery of the overpayment or a change
in the repayment rate. SSA uses the
SSA–2032–BK to obtain the information
necessary to establish whether the
claimant meets the waiver of recovery
provisions of the overpayment, and to
determine the repayment rate if we do
not waive repayment. Respondents are
SVB beneficiaries who have
overpayments on their Title VIII record
and wish to file a claim for waiver of
recovery or change in repayment rate.
Type of Request: Revision of an OMBapproved 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–2032–BK .........................................
134
1
120
268
* $7.67
** $2,056
* We based this figure on average SVB payments, as per SSA’s 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. Protection and Advocacy for
Beneficiaries of Social Security
(PABSS)—20 CFR 435.51–435.52—
0960–0768. The PABSS projects are part
of Social Security’s strategy to increase
the number of SSDI or SSI recipients
who return to work and achieve
financial independence and selfsufficiency as the result of receiving
support, representation, advocacy, or
other services. PABSS provides: (1)
Information and advice about obtaining
Number of
respondents
Modality of completion
jspears on DSK3GMQ082PROD with NOTICES
vocational rehabilitation and
employment services; and (2) advocacy
or other services a beneficiary with a
disability may need to secure, maintain,
or regain gainful employment. The
PABSS Annual Program Performance
Report collects statistical information
from each of the PABSS projects in an
effort to manage and capture program
performance and quantitative data.
Social Security uses the information to
evaluate the efficiency of the program,
Frequency of
response
Average
burden per
response
(minutes)
and to ensure beneficiaries are receiving
quality services. The project data is
valuable to Social Security in its
analysis of and future planning for the
SSDI and SSI programs. The
respondents are the 57 PABSS project
sites, and recipients of SSDI and SSI
programs.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
PABSS Program Grantees ......................
Beneficiaries .............................................
57
8,284
1
1
60
30
57
4,142
* 42.66
* $10.22
** $2,432
** 42,331
Totals ................................................
8,341
........................
........................
4,199
........................
** 44,763
* We based these figures on average Computer Systems Analyst hourly salary, as reported by Bureau of Labor Statistics data, and average DI
payments, as reported in SSA’s disability insurance payment 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. Methods for Conducting Personal
Conferences When Waiver of Recovery
of a Title II or Title XVI Overpayment
Cannot Be Approved—20 CFR
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
404.506(e)(3), 404.506(f)(8),
416.557(c)(3), and 416.557(d)(8)—0960–
0769. SSA conducts personal
conferences when we cannot approve a
PO 00000
Frm 00117
Fmt 4703
Sfmt 4703
waiver of recovery of a Title II or Title
XVI overpayment. The Act and our
regulatory citations require SSA to give
overpaid Social Security beneficiaries
E:\FR\FM\16SEN1.SGM
16SEN1
48696
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
and SSI recipients the right to request a
waiver of recovery and automatically
schedule a personal conference if we
cannot approve their request for waiver
of overpayment. We conduct these
conferences face-to-face, via telephone,
or through video teleconferences. Social
Security beneficiaries and SSI
recipients, or their representatives, may
provide documents to demonstrate they
are without fault in causing the
overpayment and do not have the ability
to repay the debt. They may submit
these documents by completing Form
SSA–632, Request for Waiver of
Overpayment Recovery (OMB No. 0960–
0037); Form SSA–795, Statement of
Claimant or Other Person (OMB No.
0960–0045); or through a personal
statement submitted by mail, telephone,
personal contact, or other suitable
method, such as fax or email. This
information collection satisfies the
requirements for request for waiver of
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
recovery of an overpayment, and allows
individuals to pursue further levels of
administrative appeal via personal
conference. Respondents are Social
Security beneficiaries and SSI recipients
or their representatives seeking
reconsideration of an SSA waiver
decision.
Type of Request: Revision on an
OMB-approved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
Title
II,
Personal
Conference,
404.506(e)(3) and 404–506(f)(8): Submittal of documents, additional mitigating financial information, and
verifications for consideration at personal conferences ................................
30,271
1
45
22,703
* $22.50
** $510,818
Title
XVI,
Personal
Conference,
416.557(c)(3) and 416–557(d)(8): Submittal of documents, additional mitigating financial information, and
verifications at personal conferences. ..
Totals .......................................................
51,192
81,463
1
........................
45
........................
38,394
61,097
* $10.22
........................
** $392,378
** 903,205
* We based these figures on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data; and and average DI payments, as reported in SSA’s disability insurance payment 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.
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
October 15, 2019. Individuals can obtain
copies of the OMB clearance packages
Number of
respondents
Modality of completion
jspears on DSK3GMQ082PROD with NOTICES
by writing to OR.Reports.Clearance@
ssa.gov.
1. Application for Child’s Insurance
Benefits—20 CFR 404.350–404.368,
404.603, & 416.350—0960–0010. Title II
of the Act provides for the payment of
monthly benefits to children of an
insured retired, disabled, or deceased
worker. Section 202(d) of the Act
discloses the conditions and
requirements the applicant must meet
Application for Child’s Insurance Benefits/Death Claim/Paper SSA–4–BK ......
Application for Child’s Insurance Benefits/Death Claim/Modernized Claims
System (MCS) and Preliminary Claims
System (PCS) .......................................
Application for Child’s Insurance Benefits/Life Claim/Paper .............................
SSA–4–BK ...............................................
Application for Child’s Insurance Benefits/Life Claim/MCS and PCS ...............
Totals ................................................
Frequency of
response
Average
burden per
response
(minutes)
when filing an application. SSA uses
the information on Form SSA–4–BK to
determine entitlement for children of
living and deceased workers to monthly
Social Security payments. Respondents
are guardians completing the form on
behalf of the children of living or
deceased workers, or the children of
living or deceased workers.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
18:14 Sep 13, 2019
Jkt 247001
Total annual
opportunity
cost
(dollars) **
1,204
1
12
241
* $22.50
** $27,090
204,777
1
11
37,542
* 22.50
** 4,607,482
3,484
1
12
697
* 22.50
** 78,390
422,267
1
11
77,416
* 22.50
** 9,501,007
631,732
........................
........................
115,896
........................
** 14,213,969
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data.
VerDate Sep<11>2014
Average
theoretical
hourly cost
amount
(dollars) *
PO 00000
Frm 00118
Fmt 4703
Sfmt 4703
E:\FR\FM\16SEN1.SGM
16SEN1
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
48697
** 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. Request for Hearing by
Administrative Law Judge—20 CFR
404.929, 404.933, 416.1429, 404.1433,
418.1350, and 42 CFR 405.722—0960–
0269. When SSA denies applicants’,
claimants’, or beneficiaries’ requests for
new or continuing disability benefits or
payments, the Act entitles those
applicants, claimants, or beneficiaries to
request a hearing to appeal the decision.
To request a hearing, individuals
complete Form HA–501; the associated
Modernized Claims System (MCS) or
SSI Claims System interview; or the
internet application (i501). SSA uses the
information to determine if the
individual: (1) Filed the request within
the prescribed time; (2) is the proper
party; and (3) took the steps necessary
to obtain the right to a hearing. SSA also
uses the information to determine: (1)
The individual’s reason(s) for
disagreeing with SSA’s prior
determinations in the case; (2) if the
individual has additional evidence to
submit; (3) if the individual wants an
oral hearing or a decision on the record;
and (4) whether the individual has (or
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
wants to appoint) a representative. The
respondents are Social Security
disability applicants and recipients who
want to appeal SSA’s denial of their
request for new or continued benefits
for disability and non-medical hearing
requests; and Medicare Part B recipients
who must pay the Medicare Part B
Income-Related Monthly Adjustment
Amount.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
HA–501; MCS; SSI Claims System .........
i501 (Internet iAppeals) ............................
10,325
653,318
1
1
10
5
1,721
54,443
* $10.22
* 10.22
** $17,589
** 556,407
Totals ................................................
663,643
........................
........................
56,164
........................
** 573,996
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment 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 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
Number of
respondents
Modality of completion
404.99(d) & 416.1499 ..............................
benefits and Title XVI payments, their
representatives and witnesses.
Correction Notice: SSA published the
incorrect burden information for this
collection at 84 FR 31972, on 7/3/19.
We are correcting this error here.
Type of Request: Extension of an
OMB-approved information collection.
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
Frequency of
response
60,000
Average
burden per
response
(minutes)
1
Estimated total
annual burden
(hours)
10
10,000
Average
theoretical
hourly cost
amount
(dollars) *
* $10.22
Total annual
opportunity
cost
(dollars) **
** $613,200
jspears on DSK3GMQ082PROD with NOTICES
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment 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. Certificate of Coverage Request—20
CFR 404.1913—0960–0554. The United
States (U.S.) has agreements with 30
foreign countries to eliminate double
Social Security coverage and taxation
where, except for the provisions of the
agreement, a worker would be subject to
coverage and taxes in both countries.
These agreements contain rules for
determining the country under whose
laws the worker’s period of employment
is covered, and to which country the
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
worker will pay taxes. The agreements
further dictate that, upon the request of
the worker or employer, the country
under whose system the period of work
is covered will issue a certificate of
coverage. The certificate serves as proof
of exemption from coverage and
taxation under the system of the other
country. The information we collect
assists us in determining a worker’s
coverage and in issuing a U.S. certificate
of coverage as appropriate. Per our
PO 00000
Frm 00119
Fmt 4703
Sfmt 4703
agreements, we ask a set number of
questions to the workers and employers
prior to issuing a certificate of coverage;
however, our agreements with Denmark,
Netherlands, Norway, and Sweden
require us to ask more questions in
those countries. Respondents are
workers and employers wishing to
establish exemption from foreign Social
Security taxes.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\16SEN1.SGM
16SEN1
48698
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
Number of
respondents
Modality of completion
Requests via Letter—Individuals (minus
Denmark, Netherlands, Norway, Poland & Sweden) ....................................
Requests
via
Internet—Individuals
(minus Denmark, Netherlands, Norway, Poland & Sweden) .......................
Requests via Letter—Individuals in Denmark, Netherlands, Norway, & Sweden
Requests via Letter—Individuals in Poland .......................................................
Requests via Internet—Individuals in
Denmark, Netherlands, Norway, &
Sweden .................................................
Requests via Internet—Individuals in Poland .......................................................
Requests via Letter—Employers (minus
Denmark, Netherlands, Norway, Poland & Sweden) ....................................
Requests
via
Internet—Employers
(minus Denmark, Netherlands, Norway, Poland, & Sweden) ......................
Requests via Letter—Employers in Denmark, Netherlands, Norway, & Sweden
Requests via Letter—Employers in Poland .......................................................
Requests via Internet—Employers in
Denmark, Netherlands, Norway, &
Sweden .................................................
Requests via Internet—Employers in Poland .......................................................
Totals ................................................
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
5,833
1
40
3,889
* $22.50
** $87,503
9,761
1
40
6,507
* 22.50
** 146,408
284
1
44
208
* 22.50
** 4,680
16
1
41
11
* 22.50
** 248
427
1
44
313
* 22.50
** 7,043
25
1
41
17
* 22.50
** 383
26,047
1
40
17,365
* 22.50
** 390,713
39,096
1
40
26,064
* 22.50
** 586,440
1,137
1
44
834
* 22.50
** 18,765
57
1
41
39
* 22.50
** 878
1,704
1
44
1,250
* 22.50
** 28,125
86
1
41
59
* 22.50
** 1,328
84,473
........................
........................
56,556
........................
** 1,272,514
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. Privacy and Disclosure of Official
Records and Information; Availability of
Information and Records to the Public—
20 CFR 401.40(b)&(c), 401.55(b),
401.100(a), 402.130, 402.185—0960–
0566. SSA established methods for the
public to: (1) Access their SSA records;
(2) allow SSA to disclose records; (3)
correct or amend their SSA records; (4)
consent for release of their records; (5)
Number of
respondents
Modality of completion
jspears on DSK3GMQ082PROD with NOTICES
request records under the Freedom of
Information Act (FOIA); and (6) request
access to an extract of their SSN record.
SSA often collects the necessary
information for these requests through a
written letter, with the exception of the
consent for release of records, for which
we use Form SSA–3288. The
respondents are individuals requesting
Frequency of
response
Average
burden per
response
(minutes)
access to, correction of, or disclosure of
SSA records.
Correction Notice: SSA published this
information collection as an extension
on July 3, 2019 at 84 FR 3197. Since we
are revising the Privacy Act Statement,
this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
Access to Records ...................................
Designating a Representative for Disclosure of Records ....................................
Amendment of Records ...........................
Consent of Release of Records ..............
FOIA Requests for Records ....................
Respondents who request access to an
extract of their SSN record ..................
10,000
1
11
1,833
* $22.50
** $41,243
3,000
100
3,000,760
15,000
1
1
1
1
2
10
3
5
6,000
17
150,038
1,250
* 22.50
* 22.50
* 22.50
* 22.50
** 135,000
** 383
** 3,375,855
** 28,125
10
1
8.5
1
* 22.50
** 22.50
Totals ................................................
3,028,870
........................
........................
159,139
........................
** 3,580,629
* We based these figures on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
PO 00000
Frm 00120
Fmt 4703
Sfmt 4703
E:\FR\FM\16SEN1.SGM
16SEN1
48699
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
6. Disability Report—Child—20 CFR
416.912—0960–0577. Sections
223(d)(5)(A) and 1631(e)(1) of the Act
require SSI claimants to furnish medical
and other evidence to prove they are
disabled. SSA uses Form SSA–3820 to
collect various types of information
about a child’s condition from treating
sources or other medical sources of
evidence. The State Disability
Determination Services evaluators use
the information from Form SSA–3820 to
develop medical and school evidence,
and to assess the alleged disability. The
information, together with medical
evidence, forms the evidentiary basis
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
upon which SSA makes its initial
disability evaluation. The respondents
are claimants seeking SSI childhood
disability payments.
Type of Request: Revision of an OMBapproved information collection.
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
SSA–3820 ................................................
EDCS .......................................................
i3820 ........................................................
177,572
1,000
176,572
1
1
1
90
120
120
266,358
2,000
353,144
10.22
10.22
10.22
** 1,814,786
** 10,220
** 1,804,566
Totals ................................................
355,144
........................
........................
621,502
........................
** 3,629,572
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment 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.
Individuals use Form SSA–561–U2; the
associated MCS or SSI Claims System
interview; or the internet application
(i561) to initiate a request for
reconsideration of a denied claim. SSA
uses the information to document the
request and to determine an individual’s
eligibility or entitlement to Social
Security benefits (Title II); SSI payments
(Title XVI); Special Veterans Benefits
7. Request for Reconsideration—20
CFR 404.907–404.921, 416.1407–
416.1421, 408.1009, and 418.1325—
0960–0622. The Act states those
individuals who are dissatisfied with
the results of an initial determination
regarding their Title II disability; Tile
XVI disability (SSI); Title VIII (SVB); or
Title XVIII (Medicare benefits), can
request a reconsideration hearing.
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
(Title VIII); Medicare (Title XVIII); and
for initial determinations regarding
Medicare Part B income-related
premium subsidy reductions. The
respondents are applicants, claimants,
beneficiaries, or recipients filing for
reconsideration of an initial
determination.
Type of Request: Revision of an OMBapproved information collection.
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
SSA–561 and Modernized Claims System (MCS) ............................................
I561 (Internet iAppeals) ...........................
330,370
1,161,300
1
1
8
5
40,049
96,775
* 10.22
* 10.22
** 409,301
** 989,041
Totals ................................................
1,461,670
........................
........................
136,824
........................
** 1,398,342
jspears on DSK3GMQ082PROD with NOTICES
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment 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.
8. Request to Withdraw a Hearing
Request; Request to Withdraw an
Appeals Council Request for Review;
and Administrative Review Process for
Adjudicating Initial Disability Claims—
20 CFR Parts 404, 405, and 416—0960–
0710. Claimants have a statutory right
under the Act and current regulations to
apply for SSDI benefits or SSI payments.
SSA collects information at each step of
the administrative process to adjudicate
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
claims fairly and efficiently. SSA
collects this information to establish a
claimant’s right to administrative
review, and determine the severity of
the claimant’s alleged impairments. SSA
uses the information we collect to
determine entitlement or continuing
eligibility to SSDI benefits or SSI
payments, and to enable appeals of
these determinations. In addition, SSA
collects information on Forms HA–85
PO 00000
Frm 00121
Fmt 4703
Sfmt 4703
and HA–86 to allow claimants to
withdraw a hearing request or an
Appeals Council review request. The
respondents are applicants for Title II
SSDI or Title XVI SSI benefits; their
appointed representatives; legal
advocates; medical sources; and
schools.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\16SEN1.SGM
16SEN1
48700
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
Number of
respondents
20 CFR section No.
404.961,
416.1461,
405.330,
and
405.366 .................................................
404.950, 416.1450, and 405.332 .............
404.949 and 416.1449 .............................
405.334 ....................................................
404.957, 416.1457, and 405.380 .............
405.381 ....................................................
405.401 ....................................................
404.971 and 416.1471 (HA–85; HA–86)
404.982 and 416.1482 .............................
404.987 & 404.988 and 416.1487 &
416.1488 and 405.601 .........................
404.1740(b)(1) .........................................
416.1540(b)(1) .........................................
404.1512, 404.1740(c)(4), 416.912, and
416.1540(c)(4) ......................................
405.372(c) ................................................
405.1(b)(5) and 405.372(b) ......................
405.505 ....................................................
405.1(c)(2) ................................................
405.20 ......................................................
Totals ................................................
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
12,220
1,040
2,868
20
21,041
37
5,310
1,606
1,687
1
1
1
1
1
1
1
1
1
20
20
60
60
10
30
10
10
30
4,073
347
2,868
20
3,507
19
885
268
844
10.22
10.22
10.22
10.22
10.22
10.22
10.22
10.22
10.22
** 41,626
** 3,546
** 29,311
** 204
** 35,842
** 194
** 9,045
** 2,739
** 8,626
12,425
150
150
1
1
1
30
2
2
6,213
5
5
10.22
22.50
22.50
** 63,497
** 113
** 113
150
5,310
833
833
5,310
5,310
1
1
1
1
1
1
2
10
30
30
10
10
5
885
417
417
885
885
22.50
10.22
10.22
10.22
10.22
10.22
** 113
** 9,045
** 4,262
** 4,262
** 9,045
** 9,045
76,300
........................
........................
22,548
........................
** 230,628
* We based these figures on average DI payments, as reported in SSA’s disability insurance payment data, and average U.S. citizen’s hourly
salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
9. Request for Accommodation in
Communication Method—0960–0777.
SSA allows disabled or impaired Social
Security applicants, beneficiaries,
recipients, and representative payees to
choose one of seven alternative methods
of communication they want SSA to use
when we send them benefit notices and
other related communications. The
seven alternative methods we offer are:
(1) Standard print notice by first-class
mail; (2) standard print mail with a
follow-up telephone call; (3) certified
mail; (4) Braille; (5) Microsoft Word file
on data CD; (6) large print (18-point
font); or (7) audio CD. However,
respondents who want to receive
notices from SSA through a
communication method other than the
seven methods listed above must
explain their request to us. Those
respondents use Form SSA–9000 to: (1)
Describe the type of accommodation
they want; (2) disclose their condition
necessitating the need for a different
type of accommodation; and (3) explain
why none of the seven methods
described above are sufficient for their
needs. SSA uses Form SSA–9000 to
determine, based on applicable law and
regulation, whether to grant the
respondents’ requests for an
accommodation based on their
impairment or disability. SSA collects
this information electronically through
either an in-person interview or a
telephone interview during which the
SSA employee keys in the information
on our iAccommodate Intranet screens.
The respondents are disabled or
impaired Social Security applicants,
beneficiaries, recipients, and
representative payees who ask SSA to
send notices and other communications
in an alternative method besides the
seven modalities we currently offer.
Type of Request: Revision of an OMBapproved 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–9000/iAccommodate .......................
5,000
1
20
1,667
* $10.22
** $51,100
jspears on DSK3GMQ082PROD with NOTICES
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Report of Adult FunctioningEmployer—20 CFR 404.1512 and
416.912—0960–0805. Section 205 (a),
223(d)(5)(A), 1631(d)(1), and 1631(e)(1)
of the Act require claimants’ applying
for SSDI benefits or SSI payments to
provide SSA with medical and other
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
evidence of their disability. 20 CFR
404.1512 and 20 CFR 416.912 of the
Code of Federal Regulations provides
detailed requirements of the types of
evidence SSDI beneficiaries and SSI
claimants must provide showing how
their impairment(s) affect their ability to
PO 00000
Frm 00122
Fmt 4703
Sfmt 4703
work (e.g., evidence of age, education
and training, work experience, daily
activities, efforts to work, and any other
evidence). Past employers familiar with
the claimant’s ability to perform work
activities completes Form SSA–385–BK,
Report of Adult Functioning-Employer
E:\FR\FM\16SEN1.SGM
16SEN1
48701
Federal Register / Vol. 84, No. 179 / Monday, September 16, 2019 / Notices
to provide SSA with information about
the employees day-to-day functioning in
the work setting. SSA and Disability
Determination Services use the
information Form SSA–3385–BK
collects as the basis to determine
eligibility or continued eligibility for
Modality of
completion
Number of
respondents
Frequency
of
response
SSA–3385–BK .........................................
3,601
1
disability benefits. The respondents are
claimants’ past employers.
Type of Request: Revision of an OMBapproved information collection.
Average
burden
per
response
(minutes)
Estimated
total
annual
burden
(hours)
Average
theoretical
hourly
cost
amount
(dollars) *
Total
annual
opportunity
cost
(dollars) **
20
1,200
* $22.50
** $27,000
* We based these figures on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: September 9, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
pursuant to the authority vested in me
by the Act of October 19, 1965 (79 Stat.
985; 22 U.S.C. 2459), Executive Order
12047 of March 27, 1978, the Foreign
Affairs Reform and Restructuring Act of
1998 (112 Stat. 2681, et seq.; 22 U.S.C.
6501 note, et seq.), Delegation of
Authority No. 234 of October 1, 1999,
and Delegation of Authority No. 236–3
of August 28, 2000.
[FR Doc. 2019–19910 Filed 9–13–19; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice:10875]
Notice of Determinations; Culturally
Significant Objects Imported for
Exhibition—Determinations: ‘‘Flesh
and Blood: Italian Masterpieces From
the Capodimonte Museum’’ Exhibition
Notice is hereby given of the
following determinations: I hereby
determine that certain objects to be
included in the exhibition ‘‘Flesh and
Blood: Italian Masterpieces from the
Capodimonte Museum,’’ imported from
abroad for temporary exhibition within
the United States, are of cultural
significance. The objects are imported
pursuant to agreements with the foreign
owner or custodian. I also determine
that the exhibition or display of the
exhibit objects at the Seattle Art
Museum, Seattle, Washington, from on
or about October 17, 2019, until on or
about January 26, 2020; at the Kimbell
Art Museum, Fort Worth, Texas, from
on or about March 1, 2020, until on or
about June 14, 2020; and at possible
additional exhibitions or venues yet to
be determined, is in the national
interest. I have ordered that Public
Notice of these determinations be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: Chi
D. Tran, Paralegal Specialist, Office of
the Legal Adviser, U.S. Department of
State (telephone: 202–632–6471; email:
section2459@state.gov). The mailing
address is U.S. Department of State, L/
PD, SA–5, Suite 5H03, Washington, DC
20522–0505.
SUPPLEMENTARY INFORMATION: The
foregoing determinations were made
jspears on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:14 Sep 13, 2019
Jkt 247001
Marie Therese Porter Royce,
Assistant Secretary, Bureau of Educational
and Cultural Affairs, Department of State.
[FR Doc. 2019–19995 Filed 9–13–19; 8:45 am]
BILLING CODE 4710–05–P
Marie Therese Porter Royce,
Assistant Secretary, Bureau of Educational
and Cultural Affairs, Department of State.
DEPARTMENT OF STATE
[Public Notice: 10877]
[FR Doc. 2019–19996 Filed 9–13–19; 8:45 am]
Notice of Determinations: Culturally
Significant Objects Imported for
Exhibition—Determinations: ‘‘Fe´lix
Valloton: Painter of Disquiet’’
Exhibition
Notice is hereby given of the
following determinations: I hereby
determine that certain objects to be
included in the exhibition ‘‘Fe´lix
Valloton: Painter of Disquiet,’’ imported
from abroad for temporary exhibition
within the United States, are of cultural
significance. The objects are imported
pursuant to agreements with the foreign
owners or custodians. I also determine
that the exhibition or display of the
exhibit objects at The Metropolitan
Museum of Art, New York, New York,
from on or about October 29, 2019, until
on or about January 26, 2020, and at
possible additional exhibitions or
venues yet to be determined, is in the
national interest. I have ordered that
Public Notice of these determinations be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: Chi
D. Tran, Paralegal Specialist, Office of
the Legal Adviser, U.S. Department of
State (telephone: 202–632–6471; email:
section2459@state.gov). The mailing
SUMMARY:
PO 00000
Frm 00123
Fmt 4703
address is U.S. Department of State, L/
PD, SA–5, Suite 5H03, Washington, DC
20522–0505.
SUPPLEMENTARY INFORMATION: The
foregoing determinations were made
pursuant to the authority vested in me
by the Act of October 19, 1965 (79 Stat.
985; 22 U.S.C. 2459), Executive Order
12047 of March 27, 1978, the Foreign
Affairs Reform and Restructuring Act of
1998 (112 Stat. 2681, et seq.; 22 U.S.C.
6501 note, et seq.), Delegation of
Authority No. 234 of October 1, 1999,
and Delegation of Authority No. 236–3
of August 28, 2000.
Sfmt 4703
BILLING CODE 4710–05–P
SURFACE TRANSPORTATION BOARD
[Docket No. AB 1020 (Sub-No. 2X)]
East Penn Railroad, LLC—
Discontinuance of Service and Lease
Operations—in Northeast Philadelphia,
Pa.
East Penn Railroad, LLC (ESPN), has
filed a verified notice of exemption
under 49 CFR 1152 subpart F—Exempt
Abandonments and Discontinuances of
Service to discontinue service and
terminate its lease operations over
approximately 1.8 miles of rail line
owned by Norfolk Southern Railway
Company (NSR) between milepost VE
0.00 and milepost VE 1.80 in Northeast
Philadelphia, Pa. (the Line). The Line
traverses U.S. Postal Service Zip Codes
19004 and 19127.
ESPN has certified that: (1) It has not
moved any local or overhead traffic over
the Line for at least two years; (2)
overhead traffic, if there were any, could
be rerouted over other lines; (3) no
formal complaint filed by a user of rail
service on the Line (or by a state or local
E:\FR\FM\16SEN1.SGM
16SEN1
]]>Agencies
[Federal Register Volume 84, Number 179 (Monday, September 16, 2019)]
[Notices]
[Pages 48694-48701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-19910]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2019-0040]
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, extensions, and corrections of OMB-approved
information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, Email address: [email protected]
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2019-0040].
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
November 12, 2019. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Incorporation by Reference of Oral Findings of Fact and
Rationale in Wholly Favorable Written Decisions (Bench Decision
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an
administrative law judge (ALJ) makes a wholly favorable oral decision,
including all the findings and rationale for the decision for a
claimant of Title II or Title XVI payments, at an administrative
appeals hearing, the ALJ sends a Notice of Decision (Form HA-82), as
the records from the oral hearing preclude the need for a written
decision. We call this the incorporation-by-reference process. In
addition, the regulations for this process state that if the involved
parties want a record of the oral decision, they may submit a written
request for these records. SSA collects identifying information under
the aegis of Sections 20 CFR 404.953 and 416.1453 of the Code of
Federal Regulations to determine how to send interested individuals
written records of a favorable incorporation-by-reference oral decision
made at an administrative review hearing. Since there is no prescribed
form to request a written record of the decision, the involved parties
send SSA their contact information and reference the hearing for which
they would like a record. The respondents are applicants for Disability
Insurance Benefits and SSI payments, or
[[Page 48695]]
their representatives, to whom SSA gave a wholly favorable oral
decision under the regulations cited above.
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 per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-82............................................. 2,500 1 5 208 * $10.22 ** $2,126
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment 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. Request for Waiver of Special Veterans Benefits (SVB)
Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900-
408.950--0960-0698. Title VIII of the Act requires SSA to pay a monthly
benefit to qualified World War II veterans who reside outside the
United States. When an overpayment in this SVB occurs, the beneficiary
can request a waiver of recovery of the overpayment or a change in the
repayment rate. SSA uses the SSA-2032-BK to obtain the information
necessary to establish whether the claimant meets the waiver of
recovery provisions of the overpayment, and to determine the repayment
rate if we do not waive repayment. Respondents are SVB beneficiaries
who have overpayments on their Title VIII record and wish to file a
claim for waiver of recovery or change in repayment rate.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2032-BK....................................... 134 1 120 268 * $7.67 ** $2,056
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average SVB payments, as per SSA's 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. Protection and Advocacy for Beneficiaries of Social Security
(PABSS)--20 CFR 435.51-435.52--0960-0768. The PABSS projects are part
of Social Security's strategy to increase the number of SSDI or SSI
recipients who return to work and achieve financial independence and
self-sufficiency as the result of receiving support, representation,
advocacy, or other services. PABSS provides: (1) Information and advice
about obtaining vocational rehabilitation and employment services; and
(2) advocacy or other services a beneficiary with a disability may need
to secure, maintain, or regain gainful employment. The PABSS Annual
Program Performance Report collects statistical information from each
of the PABSS projects in an effort to manage and capture program
performance and quantitative data. Social Security uses the information
to evaluate the efficiency of the program, and to ensure beneficiaries
are receiving quality services. The project data is valuable to Social
Security in its analysis of and future planning for the SSDI and SSI
programs. The respondents are the 57 PABSS project sites, and
recipients of SSDI and SSI programs.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
PABSS Program Grantees.................................. 57 1 60 57 * 42.66 ** $2,432
Beneficiaries........................................... 8,284 1 30 4,142 * $10.22 ** 42,331
-----------------------------------------------------------------------------------------------
Totals.............................................. 8,341 .............. .............. 4,199 .............. ** 44,763
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Computer Systems Analyst hourly salary, as reported by Bureau of Labor Statistics data, and average DI payments, as
reported in SSA's disability insurance payment 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. Methods for Conducting Personal Conferences When Waiver of
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a
waiver of recovery of a Title II or Title XVI overpayment. The Act and
our regulatory citations require SSA to give overpaid Social Security
beneficiaries
[[Page 48696]]
and SSI recipients the right to request a waiver of recovery and
automatically schedule a personal conference if we cannot approve their
request for waiver of overpayment. We conduct these conferences face-
to-face, via telephone, or through video teleconferences. Social
Security beneficiaries and SSI recipients, or their representatives,
may provide documents to demonstrate they are without fault in causing
the overpayment and do not have the ability to repay the debt. They may
submit these documents by completing Form SSA-632, Request for Waiver
of Overpayment Recovery (OMB No. 0960-0037); Form SSA-795, Statement of
Claimant or Other Person (OMB No. 0960-0045); or through a personal
statement submitted by mail, telephone, personal contact, or other
suitable method, such as fax or email. This information collection
satisfies the requirements for request for waiver of recovery of an
overpayment, and allows individuals to pursue further levels of
administrative appeal via personal conference. Respondents are Social
Security beneficiaries and SSI recipients or their representatives
seeking reconsideration of an SSA waiver decision.
Type of Request: Revision on an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Title II, Personal Conference, 404.506(e)(3) and 404- 30,271 1 45 22,703 * $22.50 ** $510,818
506(f)(8): Submittal of documents, additional
mitigating financial information, and verifications for
consideration at personal conferences..................
-----------------------------------------------------------------------------------------------
Title XVI, Personal Conference, 416.557(c)(3) and 416- 51,192 1 45 38,394 * $10.22 ** $392,378
557(d)(8): Submittal of documents, additional
mitigating financial information, and verifications at
personal conferences...................................
Totals.................................................. 81,463 .............. .............. 61,097 .............. ** 903,205
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data; and and average DI payments, as
reported in SSA's disability insurance payment 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.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than October 15, 2019. Individuals can obtain copies of
the OMB clearance packages by writing to [email protected].
1. Application for Child's Insurance Benefits--20 CFR 404.350-
404.368, 404.603, & 416.350--0960-0010. Title II of the Act provides
for the payment of monthly benefits to children of an insured retired,
disabled, or deceased worker. Section 202(d) of the Act discloses the
conditions and requirements the applicant must meet when filing an
application. SSA uses the information on Form SSA-4-BK to determine
entitlement for children of living and deceased workers to monthly
Social Security payments. Respondents are guardians completing the form
on behalf of the children of living or deceased workers, or the
children of living or deceased workers.
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 amount cost
(hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Application for Child's Insurance Benefits/Death Claim/ 1,204 1 12 241 * $22.50 ** $27,090
Paper SSA-4-BK.........................................
Application for Child's Insurance Benefits/Death Claim/ 204,777 1 11 37,542 * 22.50 ** 4,607,482
Modernized Claims System (MCS) and Preliminary Claims
System (PCS)...........................................
Application for Child's Insurance Benefits/Life Claim/ 3,484 1 12 697 * 22.50 ** 78,390
Paper..................................................
SSA-4-BK................................................
Application for Child's Insurance Benefits/Life Claim/ 422,267 1 11 77,416 * 22.50 ** 9,501,007
MCS and PCS............................................
-----------------------------------------------------------------------------------------------
Totals.............................................. 631,732 .............. .............. 115,896 .............. ** 14,213,969
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
[[Page 48697]]
** 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. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269.
When SSA denies applicants', claimants', or beneficiaries' requests for
new or continuing disability benefits or payments, the Act entitles
those applicants, claimants, or beneficiaries to request a hearing to
appeal the decision. To request a hearing, individuals complete Form
HA-501; the associated Modernized Claims System (MCS) or SSI Claims
System interview; or the internet application (i501). SSA uses the
information to determine if the individual: (1) Filed the request
within the prescribed time; (2) is the proper party; and (3) took the
steps necessary to obtain the right to a hearing. SSA also uses the
information to determine: (1) The individual's reason(s) for
disagreeing with SSA's prior determinations in the case; (2) if the
individual has additional evidence to submit; (3) if the individual
wants an oral hearing or a decision on the record; and (4) whether the
individual has (or wants to appoint) a representative. The respondents
are Social Security disability applicants and recipients who want to
appeal SSA's denial of their request for new or continued benefits for
disability and non-medical hearing requests; and Medicare Part B
recipients who must pay the Medicare Part B Income-Related Monthly
Adjustment Amount.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-501; MCS; SSI Claims System.......................... 10,325 1 10 1,721 * $10.22 ** $17,589
i501 (Internet iAppeals)................................ 653,318 1 5 54,443 * 10.22 ** 556,407
-----------------------------------------------------------------------------------------------
Totals.............................................. 663,643 .............. .............. 56,164 .............. ** 573,996
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment 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 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.
Correction Notice: SSA published the incorrect burden information
for this collection at 84 FR 31972, on 7/3/19. We are correcting this
error here.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.99(d) & 416.1499.................................... 60,000 1 10 10,000 * $10.22 ** $613,200
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment 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. Certificate of Coverage Request--20 CFR 404.1913--0960-0554. The
United States (U.S.) has agreements with 30 foreign countries to
eliminate double Social Security coverage and taxation where, except
for the provisions of the agreement, a worker would be subject to
coverage and taxes in both countries. These agreements contain rules
for determining the country under whose laws the worker's period of
employment is covered, and to which country the worker will pay taxes.
The agreements further dictate that, upon the request of the worker or
employer, the country under whose system the period of work is covered
will issue a certificate of coverage. The certificate serves as proof
of exemption from coverage and taxation under the system of the other
country. The information we collect assists us in determining a
worker's coverage and in issuing a U.S. certificate of coverage as
appropriate. Per our agreements, we ask a set number of questions to
the workers and employers prior to issuing a certificate of coverage;
however, our agreements with Denmark, Netherlands, Norway, and Sweden
require us to ask more questions in those countries. Respondents are
workers and employers wishing to establish exemption from foreign
Social Security taxes.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 48698]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Requests via Letter--Individuals (minus Denmark, 5,833 1 40 3,889 * $22.50 ** $87,503
Netherlands, Norway, Poland & Sweden)..................
Requests via Internet--Individuals (minus Denmark, 9,761 1 40 6,507 * 22.50 ** 146,408
Netherlands, Norway, Poland & Sweden)..................
Requests via Letter--Individuals in Denmark, 284 1 44 208 * 22.50 ** 4,680
Netherlands, Norway, & Sweden..........................
Requests via Letter--Individuals in Poland.............. 16 1 41 11 * 22.50 ** 248
Requests via Internet--Individuals in Denmark, 427 1 44 313 * 22.50 ** 7,043
Netherlands, Norway, & Sweden..........................
Requests via Internet--Individuals in Poland............ 25 1 41 17 * 22.50 ** 383
Requests via Letter--Employers (minus Denmark, 26,047 1 40 17,365 * 22.50 ** 390,713
Netherlands, Norway, Poland & Sweden)..................
Requests via Internet--Employers (minus Denmark, 39,096 1 40 26,064 * 22.50 ** 586,440
Netherlands, Norway, Poland, & Sweden).................
Requests via Letter--Employers in Denmark, Netherlands, 1,137 1 44 834 * 22.50 ** 18,765
Norway, & Sweden.......................................
Requests via Letter--Employers in Poland................ 57 1 41 39 * 22.50 ** 878
Requests via Internet--Employers in Denmark, 1,704 1 44 1,250 * 22.50 ** 28,125
Netherlands, Norway, & Sweden..........................
Requests via Internet--Employers in Poland.............. 86 1 41 59 * 22.50 ** 1,328
-----------------------------------------------------------------------------------------------
Totals.............................................. 84,473 .............. .............. 56,556 .............. ** 1,272,514
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566. SSA
established methods for the public to: (1) Access their SSA records;
(2) allow SSA to disclose records; (3) correct or amend their SSA
records; (4) consent for release of their records; (5) request records
under the Freedom of Information Act (FOIA); and (6) request access to
an extract of their SSN record. SSA often collects the necessary
information for these requests through a written letter, with the
exception of the consent for release of records, for which we use Form
SSA-3288. The respondents are individuals requesting access to,
correction of, or disclosure of SSA records.
Correction Notice: SSA published this information collection as an
extension on July 3, 2019 at 84 FR 3197. Since we are revising the
Privacy Act Statement, this is now a revision of an OMB-approved
information collection.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Access to Records....................................... 10,000 1 11 1,833 * $22.50 ** $41,243
Designating a Representative for Disclosure of Records.. 3,000 1 2 6,000 * 22.50 ** 135,000
Amendment of Records.................................... 100 1 10 17 * 22.50 ** 383
Consent of Release of Records........................... 3,000,760 1 3 150,038 * 22.50 ** 3,375,855
FOIA Requests for Records............................... 15,000 1 5 1,250 * 22.50 ** 28,125
Respondents who request access to an extract of their 10 1 8.5 1 * 22.50 ** 22.50
SSN record.............................................
-----------------------------------------------------------------------------------------------
Totals.............................................. 3,028,870 .............. .............. 159,139 .............. ** 3,580,629
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
[[Page 48699]]
6. Disability Report--Child--20 CFR 416.912--0960-0577. Sections
223(d)(5)(A) and 1631(e)(1) of the Act require SSI claimants to furnish
medical and other evidence to prove they are disabled. SSA uses Form
SSA-3820 to collect various types of information about a child's
condition from treating sources or other medical sources of evidence.
The State Disability Determination Services evaluators use the
information from Form SSA-3820 to develop medical and school evidence,
and to assess the alleged disability. The information, together with
medical evidence, forms the evidentiary basis upon which SSA makes its
initial disability evaluation. The respondents are claimants seeking
SSI childhood disability payments.
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-3820................................................ 177,572 1 90 266,358 10.22 ** 1,814,786
EDCS.................................................... 1,000 1 120 2,000 10.22 ** 10,220
i3820................................................... 176,572 1 120 353,144 10.22 ** 1,804,566
-----------------------------------------------------------------------------------------------
Totals.............................................. 355,144 .............. .............. 621,502 .............. ** 3,629,572
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment 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.
7. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009, and 418.1325--0960-0622. The Act states those
individuals who are dissatisfied with the results of an initial
determination regarding their Title II disability; Tile XVI disability
(SSI); Title VIII (SVB); or Title XVIII (Medicare benefits), can
request a reconsideration hearing. Individuals use Form SSA-561-U2; the
associated MCS or SSI Claims System interview; or the internet
application (i561) to initiate a request for reconsideration of a
denied claim. SSA uses the information to document the request and to
determine an individual's eligibility or entitlement to Social Security
benefits (Title II); SSI payments (Title XVI); Special Veterans
Benefits (Title VIII); Medicare (Title XVIII); and for initial
determinations regarding Medicare Part B income-related premium subsidy
reductions. The respondents are applicants, claimants, beneficiaries,
or recipients filing for reconsideration of an initial determination.
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-561 and Modernized Claims System (MCS).............. 330,370 1 8 40,049 * 10.22 ** 409,301
I561 (Internet iAppeals)................................ 1,161,300 1 5 96,775 * 10.22 ** 989,041
-----------------------------------------------------------------------------------------------
Totals.............................................. 1,461,670 .............. .............. 136,824 .............. ** 1,398,342
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment 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.
8. Request to Withdraw a Hearing Request; Request to Withdraw an
Appeals Council Request for Review; and Administrative Review Process
for Adjudicating Initial Disability Claims--20 CFR Parts 404, 405, and
416--0960-0710. Claimants have a statutory right under the Act and
current regulations to apply for SSDI benefits or SSI payments. SSA
collects information at each step of the administrative process to
adjudicate claims fairly and efficiently. SSA collects this information
to establish a claimant's right to administrative review, and determine
the severity of the claimant's alleged impairments. SSA uses the
information we collect to determine entitlement or continuing
eligibility to SSDI benefits or SSI payments, and to enable appeals of
these determinations. In addition, SSA collects information on Forms
HA-85 and HA-86 to allow claimants to withdraw a hearing request or an
Appeals Council review request. The respondents are applicants for
Title II SSDI or Title XVI SSI benefits; their appointed
representatives; legal advocates; medical sources; and schools.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 48700]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
20 CFR section No. Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.961, 416.1461, 405.330, and 405.366................. 12,220 1 20 4,073 10.22 ** 41,626
404.950, 416.1450, and 405.332.......................... 1,040 1 20 347 10.22 ** 3,546
404.949 and 416.1449.................................... 2,868 1 60 2,868 10.22 ** 29,311
405.334................................................. 20 1 60 20 10.22 ** 204
404.957, 416.1457, and 405.380.......................... 21,041 1 10 3,507 10.22 ** 35,842
405.381................................................. 37 1 30 19 10.22 ** 194
405.401................................................. 5,310 1 10 885 10.22 ** 9,045
404.971 and 416.1471 (HA-85; HA-86)..................... 1,606 1 10 268 10.22 ** 2,739
404.982 and 416.1482.................................... 1,687 1 30 844 10.22 ** 8,626
404.987 & 404.988 and 416.1487 & 416.1488 and 405.601... 12,425 1 30 6,213 10.22 ** 63,497
404.1740(b)(1).......................................... 150 1 2 5 22.50 ** 113
416.1540(b)(1).......................................... 150 1 2 5 22.50 ** 113
404.1512, 404.1740(c)(4), 416.912, and 416.1540(c)(4)... 150 1 2 5 22.50 ** 113
405.372(c).............................................. 5,310 1 10 885 10.22 ** 9,045
405.1(b)(5) and 405.372(b).............................. 833 1 30 417 10.22 ** 4,262
405.505................................................. 833 1 30 417 10.22 ** 4,262
405.1(c)(2)............................................. 5,310 1 10 885 10.22 ** 9,045
405.20.................................................. 5,310 1 10 885 10.22 ** 9,045
-----------------------------------------------------------------------------------------------
Totals.............................................. 76,300 .............. .............. 22,548 .............. ** 230,628
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average DI payments, as reported in SSA's disability insurance payment data, and average U.S. citizen's hourly salary, as
reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
9. Request for Accommodation in Communication Method--0960-0777.
SSA allows disabled or impaired Social Security applicants,
beneficiaries, recipients, and representative payees to choose one of
seven alternative methods of communication they want SSA to use when we
send them benefit notices and other related communications. The seven
alternative methods we offer are: (1) Standard print notice by first-
class mail; (2) standard print mail with a follow-up telephone call;
(3) certified mail; (4) Braille; (5) Microsoft Word file on data CD;
(6) large print (18-point font); or (7) audio CD. However, respondents
who want to receive notices from SSA through a communication method
other than the seven methods listed above must explain their request to
us. Those respondents use Form SSA-9000 to: (1) Describe the type of
accommodation they want; (2) disclose their condition necessitating the
need for a different type of accommodation; and (3) explain why none of
the seven methods described above are sufficient for their needs. SSA
uses Form SSA-9000 to determine, based on applicable law and
regulation, whether to grant the respondents' requests for an
accommodation based on their impairment or disability. SSA collects
this information electronically through either an in-person interview
or a telephone interview during which the SSA employee keys in the
information on our iAccommodate Intranet screens. The respondents are
disabled or impaired Social Security applicants, beneficiaries,
recipients, and representative payees who ask SSA to send notices and
other communications in an alternative method besides the seven
modalities we currently offer.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-9000/iAccommodate............................. 5,000 1 20 1,667 * $10.22 ** $51,100
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Report of Adult Functioning-Employer--20 CFR 404.1512 and
416.912--0960-0805. Section 205 (a), 223(d)(5)(A), 1631(d)(1), and
1631(e)(1) of the Act require claimants' applying for SSDI benefits or
SSI payments to provide SSA with medical and other evidence of their
disability. 20 CFR 404.1512 and 20 CFR 416.912 of the Code of Federal
Regulations provides detailed requirements of the types of evidence
SSDI beneficiaries and SSI claimants must provide showing how their
impairment(s) affect their ability to work (e.g., evidence of age,
education and training, work experience, daily activities, efforts to
work, and any other evidence). Past employers familiar with the
claimant's ability to perform work activities completes Form SSA-385-
BK, Report of Adult Functioning-Employer
[[Page 48701]]
to provide SSA with information about the employees day-to-day
functioning in the work setting. SSA and Disability Determination
Services use the information Form SSA-3385-BK collects as the basis to
determine eligibility or continued eligibility for disability benefits.
The respondents are claimants' past employers.
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-3385-BK....................................... 3,601 1 20 1,200 * $22.50 ** $27,000
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data.
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: September 9, 2019.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2019-19910 Filed 9-13-19; 8:45 am]
BILLING CODE 4191-02-P
