Agency Information Collection Activities: Proposed Request and Comment Request, 45723-45731 [2020-16361]
Download as PDF
<![CDATA[
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
impediments to and perfects the
mechanism of a free and open market
and protects investors and the public
interest by providing additional
specificity, clarity, and transparency in
the Exchange’s rules.
B. Self-Regulatory Organization’s
Statement on Burden on Competition
The Exchange does not believe that
the proposed rule change will impose
any burden on competition that is not
necessary or appropriate in furtherance
of the purposes of the Act. The
proposed change is not designed to
address any competitive issue, but
rather would provide the public and
market participants with up-to-date
information about the data feeds the
Exchange will use for the handling,
execution, and routing of orders, as well
as for regulatory compliance.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
No written comments were solicited
or received with respect to the proposed
rule change.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
The Exchange has filed the proposed
rule change pursuant to Section
19(b)(3)(A)(iii) of the Act 7 and Rule
19b–4(f)(6) thereunder.8 Because the
proposed rule change does not (i)
significantly affect the protection of
investors or the public interest; (ii)
impose any significant burden on
competition; or (iii) become operative
prior to 30 days from the date on which
it was filed, or such shorter time as the
Commission may designate, if
consistent with the protection of
investors and the public interest, the
proposed rule change has become
effective pursuant to Section 19(b)(3)(A)
of the Act and Rule 19b–4(f)(6)(iii)
thereunder.
At any time within 60 days of the
filing of such 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
under Section 19(b)(2)(B) 9 of the Act to
determine whether the proposed rule
7 15
U.S.C. 78s(b)(3)(A)(iii).
CFR 240.19b–4(f)(6).
9 15 U.S.C. 78s(b)(2)(B).
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 (https://www.sec.gov/
rules/sro.shtml); or
• Send an email to rule-comments@
sec.gov. Please include File Number SR–
NYSEARCA–2020–67 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–NYSEARCA–2020–67. 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 (https://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 the
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–NYSEARCA–2020–67, and
should be submitted on or before
August 19, 2020.
8 17
VerDate Sep<11>2014
17:23 Jul 28, 2020
10 17
Jkt 250001
PO 00000
CFR 200.30–3(a)(12).
Frm 00150
Fmt 4703
Sfmt 4703
45723
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.10
J. Matthew DeLesDernier,
Assistant Secretary.
[FR Doc. 2020–16373 Filed 7–28–20; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2020–0033]
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 extensions
and revisions of OMB-approved
information collections, as well as two
new 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:
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–
2020–0033].
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 September
28, 2020. Individuals can obtain copies
of the collection instruments by writing
to the above email address.
1. Online Request for Correction of
Earnings Record—0960–NEW. We are
offering an alternative to the paper
process of requesting a correction to an
E:\FR\FM\29JYN1.SGM
29JYN1
45724
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
0960–0029, Request for Correction of
Earnings Record. The information we
collect includes that which supports an
earnings correction action, such as
employer names, addresses, wage
amounts, and pertinent details about the
nature of employment. The respondents
earnings record, and launching a new
service that enables our users to make
these same requests electronically via
the online my Social Security portal.
Information collected from the public
will not exceed that which is requested
by paper Form SSA–7008, OMB No.
are authorized, authenticated
individuals accessing the earnings
correction process from their personal
my Social Security portal.
Type of Request: Request for a new
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) **
Online Request for Correction of Earnings Record ..........................................
76,047
1
15
19,012
* $25.72
** $488,989
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Statement of Death by Funeral
Director—20 CFR 404.715 and
404.720—0960–0142. When an SSAinsured worker dies, the funeral director
or funeral home responsible for the
worker’s burial or cremation completes
Form SSA–721 and sends it to SSA.
the lump-sum death payment or for
other death benefits. The respondents
are funeral directors who handled death
arrangements for the insured
individuals.
Type of Request: Revision of an OMBapproved information collection.
SSA uses this information for three
purposes: (1) To establish proof of death
for the insured worker; (2) to determine
if the insured individual was receiving
any pre-death benefits SSA needs to
terminate; and (3) to ascertain which
surviving family member is eligible for
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–721 ..................................................
544,233
1
4
36,282
* 28.06
** $1,018,073
* We based this figure on average funeral arranger’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes394031.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Government Pension
Questionnaire—20 CFR 404.408a—
0960–0160. The basic Social Security
benefits application (OMB No. 0960–
0618) contains a lead question asking if
applicants are qualified (or will qualify)
to receive a government pension. If the
respondent is qualified, or will qualify,
to receive a government pension, the
applicant completes Form SSA–3885
either on paper or through a personal
interview with an SSA claims
representative. If applicants are not
entitled to receive a government
pension at the time they apply for Social
Security benefits, SSA requires them to
provide the government pension
information as beneficiaries when they
become eligible to receive their
pensions. Regardless of the timing, at
some point the applicants or
beneficiaries must complete and sign
Form SSA–3885 to report information
about their government pensions before
the pensions begin. SSA uses the
information to: (1) Determine whether
the Government Pension Offset
provision applies; (2) identify
exceptions as stated in 20 CFR 404.408a;
and (3) determine the benefit reduction
amount and effective date. If the
applicants and beneficiaries do not
respond using this questionnaire, SSA
offsets their entire benefit amount. The
respondents are applicants or recipients
of spousal benefits who are eligible for
or already receiving a Government
pension.
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) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–3885 ....................
6,495
1
13
1,407
* $25.72
** 24
*** $103,009
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
PO 00000
Frm 00151
Fmt 4703
Sfmt 4703
E:\FR\FM\29JYN1.SGM
29JYN1
45725
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
4. Application for Benefits under a
U.S. International Social Security
Agreement—20 CFR 404.1925—0960–
0448. Section 233(a) of the Social
Security Act (Act) authorizes the
President to enter into international
Social Security agreements (Totalization
Modality of completion
Number of
respondents
States. The respondents are individuals
applying for Old Age Survivors and
Disability Insurance (OASDI) benefits
from the United States, or from a
Totalization Agreement country.
Type of Request: Revision of an OMBapproved information collection.
Agreements) between the United States
and foreign countries. SSA collects
information using Form SSA–2490–BK
to determine entitlement to Social
Security benefits from the United States,
or from a country that enters into a
Totalization Agreement with the United
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–2490–BK (MCS) ..
SSA–2490–BK (Paper)
16,195
2,120
1
1
30
30
8,098
1,060
* $10.73
* 10.73
** 24
** 24
*** $156,401
*** 20,473
Totals ....................
18,315
........................
........................
9,158
........................
........................
*** 176,874
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment data (https://www.ssa.gov/legislation/
2020Fact%20Sheet.pdf).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
5. Employee Identification
Statement—20 CFR 404.702—0960–
0473. When two or more individuals
report earnings under the same Social
Security Number (SSN), SSA collects
information on Form SSA–4156 to
credit the earnings to the correct
individual and SSN. We send SSA–4156
to the employer to: (1) Identify the
employees involved; (2) resolve the
discrepancy; and (3) credit the earnings
to the correct SSN. The respondents are
employers involved in erroneous wage
reporting for an employee.
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) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–4156 ....................
3,600
1
10
600
* $25.72
** 24
*** $52,469
* We based this figure on average U.S. worker’s hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
6. Public Information Campaign—
0960–0544. Periodically, SSA sends
various public information materials,
including public service
announcements, news releases, and
educational tapes to public broadcasting
systems so they can inform the public
about various programs and activities
SSA conducts. SSA frequently sends
follow-up business reply cards for these
public information materials to obtain
suggestions for improving them. The
respondents are broadcast sources.
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) **
Radio Announcement ..............................
5,000
2
1
167
* $25.76
** $4,302
* We based this figure on average Broadcast Announcers and Radio Disc Jockey’s hourly salary, as reported by Bureau of Labor Statistics
data (https://www.bls.gov/oes/current/oes273011.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. SSI Notice of Interim Assistance
Reimbursement (IAR)—0960–0546.
Section 1631(g) of the Act authorizes
SSA to reimburse an IAR agency from
an individual’s retroactive
Supplemental Security Income (SSI)
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
payment for assistance the IAR agency
gave the individual for meeting basic
needs while an SSI claim was pending
or SSI payments were suspended or
terminated. The State or local agency
needs an IAR agreement with SSA to
PO 00000
Frm 00152
Fmt 4703
Sfmt 4703
participate in the IAR program. The
individual receiving the IAR payment
signs an authorization form with an IAR
agency to allow SSA to repay the IAR
agency for funds paid in advance prior
to SSA’s determination on the
E:\FR\FM\29JYN1.SGM
29JYN1
45726
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
individual’s claim. The authorization
represents the individual’s intent to file
for SSI, if the individual did not file an
application before SSA received the
authorization. Agencies who wish to
enter into an IAR agreement with SSA
need to meet the following
requirements:
• Reporting Requirements—Each IAR
agency agrees to:
(a) Notify SSA of receipt of an
authorization for initial claims or cases
the agency is appealing;
(b) submit a copy of that authorization
either through a manual or electronic
process;
(c) inform SSA of the amount of
reimbursement;
Modality of completion
Number of
respondents
(States)
IAR agency agrees to send written
notices from the IAR agency to the
recipient regarding payment amounts
and appeal rights.
• Periodic Review of Agency
Accounting Process (k–m)—the IAR
agency makes the IAR accounting
records of paid cases available for SSA
review and verification. SSA conducts
reviews either onsite or through the
mail of the authorization forms, notices
to the claimant and accounting forms.
Upon completion of the review, SSA
provides a written report of findings to
the IAR agency director.
The respondents are State IAR
officers.
Type of Request: Revision of an OMBapproved information collection.
(d) submit a written request for
dispute resolution on a determination;
(e) notify SSA of interim assistance
paid (using the SSA–8125 or the SSA–
L8125–F6);
(f) inform SSA of any deceased
claimants who participate in the IAR
program;
(g) review and sign an agreement with
SSA.
• Recordkeeping Requirements (h &
i)—the IAR agencies agree to retain all
notices, agreement, authorizations, and
accounting forms for the period defined
in the IAR agreement so SSA may verify
transactions covered under the
agreement.
• Third Party Disclosure
Requirements (j)—each participating
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Estimated
total annual
burden hours
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
Reporting Requirements
(a) State notification of
receipt of authorization (Electronic Process) ...........................
(b) State submission of
copy of authorization
(Manual Process) .....
(c) State submission of
amount of IA paid to
recipients (using
eIAR) ........................
(d) State request for
determination—dispute resolution ..........
(e) State computation
of reimbursement
due form SSA using
paper Form SSA–
L8125–F6 .................
(f) State notification to
SSA of deceased
claimant ....................
(g) State reviewing/
signing of IAR Agreement ..........................
11
6,973
76,703
1
1,278
* $19.58
** $25,023
27
1,894
51,138
3
2,557
* 19.58
** 50,066
38
1,346
51,148
8
6,820
* 19.58
** 133,536
(1)
1
2
30
1
* 19.58
** 20
38
1
38
30
4
* 19.58
** 78
20
2
40
15
10
* 19.58
** 196
38
1
38
2 12
456
* 19.58
** 8,928
Recordkeeping Requirements
(h) Maintenance of authorization forms .......
(i) Maintenance of accounting forms and
notices ......................
38
3,364
3 127,832
3
6,392
* 21.09
** 134,807
38
1,346
51,148
3
2,557
* 21.09
** 53,927
11,828
* 19.58
** 231,592
36
* 21.09
** 759
Third Party Disclosure Requirements
(j) Written notice from
State to recipient regarding amount of
payment ....................
38
2668
101,384
7
Periodic Review of Agency Accounting Process
(k) Retrieve and consolidate authorization
and accounting forms
VerDate Sep<11>2014
17:23 Jul 28, 2020
12
Jkt 250001
1
PO 00000
Frm 00153
12
Fmt 4703
Sfmt 4703
3
E:\FR\FM\29JYN1.SGM
29JYN1
45727
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
Modality of completion
Number of
respondents
(States)
(l) Participate in periodic review ...............
(m) Correct administrative and accounting
discrepancies ............
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Estimated
total annual
burden hours
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
12
1
12
16
192
* 21.09
** 4,049
6
1
6
4
24
* 21.09
** 506
........................
32,155
........................
** 643,487
Total Administrative Burden
Total ......................
1 Average
38
........................
408,353
of about 2 States per year.
2 Hours.
3 Includes both denied and approved SSI claims.
* We based this figure on average Social and Human Services Assistants (https://www.bls.gov/oes/current/oes211093.htm), and Information
and Records Clerks (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
8. Appeal of Determination for Extra
Help with Medicare Prescription Drug
Plan Costs—0960–0695. Public Law
108–173, the Medicare Perscription
Drug, Improvement, and Modernization
Act of 2003, established the Medicare
Part D program for voluntary
prescription drug coverage for certain
low-income individuals. The law
provides for subsidies for individuals
Modality of completion
Number of
respondents
who are eligible for the program and
who meet eligibility criteria for help
with premium, deductible, and copayment costs. SSA uses Form SSA–
1021, Appeal of Determination for Extra
Help With Medicare Prescription Drug
Plan Costs, to obtain information from
individuals who appeal SSA’s decisions
regarding eligibility or continuing
eligibility for a Medicare Part D subsidy.
Average
burden per
response
(minutes)
Frequency of
response
The respondents are Medicare
beneficiaries, or representative payee
applicants acting on behalf of a
Medicare beneficiary, who do not agree
with the outcome of an SSA subsidy
eligibility determination, and are filing
an appeal.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–1021 (Paper
version) .....................
SSA–1021 (Intranet
version: MAPS) ........
2,872
1
10
479
* $25.72
0
*** $12,320
9,691
1
10
1,615
* 25.72
** 24
*** 141,229
Totals ....................
12,563
........................
........................
2,094
........................
........................
*** 153,549
* We based this figure on average U.S. worker’s hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
9. Request for Medical Treatment in
an SSA Employee Health Facility:
Patient Self-Administered or Staff
Administered Care—0960–0772. SSA
operates onsite Employee Health Clinics
(EHC) in eight different States. These
clinics provide health care for all SSA
employees including treatments of
personal medical conditions when
Modality of completion
Number of
respondents
SSA–5072 Annually .....
SSA–5072 Bi-Annually
VerDate Sep<11>2014
17:23 Jul 28, 2020
authorized through a physician. Form
SSA–5072 is the employee’s personal
physician’s order form. The information
we collect on Form SSA–5072 gives the
EHC nurses the guidance they need to
perform certain medical procedures and
to administer prescription medications
such as allergy immunotherapy. In
addition, the information allows the
Frequency of
response
25
75
Jkt 250001
Number of
responses
1
2
PO 00000
Frm 00154
Average
burden per
response
(minutes)
25
150
Fmt 4703
Sfmt 4703
SSA medical officer to determine
whether the nurses can administer
treatment safely and appropriately in
the SSA EHCs. Respondents are
physicians of SSA employees who need
to have medical treatment in an SSA
EHC.
Type of Request: Revision of an OMBapproved information collection.
Estimated
total annual
burden
(hours)
5
5
E:\FR\FM\29JYN1.SGM
2
13
29JYN1
Average
theoretical
hourly cost
amount
(dollars) *
* $96.85
* 96.85
Total annual
opportunity
cost
(dollars) **
** $194
** 1,259
45728
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
Modality of completion
Number of
respondents
Totals ....................
100
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
........................
........................
........................
Estimated
total annual
burden
(hours)
15
Average
theoretical
hourly cost
amount
(dollars) *
........................
Total annual
opportunity
cost
(dollars) **
** 1,453
* We based this figure on average physician’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes291216.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Medicare Income-Related Monthly
Adjustment Amount—Life-Changing
Event Form—0960–0784. Federally
mandated reductions in the Federal
Medicare Part B and prescription drug
coverage subsidies result in selected
Medicare recipients paying higher
premiums due to income above a
specific threshold. The amount of the
premium subsidy reduction is an
income-related monthly adjustment
Modality of completion
Number of
respondents
amount (IRMAA). The Internal Revenue
Service (IRS) transmits income tax
return data to SSA for SSA to determine
the IRMAA. SSA uses the Form SSA–44
to determine if a recipient qualifies for
a reduction in the IRMAA. If affected
Medicare recipients believe SSA should
use more recent tax data because of a
life-changing event that significantly
reduces their income, they can report
these changes to SSA and ask for a new
Average
burden per
response
(minutes)
Frequency of
response
initial determination of their IRMAA.
The respondents are Medicare Part B
and prescription drug coverage
Retirement Insurance recipients and
enrollees with modified adjusted gross
income over a high-income threshold
who experience one of eight significant
life-changing event.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Average
wait time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
Personal Interview
(SSA field office) ......
SSA–44 ........................
178,840
76,645
1
1
30
45
89,420
57,484
* $25.72
* 25.72
** 24
0
*** $4,139,788
*** 1,478,488
Totals ....................
255,485
........................
........................
146,904
........................
........................
*** 5,618,276
* We based this figure on average U.S. worker’s hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
11. Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery—0960–0788.
SSA, as part of our continuing effort to
reduce paperwork and respondent
burden, invites the general public to
take this opportunity to comment on the
‘‘Generic Clearance for the Collection of
Qualitative Feedback on Agency Service
Delivery ’’ for approval under the
Paperwork Reduction Act (PRA) (44
U.S.C. 3501 et seq.). We developed this
collection as part of a Federal
Government-wide effort to streamline
the process for seeking feedback from
the public on service delivery.
Under the auspices of Executive
Order 12862, Setting Customer Service
Standards, SSA conducts multiple
satisfaction surveys each year. This
proposed information collection activity
provides a means to garner qualitative
customer and stakeholder feedback in
an efficient, timely manner, in
accordance with SSA’s commitment to
improving service delivery. By
qualitative feedback we mean
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
information that provides useful
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative,
and actionable communications
between SSA and our customers and
stakeholders.
The solicitation of feedback will target
areas such as: Timeliness;
appropriateness; accuracy of
information; courtesy; efficiency of
service delivery; and resolution of
issues with service delivery. We will
assess responses to plan and inform
efforts to improve or maintain the
quality of service offered to the public.
If we do not collect this information, we
PO 00000
Frm 00155
Fmt 4703
Sfmt 4703
would not have access to vital feedback
from customers and stakeholders on
SSA’s services.
We will only submit a collection for
approval under this generic clearance if
it meets the following conditions: (1)
The collections are voluntary; (2) the
collections are low-burden for
respondents (based on considerations of
total burden hours, total number of
respondents, or burden-hours per
respondent) and are low-cost for both
the respondents and the Federal
Government; (3) the collections are noncontroversial and do not raise issues of
concern to other Federal agencies; (4)
any collection targeted to the
solicitation of opinions from
respondents who have experience with
the program or may have experience
with the program in the near future; (5)
we collect personally identifiable
information (PII) only to the extent
necessary and we do not retain it; (6) we
will use information gathered only
internally for general service
improvement and program management
E:\FR\FM\29JYN1.SGM
29JYN1
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
purposes and we will not release it
outside of the agency; (7) we will not
use information we gather for the
purpose of substantially informing
influential policy decisions; and (8)
information we gather will yield
qualitative information; the collections
will not be designed or expected to
yield statistically reliable results or used
as though the results are generalizable to
the population of study.
Feedback collected under this generic
clearance provides useful information,
but it does not yield data that can be
generalized to the overall population.
This type of generic clearance for
qualitative information will not be used
for quantitative information collections
that are designed to yield reliably
actionable results, such as monitoring
trends over time or documenting
program performance. Such data uses
require more rigorous designs that
address the target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior to
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
As a general matter, information
collections will not result in any new
system of records containing privacy
information and will not ask questions
of a sensitive nature, such as sexual
behavior and attitudes, religious beliefs,
and other matters that are commonly
considered private.
The respondents are recipients of SSA
services (including most members of the
public), professionals, and individuals
who work on behalf of SSA
beneficiaries.
Type of Request: Extension of an
OMB-approved information collection.
Affected Public: Individuals and
households, businesses and
organizations, State, Local or Tribal
government.
Total Estimated Number of
Respondents: 5,454,212.
Below we provide projected average
estimates for the next three years:
Annual Respondents: 1,818,404.
Annual Responses: 1,818,404.
Frequency of Response: Once per
request.
Average Minutes per Response: 13
minutes (12.6912).
Estimated Annual Burden: 384,629
hours.
II. SSA submitted the information
collection below to OMB for clearance.
Your comments regarding this
information collection would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
August 28, 2020. Individuals can obtain
copies of the OMB clearance package by
writing to OR.Reports.Clearance@
ssa.gov.
1. Notice to Electronic Information
Exchange Partners to Provide Contractor
List—0960–NEW. The Privacy Act of
1974, E-Government Act of 2002, and
the National Institute of Standard
Special Publications 800–53–4 require
the SSA to maintain oversight of the
information it provides to Electronic
Information Exchange Partners (EIEPs).
EIEPs obtain SSA data for the
administration of federally funded and
45729
state-administered programs. SSA has a
responsibility to monitor and protect the
personally identifiable information SSA
shares with other Federal and State
agencies, and private organizations
through the Computer Matching and
Privacy Protection Act, and the
Information Exchange Agreements
(IEA). Under the terms of the State
Transmission Component IEA, and
agency IEA, EIEPs agree to comply with
Electronic Information Exchange
security requirements and procedures
for State and local agencies exchanging
electronic information with SSA. SSA’s
Technical Systems Security
Requirements document provides that
all agencies using SSA data ensure that
SSA information is not processed,
maintained, transmitted, or stored in
(including by means of data
communications channel) any
electronic devices, computers, or
computer networks located in
geographic or virtual areas not subject to
U.S. law. SSA conducts tri-annual
compliance reviews of all State and
local agencies, and Tribes with whom
we have an IEA, to verify appropriate
security safeguards remain in place to
protect the confidentiality of
information SSA supplies. SSA requires
any organization with an electronic data
exchange agreement, to provide the SSA
Regional Office contact a current list of
contractors, or agents who have access
to SSA data upon request. SSA uses
Form SSA–731, Notice to Electronic
Information Exchange Partners to
Provide Contractor List, to collect this
information. The respondents are
Federal agencies; State, local, or tribal
agencies; who exchange electronic
information with SSA.
Type of Request: Request for a new
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–731 ..................................................
300
1
20
100
* $18.00
** $3,960
* We based this figure on average State, local and tribal government worker’s salaries (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Application for Survivor’s
Benefits—20 CFR 404.611(a) and (c)—
0960–0062. Surviving family members
of armed services personnel can file for
Social Security and veterans’ benefits
with SSA or at the Veterans
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
Administration (VA). Applicants filing
for Title II survivor benefits at the VA
complete Form SSA–24, which the VA
forwards to SSA for processing. SSA
uses the information to determine
eligibility for benefits. The respondents
PO 00000
Frm 00156
Fmt 4703
Sfmt 4703
are survivors of deceased armed services
personnel who are applying for benefits
at the VA.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\29JYN1.SGM
29JYN1
45730
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
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–8060–U3 .............
3,200
1
15
800
* $25.72
** 24
*** $53,498
* We based this figure on average U.S. worker’s hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
3. Railroad Employment
Questionnaire—20 CFR 404.1401,
404.1406–404.1408—0960–0078.
Railroad workers, their dependents, or
survivors can concurrently apply for
railroad retirement and Social Security
benefits at SSA if the number holder, or
claimant on the number holder’s Social
Security Number, worked in the railroad
industry. SSA uses Form SSA–671 to
coordinate Social Security claims
processing with the Railroad Retirement
Board and to determine benefit
entitlement and amount. The
respondents are Social Security benefit
applicants previously employed by a
railroad or dependents of railroad
workers.
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) *
Average
wait time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–671 ......................
125,000
1
5
10,417
* $25.72
** 24
*** $1,553,925
* We based this figure on average U.S. worker’s hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
4. Modified Benefit Formula
Questionnaire-Employer—20 CFR
404.213 and 404.243—0960–0477.
Sections 215(a)(7) and 215(d)(3) of the
Social Security Act requires SSA to use
a modified benefit formula to compute
Social Security retirement or disability
benefits for persons first eligible (after
1985) for both a Social Security benefit
and a pension or annuity, based on
employment not covered by Social
Security. This method is the Windfall
Elimination Provision (WEP). SSA
makes a determination regarding
whether the WEP applies, and when to
apply it to a person’s benefit. SSA uses
Form SSA–58 to verify the claimant’s
allegations on Form SSA–150 (OMB No.
0906–0395, Modified Benefits Formula
Questionnaire). SSA also uses Form
SSA–58 to determine if the modified
benefit formula applies, and when to
apply it to a person’s benefits. SSA
sends Form SSA–58 to an employer for
pension related information, if the
claimant is unable to provide it. The
respondents are employers of people
who are eligible after 1985 for both
Social Security benefits and a pension
based on work not covered by SSA.
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–58 ....................................................
26,925
1
3
1,346
* $20.39
** $27,445
* We based this figure on average Information and Records Clerks (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. myWageReport—20 CFR
404.1520(b), 404.1571–404.1576, &
404.1584–404.1593—0960–0808. The
myWageReport application will enable
Social Security Disability Insurance
(SSDI) beneficiaries, and representative
payees to report earnings electronically.
It will also generate a receipt for the
beneficiary or representative payee,
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
providing confirmation that SSA has
received the earnings report. SSA will
screen the information submitted
through the myWageReport application
and will determine if we need
additional employment information. If
so, agency personnel will reach out to
beneficiaries, or their representative
payees and will use Form SSA–821,
PO 00000
Frm 00157
Fmt 4703
Sfmt 4703
Work Activity Report (0960–0059), to
collect the additional required
information. The respondents for this
collection are SSDI recipients or their
representative payees.
Type of Request: Revision of an OMB
approved information collection.
E:\FR\FM\29JYN1.SGM
29JYN1
Federal Register / Vol. 85, No. 146 / Wednesday, July 29, 2020 / Notices
45731
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) **
myWageReporting ...................................
88,000
1
7
10,267
* $10.73
** $110,165
* We based this figure on average DI payments, as reported in SSA’s disability insurance payment data (https://www.ssa.gov/legislation/
2020Fact%20Sheet.pdf).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Date: July 23, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
Mr.
Jorge E. Panteli, Compliance and Land
Use Specialist, Federal Aviation
Administration New England Region
Airports Division, 1200 District Avenue,
Burlington, Massachusetts 01803.
Telephone: 781–238–7618.
FOR FURTHER INFORMATION CONTACT:
[FR Doc. 2020–16361 Filed 7–28–20; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
Issued in Burlington, Massachusetts on
July 24, 2020.
Julie Seltsam-Wilps,
Deputy Director, ANE–600.
Notice of Opportunity for Public
Comment To Change the Land Use
From Aeronautical to Non Aeronautical
for 31.2 Acres at Old Town Municipal
Airport, Old Town, ME
[FR Doc. 2020–16430 Filed 7–28–20; 8:45 am]
Federal Aviation
Administration (FAA), DOT.
ACTION: Request for Public Comments.
Federal Aviation Administration
Notice is being given that the
FAA is considering a request from the
Town of Old Town, ME to change the
land use from Aeronautical to Non
Aeronautical for 31.2 acres of airport
land. The land use change will allow
the development of a solar farm on land
that is not needed for aeronautical
purposes. The revenue generated by the
lease of airport land for the solar farm
will be placed into the airport’s
operation and maintenance fund.
DATES: Comments must be received on
or before August 25, 2020.
ADDRESSES: You may send comments
using any of the following methods:
• Federal eRulemaking Portal: Go to
https://www.regulations.gov, and follow
the instructions on providing
comments.
• Fax: 202–493–2251.
• Mail: U.S. Department of
Transportation, Docket Operations, M–
30, West Building Ground Floor, Room
W 12–140, 1200 New Jersey Avenue SE,
Washington, DC 20590.
• Hand Delivery: Deliver to mail
address above between 9 a.m. and 5
p.m., Monday through Friday, except
Federal holidays.
Interested persons may inspect the
request and supporting documents by
contacting the FAA at the address listed
under FOR FURTHER INFORMATION
CONTACT.
Agency Information Collection
Activities: Requests for Comments;
Clearance of a Renewed Approval of
Information Collection: Domestic and
International Flight Plans
AGENCY:
SUMMARY:
VerDate Sep<11>2014
17:23 Jul 28, 2020
Jkt 250001
BILLING CODE P
DEPARTMENT OF TRANSPORTATION
[Docket No. 2020–0387]
Federal Aviation
Administration (FAA), DOT.
ACTION: Notice and request for
comments.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, FAA
invites public comments about our
intention to request the Office of
Management and Budget (OMB)
approval to renew an information
collection. The collection involves
extracting flight data such as aircraft,
routing speed, etc. from domestic and
international flights. FAA Form 7233–1,
Flight Plan: Domestic flight plan
information is used to govern the flight
of aircraft for the protection and
identification of aircraft and property
and persons on the ground. The
information is used by air traffic
controllers, search and rescue (SAR)
personnel, flight standards inspectors,
accident investigators, military, law
enforcement, and the Department of
Homeland Security. FAA Form 7233–4,
International Flight Plan: International
flight plan information is used for the
same purposes as domestic flight plans;
SUMMARY:
PO 00000
Frm 00158
Fmt 4703
Sfmt 4703
in addition, it is used by Customs and
international controllers.
DATES: Written comments should be
submitted by August 28, 2020.
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 particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT:
Aldwin Humphrey by email at:
aldwin.humphrey@faa.gov; phone: 703–
786–9859.
SUPPLEMENTARY INFORMATION:
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including (a)
Whether the proposed collection of
information is necessary for FAA’s
performance; (b) the accuracy of the
estimated burden; (c) ways for FAA to
enhance the quality, utility and clarity
of the information collection; and (d)
ways that the burden could be
minimized without reducing the quality
of the collected information.
OMB Control Number: 2120–0026.
Title: Domestic and International
Flight plans.
Form Numbers: FAA form7233–1
Domestic Flight Plan, FAA form 7233–
4 International Flight Plan.
Type of Review: Renewal of
information collection.
Background: The Federal Aviation
Administration (FAA) is authorized and
directed by Title 49, United States Code,
paragraph 40103(b), to prescribe air
traffic rules and regulations governing
the flight of aircraft for the protection
and identification of aircraft and
property and persons on the ground.
Title 14, CFR, Part 91, Subchapter F,
prescribes flight rules governing the
operation of aircraft within the United
States. These rules govern the operation
of aircraft (other than moored balloons,
kites, unmanned rockets and unmanned
free balloons) within the United States
and for flights across international
E:\FR\FM\29JYN1.SGM
29JYN1
]]>Agencies
[Federal Register Volume 85, Number 146 (Wednesday, July 29, 2020)]
[Notices]
[Pages 45723-45731]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-16361]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2020-0033]
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 extensions and revisions of OMB-approved information
collections, as well as two new collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax:
202-395-6974, Email address: [email protected]
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected]
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2020-0033].
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
September 28, 2020. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Online Request for Correction of Earnings Record--0960-NEW. We
are offering an alternative to the paper process of requesting a
correction to an
[[Page 45724]]
earnings record, and launching a new service that enables our users to
make these same requests electronically via the online my Social
Security portal. Information collected from the public will not exceed
that which is requested by paper Form SSA-7008, OMB No. 0960-0029,
Request for Correction of Earnings Record. The information we collect
includes that which supports an earnings correction action, such as
employer names, addresses, wage amounts, and pertinent details about
the nature of employment. The respondents are authorized, authenticated
individuals accessing the earnings correction process from their
personal my Social Security portal.
Type of Request: Request for a new 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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Online Request for Correction of Earnings Record.. 76,047 1 15 19,012 * $25.72 ** $488,989
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Statement of Death by Funeral Director--20 CFR 404.715 and
404.720--0960-0142. When an SSA-insured worker dies, the funeral
director or funeral home responsible for the worker's burial or
cremation completes Form SSA-721 and sends it to SSA. SSA uses this
information for three purposes: (1) To establish proof of death for the
insured worker; (2) to determine if the insured individual was
receiving any pre-death benefits SSA needs to terminate; and (3) to
ascertain which surviving family member is eligible for the lump-sum
death payment or for other death benefits. The respondents are funeral
directors who handled death arrangements for the insured individuals.
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-721........................................... 544,233 1 4 36,282 * 28.06 ** $1,018,073
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average funeral arranger's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes394031.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Government Pension Questionnaire--20 CFR 404.408a--0960-0160.
The basic Social Security benefits application (OMB No. 0960-0618)
contains a lead question asking if applicants are qualified (or will
qualify) to receive a government pension. If the respondent is
qualified, or will qualify, to receive a government pension, the
applicant completes Form SSA-3885 either on paper or through a personal
interview with an SSA claims representative. If applicants are not
entitled to receive a government pension at the time they apply for
Social Security benefits, SSA requires them to provide the government
pension information as beneficiaries when they become eligible to
receive their pensions. Regardless of the timing, at some point the
applicants or beneficiaries must complete and sign Form SSA-3885 to
report information about their government pensions before the pensions
begin. SSA uses the information to: (1) Determine whether the
Government Pension Offset provision applies; (2) identify exceptions as
stated in 20 CFR 404.408a; and (3) determine the benefit reduction
amount and effective date. If the applicants and beneficiaries do not
respond using this questionnaire, SSA offsets their entire benefit
amount. The respondents are applicants or recipients of spousal
benefits who are eligible for or already receiving a Government
pension.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3885......................... 6,495 1 13 1,407 * $25.72 ** 24 *** $103,009
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
[[Page 45725]]
4. Application for Benefits under a U.S. International Social
Security Agreement--20 CFR 404.1925--0960-0448. Section 233(a) of the
Social Security Act (Act) authorizes the President to enter into
international Social Security agreements (Totalization Agreements)
between the United States and foreign countries. SSA collects
information using Form SSA-2490-BK to determine entitlement to Social
Security benefits from the United States, or from a country that enters
into a Totalization Agreement with the United States. The respondents
are individuals applying for Old Age Survivors and Disability Insurance
(OASDI) benefits from the United States, or from a Totalization
Agreement country.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2490-BK (MCS)....................... 16,195 1 30 8,098 * $10.73 ** 24 *** $156,401
SSA-2490-BK (Paper)..................... 2,120 1 30 1,060 * 10.73 ** 24 *** 20,473
---------------------------------------------------------------------------------------------------------------
Totals.............................. 18,315 .............. .............. 9,158 .............. .............. *** 176,874
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. Employee Identification Statement--20 CFR 404.702--0960-0473.
When two or more individuals report earnings under the same Social
Security Number (SSN), SSA collects information on Form SSA-4156 to
credit the earnings to the correct individual and SSN. We send SSA-4156
to the employer to: (1) Identify the employees involved; (2) resolve
the discrepancy; and (3) credit the earnings to the correct SSN. The
respondents are employers involved in erroneous wage reporting for an
employee.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4156......................... 3,600 1 10 600 * $25.72 ** 24 *** $52,469
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
6. Public Information Campaign--0960-0544. Periodically, SSA sends
various public information materials, including public service
announcements, news releases, and educational tapes to public
broadcasting systems so they can inform the public about various
programs and activities SSA conducts. SSA frequently sends follow-up
business reply cards for these public information materials to obtain
suggestions for improving them. The respondents are broadcast sources.
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Radio Announcement................................ 5,000 2 1 167 * $25.76 ** $4,302
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Broadcast Announcers and Radio Disc Jockey's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes273011.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. SSI Notice of Interim Assistance Reimbursement (IAR)--0960-0546.
Section 1631(g) of the Act authorizes SSA to reimburse an IAR agency
from an individual's retroactive Supplemental Security Income (SSI)
payment for assistance the IAR agency gave the individual for meeting
basic needs while an SSI claim was pending or SSI payments were
suspended or terminated. The State or local agency needs an IAR
agreement with SSA to participate in the IAR program. The individual
receiving the IAR payment signs an authorization form with an IAR
agency to allow SSA to repay the IAR agency for funds paid in advance
prior to SSA's determination on the
[[Page 45726]]
individual's claim. The authorization represents the individual's
intent to file for SSI, if the individual did not file an application
before SSA received the authorization. Agencies who wish to enter into
an IAR agreement with SSA need to meet the following requirements:
Reporting Requirements--Each IAR agency agrees to:
(a) Notify SSA of receipt of an authorization for initial claims or
cases the agency is appealing;
(b) submit a copy of that authorization either through a manual or
electronic process;
(c) inform SSA of the amount of reimbursement;
(d) submit a written request for dispute resolution on a
determination;
(e) notify SSA of interim assistance paid (using the SSA-8125 or
the SSA-L8125-F6);
(f) inform SSA of any deceased claimants who participate in the IAR
program;
(g) review and sign an agreement with SSA.
Recordkeeping Requirements (h & i)--the IAR agencies agree
to retain all notices, agreement, authorizations, and accounting forms
for the period defined in the IAR agreement so SSA may verify
transactions covered under the agreement.
Third Party Disclosure Requirements (j)--each
participating IAR agency agrees to send written notices from the IAR
agency to the recipient regarding payment amounts and appeal rights.
Periodic Review of Agency Accounting Process (k-m)--the
IAR agency makes the IAR accounting records of paid cases available for
SSA review and verification. SSA conducts reviews either onsite or
through the mail of the authorization forms, notices to the claimant
and accounting forms. Upon completion of the review, SSA provides a
written report of findings to the IAR agency director.
The respondents are State IAR officers.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average Estimated theoretical Total annual
Modality of completion respondents Frequency of Number of burden per total annual hourly cost opportunity
(States) response responses response burden hours amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting Requirements
--------------------------------------------------------------------------------------------------------------------------------------------------------
(a) State notification of receipt of 11 6,973 76,703 1 1,278 * $19.58 ** $25,023
authorization (Electronic Process).....
(b) State submission of copy of 27 1,894 51,138 3 2,557 * 19.58 ** 50,066
authorization (Manual Process).........
(c) State submission of amount of IA 38 1,346 51,148 8 6,820 * 19.58 ** 133,536
paid to recipients (using eIAR)........
(d) State request for determination-- (\1\) 1 2 30 1 * 19.58 ** 20
dispute resolution.....................
(e) State computation of reimbursement 38 1 38 30 4 * 19.58 ** 78
due form SSA using paper Form SSA-L8125-
F6.....................................
(f) State notification to SSA of 20 2 40 15 10 * 19.58 ** 196
deceased claimant......................
(g) State reviewing/signing of IAR 38 1 38 \2\ 12 456 * 19.58 ** 8,928
Agreement..............................
--------------------------------------------------------------------------------------------------------------------------------------------------------
Recordkeeping Requirements
--------------------------------------------------------------------------------------------------------------------------------------------------------
(h) Maintenance of authorization forms.. 38 3,364 \3\ 127,832 3 6,392 * 21.09 ** 134,807
(i) Maintenance of accounting forms and 38 1,346 51,148 3 2,557 * 21.09 ** 53,927
notices................................
--------------------------------------------------------------------------------------------------------------------------------------------------------
Third Party Disclosure Requirements
--------------------------------------------------------------------------------------------------------------------------------------------------------
(j) Written notice from State to 38 2668 101,384 7 11,828 * 19.58 ** 231,592
recipient regarding amount of payment..
--------------------------------------------------------------------------------------------------------------------------------------------------------
Periodic Review of Agency Accounting Process
--------------------------------------------------------------------------------------------------------------------------------------------------------
(k) Retrieve and consolidate 12 1 12 3 36 * 21.09 ** 759
authorization and accounting forms.....
[[Page 45727]]
(l) Participate in periodic review...... 12 1 12 16 192 * 21.09 ** 4,049
(m) Correct administrative and 6 1 6 4 24 * 21.09 ** 506
accounting discrepancies...............
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Administrative Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total............................... 38 .............. 408,353 .............. 32,155 .............. ** 643,487
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average of about 2 States per year.
\2\ Hours.
\3\ Includes both denied and approved SSI claims.
* We based this figure on average Social and Human Services Assistants (https://www.bls.gov/oes/current/oes211093.htm), and Information and Records
Clerks (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
8. Appeal of Determination for Extra Help with Medicare
Prescription Drug Plan Costs--0960-0695. Public Law 108-173, the
Medicare Perscription Drug, Improvement, and Modernization Act of 2003,
established the Medicare Part D program for voluntary prescription drug
coverage for certain low-income individuals. The law provides for
subsidies for individuals who are eligible for the program and who meet
eligibility criteria for help with premium, deductible, and co-payment
costs. SSA uses Form SSA-1021, Appeal of Determination for Extra Help
With Medicare Prescription Drug Plan Costs, to obtain information from
individuals who appeal SSA's decisions regarding eligibility or
continuing eligibility for a Medicare Part D subsidy. The respondents
are Medicare beneficiaries, or representative payee applicants acting
on behalf of a Medicare beneficiary, who do not agree with the outcome
of an SSA subsidy eligibility determination, and are filing an appeal.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost time in field opportunity
respondents response response burden amount office cost
(minutes) (hours) (dollars) * (minutes) ** (dollars) ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1021 (Paper version)................ 2,872 1 10 479 * $25.72 0 *** $12,320
SSA-1021 (Intranet version: MAPS)....... 9,691 1 10 1,615 * 25.72 ** 24 *** 141,229
---------------------------------------------------------------------------------------------------------------
Totals.............................. 12,563 .............. .............. 2,094 .............. .............. *** 153,549
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
9. Request for Medical Treatment in an SSA Employee Health
Facility: Patient Self-Administered or Staff Administered Care--0960-
0772. SSA operates onsite Employee Health Clinics (EHC) in eight
different States. These clinics provide health care for all SSA
employees including treatments of personal medical conditions when
authorized through a physician. Form SSA-5072 is the employee's
personal physician's order form. The information we collect on Form
SSA-5072 gives the EHC nurses the guidance they need to perform certain
medical procedures and to administer prescription medications such as
allergy immunotherapy. In addition, the information allows the SSA
medical officer to determine whether the nurses can administer
treatment safely and appropriately in the SSA EHCs. Respondents are
physicians of SSA employees who need to have medical treatment in an
SSA EHC.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of Number of burden per total annual hourly cost opportunity
respondents response responses response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-5072 Annually....................... 25 1 25 5 2 * $96.85 ** $194
SSA-5072 Bi-Annually.................... 75 2 150 5 13 * 96.85 ** 1,259
---------------------------------------------------------------------------------------------------------------
[[Page 45728]]
Totals.............................. 100 .............. .............. .............. 15 .............. ** 1,453
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average physician's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes291216.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
10. Medicare Income-Related Monthly Adjustment Amount--Life-
Changing Event Form--0960-0784. Federally mandated reductions in the
Federal Medicare Part B and prescription drug coverage subsidies result
in selected Medicare recipients paying higher premiums due to income
above a specific threshold. The amount of the premium subsidy reduction
is an income-related monthly adjustment amount (IRMAA). The Internal
Revenue Service (IRS) transmits income tax return data to SSA for SSA
to determine the IRMAA. SSA uses the Form SSA-44 to determine if a
recipient qualifies for a reduction in the IRMAA. If affected Medicare
recipients believe SSA should use more recent tax data because of a
life-changing event that significantly reduces their income, they can
report these changes to SSA and ask for a new initial determination of
their IRMAA. The respondents are Medicare Part B and prescription drug
coverage Retirement Insurance recipients and enrollees with modified
adjusted gross income over a high-income threshold who experience one
of eight significant life-changing event.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost time in field opportunity
respondents response response burden amount office cost
(minutes) (hours) (dollars) * (minutes) ** (dollars) ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Personal Interview (SSA field office)... 178,840 1 30 89,420 * $25.72 ** 24 *** $4,139,788
SSA-44.................................. 76,645 1 45 57,484 * 25.72 0 *** 1,478,488
---------------------------------------------------------------------------------------------------------------
Totals.............................. 255,485 .............. .............. 146,904 .............. .............. *** 5,618,276
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
11. Generic Clearance for the Collection of Qualitative Feedback on
Agency Service Delivery--0960-0788. SSA, as part of our continuing
effort to reduce paperwork and respondent burden, invites the general
public to take this opportunity to comment on the ``Generic Clearance
for the Collection of Qualitative Feedback on Agency Service Delivery
'' for approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501
et seq.). We developed this collection as part of a Federal Government-
wide effort to streamline the process for seeking feedback from the
public on service delivery.
Under the auspices of Executive Order 12862, Setting Customer
Service Standards, SSA conducts multiple satisfaction surveys each
year. This proposed information collection activity provides a means to
garner qualitative customer and stakeholder feedback in an efficient,
timely manner, in accordance with SSA's commitment to improving service
delivery. By qualitative feedback we mean information that provides
useful insights on perceptions and opinions, but are not statistical
surveys that yield quantitative results that can be generalized to the
population of study. This feedback will provide insights into customer
or stakeholder perceptions, experiences and expectations, provide an
early warning of issues with service, or focus attention on areas where
communication, training or changes in operations might improve delivery
of products or services. These collections will allow for ongoing,
collaborative, and actionable communications between SSA and our
customers and stakeholders.
The solicitation of feedback will target areas such as: Timeliness;
appropriateness; accuracy of information; courtesy; efficiency of
service delivery; and resolution of issues with service delivery. We
will assess responses to plan and inform efforts to improve or maintain
the quality of service offered to the public. If we do not collect this
information, we would not have access to vital feedback from customers
and stakeholders on SSA's services.
We will only submit a collection for approval under this generic
clearance if it meets the following conditions: (1) The collections are
voluntary; (2) the collections are low-burden for respondents (based on
considerations of total burden hours, total number of respondents, or
burden-hours per respondent) and are low-cost for both the respondents
and the Federal Government; (3) the collections are non-controversial
and do not raise issues of concern to other Federal agencies; (4) any
collection targeted to the solicitation of opinions from respondents
who have experience with the program or may have experience with the
program in the near future; (5) we collect personally identifiable
information (PII) only to the extent necessary and we do not retain it;
(6) we will use information gathered only internally for general
service improvement and program management
[[Page 45729]]
purposes and we will not release it outside of the agency; (7) we will
not use information we gather for the purpose of substantially
informing influential policy decisions; and (8) information we gather
will yield qualitative information; the collections will not be
designed or expected to yield statistically reliable results or used as
though the results are generalizable to the population of study.
Feedback collected under this generic clearance provides useful
information, but it does not yield data that can be generalized to the
overall population. This type of generic clearance for qualitative
information will not be used for quantitative information collections
that are designed to yield reliably actionable results, such as
monitoring trends over time or documenting program performance. Such
data uses require more rigorous designs that address the target
population to which generalizations will be made, the sampling frame,
the sample design (including stratification and clustering), the
precision requirements or power calculations that justify the proposed
sample size, the expected response rate, methods for assessing
potential non-response bias, the protocols for data collection, and any
testing procedures that were or will be undertaken prior to fielding
the study. Depending on the degree of influence the results are likely
to have, such collections may still be eligible for submission for
other generic mechanisms that are designed to yield quantitative
results.
As a general matter, information collections will not result in any
new system of records containing privacy information and will not ask
questions of a sensitive nature, such as sexual behavior and attitudes,
religious beliefs, and other matters that are commonly considered
private.
The respondents are recipients of SSA services (including most
members of the public), professionals, and individuals who work on
behalf of SSA beneficiaries.
Type of Request: Extension of an OMB-approved information
collection.
Affected Public: Individuals and households, businesses and
organizations, State, Local or Tribal government.
Total Estimated Number of Respondents: 5,454,212.
Below we provide projected average estimates for the next three
years:
Annual Respondents: 1,818,404.
Annual Responses: 1,818,404.
Frequency of Response: Once per request.
Average Minutes per Response: 13 minutes (12.6912).
Estimated Annual Burden: 384,629 hours.
II. SSA submitted the information collection below to OMB for
clearance. Your comments regarding this information collection would be
most useful if OMB and SSA receive them 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than August 28, 2020. Individuals can obtain copies of the OMB
clearance package by writing to [email protected].
1. Notice to Electronic Information Exchange Partners to Provide
Contractor List--0960-NEW. The Privacy Act of 1974, E-Government Act of
2002, and the National Institute of Standard Special Publications 800-
53-4 require the SSA to maintain oversight of the information it
provides to Electronic Information Exchange Partners (EIEPs). EIEPs
obtain SSA data for the administration of federally funded and state-
administered programs. SSA has a responsibility to monitor and protect
the personally identifiable information SSA shares with other Federal
and State agencies, and private organizations through the Computer
Matching and Privacy Protection Act, and the Information Exchange
Agreements (IEA). Under the terms of the State Transmission Component
IEA, and agency IEA, EIEPs agree to comply with Electronic Information
Exchange security requirements and procedures for State and local
agencies exchanging electronic information with SSA. SSA's Technical
Systems Security Requirements document provides that all agencies using
SSA data ensure that SSA information is not processed, maintained,
transmitted, or stored in (including by means of data communications
channel) any electronic devices, computers, or computer networks
located in geographic or virtual areas not subject to U.S. law. SSA
conducts tri-annual compliance reviews of all State and local agencies,
and Tribes with whom we have an IEA, to verify appropriate security
safeguards remain in place to protect the confidentiality of
information SSA supplies. SSA requires any organization with an
electronic data exchange agreement, to provide the SSA Regional Office
contact a current list of contractors, or agents who have access to SSA
data upon request. SSA uses Form SSA-731, Notice to Electronic
Information Exchange Partners to Provide Contractor List, to collect
this information. The respondents are Federal agencies; State, local,
or tribal agencies; who exchange electronic information with SSA.
Type of Request: Request for a new 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-731........................................... 300 1 20 100 * $18.00 ** $3,960
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average State, local and tribal government worker's salaries (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Application for Survivor's Benefits--20 CFR 404.611(a) and (c)--
0960-0062. Surviving family members of armed services personnel can
file for Social Security and veterans' benefits with SSA or at the
Veterans Administration (VA). Applicants filing for Title II survivor
benefits at the VA complete Form SSA-24, which the VA forwards to SSA
for processing. SSA uses the information to determine eligibility for
benefits. The respondents are survivors of deceased armed services
personnel who are applying for benefits at the VA.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 45730]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-8060-U3...................... 3,200 1 15 800 * $25.72 ** 24 *** $53,498
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
3. Railroad Employment Questionnaire--20 CFR 404.1401, 404.1406-
404.1408--0960-0078. Railroad workers, their dependents, or survivors
can concurrently apply for railroad retirement and Social Security
benefits at SSA if the number holder, or claimant on the number
holder's Social Security Number, worked in the railroad industry. SSA
uses Form SSA-671 to coordinate Social Security claims processing with
the Railroad Retirement Board and to determine benefit entitlement and
amount. The respondents are Social Security benefit applicants
previously employed by a railroad or dependents of railroad workers.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-671.......................... 125,000 1 5 10,417 * $25.72 ** 24 *** $1,553,925
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
4. Modified Benefit Formula Questionnaire-Employer--20 CFR 404.213
and 404.243--0960-0477. Sections 215(a)(7) and 215(d)(3) of the Social
Security Act requires SSA to use a modified benefit formula to compute
Social Security retirement or disability benefits for persons first
eligible (after 1985) for both a Social Security benefit and a pension
or annuity, based on employment not covered by Social Security. This
method is the Windfall Elimination Provision (WEP). SSA makes a
determination regarding whether the WEP applies, and when to apply it
to a person's benefit. SSA uses Form SSA-58 to verify the claimant's
allegations on Form SSA-150 (OMB No. 0906-0395, Modified Benefits
Formula Questionnaire). SSA also uses Form SSA-58 to determine if the
modified benefit formula applies, and when to apply it to a person's
benefits. SSA sends Form SSA-58 to an employer for pension related
information, if the claimant is unable to provide it. The respondents
are employers of people who are eligible after 1985 for both Social
Security benefits and a pension based on work not covered by SSA.
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-58............................................ 26,925 1 3 1,346 * $20.39 ** $27,445
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Information and Records Clerks (https://www.bls.gov/oes/current/oes434199.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. myWageReport--20 CFR 404.1520(b), 404.1571-404.1576, & 404.1584-
404.1593--0960-0808. The myWageReport application will enable Social
Security Disability Insurance (SSDI) beneficiaries, and representative
payees to report earnings electronically. It will also generate a
receipt for the beneficiary or representative payee, providing
confirmation that SSA has received the earnings report. SSA will screen
the information submitted through the myWageReport application and will
determine if we need additional employment information. If so, agency
personnel will reach out to beneficiaries, or their representative
payees and will use Form SSA-821, Work Activity Report (0960-0059), to
collect the additional required information. The respondents for this
collection are SSDI recipients or their representative payees.
Type of Request: Revision of an OMB approved information
collection.
[[Page 45731]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
myWageReporting................................... 88,000 1 7 10,267 * $10.73 ** $110,165
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments, as reported in SSA's disability insurance payment data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Date: July 23, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2020-16361 Filed 7-28-20; 8:45 am]
BILLING CODE 4191-02-P
