Agency Information Collection Activities: Comment Request, 60509-60514 [2020-21180]
Download as PDF
<![CDATA[
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
khammond on DSKJM1Z7X2PROD with NOTICES
businesses in need of small amounts of
financial assistance. Under the
Microloan Program, the SBA makes
direct loans to intermediaries (lenders)
that, in turn, use the proceeds to make
microloans (i.e., loans of $50,000 or
less) and to provide training and
technical assistance to eligible
borrowers in their SBA approved
geographic service areas. By offering
financing and assistance to these
businesses, the Microloan Program aims
to support job creation and retention for
small businesses by providing access to
financial capital unavailable through
conventional channels.
The SBA is conducting an evaluation
to examine how the Microloan Program
activities of lending and technical
assistance improve revenue, job
creation, and survival for businesses
that participate in the program. The
evaluation also seeks to describe the
population of borrowers, their business
characteristics and their experiences
with the program. The lender
characteristics, and the training and
technical assistance provided to
borrowers will also be described. The
results of the evaluation will be used to
develop recommendations to improve
the program. The recommendations will
focus on improving access to financing,
improving technical assistance and
training, and improving other factors
that promote small business growth.
The SBA proposes the use of four data
collection instruments: (1) Borrower
Web survey, (2) borrower semistructured telephone interview, (3)
lender web survey, (4) lender semistructured telephone interview. The
borrower survey will cover the topics of
(1) training and technical assistance
received; (2) program satisfaction and
ratings of the program’s contribution to
the business growth; (3) how the
Microloan program experiences
compare with other programs; and (4)
suggestions for the program
improvements. The interviews with
lenders will discuss (1) frequency and
purpose of contacts with borrowers; (2)
the most and the least effective types of
training and technical assistance; (3)
how the Microloan program experiences
compare with other programs; and (4)
suggestions for the program
improvements.
Summary of Proposed Information
Collection
Borrower Web Survey
Description of Respondents:
Microloan program borrowers who
received microloans 2010–2019.
Estimated Number of Respondents:
865.
VerDate Sep<11>2014
18:25 Sep 24, 2020
Jkt 250001
Frequency of Response: Once per
request.
Estimated Annual Responses: 865.
Estimated Average Minutes per
Response: 20.
Estimated Annual Hour Burden: 288.
Borrower Telephone Interview
Description of Respondents:
Microloan program borrowers who
received microloans 2010–2019.
Estimated Number of Respondents:
24.
Frequency of Response: Once per
request.
Estimated Annual Responses: 24.
Estimated Average Minutes per
Response: 20.
Estimated Annual Hour Burden: 8.
Lender Web Survey
Description of Respondents:
Microloan program lenders who
participated in the program 2010–2019.
Estimated Number of Respondents:
150.
Frequency of Response: Once per
request.
Estimated Annual Responses: 150.
Estimated Average Minutes per
Response: 15.
Estimated Annual Hour Burden: 38.
Lender Telephone Interview
Description of Respondents:
Microloan program lenders who
participated in the program 2010–2019.
Estimated Number of Respondents:
24.
Frequency of Response: Once per
request.
Estimated Annual Responses: 24.
Estimated Average Minutes per
Response: 20.
Estimated Annual Hour Burden: 8.
Solicitation of Public Comments: The
SBA requests comments on (a) whether
the collection of information is
necessary for the agency to properly
perform its functions; (b) whether the
burden estimates are accurate; (c)
whether there are ways to minimize the
burden, including through the use of
automated techniques or other forms of
information technology; and (d) whether
there are ways to enhance the quality,
utility, and clarity of the information
collected. Comments submitted in
response to this notice will be
summarized and/or included in the
request for OMB approval of this
information collection; they also will
become a matter of public record.
Curtis Rich,
Management Analyst.
[FR Doc. 2020–21132 Filed 9–24–20; 8:45 am]
BILLING CODE 8026–03–P
PO 00000
Frm 00094
Fmt 4703
Sfmt 4703
60509
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2020–0051]
Agency Information Collection
Activities: Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
of OMB-approved information
collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974, Email address:
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–
2020–0051].
SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
October 26, 2020. Individuals can obtain
copies of these OMB clearance packages
by writing to OR.Reports.Clearance@
ssa.gov.
1. 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
the 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
E:\FR\FM\25SEN1.SGM
25SEN1
60510
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
specialist. If the 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. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
2. RS/DI Quality Review Case
Analysis: Sampled Number Holder;
Auxiliaries/Survivors; Parent; and
Stewardship Annual Earnings Test—
0960–0189. Section 205(a) of the Social
Security Act (Act) authorizes the
Commissioner of SSA to conduct the
quality review process, which entails
collecting information related to the
accuracy of payments made under the
Old-Age, Survivors, and Disability
Insurance Program (OASDI). Sections
228(a)(3), 1614(a)(1)(B), and 1836(2) of
the Act require a determination of the
citizenship or alien status of the
beneficiary; this is only one item that
we might question as part of the Annual
Quality review. SSA uses Forms SSA–
2930, SSA–2931, and SSA–2935 to
establish a national payment accuracy
rate for all cases in payment status, and
to serve as a source of information
khammond on DSKJM1Z7X2PROD with NOTICES
Modality of
completion
Number of
respondents
SSA–2930 ................
SSA–2931 ................
SSA–4659 ................
SSA–L8550–U3 .......
SSA–L8551–U3 .......
SSA–L8552–U3 .......
SSA–L8553–U3 .......
SSA–L8554–U3 .......
SSA–8552 ................
SSA–85 ....................
SSA–2935 ................
SSA–8510 (also
saved under OMB
No. 0960–0707) ....
VerDate Sep<11>2014
18:25 Sep 24, 2020
regarding problem areas in the
Retirement Survivors Insurance (RSI)
and Disability Insurance (DI) programs.
We also use the information to measure
the accuracy rate for newly adjudicated
RSI or DI cases. SSA uses Form SSA–
4659 to evaluate the effectiveness of the
annual earnings test, and to use the
results in developing ongoing
improvements in the process. About
25% of respondents have in-person
reviews and receive one of the following
appointment letters: (1) SSA–L8550–U3
(Appointment Letter—Sample
Individual); (2) SSA–L8551–U3
(Appointment Letter—Sample Family);
or (3) the SSA–L8552–U3 (Appointment
Letter—Rep Payee). About 75% of
respondents receive a notice for a
telephone review using the SSA–L8553–
U3 (Beneficiary Telephone Contact) or
the SSA–L8554–U3 (Rep Payee
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Telephone Contact). To help the
beneficiary prepare for the interview,
we include three forms with each
notice: (1) SSA–85 (Information Needed
to Review Your Social Security Claim)
lists the information the beneficiary
needs to gather for the interview; (2)
SSA–2935 (Authorization to the Social
Security Administration to Obtain
Personal Information) verifies the
beneficiary’s correct payment amount, if
necessary; and (3) SSA–8552 (Interview
Confirmation) confirms or reschedules
the interview if necessary. The
respondents are a statistically valid
sample of all OASDI beneficiaries in
current pay status or their representative
payees.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
1,500
850
325
385
95
35
4,970
705
2,350
3,850
2,350
1
1
1
1
1
1
1
1
1
1
1
30
30
10
5
5
5
5
5
5
5
5
750
425
54
32
8
3
414
59
196
321
196
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
* 18.23
** 24
** 24
** 24
** 24
** 24
** 24
** 24
** 24
** 24
** 24
** 24
*** 24,611
*** 13,946
*** 3,354
*** 3,390
*** 839
*** 310
*** 43,788
*** 6,217
*** 20,709
*** 33,926
*** 20,709
800
1
5
67
* 18.23
** 24
*** 7,055
Jkt 250001
PO 00000
Frm 00095
Fmt 4703
Sfmt 4703
E:\FR\FM\25SEN1.SGM
25SEN1
60511
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
Modality of
completion
Frequency of
response
Average
burden per
response
(minutes)
........................
........................
Number of
respondents
Totals ................
18,215
Estimated total
annual burden
(hours)
2,525
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
........................
........................
Total annual
opportunity
cost
(dollars) ***
*** 178,854
* We based this figure on averaging both the average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/
2020Fact%20Sheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/
current/oes_nat.htm).
** 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. 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
SSA–2490–BK
(MCS) ...................
SSA–2490–BK
(Paper) ..................
Totals ................
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
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
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.
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
16,195
1
30
8,098
* 10.73
** 24
*** 156,401
2,120
1
30
1,060
* 10.73
** 24
*** 20,473
18,315
........................
........................
9,158
........................
........................
*** 176,874
* We based this figure on average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/
2020Fact%20Sheet.pdf).
** We based this figure on the average FY 2020 wait times for field offices, 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.
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
4. 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
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
khammond on DSKJM1Z7X2PROD with NOTICES
* 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_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
5. 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
VerDate Sep<11>2014
18:25 Sep 24, 2020
Jkt 250001
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
PO 00000
Frm 00096
Fmt 4703
Sfmt 4703
agency for funds paid in advance prior
to SSA’s determination on the
individual’s claim. The authorization
represents the individual’s intent to file
for SSI, if they did not file an
application before SSA received the
authorization. Agencies who wish to
enter into an IAR agreement with SSA
E:\FR\FM\25SEN1.SGM
25SEN1
60512
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
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);
Modality of
completion
Number of
respondents
(States)
(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 ............
1 Average
(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)—each IAR agency agrees to retain all
notices, agreements, 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
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
regarding payment amounts and appeal
rights.
• Periodic Review of Agency
Accounting Process (k–m) – each 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 1 2 3 collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
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
of about 2 States per year.
2 Hours.
khammond on DSKJM1Z7X2PROD with NOTICES
Modality of
completion
Number of
respondents
(States)
(h) Maintenance of
authorization forms
(i) Maintenance of
accounting forms
and notices ...........
3 Includes
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
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
both denied and approved SSI claims.
VerDate Sep<11>2014
18:25 Sep 24, 2020
Total annual
opportunity
cost
(dollars) **
Jkt 250001
PO 00000
Frm 00097
Fmt 4703
Sfmt 4703
E:\FR\FM\25SEN1.SGM
25SEN1
60513
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
Modality of
completion
Number of
respondents
(States)
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
(j) Written notice
from State to recipient regarding
amount of payment
38
2668
101,384
7
11,828
* 19.58
** 231,592
Modality of
completion
Number of
respondents
(States)
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
(k) Retrieve and consolidate authorization and accounting forms ...............
(l) Participate in periodic review ...........
(m) Correct administrative and accounting discrepancies ...................
Modality of
completion
Total ..................
12
1
12
3
36
* 21.09
** 759
12
1
12
16
192
* 21.09
** 4,049
6
1
6
4
24
* 21.09
** 506
Number of
respondents
(States)
Frequency of
response
Number of
responses
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
38
........................
408,353
........................
32,155
........................
** 643,487
* 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.
6. Appeal of Determination for Help
with Medicare Prescription Drug Plan
Costs—0960–0695. Public Law 108–173,
the Medicare Prescription Drug,
Improvement and Modernization Act of
2003 (MMA), established the Medicare
Part D program for voluntary
prescription drug coverage for certain
low-income individuals. The MMA
stipulates the provision of subsidies for
khammond on DSKJM1Z7X2PROD with NOTICES
Modality of
completion
Number of
respondents
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 Help With Medicare
Prescription Drug Plan Costs, to obtain
information from individuals who
appeal SSA’s decisions regarding
eligibility or continuing eligibility for a
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Medicare Part D subsidy. The
respondents are Medicare beneficiaries,
or proper 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) *
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
* $46.28
0
*** $22,168
9,691
1
10
1,615
* 46.28
** 24
*** 254,123
Totals ................
12,563
........................
........................
2,094
........................
........................
*** 276,291
* We based this figure on average U.S. worker’s hourly wages (https://www.bls.gov/oes/current/oes_nat.htm); State and local government worker’s salaries (https://www.bls.gov/oes/current/naics4_999300.htm); and attorney representative payee wages (https://www.bls.gov/oes/current/
oes231011.htm), as reported by Bureau of Labor Statistics data.
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
VerDate Sep<11>2014
18:25 Sep 24, 2020
Jkt 250001
PO 00000
Frm 00098
Fmt 4703
Sfmt 4703
E:\FR\FM\25SEN1.SGM
25SEN1
60514
Federal Register / Vol. 85, No. 187 / Friday, September 25, 2020 / Notices
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
7. Request for 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
(states)
SSA–5072 ................
Annually ...................
SSA–5072 ................
Bi-Annually ...............
Totals ................
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
Number of
responses
Average
burden per
response
(minutes)
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 (hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
25
1
25
5
2
* $96.85
** $194
75
2
150
5
13
* 96.85
** 1,259
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.
8. Medicare Income-Related Monthly
Adjustment Amount—Life-Changing
Event Form—0960–0784. Federallymandated reductions in the Federal
Medicare Part B and prescription drug
coverage subsidies result in selected
Medicare recipients paying higher
premiums with income above a specific
threshold. The amount of the premium
subsidy reduction is an income-related
monthly adjustment amount (IRMAA).
Modality of
completion
Number of
respondents
The Internal Revenue Service 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
Frequency of
esponse
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
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 events.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
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
khammond on DSKJM1Z7X2PROD with NOTICES
* 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_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
Dated: September 22, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2020–21180 Filed 9–24–20; 8:45 am]
BILLING CODE 4191–02–P
SURFACE TRANSPORTATION BOARD
[Docket No. AB 303 (Sub-No. 56X)]
Wisconsin Central Ltd.—Abandonment
Exemption—in Kaukauna, Outagamie
County, Wis.
under 49 CFR part 1152 subpart F—
Exempt Abandonments to abandon an
approximately 0.30-mile rail line
between milepost 114.0 and milepost
113.7, at Kaukauna, Outagamie County,
Wisconsin Central Ltd. (WCL) has
filed a verified notice of exemption
VerDate Sep<11>2014
18:25 Sep 24, 2020
Jkt 250001
PO 00000
Frm 00099
Fmt 4703
Sfmt 4703
E:\FR\FM\25SEN1.SGM
25SEN1
]]>Agencies
[Federal Register Volume 85, Number 187 (Friday, September 25, 2020)]
[Notices]
[Pages 60509-60514]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21180]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2020-0051]
Agency Information Collection Activities: Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at the following
addresses or fax numbers.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, Email address: [email protected].
(SSA), Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected].
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2020-0051].
SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than October 26, 2020. Individuals can obtain copies of
these OMB clearance packages by writing to
[email protected].
1. 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 the 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
[[Page 60510]]
specialist. If the 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 cost
respondents response (minutes) (hours) amount office (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3885....................... 6,495 1 13 1,407 * $25.72 ** 24 *** $103,009
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. RS/DI Quality Review Case Analysis: Sampled Number Holder;
Auxiliaries/Survivors; Parent; and Stewardship Annual Earnings Test--
0960-0189. Section 205(a) of the Social Security Act (Act) authorizes
the Commissioner of SSA to conduct the quality review process, which
entails collecting information related to the accuracy of payments made
under the Old-Age, Survivors, and Disability Insurance Program (OASDI).
Sections 228(a)(3), 1614(a)(1)(B), and 1836(2) of the Act require a
determination of the citizenship or alien status of the beneficiary;
this is only one item that we might question as part of the Annual
Quality review. SSA uses Forms SSA-2930, SSA-2931, and SSA-2935 to
establish a national payment accuracy rate for all cases in payment
status, and to serve as a source of information regarding problem areas
in the Retirement Survivors Insurance (RSI) and Disability Insurance
(DI) programs. We also use the information to measure the accuracy rate
for newly adjudicated RSI or DI cases. SSA uses Form SSA-4659 to
evaluate the effectiveness of the annual earnings test, and to use the
results in developing ongoing improvements in the process. About 25% of
respondents have in-person reviews and receive one of the following
appointment letters: (1) SSA-L8550-U3 (Appointment Letter--Sample
Individual); (2) SSA-L8551-U3 (Appointment Letter--Sample Family); or
(3) the SSA-L8552-U3 (Appointment Letter--Rep Payee). About 75% of
respondents receive a notice for a telephone review using the SSA-
L8553-U3 (Beneficiary Telephone Contact) or the SSA-L8554-U3 (Rep Payee
Telephone Contact). To help the beneficiary prepare for the interview,
we include three forms with each notice: (1) SSA-85 (Information Needed
to Review Your Social Security Claim) lists the information the
beneficiary needs to gather for the interview; (2) SSA-2935
(Authorization to the Social Security Administration to Obtain Personal
Information) verifies the beneficiary's correct payment amount, if
necessary; and (3) SSA-8552 (Interview Confirmation) confirms or
reschedules the interview if necessary. The respondents are a
statistically valid sample of all OASDI beneficiaries in current pay
status or their representative payees.
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 cost
respondents response (minutes) burden (hours) amount office (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2930.............................. 1,500 1 30 750 * 18.23 ** 24 *** 24,611
SSA-2931.............................. 850 1 30 425 * 18.23 ** 24 *** 13,946
SSA-4659.............................. 325 1 10 54 * 18.23 ** 24 *** 3,354
SSA-L8550-U3.......................... 385 1 5 32 * 18.23 ** 24 *** 3,390
SSA-L8551-U3.......................... 95 1 5 8 * 18.23 ** 24 *** 839
SSA-L8552-U3.......................... 35 1 5 3 * 18.23 ** 24 *** 310
SSA-L8553-U3.......................... 4,970 1 5 414 * 18.23 ** 24 *** 43,788
SSA-L8554-U3.......................... 705 1 5 59 * 18.23 ** 24 *** 6,217
SSA-8552.............................. 2,350 1 5 196 * 18.23 ** 24 *** 20,709
SSA-85................................ 3,850 1 5 321 * 18.23 ** 24 *** 33,926
SSA-2935.............................. 2,350 1 5 196 * 18.23 ** 24 *** 20,709
SSA-8510 (also saved under OMB No. 800 1 5 67 * 18.23 ** 24 *** 7,055
0960-0707)...........................
-----------------------------------------------------------------------------------------------------------------
[[Page 60511]]
Totals............................ 18,215 .............. .............. 2,525 .............. .............. *** 178,854
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on averaging both the average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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. 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 cost
respondents response (minutes) burden (hours) amount office (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 based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** We based this figure on the average FY 2020 wait times for field offices, 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. 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 cost
respondents response (minutes) (hours) amount office (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_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. 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 individual's claim. The
authorization represents the individual's intent to file for SSI, if
they did not file an application before SSA received the authorization.
Agencies who wish to enter into an IAR agreement with SSA
[[Page 60512]]
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)--each IAR agency agrees
to retain all notices, agreements, 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) - each
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
1 2 3 collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average burden Estimated theoretical Total annual
Modality of completion respondents Frequency of Number of per response total annual hourly cost opportunity cost
(States) response responses (minutes) burden (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
(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[dash]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............................
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Average of about 2 States per year.
\2\ Hours.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average burden Estimated theoretical Total annual
Modality of completion respondents Frequency of Number of per response total annual hourly cost opportunity cost
(States) response responses (minutes) burden (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
(h) Maintenance of authorization forms 38 3,364 \3\ 127,832 3 6,392 * 21.09 ** 134,807
(i) Maintenance of accounting forms 38 1,346 51,148 3 2,557 * 21.09 ** 53,927
and notices..........................
--------------------------------------------------------------------------------------------------------------------------------------------------------
\3\ Includes both denied and approved SSI claims.
[[Page 60513]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average burden Estimated total theoretical Total annual
Modality of completion respondents Frequency of Number of per response annual burden hourly cost opportunity cost
(States) response responses (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
(j) Written notice from State 38 2668 101,384 7 11,828 * 19.58 ** 231,592
to recipient regarding amount
of payment....................
--------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average burden Estimated theoretical Total annual
Modality of completion respondents Frequency of Number of per response total annual hourly cost opportunity cost
(States) response responses (minutes) burden (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
(k) Retrieve and consolidate 12 1 12 3 36 * 21.09 ** 759
authorization and accounting forms...
(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.............
--------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Number of Average burden Estimated total theoretical Total annual
Modality of completion respondents Frequency of Number of per response annual burden hourly cost opportunity cost
(States) response responses (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total...................... 38 ............... 408,353 ............... 32,155 ............... ** 643,487
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
6. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. Public Law 108-173, the Medicare Prescription
Drug, Improvement and Modernization Act of 2003 (MMA), established the
Medicare Part D program for voluntary prescription drug coverage for
certain low-income individuals. The MMA stipulates the provision of
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 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 proper 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 burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity cost
respondents response (minutes) burden (hours) amount office (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1021 (Paper version).............. 2,872 1 10 479 * $46.28 0 *** $22,168
SSA-1021 (Intranet version: MAPS)..... 9,691 1 10 1,615 * 46.28 ** 24 *** 254,123
-----------------------------------------------------------------------------------------------------------------
Totals............................ 12,563 .............. .............. 2,094 .............. .............. *** 276,291
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages (https://www.bls.gov/oes/current/oes_nat.htm); State and local government worker's salaries
(https://www.bls.gov/oes/current/naics4_999300.htm); and attorney representative payee wages (https://www.bls.gov/oes/current/oes231011.htm), as
reported by Bureau of Labor Statistics data.
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
[[Page 60514]]
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
7. Request for 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
Number of Average burden Estimated theoretical Total annual
Modality of completion respondents Frequency of Number of per response total annual hourly cost opportunity cost
(states) response responses (minutes) burden hours amount (dollars) **
(hours) (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-5072.............................. 25 1 25 5 2 * $96.85 ** $194
Annually..............................
SSA-5072.............................. 75 2 150 5 13 * 96.85 ** 1,259
Bi-Annually...........................
-----------------------------------------------------------------------------------------------------------------
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.
8. 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 with income above a
specific threshold. The amount of the premium subsidy reduction is an
income-related monthly adjustment amount (IRMAA). The Internal Revenue
Service 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 events.
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 cost
respondents esponse (minutes) burden (hours) amount office (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
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_nat.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: September 22, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2020-21180 Filed 9-24-20; 8:45 am]
BILLING CODE 4191-02-P
